California Assisted Living Facilities: A Deep Dive into Citation Data

    California Assisted Living Facilities: A Deep Dive into Citation Data

    We reviewed 43,795 California Department of Social Services citations from 2023-2025, measured against every facility's licensed beds, to see where inspectors write up the most problems once size is taken out of it.

    By Dharam Khalsaยท

    What the data shows

    Size explains most of a raw count

    California licenses everything from six-bed homes to communities of more than a thousand. Counting citations per 100 beds each year puts them on the same footing: the state average is 7.6.

    What the two citation types mean

    A Type A citation marks a violation that poses an immediate risk to health or safety. A Type B citation marks a violation with less immediate consequence.

    Kern draws the most per bed

    At 14 citations per 100 beds a year, Kern runs about 6 times the rate of Yolo, the lowest of the larger counties.

    The smallest homes post the wildest rates

    A rate on a handful of beds swings hard. Age Well Assisted Living. in Van Nuys drew 253 citations against 12 licensed beds โ€” a real record, but read it as 253 citations in 3 years rather than as a rate.

    5,501

    Licensed facilities cited at least once between 2023-2025

    7.6

    Citations per 100 licensed beds per year, statewide

    43,795

    Citations issued over 3 years, across 191,543 beds

    Where the citations are concentrated

    Counties are shaded by citations per 100 licensed beds per year, darkest where the rate is highest. A raw count mostly tracks how many beds a county has, so the rate is the fairer comparison. Hover or tab through a county to see its figure. 48 of California's 58 counties have a cited facility; the rest are shown unranked.

    Alameda: 9.5 per 100 beds / yearAlpine: Not rankedAmador: 16.8 per 100 beds / yearButte: 7.3 per 100 beds / yearCalaveras: 5.1 per 100 beds / yearColusa: Not rankedContra Costa: 14 per 100 beds / yearDel Norte: Not rankedEl Dorado: 2.4 per 100 beds / yearFresno: 7.6 per 100 beds / yearGlenn: 13.3 per 100 beds / yearHumboldt: 5.5 per 100 beds / yearImperial: 3.6 per 100 beds / yearInyo: Not rankedKern: 14 per 100 beds / yearKings: 4.5 per 100 beds / yearLake: 8.8 per 100 beds / yearLassen: 1.8 per 100 beds / yearLos Angeles: 7.7 per 100 beds / yearMadera: 13.3 per 100 beds / yearMarin: 5.4 per 100 beds / yearMariposa: Not rankedMendocino: 25.1 per 100 beds / yearMerced: 14.7 per 100 beds / yearModoc: Not rankedMono: Not rankedMonterey: 7.4 per 100 beds / yearNapa: 7.1 per 100 beds / yearNevada: 1 per 100 beds / yearOrange: 6 per 100 beds / yearPlacer: 5.9 per 100 beds / yearPlumas: Not rankedRiverside: 8.2 per 100 beds / yearSacramento: 11.6 per 100 beds / yearSan Benito: 16.7 per 100 beds / yearSan Bernardino: 9.4 per 100 beds / yearSan Diego: 3.6 per 100 beds / yearSan Francisco: 4.2 per 100 beds / yearSan Joaquin: 8.3 per 100 beds / yearSan Luis Obispo: 11.4 per 100 beds / yearSan Mateo: 11.9 per 100 beds / yearSanta Barbara: 5.2 per 100 beds / yearSanta Clara: 5.2 per 100 beds / yearSanta Cruz: 5.3 per 100 beds / yearShasta: 4.4 per 100 beds / yearSierra: Not rankedSiskiyou: 5.8 per 100 beds / yearSolano: 8.1 per 100 beds / yearSonoma: 9.9 per 100 beds / yearStanislaus: 5.6 per 100 beds / yearSutter: 4.6 per 100 beds / yearTehama: 4.5 per 100 beds / yearTrinity: Not rankedTulare: 8.8 per 100 beds / yearTuolumne: 8.2 per 100 beds / yearVentura: 8.3 per 100 beds / yearYolo: 2.4 per 100 beds / yearYuba: 3.1 per 100 beds / year
    LowerHigher
    Not ranked

    The cities with the highest rate

    Citations per 100 licensed beds per year, among cities with at least 500 beds, so the rate describes the city rather than a single building.

