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The Watermark at San Ramon
Assisted Living & Memory Care · San Ramon, CA
Exterior view of The Watermark at San Ramon entrance Elegant dining table set for a meal Cozy bedroom with natural light and decor Interior common area with bookshelf and dining table

The Watermark at San Ramon

Assisted Living & Memory Care · San Ramon, CA
12720 Alcosta Blvd, San Ramon, CA 94583 View map Calculator: See prices in your area
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Overview of The Watermark at San Ramon

The Watermark at San Ramon is a resort-inspired senior living community located in San Ramon, CA, offering assisted living and memory care. The community offers studio, one-bedroom, and two-bedroom apartments with modern kitchenettes, as well as elegant dining spaces bathed in natural light. Highly trained caregivers are on hand 24/7 to assist with daily living activities, memory care services, and medication management.

Inside The Watermark at San Ramon, residents experience a luxurious lifestyle with a variety of amenities and programs designed to enhance their well-being. Residents can take advantage of restaurant-style dining, an array of wellness programs, and scheduled transportation. Housekeeping services are provided to keep residents from doing tedious chores and making sure they are living in a cozy and neat living environment. Here, residents have access to compassionate services, a dynamic community life calendar, and friendly neighbors, all of which contribute to a vibrant and fulfilling senior living experience.

Facility Direct Line (925) 725-1485
Facility Direct Line (925) 725-1485
Bed community size
95-bed community Rank #808 / 1644Bed count — State benchmarkedThis home is ranked 808th 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 larger shared setting that may offer more common spaces and organized community services.
Years in operation
5 years in operation Rank #952 / 1500Years in operation — State benchmarkedThis home is ranked 952nd out of 1500 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: 43 / 100 Rank #1501 / 2087Walk Score — State benchmarkedThis home is ranked 1501st 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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
79%
Rank #697 / 1492Occupancy rate — State benchmarkedThis home is ranked 697th 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
75 / 95
Average occupied beds in California homes 87 beds

License Details

Facility TypeResidential Care Elderly
StatusClosed
IssuanceOctober 28, 2020
CountyContra Costa

Ownership & Operating Entity

The Watermark at San Ramon is legally operated by San Ramon Sr Hsg LLC and Integral Sr Living Mgmt LLC, and administered by Nancy Harrison.

Contact The Watermark at San Ramon

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.

Since 2020 · 6 years of data 26 citations 26 total visits 12 complaint visits 4 official inspections 8 complaint investigations
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.

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

Rank #1218 / 1400 in California Inspection Score — State benchmarked This home is ranked 1218th 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: 66 out of 100. Letter grade D. 15 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 5 Worse Metrics worse than California average:
• Total citations (160% above)
• Serious citations (Type A) (133% above)
• Moderate citations (Type B) (375% above)
• Total visits (63% above)
• Other visits (43% above) 1 At Avg Metrics at California average:
• Official inspections (at CA avg) 3 Better Metrics better than California average:
• Citations per inspection (70% below)
• Complaint visits (8% below)
• Complaint investigations (20% 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. 2610 This facility has 160% more total citations than a typical California assisted living residence (26 vs. CA avg 10).↑ 160% 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. 73 This facility has 133% more serious citations (type a) than a typical California assisted living residence (7 vs. CA avg 3).↑ 133% worse Rank #984 / 1160 Serious citations (Type A) — State benchmarked This home is ranked 984th out of 1160 homes in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among 1160 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. 194 This facility has 375% more moderate citations (type b) than a typical California assisted living residence (19 vs. CA avg 4).↑ 375% worse
Citations per inspection Info Average citations per inspection. 13.3 This facility has 70% fewer citations per inspection than a typical California assisted living residence (1 vs. CA avg 3.3).↓ 70% 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. 2616 This facility has 63% more total visits than a typical California assisted living residence (26 vs. CA avg 16).↑ 63% worse
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. 1213 This facility has 8% fewer complaint visits than a typical California assisted living residence (12 vs. CA avg 13).↓ 8% better Rank #918 / 1388 Complaint visits — State benchmarked This home is ranked 918th out of 1388 homes in California for # of complaint visits. Shows this facility's # of complaint visits compared to the California average among 1388 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. 107 This facility has 43% more other visits than a typical California assisted living residence (10 vs. CA avg 7).↑ 43% worse
Official inspections Info Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards. 44 This facility has official inspections in line with the California average (4 vs. CA avg 4).— At avg
Complaint investigations Info On-site investigations triggered by complaints filed with California regulators. 810 This facility has 20% fewer complaint investigations than a typical California assisted living residence (8 vs. CA avg 10).↓ 20% better

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

  • The most recent inspection on April 24, 2025 substantiated five deficiencies related to resident hygiene, diabetic care, incident reporting, and bedding cleanliness.
  • The facility received a $500 fine on December 30, 2024 for failing to prevent resident falls resulting in hospitalization and not safeguarding personal belongings.
  • Multiple complaint investigations from late 2023 through 2025 found recurring issues with staff training, medication administration, record keeping, and incident reporting.
Show Inspection Reports

What does this home offer?

