Lowest nurse staffing
Facilities with the fewest total nursing hours per resident per day in the April to June 2026 payroll data. Psychiatric and other special treatment facilities can use staff (such as psychiatric technicians) that this payroll file does not count.
| Facility | City | Nursing hours per resident | RN hours | Weekend |
|---|---|---|---|---|
| Meadowbrook Behavioral Health Center | Los Angeles | 2.56 | 0.15 | 2.29 |
| Laurel Park Behavioral Health Center | Pomona | 2.78 | 0.22 | 2.49 |
| LA Paz Geropsychiatric Center | Paramount | 2.82 | 0.30 | 2.58 |
| View Heights Convalescent Hospital | Los Angeles | 3.20 | 0.37 | 2.86 |
| Providence Little Company of Mary Transitional Care Center | Torrance | 3.29 | 1.65 | 3.06 |
| Penn Mar Healthcare Center | El Monte | 3.35 | 0.21 | 2.81 |
| The Rowland | Covina | 3.46 | 0.30 | 3.13 |
| The Grove Post-Acute Care Center | Sylmar | 3.55 | 0.30 | 3.04 |
| Landmark Medical Center | Pomona | 3.55 | 0.20 | 3.16 |
| Garden Crest Rehabilitation Center | Los Angeles | 3.58 | 0.31 | 3.34 |
| Gardena Convalescent Center | Gardena | 3.69 | 0.36 | 3.25 |
| California Post-Acute Care | Lynwood | 3.70 | 0.39 | 2.30 |
| Infinity Care LA | Los Angeles | 3.71 | 0.30 | 3.60 |
| Saint Vincent Healthcare | Pasadena | 3.72 | 0.34 | 3.49 |
| Stoney Point Healthcare Center | Chatsworth | 3.73 | 0.32 | 3.57 |
| Chino Valley Health Care Center | Pomona | 3.78 | 0.44 | 3.57 |
| The Beach Post-Acute | Long Beach | 3.78 | 0.42 | 3.42 |
| Cerritos Vista Healthcare Center | Bellflower | 3.79 | 0.37 | 3.52 |
| Cheviot Hills Post Acute | Los Angeles | 3.80 | 0.25 | 3.56 |
| Royal Vista Care Center | San Gabriel | 3.80 | 0.43 | 3.56 |
| Huntington Healthcare Center | Los Angeles | 3.82 | 0.19 | 3.67 |
| Mid-Wilshire Health Care Center | Los Angeles | 3.82 | 0.57 | 3.72 |
| Griffith Park Healthcare Center | Glendale | 3.83 | 0.38 | 3.28 |
| Pico Rivera Healthcare Center | Pico Rivera | 3.85 | 0.31 | 3.54 |
| Driftwood Healthcare Center | Torrance | 3.85 | 0.44 | 3.58 |
Days below California’s 3.5-hour minimum
California requires most skilled nursing facilities to provide at least 3.5 direct care hours per patient day (Health and Safety Code 1276.65). These counts are our calculation from CMS payroll data (RN, LVN and nurse aide hours), not CDPH findings; CDPH counts some staff differently and can grant waivers. Hospital-based units, which the rule exempts, are left out.
Highest reported profits, 2025
Net income as each facility reported it to the California Department of Health Care Access and Information (HCAI) for 2025. 2025 reports are as submitted; HCAI has not finished reviewing them. The 2025 median operating margin was 5.9% in Los Angeles County and 6.1% statewide.