    1. 1Van Nuys28.6 from 659 across 769 beds
    2. 2San Leandro19.8 from 321 across 540 beds
    3. 3Hayward18.8 from 518 across 920 beds
    4. 4Mission Viejo16.4 from 471 across 955 beds
    5. 5San Mateo16 from 565 across 1,175 beds
    6. 6Lancaster15.3 from 296 across 643 beds
    7. 7Concord14.9 from 470 across 1,050 beds
    8. 8Union City14.4 from 260 across 603 beds
    9. 9Sacramento14.2 from 1,632 across 3,826 beds
    10. 10Pleasant Hill13.3 from 258 across 646 beds

    Every facility with a citation

    All 5,501 facilities cited between 2023-2025, with their licensed beds, their rate, and their Type A and Type B counts. Sort by the rate to compare facilities of different sizes, or by the total for the raw count. The table opens on the 500 most-cited; searching or sorting loads the rest.

    โ†” Scroll to see every column

    California assisted living facilities ranked by citations, with citations per 100 licensed beds per year
    Age Well Assisted Living.Van Nuys12702.8253100153
    Gracious Care HomesEastvale124001445490
    Balance Assisted Living, LodiLodi28113.91176750
    Aasta Assisted LivingCamarillo13027.71087533
    Opal CareOakland15237.81074760
    Atienza Residential CareBeaumont12288.91046539
    Legacy Oaks of SacramentoSacramento32010.41005049
    Four Seasons CaliforniaBakersfield9932.7974948
    Jennae CrestCerritos6538.9974057
    Green MerrylandsFontana6494.4894049
    Grace Retirement VillageLa Habra3408.5874641
    Mori Manor Assisted LivingSan Leandro14192.9812853
    George Anne HomeSan Mateo6438.9792158
    Hm Sweet HomeNorth Hollywood6438.9792752
    Savant of RiversideRiverside3826.8782553
    Angel Care HomePittsburg6427.8772849
    Avila Senior Living at Downtown SLOSan Luis Obispo10025.3763541
    Walnut Creek WillowsWalnut Creek7235.2761165
    Twin Hearts Senior Care IICorona12208.3753441
    Kun Bai Care 2 HomeLake Elsinore6405.6734726
    Pasadena Villa Assisted LivingPasadena9723.7692544
    Quality Care Assisted LivingBakersfield5442.6692841
    Autumn OaksPorterville4451.5684712
    Elisabeth Care HomePleasant Hill6366.766858
    Hayworth TerraceLos Angeles2229.9661056
    Brittany House Residential Memory CareLong Beach3406.4651055
    Ace Senior Care ManorPasadena6350634320
    Bhavathi LLCClaremont6350632340
    Humble Haven RCFE IIPalmdale18116.7632637
    High Desert HavenRidgecrest2368.8622933
    Regency Palms Long BeachLong Beach9122.7621349
    Colonial Acres Resident CareHayward20101.7612536
    Sunnybrae HomeWinnetka6333.3603129
    The Vineyard at Fountaingrove Memory CareSanta Rosa6431.3603723
    All Star Living IncVan Nuys12163.9593128
    American Assisted LivingSuisun City3065.6593722
    La Posada Assisted Living & Memory Care CommunityWhittier2288.6591940
    The Vistas at Oxnard Senior LivingOxnard10019.7593128
    Apple Ridge Assisted LivingSacramento17611584018
    Iris Guest HomeOrange6322.2582632
    Oakmont of LodiLodi2727.1583622
    Betsy's II RCFESanta Rosa13146.2573126
    Montgomery Springs ManorHayward15126.7572037
    Spring Hope Healthcare CorpHesperia14135.7571344
    The Village at Rancho SolanoFairfield2507.6573819
    Heart and Soul Communities IISan Leandro6311.1563125
    Nida's Care HomeUnion City12150542430
    Santa Anita Assisted LivingArcadia3006542727
    Argonaut Care HomeJackson11160.6532924
    Mirabel LodgeForestville6826533518
    The Artesian of OjaiOjai14412.3532528
    Bayshire San DimasSan Dimas2506.9522230
    Tna Residential CareReseda6288.9522626
    Elegance BerkeleyBerkeley12014.2512031
    Rose of Sharon HealthcarePittsburg6283.3512229
    White's Love and CareMurrieta6283.3512823
    Alain CrestCerritos6277.8501436
    Glen Park at Long BeachLong Beach2088502030
    Love and Comfort IISacramento6277.8503416
    Mc Hugh Care HomeSanta Rosa15111.1502624
    Summer Springs Board and CareBakersfield12138.9502525
    Arcadia Retirement VillageArcadia2008.2492128
    Pleasant Hill OasisPleasant Hill4933.3491831
    Sage MountainThousand Oaks14511.3492722
    Sonora Senior LivingJamestown9018.1492029
    Abundant Residential Living Services, IncAtwater5320482523
    Blessed Homecare 2 RosevilleRoseville6266.7482721