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Pets Allowed

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Housing Options: Suite / 1 Bed / 2 Bed

Building type icon
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Building Type: 2-story

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Transportation Services

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Fitness and Recreation

Places of interest near The Watermark at San Ramon

Address 0.9 miles from city center Info Estimated distance in miles from San Ramon's city center to The Watermark at San Ramon's address, calculated via Google Maps.

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Compare Assisted Living around San Ramon

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.

Belmont Village San Ramon
AL
IL
MC
San Ramon (Bishop Ranch Business Park)
176
Facility 176
CA AVG 104
Rank #230 / 1644
No
83
Facility 83
CA AVG 57
Rank #337 / 2087
95
Facility 95
CA AVG 81
Rank #108 / 1400
1
1
Facility 1
CA AVG 13
Rank #210 / 1388
0
Facility 0
CA AVG 3
Rank #1 / 1160
1
Facility 1
CA AVG 12
Rank #1382 / 1500
 87.5% -Belmontvillage Sanramon Tenantllc And BelmontvillagelpStudio / 1 Bed / 2 Bed
Ivy Park at San Ramon
AL
MC
San Ramon
162
Facility 162
CA AVG 104
Rank #284 / 1644
Yes
42
Facility 42
CA AVG 57
Rank #1523 / 2087
60
Facility 60
CA AVG 81
Rank #1294 / 1400
3
22
Facility 22
CA AVG 13
Rank #1157 / 1388
8
Facility 8
CA AVG 3
Rank #1011 / 1160
4
Facility 4
CA AVG 12
Rank #1074 / 1500
 97.5% -Well Ivy 6 Tenant LLC And Oakmont Management Group LLCStudio / 1 Bed / 2 Bed
Brookdale San Ramon
AL
San Ramon (Bollinger Canyon Road)
110
Facility 110
CA AVG 104
Rank #641 / 1644
Yes
27
Facility 27
CA AVG 57
Rank #1755 / 2087
78
Facility 78
CA AVG 81
Rank #905 / 1400
4
15
Facility 15
CA AVG 13
Rank #1020 / 1388
1
Facility 1
CA AVG 3
Rank #412 / 1160
48
Facility 48
CA AVG 12
Rank #512 / 1500
 63.6% A+Summerville At Cobbco Inc And Emeritus CorporationStudio / 1 Bed
The Watermark at San Ramon
AL
MC
San Ramon
95
Facility 95
CA AVG 104
Rank #808 / 1644
Yes
43
Facility 43
CA AVG 57
Rank #1501 / 2087
66
Facility 66
CA AVG 81
Rank #1218 / 1400
4
12
Facility 12
CA AVG 13
Rank #918 / 1388
7
Facility 7
CA AVG 3
Rank #984 / 1160
5
Facility 5
CA AVG 12
Rank #952 / 1500
 78.9% -San Ramon Sr. Hsg LLC And Integral Sr. Living Mgmt LLCSuite / 1 Bed / 2 Bed
Discovery Commons San Ramon
AL
MC
San Ramon
95
Facility 95
CA AVG 104
Rank #808 / 1644
Yes
23
Facility 23
CA AVG 57
Rank #1806 / 2087
88
Facility 88
CA AVG 81
Rank #513 / 1400
1
0
Facility 0
CA AVG 13
Rank #1 / 1388
-
1
Facility 1
CA AVG 12
Rank #1382 / 1500
 83.2% -12720 Alcosta Blvd Opco LLC And Integral Sr. Mgmnt LLC-
View all Nearby Homes

Financial Assistance for
Assisted Living in California

The Watermark at San Ramon is located in San Ramon, 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 The Watermark at San Ramon

Who is the owner of The Watermark at San Ramon?

The Watermark at San Ramon is legally operated by San Ramon Sr Hsg LLC and Integral Sr Living Mgmt LLC, and administered by Nancy Harrison.

Is The Watermark at San Ramon in a walkable area?

The Watermark at San Ramon has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at The Watermark at San Ramon?

The Watermark at San Ramon's occupancy is 79%.

How long has The Watermark at San Ramon been in business?

The Watermark at San Ramon has been operating for approximately 5 years, based on available licensing and registration records.

Are pets allowed at The Watermark at San Ramon?

Yes, The Watermark at San Ramon allows residents to bring their pets.

Who is the administrator of The Watermark at San Ramon?

Nancy Harrison is the administrator of The Watermark at San Ramon.

How many beds does The Watermark at San Ramon have?

The Watermark at San Ramon has 95 beds.

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