CMS 4.5–5★ · California

CMS 4.5- and 5-Star Home Health Agencies in California

The 360 Medicare-certified home health agencies in California that CMS rates 4.5 or 5 stars — its highest tier. Listed exactly as CMS publishes it.

360 rated 4.5–5★ by CMSCaliforniaCMS data · updated 2026-08-03

How this list is built. This page lists the agencies meeting one explicit CMS threshold — a quality-of-patient-care star of 4.5 or 5 — in California. SeniorCareRating.com does not independently rank or recommend providers.

At a glance

CMS rates 360 of California’s 1,947 rated home health agencies at 4.5 or 5 stars — its highest tier (about 18%), across 122 cities. The star summarizes past patient-care measures, not current care. SeniorCareRating.com reports CMS’s ratings and adds no ranking of its own.
Rated 4.5–5★ by CMS
360
quality-of-care star
Share of rated agencies
18%
of 1,947 rated
Cities represented
122
All agencies in state
3,147

Who runs the 4.5–5★ agencies

Ownership composition of the 360 home health agencies CMS rates 4.5 or 5 stars in California.

Ownership composition

Whether the state's top CMS-rated agencies are mostly proprietary, non-profit, or government-run.

Proprietary262
Not reported78
Non-Profit19
Government Operated1

CMS-reported data · updated 2026-08-03

Methodology
Ownership type is a CMS-reported field. Counts are across the 4.5–5 star cohort only.

CMS 4.5- and 5-star home health agencies in California

40 of the 360 agencies CMS rates 4.5 or 5 stars (alphabetical), with services, measures reported, and ownership. See all 360 in the filtered search.

AgencyCMS starServicesMeasuresActions
1 & 1 Home Health, INC
Westminster · Proprietary
5 out of 5Nursing, PT, OT, Speech, Social, Aide15
1st Choice Home Health Care & Hospice, Inc.
Hayward · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
1st Choice Home Healthcare Fresno INC
Fresno
4.5 out of 516
24/7 Care at Home - Home Health
Westminster · Proprietary
5 out of 5Nursing, PT, OT, Speech, Social, Aide17
360 Home Health Agency
Canoga Park · Proprietary
5 out of 5Nursing, PT, OT, Speech, Social, Aide17
A Better Solution in Home Care
San Diego · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
A Flying Eagle Home Health
Simi Valley · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
A-1 Home Health Care
Huntington Beach · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
A-Quest Health Care, INC
Riverside · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide16
Aag Healthcare, INC
Burbank · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide15
Absolute Home Health INC
San Diego · Proprietary
5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Aca Home Health Care INC
Thousand Oaks · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Acacia Home Health and Palliative Inc.
Fountain Valley · Proprietary
5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Acacia Home Health Services
Glendale · Proprietary
5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Accentcare Home Health of California, INC
San Ramon · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Accentcare Home Health of California, INC
Newport Beach · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social17
Access Tlc Home Health Care
San Fernando · Proprietary
5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Ace Home Health, Inc.
Los Angeles · Proprietary
5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Active Health Care, INC
Sunland · Proprietary
5 out of 5Nursing, PT, OT, Speech, Social, Aide15
Active Light Home Health, INC
Burbank
4.5 out of 515
Advance Care Home Health Agency, INC
Glendale · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide15
Advance Home Health Services, INC
Alhambra · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Advanced Home Health Care INC
Burbank · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide16
Advanced Home Health Northbay, INC
Santa Rosa · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Advanced Home Health San Diego INC
San Diego · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Advanced Home Health, INC
Sacramento · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Advantage Health Systems
San Diego · Proprietary
5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Advantage Health Systems
Riverside · Proprietary
5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Advantage Health Systems
Costa Mesa · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Adventist Health Home Care Services
Lodi · Non-Profit
5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Adventist Health Home Care Services
Simi Valley · Non-Profit
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Adventist Health Home Care Services
Bakersfield · Non-Profit
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Affinity Home Health Care Services, INC
Riverside · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
All Family Home Health
Burbank · Proprietary
5 out of 5Nursing, PT, OT, Speech, Social, Aide15
Allegiance Home Health Services, INC
Van Nuys · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide15
Allegro Home Health, INC
Larkspur
4.5 out of 516
Alliance Health Services, INC
Colton · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide16
Allied Healthcare Professionals INC
Newbury Park · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide17
Allstar Home Healthcare, INC
Glendale · Proprietary
5 out of 5Nursing, PT, OT, Speech, Social, Aide15
Allwell Medical Services, INC
Inglewood · Proprietary
4.5 out of 5Nursing, PT, OT, Speech, Social, Aide13

How to read a CMS home health star rating

What the rating does and does not tell you.

The quality-of-patient-care star summarizes a set of CMS patient-care measures as of the last reported data. It is a useful starting point, not a verdict, and a missing rating is not a low one — it usually means CMS lacked enough data to publish a star.

Before choosing, also review each agency’s:

  • Measures reported. how complete its public CMS record is
  • Selected outcomes. the individual patient-care measures
  • Services. whether it offers the care you need
  • Ownership / type. the CMS-reported ownership
  • Data availability. why any measures are unavailable
  • Certification. confirm on Medicare's Care Compare

Each agency links to its full CMS record, and you can put any of them side by side in Home Health Compare. Confirm current details on Medicare’s Care Compare.

Related research and tools

Frequently asked questions

How many top CMS-rated home health agencies are in California?

CMS rates 360 of the 1,947 rated Medicare-certified home health agencies in California at 4.5 or 5 stars — its highest tier (about 18%), across 122 cities.

Does a high CMS star rating mean an agency is right for me?

No. The quality-of-patient-care star summarizes past CMS measures, not current care or a fit for individual needs. SeniorCareRating.com does not independently rank or recommend providers. Review each agency's measures, services, and data availability, and confirm on Medicare's Care Compare.

Why the 4.5–5.0 threshold?

CMS home-health stars are fractional (in half-star steps). 4.5 and 5.0 are CMS's two highest values, so this page uses that band as the highest-rated tier. A missing rating is not a low rating — it usually means CMS lacked enough data.

How current is this list?

The ratings reflect the CMS data snapshot refreshed 2026-08-03. CMS updates ratings over time; confirm on Medicare's Care Compare.

Methodology and limits
This page lists the 360 Medicare-certified home health agencies CMS rates 4.5 or 5 stars in California, from the CMS Home Health Care Agencies dataset. Inclusion is based solely on the CMS star rating; SeniorCareRating.com does not independently rank or recommend providers. Ratings are shown exactly as published and summarize past data, not current care. See full methodology.
SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.