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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Grace Home is a dedicated assisted living community in California that provides personalized care. With its two distinct locations in Orangevale and Carmichael, the community strives to provide a home away from home for older adults to live comfortably in their later years. Meal preparation, housekeeping services, and medication management are also offered to ensure residents experience a maintenance-free living. The community is dedicated to improving older adults’ living experiences, creating care plans tailored to their unique needs.
An entertainment area and fun activities accompany older adults to encourage an active lifestyle and social engagement. Three healthy meals are also provided, so residents have a hassle-free dining experience. The community’s ideal location in California provides residents with convenient access to their necessities. As a trusted assisted living community in California, Grace Home ensures older adults are well cared for.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 33rd out of 346 homes in California. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 53m per day |
Higher than the California average: 72.8%Grace Home is administrated by Julio Miguel Esguerra.
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.
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.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 22 | 10 | This facility has 120% more total citations than a typical California assisted living residence (22 vs. CA avg 10).↑ 120% worse |
|
Serious citations (Type A)
Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 13 | 3 | This facility has 333% more serious citations (type a) than a typical California assisted living residence (13 vs. CA avg 3).↑ 333% worse |
|
Moderate citations (Type B)
Violations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 9 | 4 | This facility has 125% more moderate citations (type b) than a typical California assisted living residence (9 vs. CA avg 4).↑ 125% worse |
|
Citations per year
Average citations per year since 2021.
| 4.4 | 2 | This facility has 120% more citations per year than a typical California assisted living residence (4.4 vs. CA avg 2).↑ 120% worse |
|
Citations per inspection
Average citations per inspection.
| 0.8 | 3.3 | 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
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 27 | 16 | This facility has 69% more total visits than a typical California assisted living residence (27 vs. CA avg 16).↑ 69% worse |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 7 | 13 | This facility has 46% fewer complaint visits than a typical California assisted living residence (7 vs. CA avg 13).↓ 46% better |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 15 | 7 | This facility has 114% more other visits than a typical California assisted living residence (15 vs. CA avg 7).↑ 114% worse |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 5 | 4 | This facility has 25% more official inspections than a typical California assisted living residence (5 vs. CA avg 4).↑ 25% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 4 | 10 | This facility has 60% fewer complaint investigations than a typical California assisted living residence (4 vs. CA avg 10).↓ 60% better |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsFederal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Total Residents: 6 Residents
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Dining Services
Housekeeping Services
Personal Care Assistance
2.0 miles from city center
Estimated distance in miles from Orangevale's city center to Grace Home's address, calculated via Google Maps.
Add your location
Grace Home is located in Orangevale, California.
Here are the financial assistance programs available to residents in California.
The information below is reported by the California Department of Social Services and Department of Public Health.
| Sky Park Gardens |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Sacramento (Parkway-South Sacramento) | 144 | No | 74 | 4 | 11 | 9 | 4 | 51.4% | Skypark Manor, LLC | Studio / 1 Bed / Private / Semi-private Rooms |
| Grand River Villa |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | West Sacramento (Mikon) | 43 | No | 74 | 1 | - | 1 | 1 | 53.5% | Grv A Ca Corporation;Ciminocare | Private / Semi-private Rooms |
| Grace Home |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Orangevale | 24 | No | 68 | 5 | 7 | 13 | - | 91.7% | - | Private / Semi-Private Rooms |
| Jazba Care |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sacramento (Southeastern Sacramento) | 6 | No | 54 | 2 | 5 | 7 | 2 | 100.0% | Jazba Care LLC | 1 Bed / 2 Bed |
| Madison Square Senior Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sacramento (Fonseca Estates) | 6 | No | 54 | 5 | - | 6 | 5 | 83.3% | Madison Square Senior Living LLC | Private Rooms |
Grace Home is in the Orangevale neighborhood of Orangevale.
Grace Home has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Grace Home's occupancy is 92%.
Julio Miguel Esguerra is the administrator of Grace Home.
Grace Home has 24 beds.
Grace Home has had 22 recently reported deficiencies.
Yes — there are 2 photos of Grace Home in the photo gallery on this page.
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