    California Alliance of Residential Care ProvidersDaly City7228.6483612
    Starlight Care HomeWest Covina6266.7481731
    BlueMeadow CareSan Ramon6261.147938
    Comfort Home IISan Mateo6261.1471136
    Gainsborough OaksThousand Oaks6261.147740
    Greenhaven Estates Assisted Living and Memory CareSacramento10514.9472324
    Meadowbrook Health Care CenterHemet981647740
    Santa Fe Assisted LivingYucca Valley8518.4472225
    Cogir of Cedar CreekMadera1629.3451926
    Golden Leaf ManorLa Puente6250451233
    Whitten HeightsLa Habra1967.7452025
    Astoria Park Senior LivingPasadena2206.7441430
    Larkey Park Home CareWalnut Creek6244.444836
    Tender Loving Care Guest HomeNational City6244.444836
    The Claremont HaciendaClaremont2047431825
    Villa VictoriaGlendora6238.9432221
    A Ohana Home for SeniorsConcord6233.3421527
    Beatrice Home CareGalt6233.3422121
    Betsy's Residential Care HomeSanta Rosa6233.3421725
    Burlingame Senior LivingBurlingame1807.8422418
    Golden Legacy Elderly Care IISacramento6233.3422517
    Roseleaf of Oroville at Larkspur LandingOroville6023.3421923
    Vine Hill Senior LivingNapa12116.7421626
    Assurance Home 2Palm Springs6227.8411031
    Avenir Memory Care WestsideLos Angeles8815.5411130
    Bonita Villa Senior LivingChula Vista2904.741635
    Mc Board & CareWildomar6227.8411823
    Silver Light CareNorth Hollywood6227.8411229
    Vita Bella Elderly Care IIISacramento1497.6412021
    Above & Beyond RCFE, Inc.Hayward6222.2401624
    Angela's Care HomeMoreno Valley6222.2401327
    Ararat Board and CareNorth Hollywood6222.240832
    Arcene Guest Home IIPlacentia6222.2401030
    BlueGarden CareSan Ramon6222.240733
    Citrus Heights TerraceCitrus Heights4927.2402713
    D & L Residential Care Home 1Glendora6222.240634
    Simply Caring Angels, LLCRidgecrest6222.2401624
    Vita Bella Elderly Care - Assisted Living FacilitySacramento10133.3401921
    Abounding Love - Assisted Living Care HomeSacramento12108.339309
    Elms Residential Home CareVentura5424.1391623
    J & M Happy Guest HomeSan Diego6216.7392217
    Mountain View Residential CareFontana2454.2391128
    Oakmont GardensSanta Rosa7916.5392316
    Sakura Intermediate Care FacilityLos Angeles1837.1391623
    Santa Fe Home CareTorrance6216.739435
    Sequoia Springs Senior Living CommunityFortuna9214.1391821
    Belmar Senior LivingOakdale11411.1382711
    Delta Shores Assisted LivingAntioch180738434
    Five Star Care Home IISan Mateo6211.1382315
    Meadowbrook at Agoura HillsAgoura Hills1856.8382315
    Rose Garden RchWatsonville6211.1382117
    Roseleaf GardensChico5622.6382414
    Savant of Woodland HillsWoodland Hills2066.1381226
    Whittier Glen Assisted LivingWhittier9313.638533
    California Manor Guest Home 1Riverside4925.2371225
    Glen Park at Valley VillageValley Village10012.3371918
    St. Anthony's Residential Care Home IVSan Leandro6205.6371027
    TLC Home Care 2Bakersfield6205.6371126
    Vacaville Memory CareVacaville7516.4372215
    Yuba Sutter Care HomeYuba City6205.6372512
    Argonaut Care Home 2Jackson12100362016
    Beach TerraceStanton12010361917
    Cedars Assisted LivingNorthridge1756.9361620
    Golden Pond Retirement CommunitySacramento1756.9362313
    Peaceful Kingdom Home Care IReseda6200361620
    Sweet Dreams Care HomeMilpitas6200361323
    The Pointe at Summit HillsBakersfield1707.1362115
    Chateau JesadeanFresno1297.2351520
    Comforts of Home Senior CareSanta Barbara6194.435332
    Green Pastures Residences-Oakmont ManorPittsburg6194.4351223
    JBM Residence Home IncLancaster6194.4351520
    Monteverde Manor IISan Bruno6194.4352114
    Tessie's Place Loving Care Home #1San Juan Capistrano1864.8351025
    The Village at Mill CreekVisalia5919.8351916
    Always TLCSan Mateo6188.9341816
    Belmont Village Senior Living Sabre SpringsSan Diego1846.2341024
    Caring Hands Residential Living IISan Jose11103341222
    Eliaa, LLCRiverside1294.4341519
    Eskaton Lodge Gold RiverGold River1348.5341816
    Glenwood Garden ManorRoseville6188.9341222
    Ivy Park at HaywardHayward1706.7341420
    Kingston Bay Senior LivingFresno1288.9341420
    Leisure Garden Senior Assisted LivingLancaster1577.2341618
