These are the top 20 highest-rated nursing homes in California according to the CMS 5-Star Quality Rating System (2026). All facilities listed have an overall rating of 5 stars or higher. The average rating across this list is 5.0/5. 19 of these 20 facilities have no fines on record.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Mount San Antonio Gardens | Pomona | $0 | |
| 2 | Mary Health of the Sick Convalescent & Nursing Hos | Newbury Park | $0 | |
| 3 | Villa Coronado D/p SNF | Coronado | $0 | |
| 4 | Mission View Health Center | San Luis Obispo | $0 | |
| 5 | Grand Terrace Health Care Center | Grand Terrace | $0 | |
| 6 | Lawton Skilled Nursing & Rehabilitation Center | San Francisco | $0 | |
| 7 | Victoria Healthcare and Rehabilitation Center | Costa Mesa | $0 | |
| 8 | Lompoc Valley Medical Center Comprehensive Care Ce | Lompoc | $0 | |
| 9 | Community Subacute and Transitional Care Center | Fresno | $0 | |
| 10 | Mission Valley Post Acute | Fremont | $0 | |
| 11 | Central Gardens Post Acute | San Francisco | $0 | |
| 12 | Kearny Mesa Convalescent and Nursing Home | San Diego | $0 | |
| 13 | Canterbury Woods | Pacific Grove | $0 | |
| 14 | La Paloma Healthcare Center | Oceanside | $0 | |
| 15 | The Sequoias | Portola Valley | $12,703 | |
| 16 | Woodlands Healthcare Center | Los Gatos | $0 | |
| 17 | Mission Care Center | Riverside | $0 | |
| 18 | Niles Canyon Post Acute | Fremont | $0 | |
| 19 | Maywood Acres Healthcare | Oxnard | $0 | |
| 20 | The Californian | Santa Barbara | $0 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.