I placed my mom here and overall I'm pleased: staff are warm, caring and helpful, the facility and grounds are beautiful with garden-style buildings and Mt. Tam views, meals are plentiful and tasty, and activities (bocce, rummikub, cookouts, movie nights, outings) keep residents engaged. Memory care staff were kind and my relative thrived after transitioning from hospice. Biggest drawbacks are recurring understaffing (weekends especially), occasional supply and pandemic-related issues, tight/smaller units with stairs and limited parking, and ongoing pricing increases. For a friendly, active, professionally run community, I feel it was the right choice despite the staffing/value concerns.
Aldersly sits on a calm, well-kept 3.5-acre garden campus in Marin County, and it has a quiet, cozy feeling with a bit of Scandinavian style that's easy to see in its modern studios and one-bedroom apartments with open, light-filled layouts and smooth, non-transition floors for safety, including in bathrooms. Some apartments work well for couples and there are guest suites, a few different floor plans, and independent living options like Alcove studios starting at 370 square feet, and monthly fees begin at $5,136. The place focuses on comfort-what they call "hygge," that idea from Denmark about coziness and feeling connected-so the main dining room looks out at Mt. Tam, and residents get a monthly meal allowance with chef-prepared meals three times a day, a restaurant-style menu, a bistro, and a wine bar. People with special diets can get their food made different ways, and the kitchen team will work with them.
You'll see flowers, neat paths, and a greenhouse somewhere on campus, and the grounds team keeps it organized and tidy; there's space to garden, common rooms that get good sunlight, a library, and a card or game room where groups meet up for book club, art, bridge, or bocce and corn hole. Residents keep active with fitness classes in the gym, outings to shop, visit restaurants, or see art and concerts, and spiritual groups get together for meditation, worship, and fellowship. Pets are welcome, if needed, covered parking and on-site storage are available for extra fees, and there's help with laundry, cleaning, and bed or bathroom duties every day if needed, plus weekly housekeeping, towel service every other day, and linen changes once a week. Almost all utilities are included, but residents pay for cable and phone.
The staff keeps an eye on residents with regular health checks. Every room has circadian lighting and a "zero blue light" lamp by the bed. Air in the common spaces gets cleaned and a care team voice assistant (Alexa Echo Show) is always listening when help is needed. Licensed nurses provide care every day of the week, manage medications, and oversee a team that helps with bathing, dressing, grooming, and moving around. Families or people themselves can plan for care as needs change, because Aldersly has independent living, assisted living, memory care, skilled nursing, hospice, and an adult day care program all on one campus, so there's a path from one level of support to another. People with memory loss can live in upgraded areas designed for comfort and safety, using a program called Heartfelt Connections-A Memory Care Program™, and the Health Care & Rehabilitation Center in the Kronborg Building has professional nurses and therapy services like physical, speech, and occupational therapy.
Community life keeps folks busy, with educational talks about art and history, entertainment, music by local performers, and group outings to shopping and cultural spots, or big events like the July Chamber Morning Program and All County Mixer at Angel Island Ferry. There are tech classes for women age 50 and up, fellowships, meditation groups, and support resources for caregivers. The board of directors, committees, and care staff handle planning and operations, with a focus on friendly service and keeping things organized and clean. People who live at Aldersly enjoy a relaxed, warm feeling, a sense of belonging, and support that adjusts as they need it, all on a pretty, sunny campus.
People often ask...
Aldersly offers independent living, assisted living, memory care, continuing care retirement community, and skilled nursing.
There are 34 photos of Aldersly on Mirador.
Yes, Aldersly allows residents to age in place and adjust their level of care as needed.
The full address for this community is 326 Mission Ave, San Rafael, CA, 94901.
Yes, Aldersly 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
42
Inspections
7
Type A Citations
2
Type B Citations
6
Years of reports
01 Jul 2025
01 Jul 2025
Investigated four complaints about resident rights, reporting requirements, COVID protocol during an outbreak, and staffing. Concluded the available evidence did not support the claims, after reviewing records and interviewing involved parties.
