Small home · Licensed for 4 · Fresno

Sierra Palace for Elderly

547 W Bullard, Fresno, CA 93704Licensed since 2026

Overview

Estimated starting rate

$3,900 a month

Covelight estimate · likely $3,200–$4,800 See costs

No openings reported

Approved by the state: Wheelchair · BedriddenState licensing record · October 26, 2026
Licensed for 4: a small care homeThe state license record

Ask this home

Check availability

Request a tour

More days

AskThe cost, or your own question

Free for families. A home gets your number only if you say yes.

Care and support

Wheelchairup to 4 residents
Bedriddenup to 1 resident

Not on file: dementia and hospice approvals.

Approved by the state · State licensing record · October 26, 2026. An approval may cover specific rooms or residents; it does not establish an opening.

Read the state’s own wording

AGE RANGE 60 AND OVER. 4 NON-AMBULATORY, OF WHICH 1 MAY BE BEDRIDDEN. BEDROOM #1 APPROVED FOR BEDRIDDEN.

935 - ELDERLY

CDSS record, verbatim · October 26, 2026

As needs change

We’ll ask for you. Not on file for Sierra Palace for Elderly: two-person transfers or a lift, who is awake overnight, help with medicines, staying through hospice and care if memory loss develops. When we check availability, we ask about these too.

Check availability

What it costs here

Covelight estimate

$3,900a month to start

Likely $3,200–$4,800

From 8 nearby homes that publish rates · this home’s rate is not on file

Monthly cost breakdownWith a shared room and basic help · room, care and fees$3,900likely a month

Room

Daily care

Sharing the room

Memory care is not priced here: a dementia-care designation is not on file for this home. Ask the home.

Starting monthly rate$3,900likely $3,200–$4,800
Covelight’s estimate starts from the rates 8 small homes and similar homes within 10 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.
Basic help with daily careUsually includedup to $600
Basic help is usually part of the starting rate. Homes that price care by level start around $600 a month (44 California homes publish a care-level range, seen in September 2026).
One-time move-in fee$2,500one time · likely $0–$4,000
Homes that list a one-time entry or community fee charge a median of $2,500 (133 California listings; middle half $1,000–$4,000). Many homes list none — ask.

Likely monthly totalLikely $3,200–$5,000: $3,900
First monthWith a one-time move-in fee · likely $3,800–$8,250: $6,400

How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance

MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
Private payMost residents pay from savings, a home sale or family help. Ask for the rate and what it includes in writing.
Medi-Cal Assisted Living WaiverThis home is not on the DHCS participation list dated October 1, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
SSI/SSPCalifornia’s 2026 standard is $1,626.07 a month; $1,444.07 of it goes to the home and $182 stays with the resident. Whether this home accepts it is not on file — ask.
VeteransVA Aid & Attendance can add to a veteran’s or surviving spouse’s pension. Ask whether residents here have used it.
Long-term care insuranceMost policies pay for licensed care homes. Ask what paperwork the home provides for claims.

If the money runs out, what Medi-Cal covers

Rates at nearby homes8 nearby homes publish starting rates of $2,800 to $6,000

8 homes like this within 10 miles publish starting rates mostly between $2,800–$5,300.

Joyful Living RcheFresno · 0.7 mi · Small home
$3,600Listed on Seniorly · assisted living · seen September 9, 2026
Palo Alto Senior Care HomeFresno · 0.8 mi · Small home
$3,000Listed on Seniorly · assisted living · seen September 9, 2026
Green VillaFresno · 1.0 mi · Small home
$5,000Listed on Seniorly · assisted living private room · seen September 9, 2026
Copper River Retirement GroupFresno · 5.2 mi · Small home
$2,800Listed on its own website · fully furnished shared room starting at · seen October 27, 2026
Copper River Retirement Group - LoyolaClovis · 5.3 mi · Small home
$2,800Listed on its own website · fully furnished shared room starting at · seen October 27, 2026
Carmel Village Memory CareClovis · 6.5 mi · Mid-size home
$6,000Listed on Seniorly · independent living private cottage/casita · seen September 9, 2026
Serenity Garden Home 2Fresno · 8.3 mi · Small home
$4,000Listed on Seniorly · seen September 9, 2026
Close to Home Residential CareFresno · 9.8 mi · Small home
$5,700Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026