| Facility | City | Revenue | Net income | Margin |
|---|---|---|---|---|
| Lakewood Healthcare Center | Downey | $48.0 million | $9.6 million | 20.0% |
| Stoney Point Healthcare Center | Chatsworth | $32.9 million | $9.3 million | 28.2% |
| Maywood Skilled Nursing & Wellness Centre | Maywood | $29.9 million | $7.1 million | 23.6% |
| Santa Anita Convalescent Hospital | Temple City | $71.2 million | $6.9 million | 9.6% |
| Alden Terrace Convalescent Hospital | Los Angeles | $31.5 million | $6.0 million | 19.2% |
| Antelope Valley Care Center | Lancaster | $38.5 million | $6.0 million | 15.7% |
| Downey Community Health Center | Downey | $35.9 million | $5.9 million | 16.5% |
| Heritage Manor | Monterey Park | $21.0 million | $5.7 million | 27.2% |
| Riviera Healthcare Center | Pico Rivera | $27.1 million | $5.6 million | 20.8% |
| Las Flores Convalescent Hospital | Gardena | $21.1 million | $4.9 million | 23.4% |
| Royal Oaks Manor – Bradbury Oaks | Duarte | $8.7 million | $4.8 million | 55.2% |
| Beverly Hills Rehabilitation Centre | Los Angeles | $41.0 million | $4.7 million | 11.5% |
| Atherton | Alhambra | $9.1 million | $4.5 million | 50.1% |
| Burbank Healthcare and Rehabilitation Center | Burbank | $30.9 million | $4.5 million | 14.6% |
| Arcadia Care Center | Arcadia | $32.4 million | $4.4 million | 13.7% |
| St. John of God Retirement and Care Center | Los Angeles | $26.5 million | $4.2 million | 16.0% |
| West Valley Post Acute | West Hills | $27.3 million | $4.1 million | 15.0% |
| Pilgrim Place Health Services Center | Claremont | $11.7 million | $4.1 million | 34.6% |
| Sunset Villa Post Acute | Long Beach | $35.6 million | $4.0 million | 11.3% |
| Sierra View Care Center | Baldwin Park | $18.1 million | $3.9 million | 21.4% |
| Monterey Park Convalescent Hospital | Monterey Park | $18.4 million | $3.7 million | 20.1% |
| Hawthorne Healthcare & Wellness Centre, LP | Hawthorne | $18.3 million | $3.7 million | 20.1% |
| Woods Health Services | La Verne | $8.3 million | $3.6 million | 43.7% |
| Canyon Oaks Nursing and Rehabilitation Center | Canoga Park | $27.8 million | $3.5 million | 12.5% |
| Olympia Convalescent Hospital | Los Angeles | $26.3 million | $3.4 million | 13.1% |
Payments to related companies
Many nursing homes pay rent, management fees or other charges to companies that share their owners. California requires them to disclose these payments. In their 2025 reports, 301 Los Angeles County facilities listed $486.1 million in payments to related companies. Payments to related companies are legal.
| Facility | City | Related-party payments | Net income |
|---|---|---|---|
| Santa Anita Convalescent Hospital | Temple City | $8.5 million | $6.9 million |
| Mirage Post Acute | Lancaster | $6.6 million | -$3.3 million |
| Park Avenue Healthcare & Wellness Center | Pomona | $6.3 million | $1.6 million |
| Glendora Grand, Inc. | Glendora | $6.1 million | $2.3 million |
| The Ellison John Transitional Care Center | Lancaster | $5.9 million | -$3,750 |
| Granada Post Acute | Lynwood | $5.7 million | $2.7 million |
| Kei-Ai Los Angeles Healthcare Center | Los Angeles | $5.3 million | -$128,791 |
| Eisenberg Village | Reseda | $4.9 million | -$1.6 million |
| Antelope Valley Care Center | Lancaster | $4.9 million | $6.0 million |
| California Healthcare and Rehabilitation Center | Van Nuys | $4.7 million | $465,121 |
| The Rehabilitation Center of Los Angeles | Los Angeles | $4.4 million | $847,654 |
| Four Seasons Healthcare & Wellness Center, LP | North Hollywood | $4.3 million | $2.4 million |
| Olive Vista Behavioral Health Center | Pomona | $4.3 million | $1.9 million |
| The Rehabilitation Center of North Hills | North Hills | $4.3 million | $67,176 |
| Canyon Oaks Nursing and Rehabilitation Center | Canoga Park | $4.3 million | $3.5 million |
| The Orchard – Post Acute Care | Whittier | $4.0 million | $3.2 million |
| Sylmar Health and Rehabilitation Center | Sylmar | $4.0 million | $2.3 million |
| Studio City Rehabilitation Center | Studio City | $4.0 million | $1.0 million |
| Longwood Manor Convalescent Hospital | Los Angeles | $3.9 million | $803,913 |
| Stoney Point Healthcare Center | Chatsworth | $3.9 million | $9.3 million |
| Alden Terrace Convalescent Hospital | Los Angeles | $3.9 million | $6.0 million |
| Colonial Care Center | Long Beach | $3.6 million | $2.0 million |
| Park View Nursing and Subacute | Reseda | $3.5 million | $212,020 |
| Terrace Post Acute | Van Nuys | $3.5 million | -$554,922 |
| Alta View Post Acute | Los Angeles | $3.2 million | -$59,516 |
Largest federal fines
Fines CMS lists for each facility in its penalty file, which covers roughly the last three years. 212 of 369 Los Angeles County facilities have at least one fine or payment denial.
