I picked Silverado Belmont for the park-like grounds, outdoor courtyards, pet-friendly vibe, abundant activities, great food and 24/7 nursing - the dementia-focused team is knowledgeable and often compassionate, and my mother did benefit from memory programs and freedom to roam. That said, it's very expensive, some rooms are small/outdated, and I noticed persistent urine odor in parts of the wing. Staffing turnover and occasional understaffing concerned me, and I felt they eventually gave up on helping my mother and may have overmedicated her. Overall it's a beautiful, well-programmed memory-care community worth considering - but visit more than once and check cleanliness, staffing and medication practices before you commit.
About Silverado Belmont Hills Memory Care Community
Silverado Belmont Hills Memory Care Community sits among quiet, tree-lined grounds and is built as a single-story, free-standing building, so folks don't have to worry about stairs or elevators, which makes getting around simpler. The place specializes in memory care and is designed for people with Alzheimer's or other forms of dementia, offering both private and semi-private rooms, with studios starting at $12,450 and semi-private rooms at $9,600. The community keeps the property secured with things like coded entry and a wander alert system - even using special bracelets to help prevent residents from getting lost. All the staff, including licensed nurses, masters level social workers, and a physician as medical director, are certified in dementia care, and there's someone on-site at all hours of the day and night, ready to help with medication, diabetic care, incontinence, and behavioral concerns such as wandering or aggression.
Silverado offers personalized care plans and adapts as needs change. Nurses help with daily tasks like bathing, dressing, and moving around-using lifts if needed-and also take care of people with diabetes, bowel or bladder issues, or mobility problems. Residents who have a risk of eloping or who show difficult behaviors can still be cared for here, and the team is trained to manage these situations, doing their best to keep everyone safe and treated with respect. Families can also find respite care here if they need a temporary break from caregiving responsibilities.
There's a regular schedule of activities, from stretching, yoga, and gardening, to art, cooking classes, and even karaoke or trips out on the Silverado bus. Programs like Nexus support brain-healthy living, while the Silverado Sensory Program offers ways to help residents connect with their environment. Social interaction and emotional well-being are encouraged, and staff run things like pet programs because residents can even bring their dog or cat, with help caring for the pet if needed. A chef prepares meals with options for special diets, including vegetarian, and there are guest meals and private dining if families visit. The community has indoor and outdoor common areas, a fitness room, library, garden spots, beautician services, and wheelchair-friendly showers.
Silverado Belmont Hills keeps a warm, inviting atmosphere, and the property stays clean and well-kept for all residents. The culture leans heavily on kindness and patience, and the community aims to give support to both residents and their families, offering educational resources on dementia and crisis help for caregivers. Amenities like complimentary transportation, hospice, and ADL/IADL support are included. Onsite and visiting professionals like physical, occupational, and speech therapists provide extra care as needed. The place also offers devotional services, intergenerational programs, and special activities that keep people's minds and bodies active. Silverado Belmont Hills Memory Care Community has spent more than twenty years focusing on memory care, striving to give seniors living with dementia a safe, dignified, and comfortable place to call home.
People often ask...
Silverado Belmont Hills Memory Care Community offers competitive pricing, with rates starting at a cost of $9,900 per month.
Silverado Belmont Hills Memory Care Community offers assisted living and memory care.
There are 11 photos of Silverado Belmont Hills Memory Care Community on Mirador.
The full address for this community is 1301 Ralston Ave, Belmont, CA, 94002.
Yes, Silverado Belmont Hills Memory Care Community offers respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
State of California Inspection Reports
78
Inspections
11
Type A Citations
9
Type B Citations
6
Years of reports
05 Aug 2025
05 Aug 2025
Delivered an immediate exclusion letter to exclude a staff member from the premises after meeting with the administrator.
31 Jul 2025
31 Jul 2025
Investigated allegation that a staff member pushed a resident with dementia against the wall; no injuries were noted and the staff member returned to work in a different area.
