Pricing ranges from
    $4,471 – 5,812/month

    Kingston Bay Senior Living

    6161 W Spruce Ave, Fresno, CA, 93722
    • Independent living
    • Assisted living
    • Memory care

    Pricing

    $4,471+/moSemi-privateAssisted Living
    $5,365+/mo1 BedroomAssisted Living
    $5,812+/moStudioAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.19 · 115 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      4.0
    • Meals

      3.8
    • Amenities

      4.2
    • Value

      3.0

    Location

    Map showing location of Kingston Bay Senior Living

    About Kingston Bay Senior Living

    Kingston Bay Senior Living offers a welcoming and comfortable environment, designed to feel like home from the moment residents arrive. The community stands out for its commitment to exceptional care, provided by an expertly trained staff dedicated to supporting every resident at a personalized level. Nestled in a charming residential area in Northwest Fresno, Kingston Bay enjoys both tranquility and convenience, presented by its lovely surroundings and close proximity to a range of retail options and recreational opportunities.

    At Kingston Bay, residents experience daily life enriched by a wealth of amenities crafted to promote both comfort and engagement. The community features all day restaurant-style dining, allowing residents the freedom to enjoy meals at their own pace, with delicious culinary offerings that focus on nutrition and variety. Leisure and entertainment are always close at hand, thanks to an in-house theater where residents can enjoy movies and events in the company of friends, as well as an on-site salon that provides haircuts, styling, and more to keep everyone looking and feeling their best. For those who value wellness and activity, a resident fitness center provides a dedicated space for health and exercise routines tailored to all abilities and preferences.

    Beyond services and amenities, life at Kingston Bay is characterized by a philosophy that embraces the whole person. The community actively supports all aspects of wellness, with life enrichment programs that foster social connection, intellectual stimulation, and everyday joy. Whether through friendly conversations, group activities, or special programs, the staff ensures a stimulating and supportive atmosphere. Residents are encouraged to pursue their interests, remain active, and build meaningful relationships, reinforcing the sense of community that sets Kingston Bay apart.

    Kingston Bay Senior Living is guided by a heartfelt belief that residents of any age or ability can thrive. With a focus on treating everyone like family, the community goes beyond the basics to create a vibrant, caring environment where individuals can continue to lead fulfilling lives in comfort and dignity.

    People often ask...

