Pricing ranges from
    $4,015 – 4,818/month

    River Bluffs Memory Care

    5425 W Spruce Ave, Fresno, CA, 93722
    4.5 · 45 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    4.0

    Compassionate staff, timely medical support

    I'm grateful this community gave my loved one a better, more comfortable life - compassionate, knowledgeable staff who know residents by name, great activities, tasty meals, a clean home-like setting and lovely gardens/patios. The administrator and nurses were responsive and supportive through medical and hospice needs and kept us informed. Note there have been billing/administration headaches and occasional care lapses reported (missing items, wet clothing, supervision issues), so read contracts and watch finances closely. Overall, a caring, high-quality place that improved our family member's quality of life.

    Pricing

    $4,015+/moSemi-privateAssisted Living
    $4,818+/mo1 BedroomAssisted Living

    Schedule a Tour

    Amenities

    Healthcare services

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

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Housekeeping and linen services

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    4.51 · 45 reviews

    Overall rating

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

      4.5
    • Staff

      4.6
    • Meals

      4.4
    • Amenities

      3.7
    • Value

      4.0

    Location

    Map showing location of River Bluffs Memory Care

    About River Bluffs Memory Care

    River Bluffs Memory Care is dedicated to providing exceptional, person-centered support for individuals experiencing dementia and other cognitive impairments. The community’s secured memory care environment is thoughtfully designed to offer both safety and comfort, ensuring that residents are able to maintain their dignity while receiving the specialized attention they deserve. From its carefully planned floor layouts to advanced security systems, every detail is tailored to the unique needs of those with memory-related conditions.

    The highly trained team at River Bluffs Memory Care is composed of professionals who specialize in memory care. Each staff member undergoes extensive training, including orientation designed around evidence-based Dementia Care Practice Recommendations. Many of the caregivers are certified Dementia Care Practitioners, demonstrating a deep understanding of person-centered care practices and the latest research in the field. This expertise enables the community to focus on creating a nurturing, supportive environment where the individual preferences, interests, and requirements of each resident are recognized and addressed.

    River Bluffs Memory Care places a high priority on fostering a lively and engaging community life. Residents benefit from both large and small group programming, carefully designed to appeal to their unique interests and passions. Signature Life Enrichment programming gives individuals the opportunity to find purpose and joy, whether through music, art, gardening, or other meaningful activities that encourage socialization and self-expression. The community recognizes that staying active and engaged is integral to overall well-being, and strives to offer activities and structured routines at every level of capability.

    The holistic approach at River Bluffs Memory Care supports the physical, emotional, and social wellness of each resident. Staff work diligently to ensure that all aspects of care, from daily routines to personalized programming, contribute to a sense of security, belonging, and happiness. Being part of River Bluffs means joining a compassionate network of caregivers, staff, and fellow residents who truly understand and empathize with the challenges faced by families dealing with memory-related conditions. Open and honest communication with loved ones is a core value, and regular updates are part of the commitment to maintaining strong partnerships with families.

    At River Bluffs Memory Care, every resident is celebrated as an individual. The focus is not on limitations, but on daily successes and making the most of each moment. Through proven techniques, innovative programming, and a steadfast commitment to compassionate care, River Bluffs works not only to preserve the safety and dignity of its residents, but also to ensure their days are filled with purpose, connection, and meaningful experiences.

    People often ask...

