Alder House

Overview of Alder House

Alder House is a 32-bed nursing home in Arroyo Grande, a quiet community in San Luis Obispo County, California. Operating for 20 years, the facility is conveniently located on Alder Street in an area where most daily errands can be done on foot. The neighborhood scores 82 out of 100 for walkability, so it’s accessible for visiting family members and supporting residents’ independence.

What sets Alder House apart is its unique emphasis on creative engagement. The home offers glassblowing demonstrations and encourages residents to join custom glass art creation, which provides aesthetic interest and hands-on activity for those who enjoy handworking. These kinds of specialized amenities can be especially meaningful for residents looking for purposeful ways to use their time.

The intimate size of 32 beds allows for a closer-knit community where residents and staff usually build robust relationships. Such a scale can deliver personal attention and a quieter atmosphere that some want over a larger facility, a factor vital for families evaluating small-scale care settings.

Capacity and availability

Residents per day
21
Bed community size
32-bed community Rank #1246 / 1645Bed count — State benchmarkedThis home is ranked 1246th out of 1,645 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
21 years in operation Rank #361 / 1507Years in operation — State benchmarkedThis home is ranked 361st out of 1,507 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 82 / 100 Rank #356 / 2057Walk Score — State benchmarkedThis home is ranked 356th out of 2,057 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
66%
Rank #1085 / 1452Occupancy rate — State benchmarkedThis home is ranked 1085th out of 1,452 homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 1452. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the California average: 72.8%
Occupied beds
21 / 32
Average occupied beds in California homes 87 beds

License Details

Facility TypeResidential Care Elderly
IssuanceJuly 7, 2005
CountySan Luis Obispo

Ownership & Operating Entity

Alder House is legally operated by Alder House Inc., and administered by Todd Tose.

Owner NameAlder House Inc

Amenities & Lifestyle

Specific ProgramsGlassblowing demonstrations, Custom glass art creation
Touring HoursDaily from 10 AM to 5 PM, May 1 - November 1

Contact Alder House

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 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.

Overall vs. CA average 0 Worse No metrics in this bucket. 6 Better Metrics better than California average:
• Total citations (83% below)
• Serious citations (Type A) (67% below)
• Moderate citations (Type B) (75% below)
• Citations per inspection (95% below)
• Total complaints (79% below)
• Complaints per year (79% 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. 212 This facility has 83% fewer total citations than a typical California assisted living residence (2 vs. CA avg 12).↓ 83% better
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. 13 This facility has 67% fewer serious citations (type a) than a typical California assisted living residence (1 vs. CA avg 3).↓ 67% better Rank #478 / 1433 Serious citations (Type A) — State benchmarked This home is ranked 478th out of 1,433 homes we track in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among 1433 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Moderate citations (Type B) Info Citations that do not pose an immediate risk but still represent a departure from required care or operational standards. 14 This facility has 75% fewer moderate citations (type b) than a typical California assisted living residence (1 vs. CA avg 4).↓ 75% better
Citations per inspection Info Average citations per inspection. 0.24 This facility has 95% fewer citations per inspection than a typical California assisted living residence (0.2 vs. CA avg 4).↓ 95% better

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

This FacilityCA Averagevs. CA Avg
Total inspections Info Combined count of official scheduled inspections, complaint visits and other regulatory visits. California counts each evaluation report, so one trip can count twice when it serves two purposes. 916 This facility has had 44% fewer total inspections than the California average (9 vs. CA avg 16). More inspections can mean more regulatory scrutiny rather than worse care.↓ 44% fewer
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. 313 This facility has had 77% fewer complaint visits than the California average (3 vs. CA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 77% fewer Rank #442 / 1387 Complaint visits — State benchmarked This home is ranked 442nd out of 1,387 homes we track in California for # of complaint visits. Shows this facility's # of complaint visits compared to the California average among 1387 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other visits Info Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits. 07 This facility has had 100% fewer other visits than the California average (0 vs. CA avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↓ 100% fewer
Official inspections Info Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards. 64 This facility has had 50% more official inspections than the California average (6 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 50% more

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityCA Averagevs. CA Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 314 This facility has 79% fewer total complaints than a typical California assisted living residence (3 vs. CA avg 14).↓ 79% better
Complaints per year Info Average complaints per year since 2021. 0.62.8 This facility has 79% fewer complaints per year than a typical California assisted living residence (0.6 vs. CA avg 2.8).↓ 79% better

Places of interest near Alder House

Address 0.0 miles from city center Info Estimated distance in miles from Arroyo Grande's city center to Alder House's address, calculated via Google Maps.