    State of California Inspection Reports

    73

    Inspections

    15

    Type A Citations

    19

    Type B Citations

    5

    Years of reports

    29 Jul 2025
    Found the site clean and well-maintained, with orderly apartments, accessible restrooms, stored supplies, and unobstructed doors; extinguishers were serviced recently and resident files reviewed. Time constraints required a follow-up visit to finish the review, and an exit interview was conducted.
    • § 9058
    29 Jul 2025
    Reviewed resident and staff files and interviewed the administrator during a case management visit; no citations were issued.
    • § 9058
    18 Jul 2025
    Found that the allegations that staff did not meet the resident's toileting needs and did not provide meals in a timely manner were unfounded. Found that the allegations that staff did not respond to call buttons promptly and did not dispense medications as prescribed were unfounded.
    23 May 2025
    Identified UNSUBSTANTIATED that a staff member treated residents roughly and spoke to them in an intimidating, inappropriate manner, with residents saying they do not want that staff member to care for them. Found lack of required qualifications for a caregiver who began in November 2024, including incomplete training and no First Aid certification on file.
    • § 87411(c)
    • § 87468.1
    28 May 2025
    Identified one deficiency during an unannounced health and safety inspection; observed clean resident rooms, hot water at sinks (106–109°F), and locked laundry and medication storage areas with a clean kitchen area. An exit interview was conducted.
    • § 87309(a)
    • § 9058
    23 May 2025
    Found that some shifts had only one caregiver per floor, and a resident fell and required hospitalization on 2/15–2/16/25, with no clear evidence linking the incident to staffing levels. Found pest-control measures were in place, including a service and a reporting log; roach bait pads were observed and there was a procedure to address pests, and records showed a resident's condition worsened with hospital transport delayed until paramedics intervened.
    17 Apr 2025
    Identified concerns about complaint accumulation, staffing, and reporting requirements at a Fresno regional office meeting; regulations were shared with the licensee and guidance offered.
    • § 9058
    04 Feb 2025
    Found that the allegation about staffing coverage for 1/4/2025 was unfounded after reviewing timesheets showing full coverage for all shifts. An exit interview was conducted.
    10 Dec 2024
    Determined that the resident was billed beyond the terms of the Admission Agreement after moving in and during hospitalization, and that a change-of-condition reappraisal prior to discharge from hospital was not conducted. Determined that the eviction claim was unfounded.
    • § 87463(a)(3)
    • § 87507(f)
    10 Dec 2024
    Identified that staff did not provide a written incident report for a medication error and related fall, having only reported by phone to the responsible party. Written documentation was not provided to accompany the phone notification, resulting in a deficiency in reporting requirements.
    • § 87211(a)(1)
    23 Oct 2024
    Identified two incidents where residents received another resident’s medication, with the second incident resulting in a fall and hospital evaluation.
    06 Sept 2024
    Identified that safety precautions were not put in place after learning about an intimate relationship between two residents, one with dementia. Cited a deficiency in basic services and reporting, and imposed an immediate civil penalty for a repeat lack of care and supervision.
    06 Sept 2024
    Investigated complaints about resident care, including clean linen, dehydration, laundry service, and access to hygiene products. Linen issue unfounded; dehydration and access to hygiene products substantiated; other concerns unfounded.
    • § 87303(a)
    • § 87705(g)(1)
    06 Sept 2024
    Confirmed findings of soiled linen in resident's room and accessible hygiene products for residents with dementia. Closed allegations of dehydration and inadequate laundry service as unsubstantiated.
    • § 87465(a)(4)
    12 Aug 2024
    Found an unannounced case management health checks visit tied to a complaint, including a tour of resident apartments, file review, and an interview with the assistant director of nursing. No citations were issued; the administrator agreed to provide the August 2024 staff schedule, and an exit interview was conducted with receipt of documents acknowledged.
    12 Aug 2024
    Found the allegation that staff did not prevent inappropriate interactions between residents with dementia and failed to report the incidents as required.
    • § 87464(f)(1)
    • § 87211(a)(1)
    12 Aug 2024
    Confirmed inappropriate interactions between residents, failure to follow reporting requirements, and lack of safety precautions.
    • § 87464(f)(1)
    12 Jul 2024
    Identified the immediate exclusion of a staff member and that the member was disassociated as of 10/7/2022; no deficiencies observed.
    12 Jul 2024
    Confirmed no deficiency during the inspection regarding the immediate exclusion of a staff member.
    11 Jun 2024
    Identified deficiencies in administrator qualifications and duties, oxygen administration, hospice care, and resident records. Observed clean common and resident areas, medications securely stored, and supplies properly managed.
    11 Jun 2024