    Leo's Assisted Living IiReseda6188.934925
    Lily of the Valley IISan Diego6188.9341123
    Lincoln Retirement VillaFremont1567.3341024
    Lo-Har Senior LivingEl Cajon6816.734529
    Lotus Villa and Memory CareFontana1985.7341222
    Marin Terrace Assisted LivingMill Valley4923.1341519
    Round Hill Care HomeAlamo6188.9341618
    Stewart Oaks VillaSacramento6188.9341915
    Westmont of Santa BarbaraGoleta9911.4341321
    Brilliant Senior Care FacilityNorth Hills6183.333033
    Burlingame Senior Home 2Burlingame6183.3331320
    Connly Care HomeSan Jose6183.333294
    E & R Board & Care IVan Nuys6183.333726
    Evergreen Life Care HomesFresno1291.7331221
    Family Manor Community CareRichmond7015.733825
    Hartnell Home CareUnion City6183.3331221
    Janie's HomeSan Mateo6183.3332112
    Leisure Vale Assisted LivingGlendale3982.8331023
    Madison Square Senior Living II, CarmichaelCarmichael6183.3331518
    Pacific Grove Senior LivingPacific Grove1507.333429
    Santa Fe Home Care IITorrance6183.333627
    Sea Cliff Assisted LivingHuntington Beach1686.5331815
    St Joseph Senior CareNewark6183.3331518
    The Kensington at Walnut CreekWalnut Creek4002.833528
    A Tender Touch Senior LivingBeaumont6177.8321022
    Del Monte Assisted Living & Memory CarePacific Grove5519.4321022
    El Rio Memory Care CommunityModesto7214.8321715
    Georgia's Love & Care HomeEmpire1571.1321715
    Marbella VisaliaVisalia7214.8321814
    Mary's ManorFremont6177.8321517
    Merrill Gardens at GilroyGilroy2145321814
    Oakmont of NovatoNovato2364.5321715
    Sherry's RCFERancho Cordova1859.3321614
    Siskiyou Springs Assisted Living CommunityYreka1845.8321121
    Sterling Senior Living 3Carson1288.932626
    Timeless TreasuresSacramento6177.8321913
    Ventura Grand ChateauVentura4921.8321517
    Windsong of Sonoma Senior LivingPetaluma1905.6321517
    Ymz Assisted LivingNorth Hollywood1288.9321814
    Beatrice Senior CareElk Grove6172.2312110
    Brookdale ChanateSanta Rosa1407.4311417
    Care Saint JacobOrange1286.131526
    G & A CareNorth Hills6172.2311219
    Grace Home Care - LloydLivermore1857.431922
    Healdsburg Senior LivingHealdsburg8212.6311516
    Mission Villa Senior LivingDaly City6017.231238
    Montclair RoyaleMontclair2364.4311516
    Victor Jem Happy HomesBurbank6172.2311912
    Abounding Love IIElk Grove6166.7301614
    Amelia Rose Senior Care CottageLakewood6166.730822
    Angel's Love RCFEPittsburg6166.730822
    Beck Care HomeSan Jose6166.730246
    Belen's Residential Care HomeSan Francisco2245.5301812
    City Creek Post AcuteSacramento1218.3301713
    Cristina's Care HomeSan Bruno2050301416
    Ehimas Residential CareGalt1566.7301020
    Foremost Senior CampusHesperia1925.2301317
    Friendship Care HomeAntioch3528.630525
    Hanover Guest HomeSanta Cruz1566.730228
    Inn at the Park VenturaWoodland Hills4002.5301119
    La Concepcion Residential CareFremont6166.7301020
    Lighthouse at ChicoChico2404.2301317
    M&M Board & CareHesperia812530525
    Oceanside Elderly Care Home 452Oceanside1283.330426
    Paradise GardensShafter6166.730228
    Rossmoyne HillsGlendale6166.7301218
    Sacramento Senior Living IISacramento6166.7301713
    Saint Joseph's Home for the ElderlyClaremont6166.730822
    Santa Barbara Memory CareSanta Barbara3627.8301911
    SpringvilleBaldwin Park4323.3301218
    The Village at Hayes ValleySan Francisco1039.7301911
    Aa Best Care HomesSanta Rosa4024.2291217
    Alhambra VillaAlhambra2048.3291712
    Alma Care Senior Living LLCThousand Oaks3322.2291217
    Bellaire Senior CareNorth Hollywood1853.7291316
    Cogir of San Rafael Memory CareSan Rafael7013.8291712
    Emerald Residential Care HomeSan Mateo6161.1291514
    Family Affair Care HomeSan Bruno1096.7291910
    Helping Hands Senior CareFresno7413.1291811
    North Lake VillaMerced1374.4291415
    Royal Vista San GabrielSan Gabriel1009.729920
    Sarah's Elderly CareWindsor4241.729425
    Summerfield Memory Care of FresnoFresno6415.129623
    The MonteraLa Mesa2254.329128
    Wagner Heights ResidentialStockton1606291712
    Atria CollwoodSan Diego185528721
    Brookdale Central WhittierWhittier9210.128622
    Evco CareSan Jose6155.6281018
