Assisted Living
River Bluffs Memory Care Community
5425 W. Spruce Ave., Fresno, CA 93722 · Map
Licensed for 36 residents · SIERRA MEADOWS SENIOR CARE, INC.
River Bluffs Memory Care Community is a state-licensed assisted living community in Fresno, California. It is licensed for 36 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 36 residents
RESIDENTIAL CARE ELDERLY 107209048, licensed since May 4, 2020. Licensee SIERRA MEADOWS SENIOR CARE, INC..
Nearest emergency room
5.9 miles
Kaiser Foundation Hospital - Fresno, rated 4 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| River Bluffs Memory Care Community this community | 36 | Not published | Active | 2 Type A, 6 Type B | |
| Victoria's Care Home, N. Delbert Ave | 0.3 mi | 6 | Not published | Active | 0 Type A, 0 Type B |
| Victoria's Care Home, N Western Ave | 0.4 mi | 6 | Not published | Active | 1 Type A, 1 Type B |
| Victoria Care Home 2, N. Mccaffrey Ave | 0.4 mi | 6 | Not published | Active | 0 Type A, 0 Type B |
| Cromwell Haven | 0.5 mi | 6 | Not published | Active | 0 Type A, 6 Type B |
State inspection record2 Type A, 6 Type B
- Last state visit
- August 4, 2026
- State visits since September 17, 2021
- 13 (including 5 inspections, 10 complaints investigated)
- Type A citations
- 2 immediate risk
- Type B citations
- 6 potential risk if not corrected
- Complaint allegations investigated
- 30: 2 substantiated, 28 not substantiated
- No citations at the last inspection (May 2026)
- License active since 2020
Citations (8), newest first
- 87608(a)(3) (plan of correction due August 29, 2025): Postural Supports. The community must help residents with daily activities they cannot do themselves, and may use postural supports only under set conditions.
- 87309(b) (plan of correction due June 11, 2025): Storage Space and Access. Rules for safely storing cleaning products, poisons, sharp objects, alcohol and other items that could harm residents.
- 87309(a) (plan of correction due June 4, 2025): Storage Space and Access. Cleaning products, poisons, knives, matches, tools and other dangerous items must be kept in locked storage and not left unattended.
- 87303(a)(1) (plan of correction due March 19, 2025): Maintenance and Operation. The building must be kept clean, safe, sanitary and in good repair.
- 87309(a) (plan of correction due March 6, 2025): Storage Space and Access. Cleaning products, poisons, knives, matches, tools and other dangerous items must be kept in locked storage and not left unattended.
Show all 8
- 87632(a)(1) (plan of correction due May 22, 2024): Hospice Care Waiver. Rules for getting the state hospice care waiver a community needs to accept or keep residents receiving hospice care.
- 87465(h)(6) (plan of correction due May 22, 2024): Incidental Medical and Dental Care Services. Centrally stored medicines must be locked up, kept in their original labeled containers, and tracked in a written record.
- 87309(a) (plan of correction due June 14, 2023): Storage Space and Access. Rules for safely storing cleaning products, poisons, sharp objects, alcohol and other items that could harm residents.
Plain meanings are our short reading of the rule cited, from the state’s regulation text. The state’s report says what happened.
Complaints with substantiated allegations (date the finding was approved)
- May 1, 2025: 1 substantiated, 2 unsubstantiated, 1 Type B citation
- November 5, 2021: 1 substantiated, 3 unsubstantiated, 1 unfounded
Complaints with no substantiated allegation (8)
- August 10, 2026: 1 unsubstantiated
- October 29, 2025: 1 unfounded
- October 16, 2025: 1 unsubstantiated
- January 6, 2025: 5 unsubstantiated
- October 8, 2024: 1 unsubstantiated, 3 unfounded
Show all 8
- November 2, 2023: 2 unsubstantiated, 2 unfounded
- November 4, 2022: 2 unsubstantiated, 2 unfounded
- April 21, 2022: 1 unsubstantiated, 1 unfounded
Every state visit (26)
- August 4, 2026: Complaint visit
- May 21, 2026: Inspection
- August 28, 2025: Other visit
- August 28, 2025: Complaint visit (2)
- June 4, 2025: Inspection
Show all 17
- March 5, 2025: Other visit
- March 5, 2025: Complaint visit (2)
- September 24, 2024: Complaint visit (3)
- May 15, 2024: Inspection
- October 26, 2023: Complaint visit (2)
- June 6, 2023: Inspection
- October 24, 2022: Complaint visit (2)
- April 18, 2022: Other visit
- April 18, 2022: Inspection
- April 18, 2022: Complaint visit (2)
- November 2, 2021: Complaint visit (3)
- September 17, 2021: Other visit
Read every report on the state’s site →
What these terms mean
Type A citations are for “the most serious type of violations in which there is an immediate risk to the health, safety or personal rights of those in care,” and are issued “even if the violation is corrected on the spot.”
