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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.
Lower than the California average: 72.8%Alder House is legally operated by Alder House Inc., and administrated by Todd Tose.
Key information about the people who lead and staff this community.
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.
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 nursing home score (the benchmark); higher is better.
6 points above the California average for nursing homes (81/100)
Inspection score: 87 out of 100. Letter grade B+. 6 points above the California average for nursing homes (81/100)
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.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 2 | 10 | This facility has 80% fewer total citations than a typical California nursing home (2 vs. CA avg 10).↓ 80% better |
|
Citations per year
Average citations per year since 2021.
| 0.4 | 2 | This facility has 80% fewer citations per year than a typical California nursing home (0.4 vs. CA avg 2).↓ 80% better |
|
Citations per inspection
Average citations per inspection.
| 0.2 | 3.3 | This facility has 94% fewer citations per inspection than a typical California nursing home (0.2 vs. CA avg 3.3).↓ 94% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 9 | 16 | This facility has 44% fewer total visits than a typical California nursing home (9 vs. CA avg 16).↓ 44% better |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 3 | 13 | This facility has 77% fewer complaint visits than a typical California nursing home (3 vs. CA avg 13).↓ 77% better Rank #441 / 1397 Complaint visits — State benchmarked This home is ranked 441st 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
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 0 | 7 | This facility has 100% fewer other visits than a typical California nursing home (0 vs. CA avg 7).↓ 100% better |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 6 | 4 | This facility has 50% more official inspections than a typical California nursing home (6 vs. CA avg 4).↑ 50% worse |
Complaints & Investigations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 3 | 14 | This facility has 79% fewer total complaints than a typical California nursing home (3 vs. CA avg 14).↓ 79% better |
|
Complaints per year
Average complaints per year since 2021.
| 0.6 | 2.8 | This facility has 79% fewer complaints per year than a typical California nursing home (0.6 vs. CA avg 2.8).↓ 79% better |
246.8 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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Alder House is located in ARROYO GRANDE, California.
Here are the financial assistance programs available to residents in California.
The information below is reported by the California Department of Social Services and Department of Public Health.
| OakView Health Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Thousand Oaks (Mountclef Village) | 63
Facility
63
CA AVG
103
Rank
#1063 / 1658 | 79.4% | -6% | 5.21 | -69% | +24% | $0 | 9 | 1.5 | - | 50 | A+ |
20
Facility
20
CA AVG
57
Rank
#1847 / 2093 | Bouchard Family Revocable Trust | $15.0M | $8.8M | 58.7% | 555857 | ||||
| Bayshire Carlsbad |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Carlsbad (Palamai) | 125
Facility
125
CA AVG
103
Rank
#527 / 1658 | 93.6% | +11% | 3.24 | +54% | -23% | $0 | 26 | 4.3 | - | 117 | A+ |
59
Facility
59
CA AVG
57
Rank
#1089 / 2093 | Skilled Camino LLC | $11.5M | $5.4M | 46.9% | 555745 | ||||
| Bayshire Rancho Mirage |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Rancho Mirage | 135
Facility
135
CA AVG
103
Rank
#463 / 1658 | 83.7% | -1% | 3.17 | -51% | -25% | $15.5k | 39 | 3.3 | - | 113 | A+ |
23
Facility
23
CA AVG
57
Rank
#1812 / 2093 | Skilled Mirage LLC | $11.8M | $5.1M | 43.1% | 555775 | ||||
| Heritage Gardens |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Loma Linda | 64
Facility
64
CA AVG
103
Rank
#1051 / 1658 | 85.9% | +1% | 4.44 | -14% | +5% | $0 | 45 | 3.8 | 1 | 55 | A+ |
47
Facility
47
CA AVG
57
Rank
#1423 / 2093 | Cotton Family Revocable Trust | $12.9M | $6.7M | 51.9% | 55183 |
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.
Alder House's occupancy is 66%.
Todd Tose is the administrator of Alder House.
Alder House has 32 beds.
Alder House has had 2 recently reported deficiencies.
Yes — there are 3 photos of Alder House in the photo gallery on this page.
Alder House is located at 295 ALDER STREET.
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