    State of California Inspection Reports

    33

    Inspections

    3

    Type A Citations

    5

    Type B Citations

    5

    Years of reports

    04 Jun 2025
    Found clean resident rooms and common areas, central storage of medications, and adequate supplies, with well-maintained outdoors and clear walkways. Deficiencies were cited, including a repeat violation with a civil penalty, and an exit interview was conducted.
    • § 87309(a)
    • § 87309(b)
    • § 9058
    05 Mar 2025
    Investigated complaints about sanitation and a hospitalization event; observed multiple bathrooms in occupied rooms dirty with improper waste disposal, and a resident was hospitalized after fever and cough. Found no evidence to support these allegations; no citations issued.
    • § 87303(a)(1)
    05 Mar 2025
    Identified safety hazards at the site, including an unsecured sharp knife left in a drying rack, a bottle of bleach left on a laundry room counter in an unlocked room with the door ajar, and an unattended housekeeping cart in the hallway with cleaning supplies accessible. The deficiency was cleared during this visit.
    • § 87309(a)
    24 Sept 2024
    Found no evidence that the specific allegation occurred, based on interviews and records showing residents dressed in clean clothes and bedding kept clean.
    24 Sept 2024
    Found four complaints unfounded and dismissed: that staff did not seek timely medical attention after a medication error; that staff were not adequately trained; that staff could not communicate effectively with residents; and that staffing was insufficient to meet toileting needs.
    15 May 2024
    Identified a deficiency in Hospice Care Waiver and Incidental Medical and Dental Care. Observed overall good safety, cleanliness, and organization at the site, with well-kept resident rooms and bathrooms, secured medications and supplies, and reviewed emergency/disaster and infection-control measures, along with resident and staff files.
    15 May 2024
    Reviewed annual inspection found deficiencies related to hospice care waiver and medical/dental care. Required documentation and forms requested for update by specified date.
    26 Oct 2023
    Found that the allegation that passageways and exits were blocked and that staff spoke inappropriately to a resident was unfounded; the allegation that resident rooms could not be locked from inside was unfounded.
    26 Oct 2023
    Observed no obstruction of passageways or emergency exits. No evidence of inappropriate conduct towards a resident. Smoke alarms addressed and resident rooms do not lock from the inside.
    • § 87465(h)(6)
    • § 87632(a)(1)
    06 Jun 2023
    Identified one deficiency during the visit; overall safety, cleanliness, and supply practices were in good order.
    06 Jun 2023
    Identified deficiencies in various areas of the facility during the inspection.
    24 Oct 2022
    Investigated a complaint that staff left a resident in soiled clothing for an extended period and found insufficient evidence to determine whether it occurred. Found roof leak observations and repair activities could not confirm disrepair, and these concerns were unsubstantiated.
    24 Oct 2022
    Observed roof leak and air conditioning repairs, unable to confirm exact dates. Unable to determine if resident left in soiled clothing for extended period. No citations issued.
    • § 87309(a)
    18 Apr 2022
    Found no deficiencies after an unannounced infection-control visit. Observed all residents and staff were fully vaccinated, with daily symptom screenings, testing, visitation rules, quarantine procedures, adequate PPE, and ample supplies and postings in place.
    18 Apr 2022
    Found that hospital staff and administration communicated about the discharge plan for the resident. Found that there was not enough evidence to prove the specific allegation of a delayed assessment for discharge.
    18 Apr 2022
    Arrived at the site to present the amended complaint investigation, met with the administrator, and conducted an exit interview, identifying the specific allegation tied to the case.
    02 Nov 2021
    Found no preponderance of evidence to prove the following allegations occurred: the call light was unreachable for a resident; a resident sustained a pressure injury; a resident suffered numerous wounds; and staff handled a resident roughly.
    18 Apr 2022
    Confirmed findings of non-compliance with state regulations.
    02 Nov 2021
    Investigated allegations of unreachable call light, pressure injuries, numerous wounds, and rough handling; none of the allegations were substantiated due to insufficient evidence.
    17 Sept 2021
    Conducted an unannounced health and safety visit, observed a resident and interviewed the administrator; no deficiencies cited; exit interview conducted.
    17 Sept 2021
    No deficiencies were cited during the visit to the facility.
    07 Apr 2021
    Confirmed unannounced health and safety review, discussed its purpose with the administrator, conducted a site tour, and copied the resident's file to take to the CCLD, with the file to be returned within three business days.
    21 May 2021
    Found infection control measures were in place and in compliance at the site, including daily symptom screenings for residents, staff, and visitors, PPE use, proper postings, and visitation and isolation procedures; observed staff wearing masks, adequate PPE supplies, and stocked hand hygiene facilities; no deficiencies identified.
    21 May 2021
    Confirmed compliance with infection control protocols, including staff wearing face coverings, adequate PPE supply, and routine symptom screenings for residents, staff, and visitors.
    18 May 2021
    Investigated found that on 11/16/2020 a resident was transported for medical care and diagnosed with a mildly displaced left femoral neck fracture, with no bruising and no surgical intervention. Record review showed no fall was documented and February 2020 x-rays did not show a fracture; the fracture timing could not be determined, and there was not enough evidence to prove the allegation.
    18 May 2021
    Investigated a complaint of a resident's mildly displaced femoral neck fracture with no evidence found regarding the occurrence or timing of a fall, and ultimately determined the allegation unsubstantiated due to insufficient evidence.
    07 Apr 2021
    Conducted Health and Safety Inspection. Withdrew file for copying. Will return within 3 business days.
    16 Mar 2021
    Found that the eviction allegation was unfounded; the resident was relocated by family and did elope, but not due to neglect or lack of supervision.
    16 Mar 2021
    Confirmed that the complaint allegations were unfounded.
    01 Dec 2020
    Found that the eviction allegation was unfounded because the resident was never evicted.
    01 Dec 2020
    Confirmed that the allegation of eviction of a resident was unfounded as the resident still resides at the facility.
    20 Apr 2020
    Inspection on an announced visit confirmed compliance with pre-licensing requirements, including adequate furnishings and supplies, proper safety measures, and operational fire alarms and extinguishers.
    04 Feb 2020
    Reviewed allegations were found to be unfounded as the resident had moved out before the 30-day notice period, and there was insufficient evidence to substantiate the other allegation.

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