Assisted Living
Twin Rivers at Natomas
421 San Juan Road, Sacramento, CA 95834 · Map
Licensed for 48 residents · TWIN RIVERS AT NATOMAS INC
Twin Rivers at Natomas is a state-licensed assisted living community in Sacramento, California. It is licensed for 48 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
Care and services
From the community’s website
What Twin Rivers at Natomas says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Transportation to medical and dental appointments and medical management and administration are available with every level of care.
(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, 48 residents
RESIDENTIAL CARE ELDERLY 342700012, licensed since Jun 23, 2016. Licensee TWIN RIVERS AT NATOMAS INC.
Nearest emergency room
4.1 miles
Sutter Medical Center, Sacramento, 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 |
|---|---|---|---|---|---|
| Twin Rivers at Natomas this community | 48 | Not published | Active | 1 Type A, 2 Type B | |
| Golden Heritage Senior Care III | 0.8 mi | 6 | Not published | Active | 0 Type A, 3 Type B |
| Aari House | 1.0 mi | 6 | Not published | Active | 0 Type A, 0 Type B |
| Summer's Residential Care Home | 1.2 mi | 5 | Not published | Active | 0 Type A, 4 Type B |
| Midori-En Care Home | 1.3 mi | 4 | Not published | Active | 0 Type A, 0 Type B |
State inspection record1 Type A, 2 Type B
- Last state visit
- June 3, 2026
- State visits since September 17, 2021
- 16 (including 5 inspections, 4 complaints investigated)
- Type A citations
- 1 immediate risk
- Type B citations
- 2 potential risk if not corrected
- Complaint allegations investigated
- 8: 0 substantiated, 8 not substantiated
- No citations at the last 2 inspections (June 2025 to June 2026)
- License active since 2016
Citations (3), newest first
- 87411(g)(1) (plan of correction due March 12, 2025): Personnel Requirements - General. Staff and volunteers who need a background check must have a criminal record clearance or exemption before they start.
- 87468.2(a)(8) (plan of correction due February 28, 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.
- 87468.1(a) (plan of correction due February 28, 2025): Personal Rights of Residents in All Facilities. Lists the basic rights of every resident, including dignity, safe and comfortable accommodations, and freedom from punishment, humiliation and abuse.
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 (4)
- May 1, 2026: 3 unsubstantiated, 1 unfounded
- March 24, 2026: 1 unfounded
- March 24, 2026: 2 unsubstantiated
- April 16, 2025: 1 unfounded
Every state visit (18)
- June 3, 2026: Inspection
- March 20, 2026: Complaint visit
- March 17, 2026: Complaint visit (2)
- February 25, 2026: Complaint visit
- December 8, 2025: Other visit
Show all 16
- June 17, 2025: Other visit
- June 5, 2025: Inspection
- May 22, 2025: Other visit
- April 11, 2025: Complaint visit
- March 11, 2025: Other visit
- January 31, 2025: Other visit (2)
- September 25, 2024: Other visit
- May 15, 2024: Inspection
- June 23, 2023: Inspection
- March 16, 2022: Inspection
- 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 48 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 TWIN RIVERS AT NATOMAS INC
- License type
- RESIDENTIAL CARE ELDERLY
- License number
- 342700012
- License status
- Active
- Licensed since
- 2016-06-23
- Licensed capacity
- 48
- Licensee
- TWIN RIVERS AT NATOMAS INC
- County
- Sacramento County
- Administrator
- Veronica Morales
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 TWIN RIVERS AT NATOMAS INC 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 4.1 mi, nursing home 1.6 mi, pharmacy 0.3 mi
- Nearest hospital with an emergency room
- Sutter Medical Center, Sacramento, Sacramento. 4.1 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- North Pointe Care Center, Sacramento. 1.6 miles away, straight line.
- Nearest home health agency office
- Tfr - Home Health Agency, Sacramento. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Well-Care Pharmacy. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 95834 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Shc Sacramento, Sacramento, 1.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Natomas Dialysis, Sacramento, 2.2 miles away, straight line (CMS rating 3 of 5 stars)
Davita North Sacramento Dialysis, Sacramento, 2.4 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 32 Medicare hospices tell CMS they serve ZIP code 95834.
Sonder Hospice Care, office in Sacramento, 1.6 miles away, straight line
Vitas Healthcare Corporation Of California, office in Sacramento, 2.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Ec Lilly Palliative Care & Hospice Agency, Inc, office in Sacramento, 2.5 miles away, straight line - Nearest geriatric medicine practice
- Sutter Valley Medical Foundation, Sacramento. 3.9 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 low; in FEMA's high-risk flood area (Zone A99)
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
- Zone A99: 1% annual chance flood area (high risk); base flood elevation set. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: inland flooding very low, wildfire very 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.
- This address is in FEMA's high-risk flood area. Where do residents go in an evacuation, and how do you move them?
- 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 checked14 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 |
| Sacramento County Environmental Management Department 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 very 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 |
| The community’s own website | See above |
Common questionsAnswers to 4 questions families ask
What type of care does Twin Rivers at Natomas provide?
Twin Rivers at Natomas is licensed by the state of California for assisted living in Sacramento, California. Its licensed capacity is 48 residents.
Does Lilisity rate Twin Rivers at Natomas?
No. We publish state licensing details for Twin Rivers at Natomas 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 Twin Rivers at Natomas cost?
Assisted Living in Sacramento County typically starts at $3,700 to $5,400 a month. Based on 19 communities that publish prices. These are area figures, not this community's price. Twin Rivers at Natomas does not publish its prices.
How do I contact Twin Rivers at Natomas?
Use Twin Rivers at Natomas's website, twinriversatnatomas.com, or visit at 421 San Juan Road, Sacramento, CA 95834.
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