04 Jun 2025
04 Jun 2025
Delivered an immediate exclusion letter to remove two staff members from employment at the location; the letter was given to the Director of Health Services, and the matter was reviewed and discussed with her.
27 May 2025
27 May 2025
Identified an incident in which a 1:1 caregiver sat outside a resident’s door, preventing the resident from leaving. The resident has advanced dementia with a history of aggression and is on ongoing medication management with weekly psychiatry appointments. No citations were issued.
25 Feb 2025
25 Feb 2025
Determined that the complaint alleging staff failed to seek timely medical attention after a resident’s fall was supported by evidence. Found that the complaint alleging improper notification of the responsible party was unfounded.
03 Dec 2024
03 Dec 2024
Found the home clean and well maintained, with medications secured and resident and staff records up to date. Observed water temperatures between 105 and 115 degrees F, toxins locked away, first aid kits present and complete, fire extinguishers serviced in 10/2024, emergency drills conducted every three months, and the kitchen stocked with two days of perishables and seven days of non-perishables.
15 Mar 2024
15 Mar 2024
Investigated and found that a resident with Alzheimer's dementia wandered outside near the parking area on two occasions; gates were closed and secure after each incident. No citations were issued.
15 Mar 2024
15 Mar 2024
Reviewed incident where resident left the community without supervision on two occasions; no citations issued.
16 Feb 2024
16 Feb 2024
Found neglect and lack of supervision led to a resident’s serious bodily injury after multiple falls, due to improper fall risk assessment. A civil penalty was issued.
16 Feb 2024
16 Feb 2024
Confirmed neglect and lack of supervision resulting in serious bodily injuries.
31 Jan 2024
31 Jan 2024
Found no citations; five resident and five staff records were complete and up to date, with medications securely stored and first aid kits complete. Found cleanliness and safety maintained—dining areas clean, toxins locked, water temperatures within range, fire extinguishers serviced, and emergency drills conducted quarterly—with medication and resident file reviews up to date.
31 Jan 2024
31 Jan 2024
Inspection found no safety hazards, all areas clean, and staff and resident records complete and up-to-date.
19 Dec 2023
19 Dec 2023
Investigated an allegation that one resident touched another resident’s chest area. Found that a private one-on-one caregiver was left unattended during a break because orientation/training on breaks was not provided, and noted this is the third such incident involving that resident, with prior events in November.
19 Dec 2023
19 Dec 2023
Identified incident of inappropriate behavior between residents due to caregiver leaving one resident unattended. Training deficiencies for caregiver were noted and citations were issued for violation of state regulations.
§ 9058
06 Dec 2023
06 Dec 2023
Investigated two incidents in which one resident touched another; no deficiencies cited. The resident has Alzheimer's dementia, and no inappropriate or aggressive behavior was observed during the visit.
06 Dec 2023
06 Dec 2023
Confirmed incidents of inappropriate behavior involving residents were addressed by assigning a one-on-one caregiver and adjusting medication, with ongoing monitoring in place.
§ 9058
29 Sept 2023
29 Sept 2023
Delivered an immediate exclusion letter to exclude an employee, with the administrator and health services leaders present at the site. Reviewed the matter with the licensee.
29 Sept 2023
29 Sept 2023
Confirmed exclusion of an employee from the facility.
§ 9058
07 Sept 2023
07 Sept 2023
Investigated two allegations of staff misconduct—throwing a cup of tea at a resident and inappropriate contact with another resident; the involved staff member was suspended and later terminated, and authorities were notified, with no deficiencies cited.
07 Sept 2023
07 Sept 2023
Confirmed incidents of staff mistreatment towards residents were reported and investigated by state authorities. No deficiencies were found during the visit.
§ 9058
18 Aug 2023
18 Aug 2023
Reviewed a dog bite incident involving a resident and confirmed the dog’s vaccination records were up to date; noted pet-friendly policies and a resident handbook allowing pets, and found no prior biting incidents with this dog, which was returned to the adoption center; no deficiencies cited.
