California senior care research
California Senior Care Research
SeniorTrustHub currently organizes several separate California state and federal facility datasets. CDPH, CCLD RCFE, HCAI, Home Care Organizations, and CMS class directories are not added into one senior-provider total. SeniorTrustHub does not rank facilities and does not publish a Trust Score.
Separate official universes
Source families, not one California senior total
Each tile is its own regulator file. Counts are not added together. A county on these records is a facility address county, not a service area.
15,097
CDPH ELMS locations
21 official types · as of 2026-08-17
12,522
CCLD RCFE rows
LICENSED 7,939 · as of 2025-05-25
10,871
HCAI current listing
Open 10,856 · as of 2026-09-01
3,654
Home Care Organizations
LICENSED 2,247 · as of 2025-05-25
1,165
CMS Nursing Homes in CA
Independent overlay · as of 2026-08-27
Trace this number
Count of rows in the official ELMS locations dump.
- Source: https://data.chhs.ca.gov/dataset/healthcare-facility-locations
- Agency clock: 2026-08-17
- Source grain: ELMS facility location row (FACID)
- Numerator: 15,097
- Denominator: 15,097
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Caveat: Not added to RCFE, HCAI, or CMS. Not a combined California senior-provider total.
Trace this number
Rows whose facility_status is exactly LICENSED.
- Source: https://data.chhs.ca.gov/dataset/ccl-facilities
- Agency clock: 2025-05-25
- Source grain: facility_status = LICENSED
- Numerator: 7,939
- Denominator: 12,522
- Coverage: ACQUIRED_DATED_SNAPSHOT
- Caveat: As of 2025-05-25. Not a current September 2026 count. LICENSED is not CMS certified. RCFE is not SNF.
What the files show
Source-backed findings
- CDPH ELMS publishes facility phones on 13,560 of 15,097 rows (89.82%) and facility emails on 12,435 rows (82.37%). That is a government-listed facility contact, not a verified endorsement.
- CCLD RCFE as of 2025-05-25: 7,939 LICENSED, 3,821 CLOSED, 739 PENDING, 23 ON PROBATION. This is not a current September 2026 RCFE count and is not a skilled-nursing universe.
- ELMS source types include 4,137 Home Health Agency, 2,114 Hospice, and 1,186 Skilled Nursing Facility rows. Those classes stay separate from RCFE and from CMS overlays.
- Exact padded CCN matches for Skilled Nursing: 1,152 of 1,163 source-native CCNs against 1,165 CMS Nursing Home CCNs. Name and city are not used.
CDPH ELMS
Licensed and certified healthcare facility locations
FACID is the CDPH identity. LICENSE_STATUS ACTIVE is 13,401. FAC_STATUS OPEN is 15,097. OPEN is not automatically ACTIVE.
13,401
ACTIVE license status
13,560 (89.82%)
Facility phones
Facility contact from California state record
12,435 (82.37%)
Facility emails
As of 2026-08-17
Trace this number
Rows whose LICENSE_STATUS_DESCRIPTION is exactly ACTIVE.
- Source: https://data.chhs.ca.gov/dataset/healthcare-facility-locations
- Agency clock: 2026-08-17
- Source grain: LICENSE_STATUS_DESCRIPTION = ACTIVE
- Numerator: 13,401
- Denominator: 15,097
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Caveat: OPEN facility status is not the same as ACTIVE license status unless the source says so.
Trace this number
Non-empty CONTACT_PHONE_NUMBER divided by ELMS rows.
- Source: https://data.chhs.ca.gov/dataset/healthcare-facility-locations
- Agency clock: 2026-08-17
- Source grain: non-empty CONTACT_PHONE_NUMBER
- Numerator: 13,560
- Denominator: 15,097
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Caveat: Facility contact from California state record. Not a TrustHub endorsement and not an administrator personal directory.
Trace this number
Non-empty CONTACT_EMAIL divided by ELMS rows. Administrator names are withheld.