15 Oct 2024
15 Oct 2024
Identified three resident-related incidents: one resident was found outside on the grounds unable to leave unassisted and had no dementia diagnosis; a second resident was found on the floor with wine in the room and has mild cognitive impairment; a third resident was found outside across the street with an inoperable garden exit lock, though wander bracelet was functional and the resident has dementia. A civil penalty of $1,000 was issued for a repeat violation within 12 months.
29 Feb 2024
29 Feb 2024
Found a resident with a stage II coccyx wound observed on 02/21/2024; first aid was provided and all required notifications were made. Engaged a wound-care provider to evaluate and oversee treatment, with ongoing communication and documentation, and no deficiencies cited.
29 Feb 2024
29 Feb 2024
Investigated allegation that care needs were not met for the resident—specifically no shower, no incontinence care, and no suppository administration. Due to missing records and unavailable staff, unable to determine whether any violations occurred.
29 Feb 2024
29 Feb 2024
Investigated allegations of unmet care needs, including not showering, not providing incontinence care, and not administering suppository medication, leading to a urinary tract infection and sepsis, but insufficient evidence to determine regulatory violations.
§ 87705(b)(2)
18 Oct 2023
18 Oct 2023
Identified two elopement incidents: a resident went missing during a community outing and was later found safe, and another resident eloped and was found nearby, resulting in a civil penalty of $1,000 for a repeat violation.
18 Oct 2023
18 Oct 2023
Identified deficiencies in procedures and training related to resident elopements during community outings, resulting in a civil penalty being issued.
26 Sept 2023
26 Sept 2023
Identified that a resident wandered off during a group outing to the zoo and was later found safe; the supervision issue tied to the incident was cleared. The annual continuation visit was scheduled for a later date.
§ 87705(b)(2)
26 Sept 2023
26 Sept 2023
Identified cleanliness, safety, and staffing compliance during inspection. Incident of resident elopement resolved with new procedures implemented.
§ 87705(b)(2)
21 Apr 2023
21 Apr 2023
Identified lapses in incident reporting and documentation, including two falls not reported within seven days and two death notices submitted on February 7, 2023; noted an allegation that law enforcement was not contacted for a death, with 911 called instead, and questioned January security guard rounds.
21 Apr 2023
21 Apr 2023
Investigated allegations regarding feeding plan compliance and hospice instructions for a resident; found that feeding assistance was not consistently provided and care plans appeared misused or outdated.
Found conflicting information about supervision, fall-risk safety measures, food disposal, and medication handling, with some records suggesting adequate response while private caregivers and others reported gaps, making some conclusions unclear due to inconsistent reports.
§ 87555(b)(7)
21 Apr 2023
21 Apr 2023
Identified failures to follow resident feeding plan, shortcomings in supervision, and incidents of falls. No clear evidence found for improper food disposal and missed medication administration.
09 Mar 2023
09 Mar 2023
Identified three incidents: a resident found outside and later deceased, a second resident with a skin tear who transitioned to memory care, and a third case of suspected financial abuse involving a private caregiver, with authorities notified.
09 Mar 2023
09 Mar 2023
Found that the allegation that staff did not provide resident's files to the authorized representative was unfounded, noting the resident resided in the independent living area outside licensing jurisdiction and no deficiencies were identified on the regulated side.
09 Mar 2023
09 Mar 2023
Investigated incidents involving residents resulted in appropriate actions being taken by the facility, including notifications and changes in level of care for individuals involved.
§ 87211
07 Feb 2023
07 Feb 2023
Reviewed incident and death reports, the call-light system audit, annual expectations, updating staff and resident files, and staff training. Found no deficiencies cited during the visit.
07 Feb 2023
07 Feb 2023
Investigated the allegation that staff did not provide enough liquids to residents; found insufficient evidence to support the allegation.
Investigated the allegation that staff did not report a resident incident to the authorized representative; due to inconsistent information and inability to interview a key party, unable to determine whether reporting occurred.
07 Feb 2023
07 Feb 2023
Investigated the allegation of neglect/lack of supervision resulting in an unexplained injury; based on reviewed records and interviews, inconsistent information and lack of corroborating observations prevented a determination on whether neglect or supervision lapse occurred.
07 Feb 2023
07 Feb 2023
Investigated allegations that staff failed to provide enough liquids and did not report an incident to a resident's authorized representative. Both allegations were deemed unsubstantiated due to insufficient evidence.