18 Aug 2023
18 Aug 2023
Reviewed incident involving a dog biting a resident's finger, facility policies and procedures on pets, and vaccination records. No deficiencies found during the visit.
§ 87465(a)
02 Aug 2023
02 Aug 2023
Investigated a reported incident involving a staff member and three residents, collected documentation, and did not issue any citations.
02 Aug 2023
02 Aug 2023
Confirmed three separate incidents between staff members and residents were reported and investigated during the visit.
03 May 2023
03 May 2023
Investigated allegation that one resident touched another inappropriately, with one hand on the chest and the other between the legs; found both residents have dementia, the wandering resident had a one-on-one caregiver, his/her medication dose was increased, and his/her room was moved to the Cedar building; no citations issued.
03 May 2023
03 May 2023
Confirmed incident of inappropriate behavior between two residents with dementia, resulting in adjustments to resident care.
17 Mar 2023
17 Mar 2023
Identified a deficiency related to reporting requirements, consolidating the issues into a single violation. Civil penalties could have resulted if the deficiencies were not corrected.
17 Mar 2023
17 Mar 2023
Identified deficiencies in regulations were noted during the inspection.
§ 87468.1(a)(2)
03 Feb 2023
03 Feb 2023
Delivered an immediate exclusion letter to exclude an employee, given to the Assistant Director of Health Services during an unannounced visit.
03 Feb 2023
03 Feb 2023
Confirmed exclusion of an employee following an unannounced visit.
27 Jan 2023
27 Jan 2023
Found comprehensive infection control measures in place, including posted COVID-19 signage, entry screening, daily logs for staff, residents, and visitors, and a 30-day PPE supply with staff wearing masks. Observed medications securely stored, toxins locked, two Wellness Centers, a clean kitchen with proper perishables, and barriers separating kitchen from resident spaces; no citations issued and results reviewed with Director of Health Services.
27 Jan 2023
27 Jan 2023
Confirmed cleanliness, infection control practices, and safety measures observed during the inspection.
17 Oct 2022
17 Oct 2022
Identified an allegation that a resident touched a female resident’s breast, with a history of repeated aggressive and inappropriate behaviors toward others despite interventions. Noted the resident has a new doctor and medications, and was observed sleeping in bed with a one-on-one caregiver in the room; a deficiency in care standards was identified.
17 Oct 2022
17 Oct 2022
Identified deficiencies in resident behavior management and service plans during a recent visit. Multiple incidents of inappropriate behavior noted, with recurring patterns despite interventions in place.
10 Oct 2022
10 Oct 2022
Found that an incident involved two residents, including a person with dementia who had previously been found naked in another resident’s bed and was without a one-on-one caregiver at that time; staff later reported a new geriatric doctor, adjusted medications, around-the-clock supervision, daily updates to the responsible party, and a care team meeting. No citations were issued.
10 Oct 2022
10 Oct 2022
Confirmed incident involving inappropriate touching between two residents; facility took steps to address resident's behavior and increase supervision.
23 Sept 2022
23 Sept 2022
Identified multiple dementia-related incidents of aggression among residents, including conflicts between two residents and an incident involving a staff member, plus an unwitnessed incident; concerns were documented.
23 Sept 2022
23 Sept 2022
Reviewed incidents involving residents with dementia hitting each other and throwing things, with behavior mapping and medication adjustments being conducted for affected residents. No citations were issued during the visit.
12 Sept 2022
12 Sept 2022
Investigated an incident where a resident with Parkinson's dementia jumped over the fence near the activity area using a planter, was assisted back inside, and no injuries occurred. Notified the resident's responsible party and physician, medications were adjusted, a one-on-one caregiver was assigned, and behavior mapping continues.
12 Sept 2022
12 Sept 2022
Visited facility following reported elopement incident, interviewed staff, and reviewed resident's file. No citations issued.
19 Jul 2022
19 Jul 2022
Found concerns about supervision for a dementia resident after two incidents: on 5/26/22 the resident was found in another resident’s room, and on 7/15/22 the resident was observed lying beside another resident while a caregiver was present.