    Identified deficiencies in various areas of the facility during the inspection, including in administrative qualifications, oxygen administration, hospice care, and resident records.
    09 May 2024
    Identified a deficiency for improper storage of medications in multiple apartments. Imposed civil penalty for a repeat violation.
    09 May 2024
    Identified cleanliness and safety issues during the inspection.
    • § 87618(a)(1)
    • § 87405(a)
    • § 87458(b)(1)
    • § 87633(d)
    23 Apr 2024
    Identified unsecured medications in residents’ apartments and that residents cannot store their own medications per physician reports and care plans; a deficiency was cited.
    23 Apr 2024
    Identified unsecured medications in resident apartments.
    • § 87465(h)(2)
    08 Jan 2024
    Determined the allegations of unknown bruising or injuries and rough handling by staff to be unfounded after reviewing medical records, observation notes, and interviewing staff and residents; no citations were issued.
    08 Jan 2024
    Found allegations of abuse and neglect to be unsubstantiated after interviews with staff and residents, review of medical records, and observation of medication administration procedures.
    20 Dec 2023
    Found the transport van was dirty with trash throughout and items not stored safely. Found that staff had not completed required annual infection control training and the infection control plan needed updating.
    20 Dec 2023
    Confirmed deficiencies in cleanliness of the transportation van and staff training in infection control were identified during the inspection.
    30 Nov 2023
    Investigated an allegation that a resident's changing needs and increasing odor bothered other residents in common areas. There wasn't enough evidence to prove whether it happened or not.
    30 Nov 2023
    Unsubstantiated allegation of increased odor and change in care needs for a resident was investigated by the Licensing Program Analyst. No citations were issued.
    • § 87465(h)(2)
    21 Sept 2023
    Identified an allegation of improper medication storage when MiraLax powder, Triamcinolone ointment, and two pills were left on a counter in Room 127, with one resident able to manage medications and another not. Observed overall safety and cleanliness, including unobstructed walkways, separate storage of knives and cleaning chemicals from food, and functioning smoke/CO detectors and fire extinguishers.
    21 Sept 2023
    Identified deficiencies in medication storage and accessibility were observed during the inspection.
    • § 87303(a)
    • § 87470(c)(1)
    26 Jul 2023
    Found a deficiency related to a delayed egress gate in the Memory Care garden; otherwise, most safety and care observations were compliant. Also reviewed resident and staff files and related records.
    26 Jul 2023
    Confirmed deficiencies in the facility were identified during the inspection.
    • § 87465(h)(1)
    19 Jul 2023
    Investigated a vaping allegation and medication practices; found no evidence to prove vaping occurred and medications were given on schedule, though administration times were not recorded on the MAR. Med techs are trained to use the hand-over-hand technique for injections; staff denied witnessing vaping, and no citations were issued.
    19 Jul 2023
    Investigated allegations regarding medication administration and vaping in the facility; determined insufficient evidence to prove allegations occurred. No citations issued.
    • § 87506(a)
    • § 1569.696(a)(1)
    21 Sept 2022
    Investigated the questionable death allegation; reviewed the resident's records and death certificate, and found the cause of death consistent with the hospice diagnosis. Interviews produced inconsistent reports about the events leading up to death, and there was not a preponderance of evidence to prove or disprove violations.
    21 Sept 2022
    Investigated the allegation of personal rights violation and identified multiple incidents where a resident’s outbursts and verbal abuse disrupted others and violated their rights. Investigated the allegation that the resident needs a higher level of care; determined the resident’s needs were appropriate for this home, though disruptive behavior persisted and interventions were not successful.
    • § 87468.1(a)(1)
    21 Sept 2022
    Identified an AWOL incident on 9/14/22 involving a resident. Conducted an unannounced visit, toured memory care areas including the resident’s apartment, interviewed staff, and reviewed the resident’s file; an exit interview was conducted and appeal rights discussed with the administrator.
    21 Sept 2022
    Confirmed violation of personal rights due to inappropriate behavior towards residents and staff. No citation issued for the second allegation regarding care level.
    29 Jun 2022
    Identified cleaning supplies under bathroom sinks that were accessible to residents. Deficiencies noted posed direct risk to health, safety, or personal rights, and an exit interview was conducted.
    29 Jun 2022
    Observed deficiencies included accessible cleaning supplies and immediate risk to residents' health and safety.
    • § 87705
    14 Jun 2022
    Found that residents were provided water and juice with meals and during activities; the dehydration allegation remained unsubstantiated.
    14 Jun 2022
    Interviews and observations determined that the allegation of inadequate tracking of resident fluid intake was unsubstantiated.
    • § 87309
    25 Apr 2022
