Fresno, California
River Bluffs Memory Care
Assisted Living · Memory Care
5425 West Spruce Avenue, Fresno, CA 93722
River Bluffs Memory Care in Fresno, California provides assisted living and memory care services in a community with 36 licensed beds.
- Licensed capacity
- 36 residents
Maximum licensed size, not current occupancy.
- Licensed since
- May 2020
License history may include previous operators.
State inspections
Review licensing, findings, and available inspection reports. A record is one part of understanding a community.
State record available
Complaint investigations · 3 years before our last check
- Type A citations
- 0
- Complaints with substantiated allegations
- 1
AI summary
River Bluffs Memory Care shows 2 Type A findings across 6.3 years of operation, with neither occurring in the past three years of dated visits.
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- Track record — Over more than six years of licensure, the community has accumulated 2 Type A citations (the most severe class, tied to resident safety or care) and 6 Type B citations (administrative issues like paperwork or posting requirements), a manageable count for a facility of this size and tenure.
- Recent 3 years — The last three years of dated inspections and complaint visits show no Type A citations and just one Type B finding, indicating the record has held steady or improved recently.
- Complaints — Complaint investigations (16 lifetime) have outpaced routine inspections (6 lifetime), which is common for memory care settings but worth noting; only about 7% of investigated allegations were substantiated, with most closed as unsubstantiated or unfounded.
- Operating tenure — With over six years of licensed operation and a consistent cadence of inspections, there is a reasonably solid track record to evaluate rather than a short or thin history.
Source: California Department of Social Services (CDSS)
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- License number
- License #107209048
- License status
- Licensed
Full history on file
These totals cover the available license history, including older findings. Citation totals include inspections, complaint visits, and other visits.
- Inspection visits
- 6
- Complaint investigation visits
- 16
- Type A citations · most severe class
- 2
- Type B citations · administrative
- 6
- Substantiated allegations
- 2
Available reports · 18
Facility evaluation
May 21, 2026
Complaint investigation
Aug 28, 2025
Complaint investigation
Aug 28, 2025
Facility evaluation
Aug 28, 2025
Facility evaluation
Jun 4, 2025
1–5 of 18 reports
Monthly pricing
Total monthly costs depend on room type, select services, and the level of care needed.
Assisted LivingStarting at$4,800 / mo
- Private Rooms
- $4,800 / mo
- Studios
- $5,200 / mo
- 1-Bedroom
- $6,100 / mo
Financial Assistance
What is the ALW?
The Assisted Living Waiver is a Medi-Cal program that pays for assisted living care in place of a nursing home. Residents must be on Medi-Cal (no share of cost) and meet a nursing-facility level of care; only communities enrolled with the state can accept it.
Listed as a participating provider by the California Department of Health Care Services (Jan 2026 list).
Care & support
Daily Care Services
9 services
- Medication management
- 24-hour supervision
- Activities of daily living (ADL) assistance
- Bathing & dressing assistance
- Mobility assistance
- Non-ambulatory care
- Wheelchair accessible
- Incontinence care
- Diabetes / insulin management
Specialized Care
1 service
- Dementia care
Memory Care
2 services
- Dementia-certified staff
- Specialized memory care activities
Daily life & programs
Spaces & services
Amenities
18 features
- Furnished units
- Emergency call system
- Housekeeping Included
- Private bathroom
- Wi-Fi / Internet
- Kitchenette
- Cable TV
- Air conditioning
- Fitness center / Gym
- Spa services
- Game room / Billiards
- Movie theater / Media room
- Activity room
- Art studio / Craft room
- Library / Reading room
- Laundry service / Dry cleaning
- Pet Friendly
- Beauty salon / Barber
Outdoor Spaces
3 features- Walking paths
- Garden / Courtyard
- Outdoor common space
Dining Options
8 features
- Room service
- All-day / Flexible meal times
- Accommodates special diets
- Restaurant-style dining
- Professional chef
- Vegetarian/Vegan Options
- Private Dining Room
- International cuisine
Transportation
1 feature- Scheduled transportation
Family & Visitors
1 feature- Family support services
Community Services
2 features- Move-in coordination
- Concierge services
Reviews
Online reputation
5.0Average RatingAveraged from 38 reviews published on other websites
AI review summary
Most families praise the compassionate, dementia-savvy staff and homey environment, but a few serious complaints about neglect, billing, and refund practices warrant careful questions before moving in.
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- Staff & care — Reviewers repeatedly describe staff as loving, patient, and skilled at working with residents through the challenges of dementia rather than sedating them.
- Dining — Many families highlight generous, appealing meals, with one describing the dining presentation as looking like a banquet.
- Atmosphere & grounds — The community is frequently called clean, homey, and well laid out, with a garden residents enjoy walking in.
- Communication — Several reviewers note staff and administrators, especially named leaders Donna and Alexis, keep families closely updated and are reachable any time with questions.
- Activities — Families mention a range of daily activities like painting, cooking, and music that keep residents engaged.
- Financial transparency — Multiple reviewers describe serious difficulty getting prorated refunds after a loved one passed away or moved out, with delays stretching from weeks to over a year in one case.
- Staff & care — One review describes a troubling lapse in supervision, including hygiene neglect and missing personal belongings, so families should ask about staffing ratios and accountability practices.
- Atmosphere & grounds — A couple of reviewers found the community too big and noisy for a resident used to quiet, worth checking against your loved one's sensory needs on a tour.
- Value & pricing — Ask how billing works at end of stay or when care needs change, since experiences with refunds and prorating have been inconsistent.
The rating above is averaged from reviews published on other websites. Reviews below are written by families on Senior Places.
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