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Operators

PACS Group Nursing Homes in California

Quick answer: PACS Group is the largest nursing home operator in California, running 133 facilities, and it carries the most federal fines of any operator at $3,404,911. Its homes rate 3.23 stars on average, near the middle, but 39 of them sit at one or two stars and 13 carry the CMS abuse icon. If a loved one was harmed at a PACS Group home, call (888) 999-0169 or send us a message for a free review.

PACS Group is a publicly traded, for-profit company and the single largest nursing home operator in California. The CMS data places 39 of PACS Group's 132 rated homes in the bottom two tiers. What stands out is scale: with 133 facilities, PACS accumulates more total enforcement than any other operator in the state.

Row of similar California nursing facility buildings suggesting a single operator. Illustration for PACS Group Nursing Homes in California.
Illustration. Not a photograph of PACS Group facilities.

What the public record shows for PACS Group

MeasurePACS GroupCalifornia
California nursing homes1331,165
Average CMS star rating3.233.16
Homes rated 1 or 2 stars29.5% (39 of 132)35.1% (405 of 1,154)
Total federal fines$3,404,911$28,736,255
Homes flagged for abuse by CMS13113

Source: CMS Care Compare, August 2026, reported as published.

PACS homes average 3.23 stars, above the statewide mean of 3.16, and 29.5% fall in the bottom two tiers. The concern with PACS is not a uniformly low average. It is the volume of serious enforcement across a very large footprint, including 13 homes carrying the abuse icon.

Where PACS Group operates

PACS runs homes across the state, concentrated in San Diego (15), Los Angeles (14), Contra Costa (10), Riverside (9), Alameda (9), and San Bernardino (7) counties, among others.

You can look up any PACS home, and compare it against others in its area, in our California nursing home directory.

What this means for families

A serious injury at a PACS home, an untreated bedsore, a fall, an infection that became sepsis, or neglect more broadly, is worth examining against the specific facility's staffing and inspection record. Because PACS is a large chain, its homes' payroll-based staffing data and citation histories are all public, which is exactly where these cases begin. A company's size is not a defense, and the same standards under California's Elder Abuse Act apply to a 133-home operator as to a single independent facility.

If your loved one was harmed at a PACS Group home

Michael Young and Thomas Wallin spent years defending nursing homes before switching sides, and they have recovered millions of dollars for elder abuse victims. If your loved one was neglected or injured at a PACS Group facility, learn how families pursue these claims on our nursing home neglect page, then call (888) 999-0169 for a free, confidential consultation. We serve families throughout California, and you pay nothing unless we win.

Sources and authoritative references

  • CMS Care Compare: https://www.medicare.gov/care-compare/
  • CMS Provider Data Catalog (dataset behind these figures): https://data.cms.gov/provider-data/dataset/4pq5-n9py
  • California Nursing Home Report Card 2026: /resources/california-nursing-home-report-card/
  • California Department of Public Health, Cal Health Find: https://calhealthfind.cdph.ca.gov/

133 California nursing homes operated by this company

Grouped by county, from the CMS Care Compare data this site publishes. Every home links to its own page with that home's ratings, staffing, citations and fines.

Marin County (1)

Frequently asked questions

How many nursing homes does PACS Group run in California?

By the current CMS data, PACS Group operates 133 California nursing homes, the most of any single operator in the state.

Is PACS Group a good nursing home company?

Its California homes average 3.23 stars, above the statewide average of 3.16, with 29.5% in the bottom two tiers. But it carries the most federal fines of any operator, $3,404,911, and 13 of its homes carry the CMS abuse icon. Quality varies by facility, so check the specific home.

Can I sue a PACS Group nursing home?

Yes, if a resident was harmed by neglect or abuse, the same California Elder Abuse Act standards apply regardless of the operator's size. The facility's records are the starting point.

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Disclaimer: all facility counts, ratings, staffing figures, fines, penalties, and abuse-icon figures on this page are drawn from public CMS data (medicare.gov and data.cms.gov) as of the August 2026 processing date and are reported as published. They may not reflect the most current findings, and inclusion of any facility or company is not an allegation of wrongdoing. Operator groupings follow the affiliated-entity and legal-business-name fields as published by CMS and may not capture every corporate relationship. Company names and marks are the property of their respective owners; Young & Wallin is not affiliated with, endorsed by, or sponsored by PACS Group. Past results do not guarantee a similar outcome in any future case. This page is attorney advertising and not legal advice.

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