Type B citations are for “a violation that, if not corrected, may [pose] an immediate risk to the health, safety or personal rights of clients,” such as faulty medical record keeping or staff training.
CCLD: “There is no difference between an inconclusive and an unsubstantiated complaint allegation. Both terms mean that there was no preponderance of evidence to prove that an alleged violation occurred.” Allegations CCLD finds unfounded are also not substantiated.
This community is licensed for 36 residents; larger communities are visited and complained about more often, so read counts with size in mind. Source: California Department of Social Services, Community Care Licensing, data as of September 28, 2026, covering the five years of records the state publishes. The state’s advice: “Never rely on this information alone to make a decision about a facility. Always visit facilities in person.”
License and ownershipActive license, licensee SIERRA MEADOWS SENIOR CARE, INC.
- License type
- RESIDENTIAL CARE ELDERLY
- License number
- 107209048
- License status
- Active
- Licensed since
- 2020-05-04
- Licensed capacity
- 36
- Licensee
- SIERRA MEADOWS SENIOR CARE, INC.
- County
- Fresno County
- Administrator
- Donna Hurley
Source: California state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the California licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsOn the California list of Medicaid providers (2026)
On the California list of Medicaid providers. Listed as RIVER BLUFFS MEMORY CARE COMMUNITY under Assisted Living Waiver (ALW). (state list, as of Mar 3, 2026)
Being on the list means the community has taken part in the program. Ask whether it has a Medicaid opening now, and how many residents it serves on Medicaid.
How Medicaid pays for care in California
- Assisted Living Waiver (ALW). Medi-Cal can pay for assisted living care services through the Assisted Living Waiver, but only in 15 counties, only for people who need nursing home level care, and there is a waitlist. The resident still pays room and board. (state page)
- Waitlist. The Assisted Living Waiver has a waitlist. DHCS reported 18,365 people on it in December 2025. (source)
Location and nearby careNearest hospital 5.9 mi, nursing home 6.1 mi, pharmacy 1.6 mi
- Nearest hospital with an emergency room
- Kaiser Foundation Hospital - Fresno, Fresno. 5.9 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- North Point Healthcare & Wellness Centre LP, Fresno. 6.1 miles away, straight line.
- Nearest home health agency office
- A Plus Home Health Inc, Fresno. 2.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 93722 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Fresno Metro Dialysis, Fresno, 0.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Fresno North Ht At Home, Fresno, 0.7 miles away, straight line (CMS rating 4 of 5 stars)
Davita Fresno Dialysis, Fresno, 2.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 39 Medicare hospices tell CMS they serve ZIP code 93722.
Bright Horizon Hospice Services, office in Fresno, 1.6 miles away, straight line
Bristol Hospice Fresno, office in Fresno, 2.7 miles away, straight line (CMS family survey rating 3 of 5 stars)
Hinds Hospice - Fresno, office in Fresno, 3.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 5.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively high; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding very high, wildfire relatively low, tornado very low, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in May 2025. What was it, and how was it fixed?
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked12 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| California Department of Social Services, Community Care Licensing inspection records | Sep 28, 2026 | See above |
| California Medicaid provider list | Mar 3, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Common questionsAnswers to 4 questions families ask
What type of care does River Bluffs Memory Care Community provide?
River Bluffs Memory Care Community is licensed by the state of California for assisted living in Fresno, California. Its licensed capacity is 36 residents.
Does Lilisity rate River Bluffs Memory Care Community?
No. We publish state licensing details for River Bluffs Memory Care Community but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does River Bluffs Memory Care Community cost?
Assisted Living in California typically starts at $3,800 to $6,100 a month. Based on 267 communities that publish prices. These are area figures, not this community's price. River Bluffs Memory Care Community does not publish its prices.
How do I contact River Bluffs Memory Care Community?
Visit River Bluffs Memory Care Community at 5425 W. Spruce Ave., Fresno, CA 93722.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid