An October report by the federal HHS Office of Inspector General reveals that California nursing homes have one of the highest complaint rates in the nation. The report, Trends in Nursing Home Complaints (2016-2018), shows California nursing homes had the fifth highest rate of complaints in 2018, 80.9 complaints per 1,000 nursing home residents. Only Illinois, Missouri, Texas and Washington nursing homes had higher rates of complaints. Equally concerning, the data shows the number of complaints filed against California nursing homes increased greatly every year since 2011 and more than doubled since 2012, when California nursing homes averaged 40 complaints per 1,000 nursing home residents.