Largest owner groups
Chains or affiliated entities as CMS lists them, with the number of Los Angeles County facilities, their median nursing hours per resident and the federal fines CMS lists for those facilities.
| Owner group (CMS) | Facilities | Median nursing hours | Federal fines |
|---|---|---|---|
| Longwood Management Corporation | 34 | 4.32 | $928,282 |
| The Ensign Group | 21 | 4.33 | $469,455 |
| Corporate Interface Services | 20 | 4.25 | $755,475 |
| David Johnson | 19 | 4.30 | $419,554 |
| Abraham Bak & Menachem Gastwirth | 16 | 4.50 | $345,629 |
| PACS Group | 14 | 4.14 | $1.2 million |
| Cambridge Healthcare Services | 14 | 4.13 | $466,267 |
| Pacific Healthcare Holdings | 10 | 4.29 | $675,730 |
| Serrano Group | 9 | 4.11 | $685,586 |
| Aspen Skilled Healthcare | 9 | 4.62 | $539,923 |
| Genesis Healthcare | 9 | 3.94 | $600,609 |
| The Mandelbaum Family | 9 | 4.91 | $454,681 |
| Rollins-Nelson Healthcare Management | 7 | 4.41 | $333,524 |
| Aaron Mayer | 6 | 4.39 | $164,073 |
| Windsor | 5 | 3.89 | $253,010 |
| Charis Trust Dtd 12/22/16 | 5 | 4.25 | $155,133 |
| Pursue Health | 4 | 4.79 | $557,725 |
| Mariner Health Care | 4 | 4.53 | $58,865 |
| Providence Health & Services | 4 | 8.73 | $163,125 |
| Ahmc Healthcare | 4 | 7.60 | $5,698 |
What to do
- Look up a facility: every name above links to its page with inspections, staffing, owners and finances.
- If a resident is in danger, call 911.
- Report understaffing or neglect to CDPH: file a complaint
- Call the long-term care ombudsman: Ombudsman program
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Talk to a Los Angeles nursing home abuse lawyer
Beverly Law represents residents and families in claims against nursing homes for abuse, neglect, bed sores, falls and fractures, sexual abuse, dehydration and malnutrition, medication errors and wrongful death. We start with the same public record shown on these pages, then request the resident’s chart and staffing records.
California’s Elder Abuse and Dependent Adult Civil Protection Act allows added remedies, including attorney fees, when neglect or abuse is proven to be reckless, oppressive, fraudulent or malicious (Welfare and Institutions Code section 15657). Filing deadlines can be as short as one year depending on the claim, so talk to a lawyer early. The consultation is free, in English or Spanish, and you owe no fees and no costs unless we win. Call (310) 552-6959.
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Questions
How many nursing hours should a nursing home resident get?
California requires most skilled nursing facilities to provide at least 3.5 direct care hours per patient day, including 2.4 hours from certified nurse assistants. In April to June 2026 the California average CMS published was 4.54 total nursing hours per resident per day.
Where does this data come from?
Staffing comes from the payroll data nursing homes file with CMS (Payroll-Based Journal); owners, turnover and fines from the CMS Provider Data Catalog; revenue, profit and related-party payments from the annual reports nursing homes file with HCAI.
Can understaffing lead to a lawsuit?
Understaffing by itself is a regulatory issue, but when a resident is hurt because care the plan required was not given (missed turning, falls without supervision, dehydration), staffing records are often key evidence in a neglect or elder abuse claim.
How much does a nursing home abuse lawyer cost?
Beverly Law takes nursing home cases on contingency: the consultation is free and you owe no attorney fees and no costs unless we recover money for you.
Sources
Important: This page reports findings from public records of the California Department of Public Health and the Centers for Medicare & Medicaid Services. A citation or deficiency is a regulatory finding by a government agency; it is not a court judgment and not proof of civil or criminal liability. Criminal defendants are presumed innocent unless proven guilty. Lawsuit allegations are claims, not findings. This page is general information, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Attorney advertising. Prior results do not guarantee a similar outcome. Data as of: October 30, 2026. Methodology and corrections.
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