    Golden Care Living, Inc.Rancho Palos Verdes6155.628919
    Good Hands Home CareHuntington Beach6155.628235
    Leap Care Services LLCLivermore6155.6281117
    Love and Serenity of Vintage ParkSacramento1277.8281216
    Mariah's Garden Home CareSan Bruno6155.6281711
    Palmcrest Grand ResidenceLong Beach2623.628226
    Riverstone Terrace Senior LivingBakersfield959.8281414
    Serene Care JacquelinePittsburg6155.628919
    Sutro Heights CorporationSan Francisco1466.7281414
    The Bluffs at Hamilton HillNovato959.8281513
    Wine Country Senior's VillaNapa6155.628919
    Aaron's Care HomeWalnut Creek615027522
    Alta Loma Gardens Residential Care #1Rancho Cucamonga6150271116
    Care and Care Residence ISan Francisco1464.327225
    Clegg Care FacilitySacramento1090271116
    Elite Care HomesLakewood615027720
    Good Shepherd of DanvilleDanville6150271017
    Grace HomeOrangevale2437.5271512
    Jefferson Care Home, Inc.Concord615027720
    Joy Senior CenterBrentwood362527918
    Lake Park Senior LivingOakland2753.327027
    Mrs Scott's Where the Heart Is Homes-YosemiteClovis6150271611
    Only Love Elderly Care HomeCarmichael6150271017
    Pacifica Senior Living Union CityUnion City1108.2271116
    Swaner Guest HomeSalinas615027621
    The Commons at Dallas RanchAntioch1237.327027
    Toluca Lake Manor Senior Assisted LivingNorth Hollywood6150271215
    Valley View Care HomeSanta Rosa6150271116
    Westchester GardensBakersfield7212.5271017
    Woodland Hills ManorWoodland Hills6150271017
    A & P Care Home for SeniorsFremont6144.4261610
    Argonaut Care Home 3Jackson1178.8261313
    Carlton Senior Living Elk GroveElk Grove1804.826818
    Elder Creek Villa IIISanta Clarita6144.4261115
    Graces HomeAnaheim6144.4261610
    Gracious Living. Assisted LivingUpland1272.226620
    Grand Oaks Assisted LivingTulare1705.1261511
    Hollywood Hills Senior LivingLos Angeles1207.226719
    Ivy Ridge Assisted LivingSacramento7212261115
    Lighthouse Residential CareWildomar6144.4261214
    Love and Serenity of Elk Grove IIElk Grove6144.426179
    Loving Heart Care HomeSan Jose1848.1261610
    Merisol CareFremont6144.426818
    Montecito Assisted LivingSanta Ana1306.726917
    Regency Palms OxnardOxnard1276.8261016
    TLC Home Care IISan Francisco996.3261313
    Vintage HouseNapa6144.426620
    West Valley Care HomeCampbell6144.426242
    A and J Assisted Living FacilityColma5315.725178
    Ardent CareAnaheim2730.925717
    Bentley Suites by SCHSanta Monica4418.9251114
    Bonnie's Care HomeModesto6138.9251411
    Delta at the PortsideStockton6612.6251213
    Fountain Square of LompocLompoc2603.225916
    Genuine Love Care HomeHayward5166.725817
    Golden Living Home CareRoseville6138.925520
    Golden Years HomeLancaster6138.9251510
    Hilltop Springs Senior LivingRedding2113.925916
    Home of Perpetual CareLa Verne6138.9251015
    Hopkins Manor PacificRedwood City1764.725178
    Just Like HomeValley Village1269.425817
    Legacy Lane Senior LivingSacramento1459.525817
    Lexington Assisted LivingVentura1256.7251312
    Linda Falls Guest Home 1Angwin6138.9251114
    Melos Care HomeThousand Oaks1269.4251015
    Oakhurst Board & Care-ElderlyOakhurst1175.8251114
    Sandhill Assisted LivingMenlo Park6138.925223
    Savant of West HollywoodLos Angeles2603.225718
    Spring Meadows Assisted LivingCorona6138.9251213
    Stanford Cottages-Citrus Gardens Memory CareHemet641325619
    The Shepherd's Inn Assisted LivingCastroville6138.925169
    Traditions at Lucero WayTustin6138.9251312
    Valley SilvertownWest Hills2972.825916
    Vista Veranda Assisted LivingLynwood3562.325223
    WindChime of Marin Memory CareKentfield5515.2251411
    Windermere at WhitmanConcord6138.9251114
    Woodland Gardens Senior LivingWoodland2004.225250
    Abounding Love III - Assisted Living Senior CareSacramento1266.7241113
    Ahau Boarding Care HomeSan Bruno516024168
    Ambassadors Care HomeAntioch6133.324519
    Berland Home CareChula Vista6133.324519
    Brookdale ChatsworthChatsworth2742.9241113
    Complete Harmony Board and Care IncVan Nuys1266.724618
    Del Monte Assisted Living & Memory Care - StocktonStockton1585.1241014
    Fair Oaks EstatesCarmichael1216.624204
    Family Choice Senior LivingAnaheim6013.3241113
    Golden Care Living IIITorrance6133.324123
    Henrietta's Leven Oaks by SCHMonrovia160524915
    Ivy Park at Laguna CreekElk Grove1087.4241212
    Ivy Park at San RamonSan Ramon1624.924618
    L & S Gentle Care IIFairfield6133.324717
    Lakewood VillaSacramento3622.2241311
    Loving Care RanchHelendale1844.424519
    Mainplace Senior LivingOrange1535.224618
    Northwest VillaFresno1266.7241014
    NS CareFountain Valley6133.3241410
    Oakmont of San JoseSan Jose1844.324177
    Paradise Gardens Care HomeWalnut Creek6133.324519
    Parkrose Gardens of FairfieldFairfield1027.824222
    Raya's Paradise San ClementeSan Clemente801024159
    Ressa Residential CareLake Elsinore6133.3241311
    Rosemont GardensSan Leandro4020241014
    Royalty Guest HomeWinnetka6133.3241113
    Simple Touch Board and Care IncCanoga Park1266.7241410
    Spyglass Senior VillaBrentwood1650241212
    Summerset Senior Living, RanchoRancho Cordova1355.924204
    Tlc Guest Home IiRancho Palos Verdes6133.324321
    Vanessa Care Home IISan Mateo6133.324717
    A Compassion ValleyVan Nuys6127.823518
    Alpine B II CareMission Viejo6127.823221
    Angels Care Guest HomeGarden Grove1842.623815
    Celestial GardenAnaheim1263.9231013
    Cerritos Villa 1Cerritos6127.823914
    Cogir of BelmontBelmont6811.3231211
    Diamond Care, Inc.French Camp1647.923149
    Dignity Senior Care Inc.Granada Hills6127.8231211
    Discovery Commons San RamonSan Ramon958.123518
    Ema Board and CarehomePittsburg1076.723320
    Faith ManorThousand Oaks6127.823158
    Four Seasons Care HomeOrangevale6127.823419
    Friendly AcresRedwood City6127.823158
    Garden Of Eden Assisted LivingVictorville6127.8231211
    Golden Hearts Elderly Care Inc.Mission Viejo1263.9231211
    Golf View HomeBrentwood6127.8231211
    Ivy Park at Cathedral HillSan Francisco2103.723149
    Ivy Park at Otay RanchChula Vista2742.823419
    Kingsley ManorLos Angeles2992.623419
    Livermore Care HomeLivermore6127.8231211
    Morgan Hill VillaMorgan Hill2827.4231211
    Mountain View CenterClaremont4019.2231013
    Nina's HomeFresno6127.823914
    Novellus Stockton Assisted LivingStockton1604.8231013
    PacaldoSan Bruno6127.823167
    Precious Life ResidencesBakersfield6127.823149
    Rosehaven ISan Clemente6127.823518
    Skyline Place Senior LivingSonora2702.823815
    Sleepy Hollow Elderly Home CrRiverside6127.8231112
    St. Anthony's Board and CareSan Diego6127.823221
    Tender Touch Residential CareMartinez6127.823716
    The Preserve at Woodland HillsLos Angeles6012.8231211
    The Rose Garden Elderly CareSan Jose6127.823149
    True Living CareWoodland Hills1263.9231211
    Valerio RCFEVan Nuys6127.823815
    Vip Senior LivingSherman Oaks6127.8231112
    Westborough Manor 6San Bruno6127.823185
    AAA Jerusalem StarWoodland Hills1261.122913
    Aegis Living Corte MaderaCorte Madera1504.922184
    Araville Residential Care Home IISan Bruno6122.222166
    Aries Residential CareHesperia6122.2221111
    Bk House of GraceFresno6122.222166
    Bonnevie Residence and CareSan Jose6122.2221012
    Care CharlizeTustin6122.222157
    Care of HeartVan Nuys6122.222814
    Carlton Senior Living San LeandroSan Leandro1993.722220
    Citrus Hills Assisted LivingOrange957.7221012
    Continuance Care HomeHayward1645.8221210
    Crown CoveCorona Del Mar977.6221012
    Delightful Care Assisted LivingNorth Hills6122.222220
    Karo Mina Care HomeSan Ramon6122.222418
    Kern Village Assisted LivingKernville4416.722814
    Lake Balboa Boarding CareVan Nuys6122.222814
    Libertad ManorSacramento6122.222913
    Love and Comfort - Assisted Living Care HomeSacramento6122.222184
    Marbella OrovilleOroville888.322814
    Marcel's Memory CareSan Jose6122.2221111
    Meadowview ManorSonora2036.722139
    Nick's Maple Home IIIRialto1073.322814
    Oakmont of CamarilloCamarillo3002.422157
    Olivera Residential HomeMission Viejo6122.2221012
    Pacifica Senior Living MercedMerced937.922418
    PRN Care Home 2Hercules891.722418
    Promise Assisted LivingLos Angeles2233.322715
    Pruneridge Residential Care HomeSanta Clara6122.2221012
    River's EdgeSacramento1435.122913
