Pricing ranges from
    $2,750 – 3,600/month

    Twin Rivers At Natomas Assisted Living

    421 San Juan Rd, Sacramento, CA, 95834
    3.4 · 17 reviews
    • Assisted living
    AnonymousLoved one of resident
    4.0

    Caring staff, pleasant but inconsistent

    I chose this small, single-level facility because the staff are overwhelmingly caring, hands-on and responsive - my mom's mobility and mood improved and medication management is reliable. The grounds, activity/crafts/dining rooms are pleasant and residents seem happy, but activity frequency, food quality and cleanliness are reported inconsistently. Be aware it can feel understaffed at times and ownership/management impressions vary; visit in person before deciding.

    Pricing

    $2,750+/moSemi-privateAssisted Living
    $3,600+/moSuiteAssisted 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

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    3.41 · 17 reviews

    Overall rating

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

      4.1
    • Staff

      3.9
    • Meals

      2.3
    • Amenities

      3.3
    • Value

      3.3

    Location

    Map showing location of Twin Rivers At Natomas Assisted Living

    About Twin Rivers At Natomas Assisted Living

    Twin Rivers At Natomas Assisted Living sits on 421 San Juan Road in Sacramento, and you'll find it has a home-like feel with services geared toward helping folks with their daily needs, which means there's help for things like bathing, grooming, and taking medicine on time, and they make sure meals are not just nutritious but taste good too since chefs and meal planners come up with home-cooked, balanced meals three times a day with snacks in between, and the dining services here rank high in the area. Residents can count on personal care support, medication management, and staff that help with doctor and dentist appointments, using scheduled rides if needed, all handled by full-time professional caregivers known for being helpful and kind, and there's always someone to notify family or doctors if something changes with a resident's health.

    The staff runs lots of organized activities, offering exercise classes, arts and crafts, music, games, and special club meetings, and their activity program has won some awards, but there's space for quiet time, too, since they've got indoor common areas for relaxing or visiting friends, so you'll see people chatting or just reading a book. There's a memory care program for folks with Alzheimer's or other memory troubles, with special care and therapies to keep people safe and comfortable, and the facility has a welcoming community feel, so it doesn't feel like a big institution-more like a neighborhood, and you notice that right away when you walk in.

    The place stays committed to safety and wellness with programs meant to keep residents living as independently as possible while also helping with laundry, linen service, and housekeeping, so it's an affordable choice for people who'd rather not try to manage alone in a house. They offer companionship services and non-medical support, and the staff stays mindful about each resident's needs, doing assessments to make sure care fits each person, which comes in handy for folks recovering from illness or surgery, or those who just need a little extra help now and again.

    Residents eat together in social dining rooms or join clubs, which brings a sense of belonging, and for spiritual support, there are devotional services offsite. Twin Rivers At Natomas Assisted Living has a state license allowing up to 48 residents and operates Monday through Friday, 9:00 am to 5:00 pm, giving tours and answering questions during those times. It sits near places like Sacramento Ear Nose & Throat and Rite Aid, which makes healthcare access easy, and families like the staff's friendliness and responsiveness, pointing out that the community helps folks live with dignity and keeps a close eye on both physical and emotional well-being, without making anyone give up their independence if they don't want to.

    People often ask...

