State boosts nursing home pay by $880 million

State boosts nursing home pay by $880 million

California nursing homes have received $880 million in additional funding thanks to a 2004 state law designed to help homes hire more staff and increase wages. California Watch looked at the 645 nursing homes that stood to gain the most from the new law — homes that serve the largest number of low-income Medi-Cal patients who need 24-hour care.

The map below illustrates how many homes either cut their staffing rate, cut workers' wages or fell beneath a state staffing minimum set in 2000. Some homes fell short in more than one area.

Learn more about how the analysis was done or read the story.

Statewide stats

California has nearly 1,100 nursing homes. Here's a look at the 645 homes that stood to benefit the most.

Medi-Cal revenue
Sum of the total state and federal spending

25
percent increase


Net income
Sum measure of
profit

127
percent increase


Direct care staffing
Average nursing hours per patient day. The state minimum is 3.2.

5
percent increase


CNA wage per hour
Average hourly wages (not inflation-adjusted)

15
percent increase

 


 


 


 

Zoom in to see all the homes in your area.

Homes fell short by cutting staffing, wages or falling below a state staffing minimum.

Homes that fell behind in three or more categories


Homes that fell behind in two categories


Homes that fell behind in one category


Homes that meet all requirements


Facility stats


Click on each header to sort by the column. You can also click on each facility name for more information.


