Cal Long Term Care Compare is pleased to announce new results for the Measures that Matter quality measurement program, which seeks to help California recognize the better performing nursing homes.
This program identifies nursing homes that are in the top 10% (Top Tier) of California nursing home providers in restoring or maintaining resident mobility (i.e. being able to move freely on one’s own) and function (an individual’s ability to perform the daily life activities required to satisfy basic needs and maintain health and well-being) in the short stay (i.e. temporary stay lasting fewer than 100 days and/or long stay settings (stays lasting more than 100 days days).
Here is a summary of the 2025 results with additional details and full list of nursing homes below.
- 42 nursing homes achieved Top Tier Status (i.e. Top 10%) for short stay residents
- 24 nursing homes achieved Top Tier Status (i.e. Top 10%) for long stay residents
- 5 nursing home achieved “double” Top Tier Status for both short and long stay residents
- 10 nursing homes achieved Top Tier Status for short stay residents in both 2024 and 2025
- 6 nursing homes achieved Top Tier Status for long stay residents in both 2024 and 2025.
- 1 nursing home achieved Top Tier Status for long stay residents in 2024 and short stay residents in 2025
Improving (or maintaining) residents’ mobility and functional abilities are critical outcome measures of care for nursing homes. Short stay residents frequently need assistance to regain their mobility after a hospitalization for an illness or injury. Long stay residents require support to maintain their current level of mobility and function. There is strong evidence that good mobility and functional ability help prevent future falls and improves quality of life (e.g., resident cognition, independence, and community participation). The MTM program is intended to help consumers, hospital discharge planners and insurers identify the best care for nursing home residents. It also encourages sharing of best practices among nursing home providers that are working to improve their care quality.
2025 Results
The most recent analysis shows that just 42 of 966 nursing homes achieved Top Tier status (i.e. Top 10% of nursing homes included in analysis) for short stay residents and 24 of 920 nursing homes achieved the Top Tier status for the long stay residents. Five nursing homes achieved the “double” Top Tier status for both short and long stay residents in 2025. Notably, 10 nursing homes maintained top tier status for short stay residents between 2024 and 2025; likewise, 6 nursing homes maintained top tier status for long stay residents between 2024 and 2025.
For additional details about the program and methodology, refer to the documents in the Methodology Resources section below. A printable list of the Top Tier nursing home performers can be viewed below.
- 2025 Top Tier List_Short Stay Setting
- 2025 Top Tier List_Long Stay Setting
- Top Tier List – 2024 & 2025
Top Tier Finalists from Prior Years
Measures that Matter Program: Methodology Resources
Cal Long Term Care Compare used several steps to evaluate 11 publicly-reported long stay setting measures and 16 publicly-reported short stay setting measures to construct a composite measure for each setting and identify the Top Tier finalists for the nursing home resident mobility and function measures.
The long stay composite measure uses 8 mobility and function measures, and the short stay composite uses 5 mobility and function measures.
Historical Documentation can be found here:
- 2024 Measures that Matter Program Office Hours – slides from session:
- 2023 Measures that Matter Program Resources:
- Program Description_Measures that Matter_Mobility in Nursing Homes – a comprehensive overview of the program background, methodology, and results.
- Fact Sheet_Measures that Matter – provides a high level overview of the Measures that Matter program, methodology, and results.
- 2023 Facility List_Measures that Matter_Tier 1 SS LS Only– a complete list of the top performers for SS, LS and both SS & LS skilled nursing facilities.