- Source: https://data.chhs.ca.gov/dataset/healthcare-facility-locations
- Agency clock: 2026-08-17
- Source grain: non-empty CONTACT_EMAIL
- Numerator: 12,435
- Denominator: 15,097
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Caveat: Public facility email is not a personal email harvest.
| Official type | Rows |
|---|---|
| HOME HEALTH AGENCY | 4,137 |
| PRIMARY CARE CLINIC | 3,349 |
| HOSPICE | 2,114 |
| SKILLED NURSING FACILITY | 1,186 |
| SURGICAL CLINIC | 1,011 |
| INTERMEDIATE CARE FACILITY-DD/H/N/CN/IID | 968 |
| CHRONIC DIALYSIS CLINIC | 748 |
| GENERAL ACUTE CARE HOSPITAL | 433 |
| ADULT DAY HEALTH CARE | 341 |
| CONGREGATE LIVING HEALTH FACILITY | 281 |
| OTHER | 201 |
| ACUTE PSYCHIATRIC HOSPITAL | 124 |
| REHABILITATION CLINIC | 83 |
| PSYCHOLOGY CLINIC | 33 |
| PEDIATRIC DAY HEALTH & RESPITE CARE FACILITY | 28 |
| CORRECTIONAL TREATMENT CENTER | 20 |
| HOSPICE FACILITY | 14 |
| CHEMICAL DEPENDENCY RECOVERY HOSPITAL | 10 |
| INTERMEDIATE CARE FACILITY | 7 |
| ALTERNATIVE BIRTHING CENTER | 5 |
| REFERRAL AGENCY | 4 |
CCLD RCFE · as of 2025-05-25
Residential Care Facilities for the Elderly
RCFE is not SNF. LICENSED is not CMS certified. ON PROBATION is the official CCLD wording, not a SeniorTrustHub quality score. County below is the facility address county.
7,939
LICENSED
3,821
CLOSED
739
PENDING
23
ON PROBATION
Trace this number
Rows whose facility_status is exactly LICENSED.
- Source: https://data.chhs.ca.gov/dataset/ccl-facilities
- Agency clock: 2025-05-25
- Source grain: facility_status = LICENSED
- Numerator: 7,939
- Denominator: 12,522
- Coverage: ACQUIRED_DATED_SNAPSHOT
- Caveat: As of 2025-05-25. Not a current September 2026 count. LICENSED is not CMS certified. RCFE is not SNF.
Capacity is present on 12,522 rows (source values 1–1233). Phone is present on 12,522 rows. There is no email field.
| County | LICENSED rows |
|---|---|
| Los Angeles | 1,648 |
| Orange | 1,054 |
| Sacramento | 634 |
| San Diego | 581 |
| Riverside | 530 |
| Contra Costa | 435 |
| San Bernardino | 280 |
| Fresno | 264 |
| Santa Clara | 247 |
| Ventura | 241 |
| Alameda | 231 |
| Placer | 226 |
| San Mateo | 213 |
| Sonoma | 158 |
| Solano | 157 |
| Kern | 135 |
| San Joaquin | 109 |
| Santa Barbara | 102 |
| Stanislaus | 102 |
| San Luis Obispo | 98 |
| San Francisco | 51 |
| Marin | 48 |
| Tulare | 47 |
| Shasta | 44 |
| Monterey | 42 |
| Napa | 36 |
| El Dorado | 33 |
| Butte | 27 |
| Santa Cruz | 26 |
| Merced | 21 |
| Yolo | 21 |
| Mendocino | 17 |
| Humboldt | 14 |
| Tehama | 9 |
| Nevada | 8 |
| Sutter | 8 |
| Amador | 6 |
| Imperial | 6 |
| Kings | 6 |
| Madera | 6 |
| Lake | 4 |
| Glenn | 3 |
| San Benito | 3 |
| Yuba | 3 |
| Calaveras | 2 |
| Lassen | 1 |
| Siskiyou | 1 |
| Tuolumne | 1 |
CCLD Home Care Organizations · as of 2025-05-25
Home care organizations stay out of home health
HOME CARE ORGANIZATION != HOME HEALTH AGENCY. Same May 2025 CCLD clock as RCFE.
| Status | Rows |
|---|---|
| LICENSED | 2,247 |
| CLOSED | 1,197 |
| PENDING | 210 |
HCAI · as of 2026-09-01
An independent facility-market listing
HCAI RECORD != UNIQUE NEW PROVIDER. Do not add to CDPH or CCLD. No phone or email fields.
| License category | Rows |
|---|---|
| Home Health Agency | 4,310 |
| Hospice | 2,669 |
| Community Clinic | 1,213 |
| Skilled Nursing Facility | 1,078 |
| Chronic Dialysis Clinic | 642 |
| General Acute Care Hospital | 458 |
| Congregate Living Health Facility | 273 |
| Free Clinic | 49 |
| Acute Psychiatric Hospital | 42 |
| Psychiatric Health Facility | 38 |
| Surgical Clinic | 35 |
| Psychology Clinic | 16 |
| Hospice Facility | 15 |
| Rehabilitation Clinic | 11 |
| ICF/Dev. Disabled | 8 |
| Chemical Dep. Recovery Hospital | 7 |
| Alternative Birthing Center | 7 |
CMS overlay and exact CCN joins
Federal directories stay independent
CMS class profiles remain on existing national CCN routes. This page does not mint California profile URLs from state rows or from name matching.
1,165
CMS Nursing Homes (national overlay)
as of 2026-08-27
3,213
CMS Home Health (national overlay)
1,913
CMS Hospice (national overlay)
Live CA CCN set 1,822
Trace this number
Canonical national CMS Nursing Home directory identities in California.
- Source: senior-national-intelligence.json geography CA (CMS class directories)
- Agency clock: 2026-08-27
- Source grain: CMS Nursing Home CCN with state = CA
- Numerator: 1,165
- Denominator: 1,165
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Caveat: Not summed with CDPH SNF. Exact joins require a source-native CCN.
| Class | State rows | CMS CCNs | Native CCNs | Exact matches | Unmatched CDPH | Unmatched CMS |
|---|---|---|---|---|---|---|
| Skilled Nursing | 1,186 | 1,165 | 1,163 | 1,152 | 11 | 13 |
| Home Health | 4,137 | 3,213 | 1,499 | 1,449 | 50 | 1,764 |
| Hospice | 2,114 | 1,822 | 1,089 | 956 | 133 | 866 |
Trace this number
Intersection of distinct padded ELMS CCN values on SKILLED NURSING FACILITY rows with the live CMS Nursing Home CA CCN set. Name and city are not used.
- Source: ELMS CCN padded to 6 digits ∩ CMS NH CA CCN set
- Agency clock: 2026-08-17
- Source grain: exact CCN
- Numerator: 1,152
- Denominator: 1,163
- Coverage: ACQUIRED_CURRENT_SNAPSHOT
- Caveat: Unmatched CDPH and unmatched CMS remain unmatched. No name-only attachment.
Official ELMS–HCAI crosswalk: 15,553 rows, 14,746 exact ELMS_FACID↔HCAI_ID pairs, 9,632 exact ELMS_FACID↔CCN pairs, 0 one-to-many conflicts in this file.
