Assisted Living
Roses Resthome
1 Roosevelt Ave, San Rafael, CA 94903 · Map
Licensed for 8 residents · SILVANA DANIEL
Roses Resthome is a state-licensed assisted living community in San Rafael, California. It is licensed for 8 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, 8 residents
RESIDENTIAL CARE ELDERLY 216804035, licensed since Mar 17, 2022. Licensee SILVANA DANIEL.
Nearest emergency room
1.6 miles
Kaiser Foundation Hospital, 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 |
|---|---|---|---|---|---|
| Roses Resthome this community | 8 | Not published | Active | 3 Type A, 7 Type B | |
| Daniel Rest Home | 0.0 mi | 6 | Not published | Active | 0 Type A, 1 Type B |
| Garden Home | 0.2 mi | 4 | Not published | Active | 1 Type A, 2 Type B |
| Haven House of San Rafael | 0.2 mi | 6 | Not published | Active | 1 Type A, 2 Type B |
| Haven Residence of San Rafael | 0.3 mi | 6 | Not published | Active | 0 Type A, 4 Type B |
State inspection record3 Type A, 7 Type B
- Last state visit
- July 31, 2026
- State visits since December 22, 2021
- 10 (including 4 inspections, 4 complaints investigated)
- Type A citations
- 3 immediate risk
- Type B citations
- 7 potential risk if not corrected
- Complaint allegations investigated
- 6: 1 substantiated, 5 not substantiated
- License active since 2022
Citations (10), newest first
- 87309(d)(1) (plan of correction due April 3, 2026): Storage Space and Access. Rules for safely storing cleaning products, poisons, sharp objects, alcohol and other items that could harm residents.
- 87412(a)(11) (plan of correction due April 3, 2026): Personnel Records. The community must keep a personnel record for the licensee, administrator and each employee with required information such as age, background and health screening.
- 87555(a) (plan of correction due April 3, 2026): General Food Service Requirements. Food must meet residents' nutritional needs and be stored, prepared and served safely.
- 87465(h) (plan of correction due April 3, 2026): 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.
- 87463(a) (plan of correction due April 3, 2026): Reappraisals. The resident's needs appraisal must be updated in writing when their condition changes significantly, and at least once every 12 months.
Show all 8
- 1569.625(b)(1) (plan of correction due March 25, 2026): Direct Care Staff Training. Training requirements for staff who help residents with personal daily activities.
- 87412(a)(11) (plan of correction due March 28, 2025): Personnel Records. The community must keep a personnel record for the licensee, administrator and each employee with required information such as age, background and health screening.
- 87309(a)(1) (plan of correction due March 8, 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 citations (2 more)
- 1569.625(b)(2) (plan of correction due April 17, 2024): Direct Care Staff Training. Training requirements for staff who help residents with personal daily activities.
- 87303(a) (plan of correction due December 19, 2022): Maintenance and Operation. Rules for keeping the building clean, safe and in good repair, including room temperature, lighting, water, waste, laundry, emergency lighting and call signal systems.
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)
- December 19, 2022: 1 substantiated, 1 unsubstantiated, 1 Type B citation
Complaints with no substantiated allegation (3)
- May 6, 2026: 1 unsubstantiated
- May 17, 2023: 2 unsubstantiated
- March 27, 2023: 1 unsubstantiated
Every state visit (12)
- April 30, 2026: Complaint visit
- March 24, 2026: Inspection
- March 7, 2025: Inspection
- April 16, 2024: Other visit
- March 26, 2024: Inspection
Show all 11
- May 16, 2023: Complaint visit
- March 13, 2023: Inspection
- March 13, 2023: Complaint visit
- December 16, 2022: Complaint visit (2)
- March 16, 2022: Other visit
- December 22, 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 8 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 SILVANA DANIEL
- License type
- RESIDENTIAL CARE ELDERLY
- License number
- 216804035
- License status
- Active
- Licensed since
- 2022-03-17
- Licensed capacity
- 8
- Licensee
- SILVANA DANIEL
- County
- Marin County
- Administrator
- Silvana Daniel
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 programsHow Medicaid pays for care in California, and other programs
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)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 1.6 mi, nursing home 0.4 mi, pharmacy 1.0 mi
- Nearest hospital with an emergency room
- Kaiser Foundation Hospital, San Rafael. 1.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Marin Post Acute, San Rafael. 0.4 miles away, straight line.
- Nearest home health agency office
- By The Bay Health, Larkspur. 3.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 94903 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita San Rafael Dialysis, San Rafael, 1.9 miles away, straight line (CMS rating 5 of 5 stars)
Shc Larkspur, Greenbrae, 3.9 miles away, straight line (CMS rating 4 of 5 stars)
Davita San Pablo Dialysis, San Pablo, 10.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 15 Medicare hospices tell CMS they serve ZIP code 94903.
Madrona Hospice Care Inc, office in San Rafael, 1.8 miles away, straight line
By The Bay Health, office in Larkspur, 3.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Sutter Care At Home, office in San Francisco, 15.3 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Richmond. 9.9 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 very 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: very high. By hazard: inland flooding very high, coastal flooding very high, wildfire relatively low, tornado very low, heat wave relatively low, earthquake relatively high. 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.
- What does the base rate include, and when did rates last go up?
- Who is here at night? Are they awake, or asleep and on call?
- Who covers when the owner is sick, on vacation, or away for the day? Can we meet them?
- Is it one flat rate, or does it rise with care needs?
- Can you help someone who needs two people to move, or a mechanical lift?
- 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?
What we checked13 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 | Not on the state list we checked. These lists are often incomplete. |
| 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 |
| Marin County Environmental Health Services kitchen inspections | Oct 15, 2026 | No kitchen matched |
| 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 Roses Resthome provide?
Roses Resthome is licensed by the state of California for assisted living in San Rafael, California. Its licensed capacity is 8 residents.
Does Lilisity rate Roses Resthome?
No. We publish state licensing details for Roses Resthome 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 Roses Resthome 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. Roses Resthome does not publish its prices.
How do I contact Roses Resthome?
Visit Roses Resthome at 1 Roosevelt Ave, San Rafael, CA 94903.
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