    Round Hill Care HomeDanville6122.222715
    Serenity HavenSun City6122.222157
    St. Lourdes HomeHayward6122.222157
    STARS Board and Care FacilityVan Nuys6122.222913
    Summer House at Ladera HeightsLos Angeles4183.322715
    The Variel of Woodland HillsWoodland Hills4361.722913
    Todos Santos Assisted Living and Memory CareConcord1604.6221012
    Truewood by Merrill, ClovisClovis1485221210
    A & M Assisted LivingBakersfield1258.321714
    A Precious Care VillaNorthridge6116.721912
    Alta Loma Gardens Residential Care #2Claremont6116.721714
    Carefront Residential LivingConcord6116.721813
    Dutchollow Suites IModesto417521615
    Golden Star HomeRio Vista6116.721615
    Granada Care Home No 1Pinole1258.321813
    Heritage Hills of OceansideOceanside78921615
    Hoen's Care HomeSanta Rosa6116.721021
    JCP Cottage Senior CareVictorville6116.721417
    Lakeview LodgeRedwood City4914.3211110
    Little VillaWest Covina6116.721021
    Mayon Board & CareConcord6116.721912
    Oakland Heights Senior LivingOakland1973.621219
    Oakmont of Fair OaksFair Oaks1285.521129
    Oakmont of FresnoFresno1225.721714
    Oakmont of RiverparkOxnard2802.521813
    Oakmont of ValenciaValencia1444.921156
    Ohana HospitalityRancho Cordova6116.721813
    Palace of JoyLos Angeles6116.721714
    Prospect Manor Assisted LivingSouth Pasadena997.1211110
    Ridgecrest Home CareRidgecrest5140211110
    The Pinnacles at BurtonLos Angeles3382.121615
    Tierrasanta Vernanel Care HomeSan Diego6116.721318
    TLC Home CareSan Bruno977.821714
    West Pico Terrace Assisted Living CenterLos Angeles2722.621219
    Abounding Peace Elderly Care - Assisted LivingSacramento6111.120911
    Amy's Paradise Home of Angels Inc.North Hollywood6111.120614
    Angels on Tracy - Angels IISimi Valley6111.120812
    Arcadia LivingArcadia328220911
    Azzur Assisted LivingSan Jacinto2427.820128
    Bella VistaHayward4215.920416
    Brookdale Garden GroveGarden Grove1404.820317
    C.A.L.L. - Valdez HouseAtascadero4166.720416
    CalOaks Senior LivingRiverside74920614
    Chantilly Lace ManorHesperia6111.120119
    Cloisters of the ValleySan Diego709.520812
    Comforts of Home Treasure Elderly CareSacramento1255.620146
    Cristine's Guest HomeSalinas6111.120128
    D & L Residential Care Home 2Glendora6111.120416
    Day & Night Assisted LivingNorthridge6111.120911
    Devon Place Home CareVista6111.120515
    Downey Retirement CenterDowney2522.620911
    Elsa's HomeSanta Rosa6111.120713
    Flintwood Care HomeNewark6111.120128
    Flowers Family CareSanta Ana1255.620614
    Flowers Residential Care FacilityAltadena6111.120713
    Glen Park at OjaiOjai4813.920119
    Golden Horizon Senior CareOntario2230.320146
    Golden Life Manor IVOrange6111.120614
    H & M HomesFremont6111.120911
    Hampton Guest HomePasadena6111.120614
    Harbor HeightsAnaheim3981.720911
    Heavenly Castle Care IncFrazier Park6111.120810
    Ivy Park at ClaremontClaremont168420911
    Mountain View Assisted Living & Memory CareUkiah6410.420614
    Prestige Care Homes IISacramento6111.120146
    Rancho Penasquitos Senior LivingSan Diego2402.820614
    Reliez Valley Care HomeMartinez6111.120812
    San Leandro Senior LivingSan Leandro907.420317
    Savant of TarzanaTarzana3112.120614
    Seniors WaySimi Valley5133.320812
    Serenity Care VillaSacramento1255.620911
    The Residence at Dean LLCVentura5133.320713
    Valley Paradise Boarding CareValley Village6111.120416
    Valley Village Senior Living, Inc.Valley Village1255.620713
    Villa Board And Care HomeRodeo6111.120416
    Vivante on the CoastCosta Mesa4301.620128
    Walnut HouseCarmichael1106.120812
    A Faithful Home of AnaheimAnaheim6105.619154
    A One Elder Care HomeWalnut Creek6105.619514
    Abundant PeaceSacramento6105.619712
    Amistad Assisted Living and Memory Care HomeCorona6105.619181
    Anchor Elderly Care HomeSan Pablo5126.719712
    Angel's Senior in Home ServicesSan Jose970.419712
    Arc Facility at Camino 2Fullerton6105.619109
    Ashkalon HouseSanta Rosa6105.619811
    Atria Walnut CreekWalnut Creek2003.219811
    Avantgarde Senior Living - La JollaLa Jolla4514.119415
    Blythe Senior Assisted LivingNorth Hollywood6105.619415