Facility name City Change Medi-Cal Pct change staffing, 04 to 08 CNA wage change, 04 to 08
IDYLWOOD CARE CENTER SUNNYVALE $6,723,452 9.92% $0.85
VISTA HEALTHCARE CENTER VISTA $6,638,175 9.45% $1.53
VILLA RANCHO BERNARDO SAN DIEGO $4,323,777 10.66% -$0.82
WEST ANAHEIM EXTENDED CARE ANAHEIM $3,910,808 5.99% $1.34
ATHERTON HEALTHCARE MENLO PARK $3,779,038 13.07% -$0.52
MEDICAL HILL REHABILITATION CENTER OAKLAND $3,564,146 -10.10% $2.25
NINETEENTH AVENUE HEALTHCARE CENTER SAN FRANCISCO $3,305,110 0.91% $3.40
SANTA ANITA CONVALESCENT HOSPITAL TEMPLE CITY $3,276,382 7.00% $1.37
UPLAND REHAB AND CARE CENTER UPLAND $3,195,789 -17.51% $1.87
EL ENCANTO HEALTHCARE & HABILITATION CTR CITY OF INDUSTRY $3,189,969 -2.29% $1.18
WINDSOR CONV CTR OF NO. LONG BEACH LONG BEACH $3,000,721 6.23% $2.36
MANTECA CARE AND REHABILITATION CENTER MANTECA $2,916,245 -4.93% $0.20
DOWNEY COMMUNITY HEALTH CENTER DOWNEY $2,865,563 23.17% $1.11
WINDSOR VALLEJO CARE CENTER VALLEJO $2,833,295 3.84% $2.13
MILLBRAE SERRA CONVALESCENT HOSPITAL MILLBRAE $2,804,887 0.00% $1.17
EVERGREEN REHABILITATION CARE CENTER MODESTO $2,801,137 4.83% $0.70
ARARAT NURSING FACILITY MISSION HILLS $2,797,787 -4.97% $3.03
DELANO DISTRICT SKILLED NURSING FACILITY DELANO $2,714,866 -10.53% $3.29
INTEGRATED NURSING & REHAB OF GLENDORA GLENDORA $2,632,486 12.85% $1.69
WINDSOR EL CAMINO CARE CENTER CARMICHAEL $2,599,678 15.64% $2.80
LYTTON GARDENS HEALTH CARE CENTER PALO ALTO $2,546,604 18.21% -$0.79
MISSION SKILLED NURSING & SUBACUTE CTR SANTA CLARA $2,471,759 -3.65% $0.89
COUNTRY VILLA PLAZA CONVALESCENT CENTER SANTA ANA $2,470,514 4.46% $1.15
GOLDEN LIVINGCENTER - PETALUMA PETALUMA $2,414,039 3.53% $1.85
KEIRO NURSING HOME LOS ANGELES $2,408,086 3.18% $1.33
BEVERLY LIVING CENTER - SANTA ROSA SANTA ROSA $2,389,228 -5.16% $1.93
ESKATON CARE CENTER FAIR OAKS FAIR OAKS $2,360,471 2.65% $0.18
WINDSOR GARDENS CONV CTR OF LG BEACH LONG BEACH $2,345,606 3.95% $1.21
INFINITY CARE OF WEST COVINA WEST COVINA $2,323,478 14.92% $2.02
WINDSOR HAMPTON CARE CENTER STOCKTON $2,321,731 22.03% $1.72
BROOKSIDE SKILLED NURSING HOSPITAL SAN MATEO $2,305,251 -3.52% $3.63
VALE HEALTHCARE CENTER SAN PABLO $2,276,221 2.12% $1.21
REO VISTA HEALTHCARE CENTER SAN DIEGO $2,228,328 10.96% -$0.22
CREEKSIDE CONV & MENTAL HLTH REHAB PRGM SANTA ROSA $2,218,767 7.20% $0.60
ST. FRANCIS CONVALESCENT PAVILION DALY CITY $2,181,911 3.12% $2.14
MCKINLEY HEALTH CARE CENTER SACRAMENTO $2,161,474 -4.97% $2.27
GROVE STREET EXTENDED CARE & LIVING CTR SAN FRANCISCO $2,125,017 -6.31% $3.39
MARLINDA NURSING HOME - LYNWOOD LYNWOOD $2,117,840 -3.67% $0.52
SAN JOSE HEALTHCARE CENTER SAN JOSE $2,115,779 4.58% $1.02
A & C CONVALESCENT HOSPITAL OF MILLBRAE MILLBRAE $2,115,218 64.80% -$3.19
PACIFIC COAST CARE CENTER SALINAS $2,062,208 -5.74% $2.36
OAKRIDGE CARE CENTER OAKLAND $2,059,675 16.06% $2.18
PALMCREST GRAND CARE CENTER THE LONG BEACH $2,059,648 18.84% $1.49
MONTEREY PALMS HEALTH CARE CENTER PALM DESERT $2,059,573 1.50% $0.41
WINDSOR CHICO CREEK CARE & REHAB CTR CHICO $2,058,033 9.09% $2.67
SONOMA HEALTHCARE CENTER SONOMA $2,053,464 0.58% $0.97
BROOKVUE CARE CENTER SAN PABLO $2,028,666 -4.36% $1.14
GOLDEN STATE WEST VALLEY CONV HOSP CANOGA PARK $2,003,112 -5.04% $0.67
CASA COLOMA HEALTH CARE CENTER RANCHO CORDOVA $1,999,019 24.40% $1.45
SKYLINE HEALTHCARE CENTER - SAN JOSE SAN JOSE $1,991,009 2.48% $2.50
COUNTRY VILLA LAGUNA HILLS HEALTHCARE LAGUNA HILLS $1,985,114 6.73% $2.90
ROYAL PALMS CONVALESCENT HOSPITAL GLENDALE $1,966,563 -2.97% $1.12
WHITTIER HILLS HEALTHCARE CENTER WHITTIER $1,965,397 7.62% $1.68
SOUTH PASADENA CONV HOSP & SNTRM SOUTH PASADENA $1,958,830 -7.71% $1.43
GLENOAKS CONVALESCENT HOSPITAL GLENDALE $1,958,447 8.51% $1.43
SAN DIEGO HEALTHCARE CENTER SAN DIEGO $1,932,561 0.63% $1.36
ALMADEN HEALTH AND REHABILITATION CTR SAN JOSE $1,927,100 3.02% $2.10
OAK RIVER REHAB ANDERSON $1,922,880 48.78% $1.98
ESCONDIDO CARE CENTER ESCONDIDO $1,920,305 0.31% $1.77
BUENA VISTA CARE CENTER - SANTA BARBARA SANTA BARBARA $1,919,176 -1.82% $2.28
PALOMAR HEIGHTS CARE CENTER ESCONDIDO $1,914,338 -0.30% $0.13
PACIFIC HILLS MANOR MORGAN HILL $1,900,439 -7.12% $1.78
EMPRESS CARE CENTER SAN JOSE $1,895,938 -14.90% $1.83
PARKVIEW HEALTH CARE CENTER HAYWARD $1,883,638 3.33% $1.97
KINDRED HEALTHCARE CENTER OF ORANGE ORANGE $1,880,636 -1.54% $2.45
CLEAR VIEW CONV CENTER & SANITARIUM GARDENA $1,857,295 14.94% $1.73
GILROY HEALTHCARE & REHAB CENTER GILROY $1,851,442 0.94% $2.81
LAKEPORT SKILLED NURSING CENTER LAKEPORT $1,825,310 1.48% $4.27
CENTURY SKILLED NURSING CARE INGLEWOOD $1,815,412 -5.33% $1.27
GOLDEN GATE HEALTH CARE CENTER SAN FRANCISCO $1,806,452 -1.22% $3.03
COLLINGWOOD MANOR CHULA VISTA $1,792,207 34.33% -$0.87
OAK MEADOWS EXTENDED CARE LOS GATOS $1,780,879 -4.66% $2.42
COUNTRY HILLS HEALTH CARE CENTER EL CAJON $1,760,674 2.82% $1.46
DIAMOND RIDGE HEALTHCARE CENTER PITTSBURG $1,760,369 -3.63% $2.07
CHANDLER CONV HOSP - NORTH HOLLYWOOD NORTH HOLLYWOOD $1,759,763 -15.15% $3.20
CUMMINGS CARE CENTER AT THE KENSINGTON ALHAMBRA $1,757,377 -5.83% $4.11
WINDSOR COUNTRY DRIVE CARE CENTER FREMONT $1,750,876 7.95% $2.99
ARCADIA HEALTH CARE CENTER ARCADIA $1,748,952 -5.16% -$0.06
POINT LOMA CONVALESCENT HOSPITAL SAN DIEGO $1,724,245 -4.51% $1.45
STUDIO CITY REHABILITATION CENTER STUDIO CITY $1,721,470 -0.61% $1.78
MACLAY HEALTHCARE CENTER SYLMAR $1,700,040 3.23% $1.60
COMMUNITY LIVING CENTER - FRESNO FRESNO $1,688,230 6.87% $1.75
VILLA MONTE VISTA POWAY $1,686,387 -7.92% -$0.24
LA PALMA NURSING CENTER ANAHEIM $1,686,305 11.71% $1.32
OLYMPIA CONVALESCENT HOSPITAL LOS ANGELES $1,666,576 2.57% $2.21
WINDSOR PALMS CARE CENTER OF ARTESIA ARTESIA $1,639,830 12.88% $1.58
CALIFORNIA HOME FOR THE AGED FRESNO $1,631,678 -11.84% $2.00
EXTENDED CARE HOSPITAL OF WESTMINSTER WESTMINSTER $1,612,665 7.94% $1.42
SAN MIGUEL VILLA CONCORD $1,610,107 2.37% $1.58
HOMEWOOD CARE CENTER SAN JOSE $1,593,791 -10.80% $1.65
SUNNYSIDE REHAB & NURSING CENTER TORRANCE $1,576,940 18.27% $0.66
SANTA ROSA CONVALESCENT HOSPITAL SANTA ROSA $1,571,459 60.18% -$4.96
NEW VISTA NURSING & REHAB CENTER SUNLAND $1,569,781 -2.65% $2.36
PACIFIC GARDENS NURSING & REHAB CTR FRESNO $1,567,588 -3.46% $1.31
VILLAGE SQUARE NRSG & REHAB CTR SAN MARCOS $1,566,388 1.80% $1.67
COUNTRY VILLA CLAREMONT HEALTHCARE CTR CLAREMONT $1,543,727 1.19% $2.61
LA PALOMA HEALTHCARE CENTER OCEANSIDE $1,542,897 21.29% $1.57
BAY VIEW NURSING AND REHABILITATION CTR ALAMEDA $1,532,173 4.28% $2.20
COUNTRY VILLA LOS FELIZ NURSING CENTER LOS ANGELES $1,530,758 -1.19% $1.19
SUNNYVALE HEALTH CARE CENTER SUNNYVALE $1,523,205 0.32% $0.30


