Madison Square Senior Living
Assisted Living & Residential Care · Sacramento, CA

Madison Square Senior Living

Assisted Living & Residential Care · Sacramento, CA

Overview of Madison Square Senior Living

Ideally located in the thriving residential area of Sacramento, CA, Madison Square Living is a distinguished community that offers assisted living. The community is committed to improving residents’ well-being, providing top-notch care tailored to their special needs around the clock. Residents will surely enjoy a maintenance-free lifestyle, with the community handling their daily living activities and household responsibilities.

A carefully curated calendar of fun activities and enriching programs is also conducted for residents to live actively and remain socially engaged. Delightful and healthy meals are served to meet residents’ nutritional needs and preferences. The community also provides medication management and transfer assistance for residents’ comfort and convenience. Live your golden years with the community’s dedicated care and specially designed amenities.

Bed community size
6-bed community Rank #1317 / 1644Bed count — State benchmarkedThis home is ranked 1317th out of 1644 homes in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Years in operation
5 years in operation Rank #996 / 1497Years in operation — State benchmarkedThis home is ranked 996th out of 1497 homes in California for years in operation. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 54 / 100 Rank #1240 / 2087Walk Score — State benchmarkedThis home is ranked 1240th out of 2087 homes in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
83%
Rank #499 / 1492Occupancy rate — State benchmarkedThis home is ranked 499th out of 1492 homes in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 1492. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the California average: 72.8%
Occupied beds
5 / 6
Average occupied beds in California homes 87 beds

License Details

Facility TypeResidential Care Elderly
IssuanceOctober 20, 2020
CountySacramento
State License TypesCalifornia DSS Certified RCFE

Ownership & Operating Entity

Madison Square Senior Living is legally operated by Madison Square Senior Living LLC, and administered by Darius Stir.

Amenities & Lifestyle

Housekeeping
Laundry
Activities
Wellness Program
Specific ProgramsMemory Care Support, Physical Activity Programs, Social & Creative Activities

Contact Madison Square Senior Living

Inspection History

In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.

Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California assisted living residence score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

8 points below the California average for assisted living residences (81/100)

Rank #1022 / 1400 in California Inspection Score — State benchmarked This home is ranked 1022nd out of 1400 homes in California for inspection score. Shows this facility's inspection score compared to the California average among 1400 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 73 out of 100. Letter grade C. 8 points below the California average for assisted living residences (81/100)

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. California state average
Overall vs. CA average 6 Worse Metrics worse than California average:
• Total citations (40% above)
• Serious citations (Type A) (100% above)
• Moderate citations (Type B) (100% above)
• Total visits (6% above)
• Other visits (71% above)
• Official inspections (25% above)
2 Better Metrics better than California average:
• Citations per inspection (76% below)
• Complaint visits (100% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityCA Averagevs. CA Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 1410 This facility has 40% more total citations than a typical California assisted living residence (14 vs. CA avg 10).↑ 40% worse
Serious citations (Type A) Info Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action. 63 This facility has 100% more serious citations (type a) than a typical California assisted living residence (6 vs. CA avg 3).↑ 100% worse Rank #951 / 1159 Serious citations (Type A) — State benchmarked This home is ranked 951st out of 1159 homes in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among 1159 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
Moderate citations (Type B) Info Citations that do not pose an immediate risk but still represent a departure from required care or operational standards. 84 This facility has 100% more moderate citations (type b) than a typical California assisted living residence (8 vs. CA avg 4).↑ 100% worse
Citations per inspection Info Average citations per inspection. 0.83.3 This facility has 76% fewer citations per inspection than a typical California assisted living residence (0.8 vs. CA avg 3.3).↓ 76% better

Inspections & Visits Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityCA Averagevs. CA Avg
Total visits Info Combined count of complaint visits, other regulatory visits, and official scheduled inspections. 1716 This facility has 6% more total visits than a typical California assisted living residence (17 vs. CA avg 16).↑ 6% worse
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. 013 This facility has 100% fewer complaint visits than a typical California assisted living residence (0 vs. CA avg 13).↓ 100% better Rank #1 / 1386 Complaint visits — State benchmarked This home is ranked 1st out of 1386 homes in California for # of complaint visits. Shows this facility's # of complaint visits compared to the California average among 1386 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
Other visits Info Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits. 127 This facility has 71% more other visits than a typical California assisted living residence (12 vs. CA avg 7).↑ 71% worse
Official inspections Info Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards. 54 This facility has 25% more official inspections than a typical California assisted living residence (5 vs. CA avg 4).↑ 25% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • December 15, 2025 complaint inspection substantiated failure to notify physician of resident decline, posing immediate health and safety risk with documentation lapses.
  • April 1, 2025 follow-up cited two immediate risk deficiencies including lack of night awake staff and missing signal system, plus a $500 civil penalty.
  • September 16, 2025 annual inspection found one deficiency for failure to update reappraisals/service plans for 3 of 4 residents reviewed.