    The rules facilities break most

    Every citation names a section of Title 22 of the California Code of Regulations. Some sections are cited almost entirely as Type A, others almost entirely as Type B, which says something about what inspectors treat as urgent.

    โ†” Scroll to see every column

    California assisted living regulations ranked by how often they are cited
    87303(a)1,6395463141,325
    87309(a)1,172391955217
    87303(e)(2)831277585246
    87465(a)(4)773258576197
    1569.695(c)75925389670
    87465(h)(2)733244627106
    87411(a)611204357254
    1569.625(b)(2)58719657530
    87411(f)43214478354
    87465(c)(2)43114433893
    87412(a)42614230396
    87468.2(a)(4)419140240179
    87202(a)41113734170
    87506(a)40013355345
    1569.618(c)(3)397132138259
    87705(c)(5)39413148346
    87468.1(a)(2)376125197179
    87465(h)(5)373124179194
    87411(c)(1)37212475297
    87463(a)35411836318
    87458(a)33711254283
    87211(a)(1)33711234303
    87466334111193141
    87468.1(a)(1)313104136177
    87203309103208101
    87464(f)(1)30410123668
    87355(e)(2)29910025643
    87405(a)29498104190
    87465(a)(6)28495114170
    87608(a)(3)2789386192
    87211(a)(1)(D)2678926241
    87355(e)(3)2618717883
    87705(f)(1)2548520153
    87705(f)(2)2498321138
    1569.6052428155187
    87465(a)(1)2398014693
    HSC1569.695(c)2357837198
    87412(a)(11)2317746185
    87307(d)(6)22876100128
    87555(b)(8)2247573151

    Methodology

    What a citation is

    A citation is a formal notice of a violation from a state health or social services agency. It can lead to required corrections, fines, or, in the most serious cases, the loss of a license.

    Where the data comes from

    The citation records come from the California Department of Social Services care facility search. Each of the 43,795 records is one cited regulation, dated by the report it belongs to. We count the 3 complete calendar years 2023-2025; earlier years are left out because our record of the state's reports is thinner the further back it goes, and counting them would drag every rate down. California issues a separate license to each operator, so a community that runs under more than one is counted once here, with its beds and citations added together. When an operator changes, the state closes the old license and opens a new one, and the citations stay with the operator that earned them.

    How to read the rate

    Type A citations are for violations that pose an immediate risk to health or safety; Type B for violations with less immediate consequence. The rate divides a facility's citations by its licensed beds and by 3 years. Licensed beds are what a facility is approved to hold, not how many people live there, so the rate measures citations against capacity rather than against residents. It reflects inspection history, and a facility inspected more often has more chances to be cited.

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