29 Dec 2022
29 Dec 2022
Identified a resident fall resulting in a fracture that was not reported to licensing nor documented on the required incident form, and noted no incident reports were submitted for November through December 2022. A civil penalty was issued and will continue to accrue daily.
29 Dec 2022
29 Dec 2022
Found that staff did not respond promptly to residents' emergency call buttons and that staffing levels were inadequate to meet residents' needs. Evidence from call button logs showing long wait times, alarms that continued until cleared, and interviews with residents and staff supported these findings.
29 Dec 2022
29 Dec 2022
Identified a Fall Incident that Resulted in a Fracture and a Failure to Report Incidents Promptly.
§ 87411(a)
08 Nov 2022
08 Nov 2022
Found infection control measures were in place, with staff wearing masks, hand-washing signs posted, a clean environment, and a daily cleaning/disinfecting schedule; a 30-day supply of PPE and medications was maintained. Documents to update the file were requested and due by the stated date; no deficiencies were cited.
08 Nov 2022
08 Nov 2022
Confirmed no deficiencies during the inspection.
§ 87211
01 Nov 2022
01 Nov 2022
Found an unannounced case-management visit to discuss the dementia care program; no deficiencies were cited.
01 Nov 2022
01 Nov 2022
Visited by CCL analyst to discuss dementia care program, no deficiencies found.
03 Oct 2022
03 Oct 2022
Found no preponderance of evidence to support the three allegations: a resident fall resulting in facial injuries, lack of cleanliness, and insufficient staffing.
03 Oct 2022
03 Oct 2022
Confirmed findings of cleanliness and staffing levels, but could not determine the validity of the allegation that a resident fell and was injured.
13 Sept 2022
13 Sept 2022
Found that a case-management visit was conducted to follow up on change-of-administrator paperwork, with a backup administrator designated; several required administrator-related documents were requested by a deadline, a walkthrough was completed with no deficiencies, and an exit interview was held.
13 Sept 2022
13 Sept 2022
No deficiencies cited during the visit.
07 Jul 2022
07 Jul 2022
Identified a deficiency during an unannounced visit when a trash bag tied in a resident's closet blocked access to clothing, a personal rights issue. Management removed the bag.
07 Jul 2022
07 Jul 2022
Identified deficiencies in resident's room, including a Personal Rights issue with access to clothing.
05 Apr 2022
05 Apr 2022
Identified that the allegations of resident falls and minor injuries, unqualified staff providing care, and inadequate laundry and hygiene services were unsubstantiated.
05 Apr 2022
05 Apr 2022
Found that a resident's fall went unreported to licensing and that incidents were not documented on required incident reports.
05 Apr 2022
05 Apr 2022
Confirmed reports of resident falls and minor injuries, but found no evidence of unqualified staff or inadequate laundry/hygiene care.
§ 87468.1
10 Feb 2022
10 Feb 2022
Found an unannounced visit confirmed the expansion area can house 15 residents, with 5 private and 5 shared rooms (2 residents per shared room) and furnishings that meet regulations. Fire safety approval was obtained, construction was completed in 2021, and the licensee plans to increase capacity from 122 to 137 based on a new room sketch; no deficiencies were observed.
10 Feb 2022
10 Feb 2022
Confirmed no deficiencies during capacity increase inspection, approved for additional residents.
§ 87211
09 Sept 2021
09 Sept 2021
Found no deficiencies during a Required-1 Year visit; safety measures, cleanliness, and resident supports were in good order, with records and PPE up to date.
09 Sept 2021
09 Sept 2021
Confirmed cleanliness, safety, and compliance with regulations during the inspection.
10 Aug 2021
10 Aug 2021
Investigated a complaint alleging that the responsible party was not notified about room modifications. Found this allegation unfounded.
Investigated a complaint alleging that staff installed an inappropriate alarm on a resident's door. Found this allegation unsubstantiated.
10 Aug 2021
10 Aug 2021
Validated an allegation regarding room modifications notification to the responsible party, but dismissed a claim about inappropriate alarm installation on a resident's door.
16 Oct 2019
16 Oct 2019
Identified deficiencies and cited regulations were noted during a recent inspection of the facility, along with various areas of compliance and adherence to licensing regulations.