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Health Programs icon

Health Programs

Recreational activities icon
Recreational activities icon

Recreational Activities

Places of interest near Madison Square Senior Living

Address 9.1 miles from city center Info Estimated distance in miles from Sacramento's city center to Madison Square Senior Living's address, calculated via Google Maps.

Calculate Travel Distance to Madison Square Senior Living

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Address

Compare Assisted Living around Sacramento County

Info below is compiled from the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Mercy McMahon Terrace
AL
MC
Sacramento (East Sacramento)
189
Facility 189
CA AVG 104
Rank #187 / 1644
No
84
Facility 84
CA AVG 57
Rank #319 / 2087
82
Facility 82
CA AVG 81
Rank #793 / 1400
5
8
Facility 8
CA AVG 13
Rank #758 / 1386
3
Facility 3
CA AVG 3
Rank #753 / 1159
36
Facility 36
CA AVG 13
Rank #64 / 1497
60.8% Mercy Mcmahom TerraceStudio / 1 Bed
Sky Park Gardens
AL
MC
Sacramento (Parkway-South Sacramento)
144
Facility 144
CA AVG 104
Rank #400 / 1644
No
74
Facility 74
CA AVG 57
Rank #597 / 2087
67
Facility 67
CA AVG 81
Rank #1156 / 1400
4
12
Facility 12
CA AVG 13
Rank #918 / 1386
9
Facility 9
CA AVG 3
Rank #1029 / 1159
42
Facility 42
CA AVG 13
Rank #34 / 1497
51.4% Skypark Manor, LLCStudio / 1 Bed / Private / Semi-private Rooms
Gramercy Court Assisted Living and Memory Care
AL
MC
NH
SNF
A Sacramento (Arden-Arcade)
120
Facility 120
CA AVG 104
Rank #560 / 1644
No
62
Facility 62
CA AVG 57
Rank #980 / 2087
----- 82.2% -Private Rooms
Grand River Villa
AL
West Sacramento (Mikon)
43
Facility 43
CA AVG 104
Rank #1180 / 1644
No
74
Facility 74
CA AVG 57
Rank #597 / 2087
92
Facility 92
CA AVG 81
Rank #308 / 1400
1
2
Facility 2
CA AVG 13
Rank #325 / 1386
1
Facility 1
CA AVG 3
Rank #413 / 1159
33
Facility 33
CA AVG 13
Rank #92 / 1497
53.5% Grv A Ca Corporation And CiminocarePrivate / Semi-private Rooms
Madison Square Senior Living
AL
RESC
Sacramento (Fonseca Estates)
6
Facility 6
CA AVG 104
Rank #1317 / 1644
No
54
Facility 54
CA AVG 57
Rank #1240 / 2087
73
Facility 73
CA AVG 81
Rank #1022 / 1400
5
0
Facility 0
CA AVG 13
Rank #1 / 1386
6
Facility 6
CA AVG 3
Rank #951 / 1159
5
Facility 5
CA AVG 13
Rank #996 / 1497
83.3% Madison Square Senior Living LLCPrivate Rooms

Financial Assistance for
Assisted Living in California

Madison Square Senior Living is located in Sacramento, California.
Here are the financial assistance programs available to residents in California.

Get Financial aid guidance

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+
General California resident, Medi-Cal eligible, nursing home risk.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
CA

County-managed; waitlists possible.

Benefits
In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+
General California resident, Medicaid-eligible or low-income.
Income Limits ~$1,732/month individual, Medi-Cal threshold
Asset Limits $2,000 individual
CA

Can hire family as caregivers.

Benefits
Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+
General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 38 counties; waitlists common.

Benefits
Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+
General California resident, own and live in home, 40% equity.
Income Limits (2025) ~$51,500/year household, adjusted annually
Asset Limits Equity-based; no strict asset cap.
CA

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Benefits
Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled
General California resident, Medi-Cal-eligible, nursing home-eligible.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

Benefits
Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age
General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.
Asset Limits Not applicable; need-based.
CA

High demand in urban areas; complements IHSS respite.

Benefits
Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

Frequently Asked Questions about Madison Square Senior Living

What neighborhood is Madison Square Senior Living in?

Madison Square Senior Living is in the Fonseca Estates neighborhood of Sacramento.

Is Madison Square Senior Living in a walkable area?

Madison Square Senior Living has a walk score of 54. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Madison Square Senior Living?

Madison Square Senior Living's occupancy is 83%.

How long has Madison Square Senior Living been in business?

Madison Square Senior Living has been operating for approximately 5 years, based on available licensing and registration records.

Are pets allowed at Madison Square Senior Living?

No, Madison Square Senior Living has a no-pet policy.

Who is the administrator of Madison Square Senior Living?

Darius Stir is the administrator of Madison Square Senior Living.

How many beds does Madison Square Senior Living have?

Madison Square Senior Living has 6 beds.

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