How this estimate worksWithin 25% for 7 in 10 homes in testing

Covelight’s estimate starts from the rates 8 small homes and similar homes within 10 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

Only prices a home put out itself count: its own website, a listing it supplied, or a price Seniorly says the home confirmed. Prices a listing site shows without saying where they came from are left out.
Nearby homes are the nearest of the same size that publish a rate, widening from 3 to 40 miles until at least 8 do. The estimate starts from what they charge, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices.
Room, care-level, second-person and move-in lines come from what California homes publish on listing sites. Memory care uses Covelight’s researched premium over assisted living.
Totals add each line’s figure and combine the lines’ ranges as separate charges, because a home is rarely at the top, or the bottom, of every line at once.
We tested this estimate on 1,546 California homes that publish their own starting rate. It was within 10% of the real rate for 3 in 10 homes and within 25% for 7 in 10; the likely range held the real rate for 6 in 10 (September 12, 2026).
It cannot see this home’s specials, how it assesses care, or which rooms are open.

Avoid surprises on the billWhat changes the price, and what to ask

The care level
Some homes charge one all-inclusive rate. Others add levels or points as needs grow. Ask how the level is set, who decides, and what the next level costs.
What is billed separately
Medication management, incontinence supplies, transportation and a second person in the room are often extra. Ask for the list in writing.
Move-in costs
A one-time move-in fee or deposit is common. Ask what it covers and whether any of it comes back if the stay is short.
Increases
California requires at least 90 days’ written notice, with reasons, before a rate rises (Health & Safety Code §1569.655). A change in the resident’s care level is the section’s own exception and can be billed sooner.

Ask for the price

An estimate for planning, not a quote. A home sets the price after hearing about the care needed.

Daily life

Daily life here is not on file yet. Most small homes haven’t published it, and that says nothing about the home.

The best way to see it is a visit.

Request a tour

Where it is

547 W Bullard, Fresno, CA 93704Address from the public record · October 26, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

Fresno Surgical HospitalHospital · General acute care, on the state’s list1.2 mi

Straight-line distances; check the drive or the walk. Hospital: the nearest general acute care hospital on the state’s list (CDPH, September 16, 2026).

Open directions

The state record

California inspects every licensed home and publishes what it found. A citation does not make a home unsafe, and an empty file does not make a home good.

CDSS public record, read October 26, 2026 · License #107209583 · See the state’s own record

The last 36 months — 2 of 2 documents

20261 state visit · 1 document

Jan 15, 2026Facility evaluation reportPrelicensingReport on file

Type of visit: Prelicensing

On 1/15/2026 Licensing Program Analyst (LPA) B. Miranda arrived at the facility announced to conduct a pre-licensing inspection. LPA met with Administrator Elizabeth Perera- Moreland. LPA toured the facility and observed the following issues needing to be fixed. Carpet to be cleaned or replaced Shower curtains to be put in bathrooms Bathroom sinks to be refurbished or replaced Gate to be fixed or boards to be replaced (Right gate when facing the front of the house) Administrator will send pictures to the Dept. to verify corrections have been made. Exit interview was conducted and copy of this report was provided to Administrator Elizabeth Perera- Moreland.the state’s words, verbatim · CDSS document, Jan 15, 2026

20251 state visit · 1 document

Dec 22, 2025Facility evaluation reportPrelicensingReport on file

Type of visit: Prelicensing

On 12/22/2025 Licensing Program Analyst (LPA) B. Miranda arrived at the facility announced to conduct a pre-licensing inspection. LPA met with Administrator Elizabeth Perera- Moreland. LPA toured the facility and observed the following issues needing to be fixed. Kitchen cabinets needing to be wiped down on the inside. Water heater(s) needing to be corrected so temperature can fall between 105-120 degrees Fahrenheit. Follow-up with Fire Dept regarding latch on sliding door. Broken fence planks will be fixed and nails will be fixed to not stick out. Small opening in far right corn of fence will be fixed to cover opening. From the backyard facing the house the left side gate will have chain removed and latch fixed. From the backyard facing the house the right side backyard of the house will have extra boards removed, water heater door placed back on, and screens replaced for crawl space. Railing in back yard needs to be fixed and painted. Extra linen needs to include an extra blankets and pillow cases for each room. Once residents move in extra hygiene products will be stored at facility. Telephone service will be corrected. Wipe down bathrooms & clean/repaint closets and under bathroom sinks. Follow-up visit scheduled 1/5/2025 for LPA to observe corrections. Exit interview was conducted and copy of this report was provided to Administrator Elizabeth Perera- Moreland.the state’s words, verbatim · CDSS document, Dec 22, 2025