    State of California Inspection Reports

    27

    Inspections

    4

    Type A Citations

    0

    Type B Citations

    6

    Years of reports

    17 Jun 2025
    Reviewed the January 28, 2025 incident and examined the involved person's file and staff training. The site administrator was informed that the matter remains under review by the Department.
    05 Jun 2025
    Found compliance with licensing requirements after reviewing seven resident records and five staff files, with all required documents present and staff training requirements noted. Found 37 residents on site, kitchen restricted to staff, adequate food supplies, medications centrally stored, a freezer that had stopped working, and rooms observed free of sharps and toxins.
    22 May 2025
    Found an unannounced visit to review management after the administrator resigned, with a new administrator in the process of being hired and the licensee serving as interim; copies of the licensee’s and the potential administrator’s certificates were requested; no deficiencies cited.
    11 Apr 2025
    Found that the allegation that lack of supervision led to a resident assault was unfounded. Reviewing interviews and records showed no credible evidence to support the allegation.
    11 Mar 2025
    Identified that a staff member did not have fingerprint clearance because a criminal record exemption was needed, and their clearance has been in process since November 25, 2024. The staff member reportedly worked for two to three months before the January 28, 2025 incident and was not working there at the time until cleared; a civil penalty was assessed.
    31 Jan 2025
    Found that a staff member used a resident's credit card information to purchase shoes online; the staff member was terminated.
    31 Jan 2025
    Found that a staff member asked a resident about how many pills the resident took and then made a demeaning remark implying the resident has dementia, violating the resident's personal rights.
    25 Sept 2024
    Found that a resident arrived with narcotics and another medication was mailed; 30 of 60 pills were missing from outside the medication room. Found that a staff member with four years of tenure knew about the medications, signed for them when they arrived but did not log them in, and the next day another 30 pills were missing; the staff member was terminated, a police report was filed, and no citations were issued.
    25 Sept 2024
    Confirmed a medication theft incident at the facility, leading to termination of staff involved and involvement of local authorities.
    15 May 2024
    Found compliance with required regulations; no citations were issued. Resident and staff records were current and complete, and safety, sanitation, and operational conditions were in good order.
    15 May 2024
    Inspection found no issues or concerns with the facility, all regulations were in compliance.
    23 Jun 2023
    Found no citations issued and no deficiencies identified. Observed safety measures, locked medications, adequate food supplies, functioning alarms, clean bathrooms, and up-to-date resident records at the home.
    23 Jun 2023
    Completed an annual inspection to ensure compliance with regulations. No issues or concerns found.
    • § 9058
    16 Mar 2022
    Found infection control measures in place with no deficiencies identified, including proper medication storage, adequate food supplies (two-day perishables and seven-day non-perishables), charged fire extinguishers, a complete first aid kit, and a valid administrator certificate through 7/25/23; no citations were issued.
    16 Mar 2022
    Confirmed substantial compliance with required infection control protocols during the inspection.
    • § 9058
    17 Sept 2021
    Identified a resident who repeatedly left the premises to buy cigarettes, resulting in an eviction being issued to him and delivered to his family, who say there is nowhere else for him to go. Noted that staff will follow him to ensure his safety when he leaves.
    17 Sept 2021
    Confirmed no citations were issued during the visit and ongoing concern regarding a resident leaving the facility was noted.
    • § 87411
    22 Jun 2021
    Found no health, safety, or residents' rights concerns during an unannounced visit; infection control was in substantial compliance and no deficiencies were cited in inspected areas.
    22 Jun 2021
    Found no violations during the inspection of the facility.
    • § 9058
    14 Aug 2020
    Confirmed that the allegation regarding the caregiver's lack of emergency response training was unfounded, as training and protocols were in place. Determined that while there was a concern about inadequate nighttime staff supervision, opinions varied, and the allegation was unsubstantiated.
    08 Apr 2020
    Investigated allegations of neglect and incontinence needs, but found no evidence of violations.
    25 Feb 2020
    Investigated allegations of scabies presence and inadequate facility treatment; confirmed residents with scabies contracted it externally and received appropriate treatment, and regular pest control measures were in place. Found allegations false and unsubstantiated.
    24 Jan 2020
    Confirmed alleged staff hit a resident, but no bruising found, resident's care plan indicates delusions of theft and laptop interference. Resident is in behavior therapy and his medication may be reviewed.
    31 Dec 2019
    Inspection found no deficiencies in the facility including cleanliness, staff qualifications, resident records, medication management, and safety measures.
    12 Dec 2019
    Confirmed no citations issued after welfare check and walk through finding no concerns.
    07 Nov 2019
    Confirmed that staff failed to readmit a resident after an emergency room discharge, violating the resident's personal rights.
    04 Oct 2019
    LPA conducted a visit and reviewed incident reports from a fall and illness, both residents were sent to emergency rooms but have since returned and are doing well. No issues were found during the visit.

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