Overview of Twin Rivers at Natomas

Twin Rivers at Natomas operates a 48-bed residential assisted living community along San Juan Road in Sacramento, California. Administered by Sita Vadarevu under Twin Rivers at Natomas Inc., the facility offers long-term accommodations for older adults aged 55 and up. The local neighborhood features a walk score of 69, providing a semi-walkable layout where families can reach a few local retail spots or parks on foot, though most medical appointments and regional trips will require a short drive.

The residential routine balances group social events with direct assistance for daily tasks like bathing, dressing, and regular medication distribution. Staff members take care of everyday household maintenance, managing laundry, linen rotations, and on-site housekeeping duties so residents do not have to handle chores independently. The property features a communal garden and shared relaxation lounges, complemented by an open dining hall that serves daily meals restaurant-style.

The California Department of Social Services evaluates residential elder care settings through regular on-site audits to verify that safety setups, kitchen cleanliness, and staffing ratios meet licensing guidelines. Past state review logs show a history of reliable compliance, maintaining overall citation metrics that reflect strong performance compared to regional averages. You can request to view their formal regulatory binder and historical inspection records when speaking with the building staff.

Prospective families can call the main office desk at (916) 216-3058 to inquire about current bed vacancies or to schedule an introductory tour. The onboarding staff can break down how individual care tiers affect monthly fees, explain private payment channels, and show you how the team coordinates appointment transportation with local medical and dental clinics.

Bed community size
48-bed community Rank #1159 / 1646Bed count — State benchmarkedThis home is ranked 1159th out of 1646 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 moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
10 years in operation Rank #704 / 1504Years in operation — State benchmarkedThis home is ranked 704th out of 1504 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.
A community with a solid operating history and experience delivering ongoing care.
Walk Score
Walk Score: 69 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

License Details

Facility TypeResidential Care Elderly
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 administered by Sita Vadarevu.

Safety & Compliance

Emergency SystemsYes

Additional Policies & Features

Pets not allowed
Minimum Age55+
HousekeepingYes
Linen ServiceYes

Amenities & Lifestyle

Specific ProgramsPersonal Care, Housekeeping, Laundry, Safety and Wellness, Medical & Dental Appointments, Medication, Linen Service
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.

Since 2021 · 5 years of data These figures come from state-published inspection data. 3 citations 18 total visits 5 complaint visits 5 official inspections
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.

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

Rank #521 / 1475 in California Inspection Score — State benchmarked This home is ranked 521st out of 1475 homes in California for inspection score. Shows this facility's inspection score compared to the California average among 1475 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: 89 out of 100. Letter grade B+. 8 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 0 Worse No metrics in this bucket. 4 Better Metrics better than California average:
• Total citations (70% below)
• Serious citations (Type A) (67% below)
• Moderate citations (Type B) (50% below)
• Citations per inspection (94% 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. 310 This facility has 70% fewer total citations than a typical California assisted living residence (3 vs. CA avg 10).↓ 70% 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 / 1434 Serious citations (Type A) — State benchmarked This home is ranked 478th out of 1434 homes in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among 1434 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. 24 This facility has 50% fewer moderate citations (type b) than a typical California assisted living residence (2 vs. CA avg 4).↓ 50% 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 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. 1816 This facility has had 13% more total inspections than the California average (18 vs. CA avg 16). More inspections can mean more regulatory scrutiny rather than worse care.↑ 13% more
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. 513 This facility has had 62% fewer complaint visits than the California average (5 vs. CA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 62% fewer Rank #590 / 1388 Complaint visits — State benchmarked This home is ranked 590th 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. 87 This facility has had 14% more other visits than the California average (8 vs. CA avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↑ 14% more
Official inspections Info Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards. 54 This facility has had 25% more official inspections than the California average (5 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 25% more

Places of interest near Twin Rivers at Natomas

Address 3.8 miles from city center Info Estimated distance in miles from Sacramento's city center to Twin Rivers at Natomas's address, calculated via Google Maps.

Calculate Travel Distance to Twin Rivers at Natomas

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Address

Compare Assisted Living around Sacramento

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.

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68.0% -Stanford Senior Living 110 LLC And Sequoia Sr. Lvg LLC-
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1
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90.0% C-Orangevale Sh LLC And Integral Senior Living Et AlStudio / 1 Bed / 2 Bed
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88.9% -Chancellor Health Care Of California Viii Inc-
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4
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CA AVG 13
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CA AVG 3
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84.3% -Transformer Opco LLC And Oakmont Managment Group LLCStudio / 1 Bed
Twin Rivers at Natomas
AL
Sacramento
48
Facility 48
CA AVG 104
Rank #1159 / 1646
No 69
89
Facility 89
CA AVG 81
Rank #521 / 1475
18
5
Facility 5
CA AVG 13
Rank #590 / 1388
1
Facility 1
CA AVG 3
Rank #478 / 1434
10
Facility 10
CA AVG 13
Rank #704 / 1504
--Twin Rivers At Natomas Inc-

Financial Assistance for
Assisted Living in California

Twin Rivers at Natomas is located in Sacramento, 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 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.

How long has Twin Rivers at Natomas been in business?

Twin Rivers at Natomas has been operating for approximately 10 years, based on available licensing and registration records.

Are pets allowed at Twin Rivers at Natomas?

No, Twin Rivers at Natomas has a no-pet policy.

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 citations?

Twin Rivers at Natomas has had 3 reported citations since 2021 according to records from California Department of Social Services (CDSS).

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.

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