Assisted Living
Tuscany Villa Senior Living
790 Holmes Street, Livermore, CA 94550 · Map
Licensed for 31 residents · KENAI RIVER HOLDINGS, LLC
Tuscany Villa Senior Living is a state-licensed assisted living community in Livermore, California. It is licensed for 31 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
Starting prices the community publishes, with the date we checked each one and a link to where it is published. Care charges are usually added after an assessment.
| Care | Starting at | Checked |
|---|---|---|
| Assisted Living | $5,000 /mo | Oct 12, 2026 |
Area costs
Care and services
From the community’s website
What Tuscany Villa Senior Living says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Apartment types named: cottage or villa.
At Tuscany Villa Senior Living, we pride ourselves in providing quality, memory-focused care in a home-like environment.
(page, checked Oct 12, 2026)
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, 31 residents
RESIDENTIAL CARE ELDERLY 019201002, licensed since Jan 27, 2021. Licensee KENAI RIVER HOLDINGS, LLC.
Nearest emergency room
6.0 miles
Stanford Health Care Tri-Valley, rated 5 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 |
|---|---|---|---|---|---|
| Tuscany Villa Senior Living this community | 31 | $5,000/mo | Active | 3 Type A, 8 Type B | |
| Ivy Park at Livermore | 0.3 mi | 115 | Not published | Active | 0 Type A, 0 Type B |
| A New Haven Care Home-Hudson | 0.4 mi | 6 | Not published | Active | 3 Type A, 1 Type B |
| Heritage Estates | 0.5 mi | 65 | $9,320/mo | Active | 1 Type A, 4 Type B |
| A New Haven Care Home - Berlin | 0.6 mi | 6 | Not published | Active | 2 Type A, 6 Type B |
State inspection record3 Type A, 8 Type B
- Last state visit
- August 6, 2026
- State visits since February 18, 2022
- 10 (including 5 inspections, 1 complaint investigated)
- Type A citations
- 3 immediate risk
- Type B citations
- 8 potential risk if not corrected
- Complaint allegations investigated
- 2: 0 substantiated, 2 not substantiated
- License active since 2021
Citations (11), newest first
- 87211(a)(1)(D) (plan of correction due August 20, 2026): Reporting Requirements. Events the community must report to the state and to the resident's family or representative, such as deaths, injuries, abuse and changes in leadership.
- 87465(c)(2) (plan of correction due February 9, 2026): Incidental Medical and Dental Care Services. Staff may help a resident take as-needed nonprescription medicine only with written instructions from the resident's doctor.
- 87468.2(a)(4) (plan of correction due March 6, 2025): Additional Personal Rights of Residents in Privately Operated Facilities. Additional rights for residents of privately operated communities, such as privacy, confidential records and help exercising their rights.
- 87467(a)(3) (plan of correction due February 24, 2025): Resident Participation in Decisionmaking. Before or within two weeks of move-in, the community must meet with the resident and family to write down the care the resident will get and their preferences.
- 87411(f) (plan of correction due February 16, 2024): Personnel Requirements - General. All staff must be in good health, with a health screening that includes a chest x-ray or skin test, and anyone whose illness threatens residents must be taken off duty.
Show all 8
- 87705(c)(5) (plan of correction due February 16, 2024): Care of Persons with Dementia. Rules for caring for residents with dementia, including staff training, door alarms, and delayed-exit or locked exterior doors.
- 87465(c)(2) (plan of correction due January 29, 2024): Incidental Medical and Dental Care Services. Staff may help a resident take as-needed nonprescription medicine only with written instructions from the resident's doctor.
- 87555(b)(21) (plan of correction due February 3, 2023): General Food Service Requirements. Meal service rules, such as at least three meals a day, snacks between meals, a suitable dining area, varied menus and planned menus in larger communities.
Show all citations (3 more)
- 87705(c)(4) (plan of correction due December 5, 2022): Care of Persons with Dementia. Rules for caring for residents with dementia, including staff training, door alarms, and delayed-exit or locked exterior doors.
- 87705(c)(5) (plan of correction due November 30, 2022): Care of Persons with Dementia. Rules for caring for residents with dementia, including staff training, door alarms, and delayed-exit or locked exterior doors.
- 87705(j) (plan of correction due November 23, 2022): Care of Persons with Dementia. Rules for caring for residents with dementia, including staff training, door alarms, and delayed-exit or locked exterior doors.
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 no substantiated allegation (1)
- February 25, 2025: 2 unsubstantiated
Every state visit (11)
- August 6, 2026: Other visit
- July 20, 2026: Other visit
- January 28, 2026: Inspection
- February 20, 2025: Other visit
- February 20, 2025: Complaint visit
Show all 11
- January 28, 2025: Inspection
- January 26, 2024: Inspection
- January 27, 2023: Inspection
- December 2, 2022: Other visit
- November 22, 2022: Other visit
- February 18, 2022: Inspection
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 31 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 KENAI RIVER HOLDINGS, LLC
- License type
- RESIDENTIAL CARE ELDERLY
- License number
- 019201002
- License status
- Active
- Licensed since
- 2021-01-27
- Licensed capacity
- 31
- Licensee
- KENAI RIVER HOLDINGS, LLC
- County
- Alameda County
- Administrator
- Janice Gombio
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 public records we reviewed, as of Oct 12, 2026.
Paying with Medicaid and other programsOn the California list of Medicaid providers (2026)
On the California list of Medicaid providers. Listed as TUSCANY VILLA SENIOR LIVING 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 6.0 mi, nursing home 0.0 mi, pharmacy 0.5 mi
- Nearest hospital with an emergency room
- Stanford Health Care Tri-Valley, Pleasanton. 6.0 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Stratford Villa Post-acute, Livermore. 0.0 miles away, straight line.
- Nearest home health agency office
- One Health Home Care, Inc, Livermore. 1.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 94550 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Livermore Dialysis, Livermore, 3.1 miles away, straight line (CMS rating 5 of 5 stars)
Davita Pleasanton Santa Rita Dialysis, Pleasanton, 6.0 miles away, straight line (CMS rating 4 of 5 stars)
Davita Pleasanton Dialysis Center, Pleasanton, 8.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars) - Hospice
- 43 Medicare hospices tell CMS they serve ZIP code 94550.
Gimag Hospice & Palliative Care, office in Livermore, 2.1 miles away, straight line
Hope Hospice, office in Pleasanton, 4.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
American Hospice And Home Health Care Service Inc, office in Pleasanton, 4.1 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Careway Health Medical West PC, Dublin. 7.2 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, tornado very low, heat wave relatively moderate, earthquake very 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.
- Your published starting price is a base rate. What would the total monthly cost be for my parent's needs?
- How much have prices gone up in each of the last three years?
- 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 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 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| 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: no FEMA wildfire rating of moderate or higher here |
| 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 |
| The community’s own website | See above |
Common questionsAnswers to 4 questions families ask
What type of care does Tuscany Villa Senior Living provide?
Tuscany Villa Senior Living is licensed by the state of California for assisted living in Livermore, California. Its licensed capacity is 31 residents.
Does Lilisity rate Tuscany Villa Senior Living?
No. We publish state licensing details for Tuscany Villa Senior Living 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 Tuscany Villa Senior Living 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. The starting prices it publishes are in the Prices section on this page.
How do I contact Tuscany Villa Senior Living?
Use Tuscany Villa Senior Living's website, tuscanyvillaseniorliving.com, or visit at 790 Holmes Street, Livermore, CA 94550.
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