Evidence depth
What each family can support
| Source | Agency | Rows | As of | Grain | Identity key | Contact coverage | Status coverage | Profile attachment | Coverage | Limitations |
|---|---|---|---|---|---|---|---|---|---|---|
| CDPH ELMS healthcare facility locations | California Department of Public Health — Center for Health Care Quality | 15,097 | 2026-08-17 | licensed/certified facility location (FACID) | FACID; CCN when source-native; LICENSE_NUMBER; HCAI_ID | phone 13,560 / email 12,435 / address 15,097 of 15,097 | LICENSE_STATUS_DESCRIPTION and FAC_STATUS_TYPE_CODE | EXACT FACID or exact CCN only; no California profile routes minted here | ACQUIRED_CURRENT_SNAPSHOT | OPEN facility status is not the same as ACTIVE license status. Not RCFE. Not summed with HCAI or CMS. |
| CDSS CCLD Residential Care Facilities for the Elderly | California Department of Social Services — Community Care Licensing Division | 12,522 | 2025-05-25 | RCFE / CCRC facility (facility_number) | facility_number | phone and address present on the listing; no email field | LICENSED, CLOSED, PENDING, ON PROBATION | EXACT facility_number; RCFE is not a CMS CCN | ACQUIRED_DATED_SNAPSHOT | file_date 2025-05-25 is not a September 2026 current count. LICENSED is not CMS certified. RCFE is not SNF. ON PROBATION is not a quality score. |
| CDSS CCLD Home Care Organization | California Department of Social Services — Community Care Licensing Division | 3,654 | 2025-05-25 | home care organization (facility_number) | facility_number | phone and address on the listing; no email field | LICENSED / CLOSED / PENDING in this extract | EXACT facility_number; not a Home Health CCN | ACQUIRED_DATED_SNAPSHOT | HOME CARE ORGANIZATION is not a Home Health Agency. Same May 2025 CCLD clock. |
| HCAI current healthcare facility listing | Department of Health Care Access and Information | 10,871 | 2026-09-01 | HCAI facility listing (OSHPD_ID) | OSHPD_ID / PERM_ID / LICENSE_NUM | address only; no phone or email | FACILITY_STATUS_DESC | EXACT HCAI ID via official crosswalk only | ACQUIRED_CURRENT_SNAPSHOT | HCAI record is not a unique new provider. Do not add to CDPH or CCLD. |
| CMS Nursing Home Provider Information (CA overlay) | Centers for Medicare & Medicaid Services | 1,165 | 2026-08-27 | CMS Nursing Home CCN in California geography | CMS CCN | federal directory; not used as CA state contact | current CMS directory identity | existing national CCN routes only on exact CCN | ACQUIRED_CURRENT_SNAPSHOT | Not summed with CDPH SNF rows. CDPH != CMS. |
| CMS Home Health Care Agencies (CA overlay) | Centers for Medicare & Medicaid Services | 3,213 | 2026-08-27 | CMS Home Health CCN; office is not a service area | CMS Home Health CCN | federal directory | current CMS directory identity | exact CCN only | ACQUIRED_CURRENT_SNAPSHOT | Office geography is not a service area. Not a CCLD Home Care Organization. |
| CMS Hospice General Information (CA overlay) | Centers for Medicare & Medicaid Services | 1,913 | 2026-08-27 | CMS Hospice CCN | CMS Hospice CCN | federal directory | current CMS directory identity | exact CCN only | ACQUIRED_CURRENT_SNAPSHOT | National overlay count (1,913) and the live downloaded CA CCN set (1,822) are reported separately. Not a CDPH Hospice row total. |
| CDPH / CCLD structured enforcement extract | CDPH / CDSS CCLD | Unknown / not acquired | Unknown | not acquired | none in this snapshot | n/a | n/a | none | NO_BULK_ACQUIRED | No official structured statewide enforcement CSV was acquired in the easy-win pass. Missing is unknown, not zero. CMS federal inspection evidence remains on CMS class profiles. |
What we do not know
Coverage gaps
- CCLD RCFE/HCO/ARF open-data file_date is 2025-05-25, not current to the retrieval date.
- HCAI listing has no phone or email fields.
- Adult Residential includes non-senior classes and is not published as a senior-care universe.
- State CDPH/CCLD inspection/enforcement was not acquired as structured bulk.
- ELMS CONTACT_EMAIL is a facility contact field; administrator personal names are withheld from publication.
- HCAI rows overlap CDPH facilities and are not unique additional providers.
- CMS overlay counts from the national snapshot and live CMS CA CCN sets are independent of CDPH row counts and are not summed.
- County in these files is a facility address county, not a service area.
Adult Residential (10,498 rows) remains researched-not-published because it is not a senior-care denominator. State inspection/enforcement was not acquired as structured bulk. CMS inspection evidence stays on CMS class profiles.