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.

Bed community size
36-bed community Rank #1239 / 1658Bed count — State benchmarkedThis home is ranked 1239th out of 1658 homes in California for bed count. Shows this facility's certified or reported bed count compared to other California SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.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
6 years in operation Rank #885 / 1487Years in operation — State benchmarkedThis home is ranked 885th out of 1487 homes in California for years in operation. Shows how long this facility has been in operation compared to other California SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 45 / 100 Rank #1475 / 2093Walk Score — State benchmarkedThis home is ranked 1475th out of 2093 homes in California for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across California SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
92%
Rank #274 / 1530Occupancy rate — State benchmarkedThis home is ranked 274th out of 1530 homes in California for occupancy rate. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 1530. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the California average: 72.8%
Occupied beds
33 / 36
Average occupied beds in California homes 87 beds

License Details

Facility TypeResidential Care Elderly
StatusLicensed
IssuanceMay 4, 2020
CountyFresno
RCFE NumberLIC#107209048

Ownership & Operating Entity

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

Staffing

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

Leadership

ContactMs. Donna Hurley, Manager

Staffing & Medical

1 service
Licensed Nurses/CNAs

Amenities & Lifestyle

Specific ProgramsLife enrichment programming

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.

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.

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

Inspection score: 76 out of 100. Letter grade C. 5 points below 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 2020 vs. California state average
Overall vs. CA average 5 Worse Metrics worse than California average:
• Moderate citations (Type B) (50% above)
• Total visits (69% above)
• Complaint visits (31% above)
• Official inspections (25% above)
• Complaint investigations (10% above)
5 Better Metrics better than California average:
• Total citations (20% below)
• Serious citations (Type A) (33% below)
• Citations per year (24% below)
• Citations per inspection (91% below)
• Other visits (29% below)
Latest Inspection August 28, 2025

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. 810 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) 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. 23 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.
Moderate citations (Type B) Info Violations that do not pose an immediate risk but still represent a departure from required care or operational standards. 64 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 Info Average citations per year since 2020. 1.31.7 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 Info Average citations per inspection. 0.33.3 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 Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityCA Averagevs. CA 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 assisted living residence (27 vs. CA avg 16).↑ 69% worse
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. 1713 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.
Other visits Info Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits. 57 This facility has 29% fewer other visits than a typical California assisted living residence (5 vs. CA avg 7).↓ 29% better
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 assisted living residence (5 vs. CA avg 4).↑ 25% worse
Complaint investigations Info On-site investigations triggered by complaints filed with California regulators. 1110 This facility has 10% more complaint investigations than a typical California assisted living residence (11 vs. CA avg 10).↑ 10% worse

Inspection Reports Summary Info 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.

What does this home offer?

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Building type icon

Building Type: Single-story

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Health Programs

Places of interest near River Bluffs Memory Care

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

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Financial Assistance for
Memory Care in California

River Bluffs Memory Care is located in Fresno, 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)

Compare Memory Care around Fresno County

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

Filter by care type
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
Facility 59
CA AVG 103
Rank #1092 / 1658
No
1
Facility 1
CA AVG 57
Rank #2061 / 2093
----
92.1%
Facility 92.1%
CA AVG 74.8%
Rank #234 / 1368
---
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
Facility 44
CA AVG 103
Rank #1187 / 1658
No
81
Facility 81
CA AVG 57
Rank #384 / 2093
-
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 LLCSemi-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
Facility 36
CA AVG 103
Rank #1239 / 1658
No
45
Facility 45
CA AVG 57
Rank #1475 / 2093
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 #885 / 1487
91.7%
Facility 91.7%
CA AVG 74.8%
Rank #244 / 1368
-Sierra Meadows Senior Care, Inc.-
Gettysburg Christian Home
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.

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.

Fresno
18
Facility 18
CA AVG 103
Rank #1294 / 1658
No
57
Facility 57
CA AVG 57
Rank #1158 / 2093
-
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 LLCSemi-Private Rooms

Frequently Asked Questions about River Bluffs Memory Care

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 deficiencies or citations?

River Bluffs Memory Care has had 8 recently reported deficiencies.

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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