Grace Home

Assisted Living in Sacramento County

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Grace Home

Assisted Living in Sacramento County

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Overview of Grace Home

Grace Home is a dedicated assisted living community in California that provides personalized care. With its two distinct locations in Orangevale and Carmichael, the community strives to provide a home away from home for older adults to live comfortably in their later years. Meal preparation, housekeeping services, and medication management are also offered to ensure residents experience a maintenance-free living. The community is dedicated to improving older adults’ living experiences, creating care plans tailored to their unique needs.

An entertainment area and fun activities accompany older adults to encourage an active lifestyle and social engagement. Three healthy meals are also provided, so residents have a hassle-free dining experience. The community’s ideal location in California provides residents with convenient access to their necessities. As a trusted assisted living community in California, Grace Home ensures older adults are well cared for.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
4/5 ▲ 0.4 California average: 3.6/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5 ▼ 0.2 California average: 3.2/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5 ▲ 0.6 California average: 3.5/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
5/5 ▲ 0.7 California average: 4.3/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to California state averages

Total nursing care / resident Info This home is ranked 27th out of 271 homes in California.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 13m per day
Rank #27 / 271Nurse hours — state benchmarkedThis home is ranked 27th out of 271 homes in California.Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 271 California SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility California avg (4h 23m per day)
vs California avg
+19%
Staff typeHours / dayvs state avg
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 53m per day
Bed community size
24-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score
Walk Score: 68 / 100 Rank #103 / 229Walk Score — state benchmarkedThis home is ranked 103rd out of 229 homes in California.Shows how walkable this facility's neighborhood is compared to the average Walk Score across California SNFs. Higher scores benefit residents, families, and staff.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
92%
Rank #62 / 277Occupancy rate — state benchmarkedThis home is ranked 62nd out of 277 homes in California.Shows this facility's occupancy rate versus the California average, with its statewide rank out of 277. Higher occupancy signals strong local demand and financial stability.
Higher than the California average: 72.8%
Occupied beds
22 / 24
Average residents 87 per day

License Details

CountySacramento

Ownership & Operating Entity

Grace Home is administrated by Esguerra, Julio Miguel.

Amenities & Lifestyle

Specific ProgramsAssistance with meals, Housekeeping and Laundry Service, Managing of Medication, Personal Care

Dining & Nutrition

Food DescriptionThree healthy, nutrient-rich meals a day including any snacks and drinks. Assistance with meals as needed.
Meals IncludedYes
Meals Per Day3
Special DietsYes

What does this home offer?

Total residents icon
Total residents icon

Total Residents: 6 Residents

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Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
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Building Type: Single-story

Dining services icon
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Dining Services

Housekeeping icon
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Housekeeping Services

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Personal Care Assistance

Types of Care at Grace Home

Assisted Living

Contact Grace Home

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 Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics worse than average are highlighted in red; those better than average are highlighted in green.

Since 2021 vs. California state average
Overall vs. California average 6 Worse Metrics worse than California average:
• Total citations (120% above)
• Serious citations (Type A) (333% above)
• Moderate citations (Type B) (125% above)
• Total visits (69% above)
• Other visits (114% above)
• Official inspections (25% above)
2 Better Metrics better than California average:
• Complaint visits (46% below)
• Complaint investigations (60% below)

Citations Info Citations are formal regulatory violations recorded during state inspections. California uses Type A (serious) and Type B (moderate) severity levels.

MetricThis FacilityCalifornia Averagevs. California Avg
Total citations Info Formal regulatory violations recorded by California Community Care Licensing Division (CCLD) inspectors across all inspection types. 2210 This facility has 120% more total citations than a typical California facility (22 vs. California avg 10).↑ 120% worse
Serious citations (Type A) Info Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action. 133 This facility has 333% more serious citations (type a) than a typical California facility (13 vs. California avg 3).↑ 333% worse
Moderate citations (Type B) Info Violations that do not pose an immediate risk but still represent a departure from required care or operational standards. Corrective action required within a specified timeframe. 94 This facility has 125% more moderate citations (type b) than a typical California facility (9 vs. California avg 4).↑ 125% worse

Inspections & Visits Info Regulatory visits include scheduled inspections, complaint investigations, and other on-site visits by state regulators.

MetricThis FacilityCalifornia Averagevs. California Avg
Total visits Info Combined count of complaint visits, other regulatory visits, and official scheduled inspections. 2716 This facility has 69% more total visits than a typical California facility (27 vs. California avg 16).↑ 69% worse
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. Fewer complaint visits generally indicate fewer reported concerns. 713 This facility has 46% fewer complaint visits than a typical California facility (7 vs. California avg 13).↓ 46% better
Other visits Info Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits. 157 This facility has 114% more other visits than a typical California facility (15 vs. California avg 7).↑ 114% 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 facility (5 vs. California avg 4).↑ 25% worse
Complaint Investigations Info Investigations triggered by formal complaints filed by residents, families, or staff. Complaint Investigations can result in multiple complaint visits. This home had 7 complaint visits. 410 This facility has 60% fewer complaint investigations than a typical California facility (4 vs. California avg 10).↓ 60% better

Read the full state inspection reports, including specific deficiencies and facility responses.

Show Inspection Reports

Financial Assistance for
Assisted Living in California

Grace Home is located in Orangevale, 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)

Low-Income Home Energy Assistance Program (LIHEAP)

CA LIHEAP

Age 60+ priority
General California resident, low-income, utility/heating need.
Income Limits (2025) ~$2,510/month 200% of poverty level, individual
Asset Limits Not applicable; income-focused.
CA

High demand in inland/coastal extremes; weatherization capped at $5,000/home.

Benefits
Utility payments (avg. $500-$1,000/year) Weatherization (e.g., insulation, avg. $1,000-$3,000 savings)

Places of interest near Grace Home

Address 2.0 miles from city center Info Estimated distance in miles from Orangevale's city center to Grace Home's address, calculated via Google Maps.

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Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Compare Assisted Living around Sacramento County The information below is reported by the California Department of Social Services and Department of Public Health.

Filter by care type
Almond Grove Assisted Living
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.

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Grand River Villa
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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.

West Sacramento (Mikon)43No 74 1011 53.5% Grv A Ca Corporation;CiminocarePrivate / Semi-private Rooms
Grace Home
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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.

Orangevale24No 68 5713- 91.7% -Private / Semi-Private Rooms
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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.

Sacramento (Southeastern Sacramento)6No 54 2572 100.0% Jazba Care Llc1 Bed / 2 Bed
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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.

Sacramento (Southwestern Sacramento)-Yes 30 000---Private Rooms

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