Calculate Travel Distance to Alder House

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Address

Compare Assisted Living around the area

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.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Visits or investigations linked to complaints, as counted in the state record (may differ from routine annual surveys).
Count of California state "Type A" citations — the state's most serious citation category (immediate or serious harm to residents), from California state inspection data.
Number of years the company has been in operation.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
San Francisco Towers
AL
IL
MC
San Francisco (Cathedral Hill)
350
Facility 350
CA AVG 103
Rank #36 / 1,645
Yes
99
Facility 99
CA AVG 58
Rank #2 / 2,057
13
5
Facility 5
CA AVG 13
Rank #589 / 1,387
0
Facility 0
CA AVG 3
Rank #1 / 1,433
28
Facility 28
CA AVG 13
Rank #156 / 1,507
100.0%
Facility 100.0%
CA AVG 75.9%
Rank #1 / 1,452
-Front Porch Communities And Services1 Bed / 2 Bed
The Magnolia of Millbrae
AL
RC
Millbrae
180
Facility 180
CA AVG 103
Rank #209 / 1,645
Yes
89
Facility 89
CA AVG 58
Rank #195 / 2,057
9
1
Facility 1
CA AVG 13
Rank #210 / 1,387
0
Facility 0
CA AVG 3
Rank #1 / 1,433
27
Facility 27
CA AVG 13
Rank #214 / 1,507
76.1%
Facility 76.1%
CA AVG 75.9%
Rank #782 / 1,452
A+Magnolia Of Millbrae, Inc1 Bed / 2 Bed
Providence Place
AL
MC
RC
San Francisco (Lower Pacific Heights)
34
Facility 34
CA AVG 103
Rank #1,237 / 1,645
No
95
Facility 95
CA AVG 58
Rank #66 / 2,057
7
3
Facility 3
CA AVG 13
Rank #442 / 1,387
0
Facility 0
CA AVG 3
Rank #1 / 1,433
26
Facility 26
CA AVG 13
Rank #247 / 1,507
100.0%
Facility 100.0%
CA AVG 75.9%
Rank #1 / 1,452
C+Knop, Roman & Knop, GalinaStudio / Semi-Private Rooms
Alder House
AL
Arroyo Grande
32
Facility 32
CA AVG 103
Rank #1,246 / 1,645
No
82
Facility 82
CA AVG 58
Rank #356 / 2,057
9
3
Facility 3
CA AVG 13
Rank #442 / 1,387
1
Facility 1
CA AVG 3
Rank #478 / 1,433
21
Facility 21
CA AVG 13
Rank #361 / 1,507
65.6%
Facility 65.6%
CA AVG 75.9%
Rank #1,085 / 1,452
A+Alder House Inc-
Foothills Residential Care
AL
HOS
RESC
San Luis Obispo
6
Facility 6
CA AVG 103
Rank #1,318 / 1,645
No
75
Facility 75
CA AVG 58
Rank #562 / 2,057
4
0
Facility 0
CA AVG 13
Rank #1 / 1,387
0
Facility 0
CA AVG 3
Rank #1 / 1,433
19
Facility 19
CA AVG 13
Rank #424 / 1,507
100.0%
Facility 100.0%
CA AVG 75.9%
Rank #1 / 1,452
A+Jane QuinesPrivate Rooms

Frequently Asked Questions about Alder House

Is Alder House in a walkable area?

Alder House has a walk score of 82. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the occupancy rate at Alder House?

Alder House's occupancy is 66%.

How long has Alder House been in business?

Alder House has been operating for approximately 21 years, based on available licensing and registration records.

Are pets allowed at Alder House?

No, Alder House has a no-pet policy.

Who is the administrator of Alder House?

Todd Tose is the administrator of Alder House.

How many beds does Alder House have?

Alder House has 32 beds.

Has Alder House had any citations?

Alder House has had 2 reported citations since 2021 according to records from California Department of Social Services (CDSS).

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