Source: California Office of Statewide Health Planning and Development


The data used in this analysis has been provided by homes to the California Office of Statewide Health Planning and Development. California Watch downloaded this data from the OSHPD Web site and crunched the numbers.

Three facilities were removed from the analysis by California Watch because the data was potentially inaccurate and could not be verified. Two facilities were missing data for most fields for a year and one had a net income so far removed from any other value in the data that California Watch deemed it an outlier and removed it. Some homes that may have cut staff, reduced wages or fallen below state minimum staffing levels could have seen a drop in Medi-Cal funding or net income.

California Watch feels the data is fundamentally sound and conducted accuracy spot checks. However, we did not independently verify every single record in the database. We urge readers to let us know if they spot any problems. You can also contact the homes or the state directly if you have questions about the data.

Here's how we calculated Medi-Cal revenue: First we added up the categories gross routine services revenue Medi-Cal and gross ancillary services revenue Medi-Cal inpatient. Then we subtracted contractual adjustments Medi-Cal.

Here's how we calculated direct care staffing: First we added up productive and temporary hours for registered nurses, geriatric nurse practitioners, licensed vocational nurses, psychiatric technicians and nurse assistants (aides and orderlies) plus productive hours for technicians and specialists. Then we divided by the total patient days.

Here's how we calculated RN wages: We divided the salaries and wages for registered nurses by the productive hours.
Here's how we calculated LVN wages: We divided the salaries and wages for licensed vocational nurses by the productive hours.
Here's how we calculated CNA wages: We divided the salaries and wages for nursing assistants by the productive hours.

Here's how we calculated RN staffing: First we added up the productive and temporary hours for registered nurses. Then we divided by the total patient days.
Here's how we calculated LVN staffing: First we added up the productive and temporary hours for licensed vocational nurses. Then we divided by the total patient days.
Here's how we calculated CNA staffing: First we added up the productive and temporary hours for nurse assistants (aides and orderlies). Then we divided by the total patient days.

Read more about our methodology.



Credits: Reporter - Christina Jewett
             Data Analyst - Agustin Armendariz
             Producers - Lisa Pickoff-White and Chase Davis



Filed under: Health & Welfare