License holder

Sierra Palace for Elderly, Inc., licensed since 2026.

The state’s totals for this licenseSince 2026, as the state’s facility page counts them

State visits on file: 2
Total complaints: 0
Substantiated allegations: 0
Type A citations: 0
Type B citations: 0

These are the state’s own totals for this license since 2026, per CDSS records. The state counts them apart from the documents above, and they can differ from what those documents show; the documents say what each visit found. One complaint can contain several allegations.

Compare with homes the same size

	This home	Typical
Type A citations	0	0
Type B citations	0	0
Substantiated allegations	0	0
Total complaints	0	0

“Typical” is the statewide median for licensed homes this size. It does not adjust for years licensed, and older licenses have had more visits and reports. The median is across the 6,916 licensed small board-and-care homes (6 or fewer beds) in the state record. The figures compared are the state’s totals, not the documents.

What the state’s words mean

Routine visita visit the state records as “Required” — a scheduled visit, not one made in answer to a complaintSubstantiatedthe state found the allegation more likely true than notUnsubstantiatedthere was not enough evidence to prove a violation occurred — not a finding of wrongdoingUnfoundedthe evidence showed the allegation was false, could not have happened, or had no reasonable basisType A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗

An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record, and we publish no reviews — the state’s dated documents stand in their place.

Open CDSS facility search ↗Report a record error Operate this home? Respond or correct, free →

Frequently asked questions

A citation does not make a home unsafe, and an empty file does not make a home good.

Quick answers about Sierra Palace for Elderly

Is Sierra Palace for Elderly licensed?

The state lists this license as “Licensed,” per CDSS records as of October 26, 2026.

How many residents is Sierra Palace for Elderly licensed for?

4 residents — a small home, per CDSS records as of October 26, 2026.

Has Sierra Palace for Elderly been cited?

0 Type A and 0 Type B citations since 2026, per CDSS records as of October 26, 2026. Those records count 2 state visits over the same years.

Is Sierra Palace for Elderly still open?

This license was on the CDSS roster as of November 10, 2026.

What does Sierra Palace for Elderly cost?

$3,900 a month to start is a Covelight estimate, likely $3,200–$4,800. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Among 6 other homes of a similar licensed size in Fresno that publish a starting rate, the middle half runs $3,000 to $5,000 a month, and the middle figure is $3,800 (n = 6 other homes publishing a starting rate).

Each of those is a home’s own published figure, gathered on its own date between September and October 2026 — not an average of ours, and not a survey. Similar size means small and mid-size homes counted together, and large communities counted on their own, because they are different markets.

A home outside the band is not overcharging or underpricing: a starting rate covers different things in different homes, which is the first thing to ask about.

The price is made in the phone call. Nothing here is a quote, an offer or a discount.

A starting rate is the room and the base care. California homes commonly bill care levels, medication management, supplies, transport and a second person in the room as extras. Many also charge a one-time fee at move-in. Ask for that list in writing before anything is signed.

Only prices a home put out itself count here: its own website, a listing it supplied, or a price a listing site says the home confirmed. Prices a site shows without saying where they came from are left out.

Does Sierra Palace for Elderly take Medi-Cal?

On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated October 1, 2026. Ask the program about current options. The waiver pays for care services, not room and board.

Who holds the license?

The license is held by Sierra Palace for Elderly, Inc., per CDSS records as of October 26, 2026.

Is there a hospital nearby?

Fresno Surgical Hospital is 1.2 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Sierra Palace for Elderly keep a resident on hospice?

Not on file — the state’s record does not list hospice care on this license. Ask: “Can a resident stay here on hospice, and under what conditions?”