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Memory Care Home

River Bluffs Memory Care

Memory Care Home

River Bluffs Memory Care

5425 W Spruce Ave, Fresno, CA 93722 View map
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.

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 36

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the California average
Occupancy rate 91.7%
Residents per day 33
Occupancy rate
91.7%
Residents per day
33
Bed community size
36-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
5 years in operation
An established community with some operational experience and growing routines.
Walk Score
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%
26% higher than California average

California average: 73%

Occupied beds
33 / 36
Average residents 87 per day

License details

Facility type
Residential Care Elderly
Status Licensed
Issuance May 4, 2020
County: FRESNO

Additional licensing details

RCFE Number: LIC#107209048

Ownership & operating entity

River Bluffs Memory Care is legally operated by SIERRA MEADOWS SENIOR CARE, INC..

Care Services

Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs

All Levels of Care

Memory Care

Programs & Activities

Specific Programs
Memory care services, Life enrichment programming, Person-centered care

What does this home offer?

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Health Programs icon

Health Programs

Types of Care at River Bluffs Memory Care

Memory Care
Contact River Bluffs Memory Care

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.

23 visits

California average: 16 visits

Breakdown by visit type

18 total complaint visits

5 other visits Info Other visits include regulatory visits that are not routine inspections or complaint investigations, such as administrative check-ins, follow-up reviews, or licensing-related visits.

California average

13 total complaint visits

7 other visits

11 complaint investigations

Investigations can have many visits.

California average: 10 complaint investigations

5 official inspections

California average: 4 official inspections

8 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

California average: 10 citations

2 serious citations

A violation that poses an immediate risk to resident health or safety, or represents a substantial failure to comply with licensing requirements.

California average: 3 serious citations

6 moderate citations

A violation that does not pose an immediate risk to resident health or safety but requires correction to remain in compliance.

California average: 4 moderate citations

Latest inspection

Date:August 28, 2025
Type:Complaint Investigation

8 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for River Bluffs Memory Care

Most inspections found no deficiencies, with several complaint investigations unsubstantiated or unfounded. The facility generally maintained compliance with infection control, safety, and resident care standards. However, some deficiencies were cited over time, mainly involving storage and access to hazardous items, bathroom cleanliness, medication documentation, and exceeding hospice care waiver capacity. The most recent report from August 28, 2025, cited a deficiency for lack of a physician’s order for postural supports and unsafe bed side rail use, but no severe enforcement actions or fines were listed in the available reports. There is no clear pattern of worsening or improvement, as some issues were resolved promptly while others recurred intermittently.

Compare Memory Care around Fresno County The information below is reported by the California Department of Social Services and Department of Public Health.

Countryside Care 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).

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.

Fresno (Westside)
59
-
1
92.1%
-
-
-
-
-
-
Elim Place
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.

Sanger
44
A+
81
59.1%
-
-
2
-
5TH STREET 1808 LLC
Semi-Private Rooms
River Bluffs Memory Care
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.

Fresno
36
-
45
91.7%
5
18
2
5
SIERRA MEADOWS SENIOR CARE, INC.
-
Gettysburg Christian Home
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.

Fresno
18
-
57
61.1%
-
-
0
-
GETTYSBURG MERCY CARE LLC
Semi-Private Rooms
Graysful Living
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.

Fresno
6
-
65
100.0%
4
-
1
15
GRAYSFUL LIVING, LLC.
-

Places of interest near River Bluffs Memory Care

Address 11.2 miles from city center

Address 5425 W Spruce Ave, Fresno, CA 93722

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Financial Aid for California Seniors

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Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+, California resident, Medi-Cal eligible, nursing home risk.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

County-managed; waitlists possible.

In-Home Supportive Services (IHSS)

California IHSS

Age 65+, California resident, Medicaid-eligible or low-income.

~$1,732/month (individual, Medi-Cal threshold).

$2,000 (individual).

Can hire family as caregivers.

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+, California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

Available in 38 counties; waitlists common.

Property Tax Postponement Program (PTP)

CA PTP

Age 62+, California resident, own and live in home, 40% equity.

~$51,500/year (household, adjusted annually).

Equity-based; no strict asset cap.

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

California CARES Program

CA CARES

Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.

No strict limit; cost-sharing above ~$2,500/month threshold.

Not applicable; need-based.

High demand in urban areas; complements IHSS respite.

Low-Income Home Energy Assistance Program (LIHEAP)

CA LIHEAP

Age 60+ priority, California resident, low-income, utility/heating need.

~$2,510/month (200% of poverty level, individual).

Not applicable; income-focused.

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

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