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.
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About this community
Occupancy
Alder House is legally operated by Alder House Inc., and administered by Todd Tose.
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
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.
• 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
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
| 2 | 12 | 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)
| 1 | 3 | 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)
| 1 | 4 | 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
| 0.2 | 4 | 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
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total inspections
| 9 | 16 | 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
| 3 | 13 | 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
| 0 | 7 | 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
| 6 | 4 | 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
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total complaints
| 3 | 14 | This facility has 79% fewer total complaints than a typical California assisted living residence (3 vs. CA avg 14).↓ 79% better |
|
Complaints per year
| 0.6 | 2.8 | 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
0.0 miles from city center
Estimated distance in miles from Arroyo Grande's city center to Alder House's address, calculated via Google Maps.
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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.
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City and state of the facility. Used for mapping and state-average comparisons.
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Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
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Indicates whether residents are allowed to have pets in the facility.
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Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
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Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
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Visits or investigations linked to complaints, as counted in the state record (may differ from routine annual surveys).
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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.
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Number of years the company has been in operation.
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Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
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Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
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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 Services | 1 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, Inc | 1 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, Galina | Studio / 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 Quines | Private 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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