    Found no deficiencies after an unannounced infection-control check; observed daily symptom screenings, vaccination status, PPE, cleaning supplies, posted infection-control signage, and designated visitation areas with proper distancing.
    25 Apr 2022
    Found no deficiencies identified during a health and safety review conducted in conjunction with a 10-day complaint investigation; observed residents socializing, clean spaces, proper food storage, bathrooms clean, safety features working, and staff wearing masks.
    25 Apr 2022
    Confirmed no deficiencies found during the inspection and requested updated forms to be submitted by a specific date.
    08 Dec 2021
    Reviewed a case management follow-up to a special incident report involving an alleged physical altercation between two residents; spoke with the administrator who noted the residents share a room and do not wish to be separated, and no deficiencies were cited.
    08 Dec 2021
    Identified missing special incident report submissions within seven days for a fall on 11/28/21 and for an incident on 9/14/21 that led to a resident hospitalization; SIRs and hospice notification were provided during the visit.
    08 Dec 2021
    Found that two incidents were not reported to the licensing agency within the required timeframe.
    17 Sept 2021
    Reviewed an unannounced case management visit to follow up on two incidents reported on 6/17/21 and 8/7/21; one involved a resident AWOL with a window stop in place, and the other involved a resident-on-resident physical altercation that led to a room change. Found no deficiencies cited; exit interview with administrator conducted.
    17 Sept 2021
    Found no deficiencies during the visit, incidents of AWOL and physical altercation were reviewed and addressed.
    • § 87211
    03 Aug 2021
    Collected copies of documents from the resident's file.
    03 Aug 2021
    Investigated a case management visit related to a medication error from 7/27/2021, identifying deficiencies that would pose direct and immediate risks to residents' health, safety, or personal rights.
    03 Aug 2021
    Reviewed documents from a resident's file and identified an allegation of inadequate care.
    25 May 2021
    Found entry precautions in place, including a single entrance with temperature checks, masks, a disinfection station, and available hand sanitizer with social distancing in common areas. Noted PPE in storage, staff and residents wearing masks, infection-control training reviewed, and no deficiencies observed.
    25 May 2021
    Confirmed no deficiencies observed during the inspection.
    • § 87465(a)(5)
    08 Apr 2021
    Found that the allegation did not meet the preponderance of evidence to prove the violation.
    07 Apr 2021
    Found the allegation that staff did not seek timely medical attention for residents unfounded; also found that the claim of a resident sustaining serious injuries from multiple falls unfounded.
    08 Apr 2021
    Reviewed the allegation related to the complaint; however, due to insufficient evidence, it was determined to be unsubstantiated.
    07 Apr 2021
    Investigated multiple falls allegation, found unfounded, complaint dismissed.
    22 Mar 2021
    Investigated the allegation that staff did not respond to the call button in a timely manner; found insufficient evidence to prove the call-button response issue. Reviewed records and policy; found changes in resident condition were reported to the appropriate responsible party, and that POA documentation would have changed the responsible party if provided.
    22 Mar 2021
    Determined that staff not responding to call button in a timely manner was unsubstantiated due to insufficient evidence. Found that staff appropriately informed the designated responsible party of changes in a resident's condition, and the complaint regarding notification was unfounded.
    19 Mar 2021
    Found the allegation of inadequate staffing unfounded. Staff responded promptly when called.
    19 Mar 2021
    Confirmed allegation of inadequate staffing unfounded through interviews with staff and residents.
    12 Feb 2021
    Investigated staff failing to seek medical attention for a resident in a timely manner, and determined the allegation occurred. Found that the questionable death, the failure to notify the authorized representative in a timely manner, and the claim that staff did not meet needs were unfounded, while the training allegation had insufficient evidence.
    12 Feb 2021
    Confirmed that staff did not seek timely medical attention for a resident and found no evidence of staff failing to notify the authorized representative of a change in health condition.
    27 Jan 2021
    Reviewed Covid-19 mitigation procedures, PPE use, and fall/injury procedures in response to a complaint alleging Covid-19 safety concerns; no deficiencies found.
    27 Jan 2021
    Conducted a Health and Safety Check in response to a complaint regarding Covid-19 measures and procedures. No deficiencies were found.
    • § 87465(g)
    29 Oct 2020
    Found that morning medications were given more than an hour late because only one med-tech was on duty. Found that residents said their needs were met, with insufficient evidence to prove otherwise.
    29 Oct 2020
    Confirmed a delay in medication administration due to staffing issues, but residents denied any unmet needs.
    07 Jan 2020
    Inspection found rooms clean, proper food storage, safety measures in place, and maintenance up to date.
    • § 87465(a)(2)

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