§ 87464(f)(1)
19 Jul 2022
19 Jul 2022
Confirmed incidents of unusual behavior involving residents with dementia were observed during the visit. Deficiencies in supervision were cited by the Licensing Program Analyst.
§ 87211
18 Jul 2022
18 Jul 2022
Identified that a resident with Alzheimer's dementia eloped by climbing over a gate, wandered off toward a nearby park, and was redirected, given medications, and returned after staff followed. Identified that the resident is a new admission with a prior elopement history; the physician adjusted medications and a one-on-one caregiver was assigned; a safety deficiency was noted.
18 Jul 2022
18 Jul 2022
Confirmed an incident where a resident with Alzheimer's Dementia eloped from the facility, prompting adjustments in medication and additional caregiver support.
05 Jul 2022
05 Jul 2022
Identified an incident involving a resident with dementia who may have eaten cat food; no witnesses confirmed and the resident would not say whether they ate it. Moved the resident to a higher level of care in another area, and all cat food bowls were removed from sight.
05 Jul 2022
05 Jul 2022
Confirmed incident of resident possibly consuming cat food, leading to relocation to a higher level of care and removal of cat food bowls from the room.
16 Jun 2022
16 Jun 2022
Identified several incidents involving a newly admitted resident with dementia: on 5/27/2022 the resident hit a caregiver, causing both to fall, and on 5/30/2022 the resident touched a caregiver during a shower and later touched another resident. Interviewed staff and reviewed resident files; noted a 5/26/2022 incident where a male resident walked into a female resident's room with no injuries, and that the other resident has dementia with no prior unusual behavior.
16 Jun 2022
16 Jun 2022
Confirmed incidents of physical contact between residents and caregivers, prompting adjustments in medication and increased supervision.
24 May 2022
24 May 2022
Identified a supervision lapse that allowed a resident with dementia to exit through an unlatched gate; headcount was conducted and gates inspected by a locksmith. Noted a prior penalty for a repeat violation within a year.
§ 87411
24 May 2022
24 May 2022
Investigated incident of a resident leaving the facility due to lack of supervision resulted in a citation for personnel requirements deficiency with a civil penalty assessed.
05 May 2022
05 May 2022
Identified gaps in COVID-19 protocols, including positive residents roaming and dining with negative residents despite isolation efforts. Noted that the claim of insufficient staff to support a designated isolation unit was not supported by evidence, with shortages described as temporary during the height of the pandemic.
05 May 2022
05 May 2022
Confirmed inadequate implementation of COVID protocols, including failure to isolate COVID positive residents appropriately; determined lack of staffing issue for COVID isolation unit allegation to be unsubstantiated.
29 Apr 2022
29 Apr 2022
Determined that a privately hired caregiver was not associated to the home and that the home failed to report a suspected elder abuse incident to licensing within 24 hours and to provide a written report within seven days. Investigated the allegation that the private caregiver kicked a resident and found the caregiver acted in self-defense in response to resident aggression; also found that the claim of an unfingerprinted caregiver working with a resident had no reasonable basis.
§ 87211(b)
§ 87355(e)(2)
§ 87211(a)(1)
29 Apr 2022
29 Apr 2022
Confirmed inadequate reporting and failure to associate a private caregiver at the facility.
24 Feb 2022
24 Feb 2022
Identified an unwitnessed altercation between two residents on January 19, 2022, with no staff present to supervise. Noted a prior November 2021 incident with lack of supervision, indicating ongoing supervision concerns.
24 Feb 2022
24 Feb 2022
Reviewed an incident involving two residents in a verbal altercation, citing a deficiency in supervision protocols resulting in altercations between residents on two occasions.
§ 87468.1
15 Nov 2021
15 Nov 2021
Found that on November 15, 2021 an incident from November 10 involved two residents with dementia; one kicked the other while left alone in the dining room, described as a one-time altercation with no prior history of physical abuse. Notified the Ombudsman, licensing, physicians, and the resident's responsible party; needs and service plans showed no hands-on assistance needed; no deficiencies were issued.
