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Generations Healthcare nursing homes
27 nursing homes with 2,896 beds in California (26), Nevada (1).
CMS affiliated entity 236 · data as of September 1, 2026
The group's record in brief
CMS links 27 certified nursing homes in 2 states to Generations Healthcare: 27 for profit, 0 nonprofit. 27 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 881 health citations; 9 citations were rated actual harm or immediate jeopardy, 2 of them immediate jeopardy. At their latest standard inspections the homes averaged 7.0 health deficiencies (national average 9.2).
8 homes in the group were fined in the last three years, $375,024 in all across 11 fines. Average nursing staff turnover across its homes was 34.9% (national 45.8%).
Staffing across the group
Daily payroll records from 27 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 15% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 4.30 | 3.75 |
| Registered nurses | 0.64 | 0.62 |
| Weekdays | 4.50 | 3.92 |
| Weekends | 3.82 | 3.33 |
| Share of nursing hours by contract staff | 0.0% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
Generations Healthcare homes by state
| State | Homes | Average stars | Fines, 3 years | Special focus |
|---|---|---|---|---|
| California | 26 | 4.0 | $375,024 | |
| Nevada | 1 | 3.0 | $0 |
How the group's homes are rated
27 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 4 overall, 3.6 health inspections, 3.7 staffing, 4.6 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 14 | |
| 4 of 5 | 3 | |
| 3 of 5 | 6 | |
| 2 of 5 | 4 | |
| 1 of 5 | 0 |
Across the group: 9 citations rated actual harm or immediate jeopardy, and an average of 4.24 nursing staff hours per resident per day (national 3.86).
Every home in the group
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.