River Bluffs Memory Care in Fresno, CA | 5 Photos

Overview of River Bluffs Memory Care

Cherish every moment of your best years with River Bluffs Memory Care, an astounding community in Fresno, CA, that specializes in memory care. Prioritizing the needs of those with Alzheimer’s and dementia, a compassionate and specially trained team provides top-tier care 24/7. The community also actively communicates with the residents and their families to update their condition and adapt care plans accordingly.

With a jam-packed calendar of stimulating activities and enriching programs, residents are empowered to live actively and remain socially connected. Mealtimes not only meet dietary needs but also foster comfort with delightful and healthy meals that cater to dietary needs and preferences. Residents enjoy the community’s stress-free setting and tight-knit community, ensuring the finest retirement experience.

Facility Direct Line (559) 840-0452 help@riverbluffsmcc.com

36-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

6 years in operation

An established community with some operational experience and growing routines.

Walk Score: 45 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

92%

Higher than the California average: 72.8%

Occupied beds

33 / 36

Average occupied beds in California homes 87 beds

Facility TypeResidential Care Elderly

StatusLicensed

IssuanceMay 4, 2020

CountyFresno

RCFE NumberLIC#107209048

River Bluffs Memory Care is legally operated by Sierra Meadows Senior Care, Inc., and administered by Donna Hurley.

Staffing

Key information about the people who lead and staff this community.

ContactMs. Donna Hurley, Manager

Licensed Nurses/CNAs

Since 2020 · 6 years of data 8 citations 27 total visits 17 complaint visits 5 official inspections 11 complaint investigations

Inspection Score

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

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.

Since 2020 vs. California state average

Overall vs. CA average

Latest Inspection August 28, 2025

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	CA Average	vs. CA Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	8	10	This facility has 20% fewer total citations than a typical California assisted living residence (8 vs. CA avg 10).↓ 20% better
Serious citations (Type A) Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.	2	3	This facility has 33% fewer serious citations (type a) than a typical California assisted living residence (2 vs. CA avg 3).↓ 33% better Rank #600 / 1164 Serious citations (Type A) — State benchmarked This home is ranked 600th out of 1164 homes in California. Shows this facility's # of serious citations compared to the California average among 1164 comparable communities in the ranking pool. 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) Citations that do not pose an immediate risk but still represent a departure from required care or operational standards.	6	4	This facility has 50% more moderate citations (type b) than a typical California assisted living residence (6 vs. CA avg 4).↑ 50% worse
Citations per year Average citations per year since 2020.	1.3	1.7	This facility has 24% fewer citations per year than a typical California assisted living residence (1.3 vs. CA avg 1.7).↓ 24% better
Citations per inspection Average citations per inspection.	0.3	3.3	This facility has 91% fewer citations per inspection than a typical California assisted living residence (0.3 vs. CA avg 3.3).↓ 91% better

Inspections & Visits State inspections evaluate whether the facility meets health and safety standards.	This Facility	CA Average	vs. CA Avg
Total visits Combined count of complaint visits, other regulatory visits, and official scheduled inspections.	27	16	This facility has 69% more total visits than a typical California assisted living residence (27 vs. CA avg 16).↑ 69% worse
Complaint visits On-site visits triggered by formal complaints filed by residents, families, or staff.	17	13	This facility has 31% more complaint visits than a typical California assisted living residence (17 vs. CA avg 13).↑ 31% worse Rank #1061 / 1397 Complaint visits — State benchmarked This home is ranked 1061st 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. 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 Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.	5	7	This facility has 29% fewer other visits than a typical California assisted living residence (5 vs. CA avg 7).↓ 29% better
Official inspections Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.	5	4	This facility has 25% more official inspections than a typical California assisted living residence (5 vs. CA avg 4).↑ 25% worse
Complaint investigations On-site investigations triggered by complaints filed with California regulators.	11	10	This facility has 10% more complaint investigations than a typical California assisted living residence (11 vs. CA avg 10).↑ 10% worse

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

The most recent inspection on August 28, 2025 cited one deficiency for missing physician’s order on postural supports, which was corrected on site by removing extra side rails and obtaining the order.
The June 4, 2025 annual inspection found two deficiencies posing immediate and potential health risks due to unsecured knives and accessible hygiene supplies in resident areas.
Multiple complaint investigations from 2023 to 2024 found unsubstantiated allegations related to staff conduct, resident care, and facility conditions, with no citations issued.