15 Nov 2021
15 Nov 2021
Confirmed an incident of physical altercation between two residents with dementia at the facility during a case management visit.
12 Nov 2021
12 Nov 2021
Found the allegation that a resident sustained an unexplained injury at the same time as another staff member and that a fall may have occurred during rounds not substantiated.
12 Nov 2021
12 Nov 2021
Found that the allegation that a resident’s hygiene and daily care were not adequately addressed was unsubstantiated.
12 Nov 2021
12 Nov 2021
Found premises in compliance with safety and care standards; rooms were clean and properly furnished with safety features, medications and supplies stored securely, and no citations were issued.
12 Nov 2021
12 Nov 2021
Found all buildings equipped with hardwired smoke detectors and a fire panel, plus an emergency generator capable of powering the site for 72 hours, with water temperatures in observed rooms ranging from 108F to 117F and each room fully furnished with lighting, push-button call systems, non-skid mats, grab bars, and carbon monoxide detectors present. Reported no issues and noted overall compliance.
12 Nov 2021
12 Nov 2021
Inspection found the facility in compliance with regulations, with no citations issued.
12 Nov 2021
12 Nov 2021
Inspection found facility fully compliant with regulations, with no citations issued.
30 Apr 2021
30 Apr 2021
Identified a deficiency after interviews with the administrator and staff, review of records and a police report about the unusual incident on 03/29/2021, with the individuals providing requested documents.
30 Apr 2021
30 Apr 2021
Reviewed an unusual incident from March 29, 2021, and identified a deficiency in compliance with California Code of Regulations, Title 22, Division 6, based on interviews and records.
§ 87303(a)
07 Apr 2021
07 Apr 2021
Investigated an unusual incident that occurred on 03/29/2021. Interviewed the administrator and witnesses, requested additional documents, and planned follow-up with other staff, with the incident remaining open for further investigation.
07 Apr 2021
07 Apr 2021
Investigated an unusual incident from March 29, 2021, by interviewing staff and the administrator, and collected additional documents. Follow-up required for further investigation.
§ 87608
18 Dec 2020
18 Dec 2020
Identified ongoing focus on preventing elopement, pressure injuries, and falls, including identifying and meeting residents’ needs, appraisals and re-appraisals, plan of care, safety, residents’ personal rights, staff training and monitoring, and medication monitoring.
18 Dec 2020
18 Dec 2020
Found that care and supervision for a resident were inadequate, contributing to a fall and death. The investigation noted that a 1:1 caregiver was undertrained and lacked sufficient support to manage the resident’s aggressive behavior.
§ 87468.2(a)
18 Dec 2020
18 Dec 2020
Identified two December 2019 incidents where residents harmed each other during times of inadequate supervision, resulting in injuries and raising concerns about residents' safety.
18 Dec 2020
18 Dec 2020
Confirmed two incidents of inadequate supervision resulting in resident injuries.
§ 87464(f)(1)
25 Feb 2020
25 Feb 2020
Identified serious violations concerning personnel, medical care, reporting requirements, dementia care, personal rights, basic services, and criminal record clearance.
§ 87468.2(a)(4)
20 Feb 2020
20 Feb 2020
Confirmed failure to provide care and supervision resulting in serious bodily injury to a resident.
31 Jan 2020
31 Jan 2020
Verified complaint of resident being left in sun, resulting in skin injuries. Failure to report incident promptly noted. Allegations of negligence and lack of immediate medical attention were inconclusive.
22 Nov 2019
22 Nov 2019
Found that the allegation of bruising on a resident's thumb could not be confirmed based on interviews, observations, and record reviews.
10 Oct 2019
10 Oct 2019
Determined allegations related to a resident's food intake, medication, and pressure injuries lacked sufficient evidence to confirm if violations occurred.
§ 87468.1
08 Oct 2019
08 Oct 2019
Identified deficiencies in admitting and retaining residents with restricted health conditions without submitting proper requests. Residents were not approved for exceptions as required by regulations.
