Overview of Twin Rivers at Natomas

Twin Rivers at Natomas Assisted Living is located within Sacramento County, close to shopping, medical clinics, and the airport. It provides a beautiful and comfortable home for older adults in an environment that enhances their quality of life physically and mentally. The facility offers various services including personal care, dining, housekeeping, and activities.
Bed community size
48-bed community Rank #1167 / 1657Bed count — State benchmarkedThis home is ranked 1167th out of 1657 homes in California. 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.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
9 years in operation Rank #703 / 1487Years in operation — State benchmarkedThis home is ranked 703rd out of 1487 homes in California. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff.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: 69 / 100 Rank #768 / 2092Walk Score — State benchmarkedThis home is ranked 768th out of 2092 homes in California. Shows how walkable this facility's neighborhood is compared to the average Walk Score across California facilities. Higher scores benefit residents, families, and staff.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

License Details

Facility TypeResidential Care Elderly
StatusLicensed
IssuanceJune 23, 2016
CountySacramento
License Number342700012
RCFE Number342700012

Ownership & Operating Entity

Twin Rivers at Natomas is legally operated by Twin Rivers At Natomas Inc, and administrated by Sita Vadarevu.

Safety & Compliance

Emergency SystemsYes

Additional Policies & Features

Minimum Age55+
HousekeepingYes
Linen ServiceYes

Amenities & Lifestyle

Specific ProgramsHousekeeping, Laundry, Safety and Wellness, Medical & Dental Appointments, Medication, Linen Service, JOIN OUR TEAM, ASSISTED LIVING SACRAMENTO
Touring HoursMonday - Friday: 9:00am - 5:00pm

Contact Twin Rivers at Natomas

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.

5 points above the California average for assisted living residences (81/100)

Rank #630 / 1401 in California Inspection Score — State benchmarked This home is ranked 630th out of 1401 homes in California. Shows this facility's inspection score compared to the California average among 1401 comparable communities in the ranking pool. Inspection score: 86 out of 100. Letter grade B. 5 points above 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 2021 vs. California state average
Overall vs. CA average 3 Worse Metrics worse than California average:
• Total visits (13% above)
• Other visits (14% above)
• Official inspections (25% above)
4 Better Metrics better than California average:
• Total citations (70% below)
• Citations per year (70% below)
• Citations per inspection (94% below)
• Complaint visits (62% below)
Latest Inspection March 20, 2026

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. 310 This facility has 70% fewer total citations than a typical California assisted living residence (3 vs. CA avg 10).↓ 70% better
Citations per year Info Average citations per year since 2021. 0.62 This facility has 70% fewer citations per year than a typical California assisted living residence (0.6 vs. CA avg 2).↓ 70% better
Citations per inspection Info Average citations per inspection. 0.23.3 This facility has 94% fewer citations per inspection than a typical California assisted living residence (0.2 vs. CA avg 3.3).↓ 94% 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. 1816 This facility has 13% more total visits than a typical California assisted living residence (18 vs. CA avg 16).↑ 13% worse
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. 513 This facility has 62% fewer complaint visits than a typical California assisted living residence (5 vs. CA avg 13).↓ 62% better Rank #592 / 1397 Complaint visits — State benchmarked This home is ranked 592nd out of 1397 homes in California. Shows this facility's # of complaint visits compared to the California average among 1397 comparable communities in the ranking pool.
Other visits Info Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits. 87 This facility has 14% more other visits than a typical California assisted living residence (8 vs. CA avg 7).↑ 14% 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

Financial Assistance for
Assisted Living in California

Twin Rivers at Natomas is located in Natomas, 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)

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Twin Rivers at Natomas
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.

Natomas
48
Facility 48
CA AVG 103
Rank #1167 / 1657
No
69
Facility 69
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Rank #768 / 2092
86
Facility 86
CA AVG 81
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5
5
Facility 5
CA AVG 13
Rank #592 / 1397
-
9
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CA AVG 13
Rank #703 / 1487
--Twin Rivers At Natomas Inc-

Frequently Asked Questions about Twin Rivers at Natomas

Is Twin Rivers at Natomas in a walkable area?

Twin Rivers at Natomas has a walk score of 69. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Who is the administrator of Twin Rivers at Natomas?

Sita Vadarevu is the administrator of Twin Rivers at Natomas.

How many beds does Twin Rivers at Natomas have?

Twin Rivers at Natomas has 48 beds.

Has Twin Rivers at Natomas had any recent deficiencies or citations?

Twin Rivers at Natomas has had 3 recently reported deficiencies.

Are there photos of Twin Rivers at Natomas?

Yes — there are 11 photos of Twin Rivers at Natomas in the photo gallery on this page.

What is the phone number of Twin Rivers at Natomas?

(916) 993-8435 will put you in contact with the team at Twin Rivers at Natomas.

What county is Twin Rivers at Natomas located in?

Twin Rivers at Natomas is in Sacramento County.

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