Show Inspection Reports

What does this home offer?

Building Type: Single-story

Health Programs

11.2 miles from city center Estimated distance in miles from Fresno's city center to River Bluffs Memory Care's address, calculated via Google Maps.

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The information below is reported by the California Department of Social Services and Department of Public Health.


The Grove Senior Living	MC AL	Fresno	130 Facility 130 CA AVG 103 Rank #486 / 1657	Yes	58 Facility 58 CA AVG 57 Rank #1128 / 2092	94 Facility 94 CA AVG 81 Rank #185 / 1401	3	5 Facility 5 CA AVG 13 Rank #592 / 1397	0 Facility 0 CA AVG 3 Rank #1 / 1164	3 Facility 3 CA AVG 13 Rank #1210 / 1487	58.5% Facility 58.5% CA AVG 74.8% Rank #1135 / 1368	-	Oakmont Of Fresno LLC; Wellquest Living LLC (Mgr)	Studio / 1 Bed
Elim Place	MC	Sanger	44 Facility 44 CA AVG 103 Rank #1186 / 1657	No	81 Facility 81 CA AVG 57 Rank #384 / 2092	90 Facility 90 CA AVG 81 Rank #398 / 1401	-	1 Facility 1 CA AVG 13 Rank #210 / 1397	2 Facility 2 CA AVG 3 Rank #600 / 1164	35 Facility 35 CA AVG 13 Rank #69 / 1487	70.5% Facility 70.5% CA AVG 74.8% Rank #837 / 1368	A+	5Th Street 1808 LLC	Semi-Private Rooms
River Bluffs Memory Care	MC	Fresno	36 Facility 36 CA AVG 103 Rank #1238 / 1657	No	45 Facility 45 CA AVG 57 Rank #1474 / 2092	76 Facility 76 CA AVG 81 Rank #946 / 1401	5	17 Facility 17 CA AVG 13 Rank #1061 / 1397	2 Facility 2 CA AVG 3 Rank #600 / 1164	6 Facility 6 CA AVG 13 Rank #886 / 1487	91.7% Facility 91.7% CA AVG 74.8% Rank #244 / 1368	-	Sierra Meadows Senior Care, Inc	-
Gettysburg Christian Home	MC AL	Fresno	18 Facility 18 CA AVG 103 Rank #1293 / 1657	No	57 Facility 57 CA AVG 57 Rank #1157 / 2092	-	-	0 Facility 0 CA AVG 13 Rank #1 / 1397	0 Facility 0 CA AVG 3 Rank #1 / 1164	-	61.1% Facility 61.1% CA AVG 74.8% Rank #1083 / 1368	-	Gettysburg Mercy Care LLC	Semi-Private Rooms
A-Plus In Home Care	MC HC RC	Fresno	-	No	73 Facility 73 CA AVG 57 Rank #642 / 2092	-	-	-	-	27 Facility 27 CA AVG 13 Rank #183 / 1487	-	A+	-	-

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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).

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

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

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.

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

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.

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)

Who is the owner of River Bluffs Memory Care?

The legal owner and operator of River Bluffs Memory Care is Sierra Meadows Senior Care, Inc..

Is River Bluffs Memory Care in a walkable area?

River Bluffs Memory Care has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at River Bluffs Memory Care?

River Bluffs Memory Care's occupancy is 92%.

Who is the administrator of River Bluffs Memory Care?

Donna Hurley is the administrator of River Bluffs Memory Care.

How many beds does River Bluffs Memory Care have?

River Bluffs Memory Care has 36 beds.

Has River Bluffs Memory Care had any recent citations?

River Bluffs Memory Care has had 8 recently reported citations.

Are there photos of River Bluffs Memory Care?

Yes — there are 5 photos of River Bluffs Memory Care in the photo gallery on this page.

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River Bluffs Memory Care