California Nursing Home Regulations
The Centers for Medicare & Medicaid Services (CMS) is a federal agency that regulates and provides ratings for nursing homes and skilled nursing facilities. CMS offers guidance to state Medicaid services regarding rules for facilities that are Medicaid-certified. Medicare provides a national nursing home website to view the audit and licensing history of Medicare-approved nursing homes.
Each state regulates senior living communities differently, but you can use APFM’s guide to assisted living regulations to learn more about access to facility records in California.
In California, nursing homes — also called convalescent homes or skilled nursing facilities — are intended for seniors who require 24-hour monitoring and medical assistance. These communities are designed to promote independence among seniors who require constant nursing care to perform activities of daily living (ADLs), but do not require hospital-level care.
Cost of Living
California is considered to be one of the most expensive states in the country. The main reason for this is that the state has some of the most densely-populated cities in the US, as well hundreds of miles of pristine coastline. This leads to California having extremely high property values, especially in major cities such as Los Angeles or San Francisco. These scores are based on a scale where 100 is equal to the national average.
- Cost of Living: 139
- Groceries: 121
- Housing: 227
- Utilities: 118
- Transportation: 139
California is considered to be one of the most liberal cities in the country, both politically and socially. The state has consistently voted Democratic in the past several elections and the California supreme court was one of the first to legalize same-sex marriages in the United States. Most, if not all of the major cities in California are considered to be very friendly to members of the LGBTQ+ community. Outside of the cities, California tends to be more conservative within its significant rural population. California is also the most diverse state in the country with the largest Hispanic and Latino community on the West Coast.
2016 Presidential Election
- Voted Democratic: 62%
- Voted Republican: 32%
- Voted third party: 7%
- Median age: 37
- Over the age of 55: 26%
- 2018 population: 39,557,045
- 2020 population: 39,874,333
- Estimated 2025 population: 40,678,732
- 31% regularly attend a religious service
- 46% consider themselves atheist, agnostic, or a non-believer
- Across the state there are a total of 23,558 congregations
- There are 395 Masonic lodges in the state
Climate and Weather
As one of the largest states in the country, California has an extremely varied climate. Southern California has a desert-type climate that experiences long periods of droughts. On the other end of the extreme, Northern California is a mountainous, temperate rainforest that can receive lots of snowfall during the winter. Many people choose to live in California because of the state’s relatively low humidity levels and its proximity to the ocean. However, some seniors who live in any of the more densely-packed cities may experience respiratory difficulty from air pollution. The state also often experiences forest fires which can severely impact the air quality rating.
Humidity and Precipitation
- Average monthly precipitation: 2”
- Average maximum precipitation: 16” (December)
- Average humidity level: 61%
- Average air quality rating: 57 (Moderate)
- Peak air quality rating: 83 in August (Moderate)
Moderate conditions means that those who are sensitive to particulates in the air should limit the amount of time spent on outdoor activities.
- Average temperature: 59°F
- Average summer temperature: 71°F
- Typical summer high: 116°F (July)
- Typical summer low: 34°F (June)
- Average winter temperature: 47°F
- Typical winter high: 76°F (February)
- Typical winter low: 8°F (January)
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