Twin Rivers At Natomas is a residential care home for the elderly (RCFE) in Sacramento, Sacramento County, California — state license #342700012, licensed for 48 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It appears on the DHCS Assisted Living Waiver participant list checked August 9, 2026, so Medi-Cal may help pay for care services here. California has 17 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated June 3, 2026 — published below in full, verbatim and unscored.
No photo of this home is on file — we show real, attributed images only, never a stock photo of someone else’s building.
Since 2021, the state has visited this home 18 times and filed 17 documents. The most recent is a facility evaluation report, dated June 3, 2026.
The state's published file for this home includes 4 documents with transcribed findings, dated April 11, 2025 to March 20, 2026. 4 of the 4 carry the state's recorded outcome word: “Unfounded” (2), “Unsubstantiated” (2). 4 include the transcribed allegation the state investigated, word for word.
Summary composed by computer from the 4 documents below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.
What the state’s words mean
Jun 3, 2026Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Mar 20, 2026Unsubstantiated
Allegation investigated: Staff member engaged in inappropriate activity with resident in care. Staff mismanage residents' medications.
Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to deliver the findings for the allegations cited above. LPA met with Assistant Administrator and explained the purpose of the visit. For allegation of Staff member engaged in inappropriate activity with resident in care, based on interview conducted with resident (R1) it revealed that R1 did text staff (S1) outside of work hours but it was not sexual. R1 then deleted most of the text messages as advised by S1. R1 was adamant the relationship was platonic. Based on the text messages LPA observed from R1's phone, it revealed that S1 was texting R1 good night along with emojis. For allegation of Staff mismanage residents' medications, based on interviews conducted with medication technicians, it revealed that part of the policy is to confirm that residents consumed the medication before leaving the room. Interview with MT1 and MT3 revealed there was times where residents did not have enough water where they had to leavethe state’s words, verbatim · CDSS document, Mar 20, 2026 · control 59-AS-20260113121743
Mar 17, 2026Unsubstantiated
Allegation investigated: . Facility is malodorous. 2. Facility is not ensuring that residents utilize resident's assistive devices. 3. Facility staff are not ensuring to protect resident's property.
LPA Hiratsuka conducted the investigation into the allegations above. LPA Hiratsuka conducted interviews, reviewed files, and walked around. 1. LPA observed one resident's room to have a urine smell. LPA observed staff were still in the process of cleaning resident rooms. Once the bed was changed the smell disapated. Staff stated they check on residents every two hours or as needed and this one room both residents can be difficult with assistance to use the bathroom and incontinent care during the hours the residents sleep. LPA and administrator discussed options and other ways to assist the residents with incontinent care. LPA cannot prove or disprove the staff are not keeping the facility free of odors due to not cleaning. LPA did not observe any other issues with the physical plant. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 17, 2026 · control 59-AS-20251229130101
Feb 25, 2026Unfounded
Allegation investigated: Staff do not ensure the residents are served nutritious meals
On February 25, 2026, Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to conduct an investigation regarding the allegation cited above. LPA met with Administrator and explained the purpose of the visit. Allegation of: Staff do not ensure the residents are served nutritious meals, the Department conducted interview with Administrator, which revealed that staff do eat the leftover food but do not serve themselves first. It was mentioned by a cook that after dinner was served, residents were able to receive a second round of Sloppy Joes. Once confirmed that all residents were full, leftovers were given to staff. Then shortly afterwards, a resident stated they wanted another Sloppy Joe as well but there was none more. Cook did offer to make resident an alternative meal of grilled cheese which resident accepted. Interview conducted with facility cook revealed that meals at the facility are not for staff unless at the end if there is an overflow. Please continue LIC 9099-the state’s words, verbatim · CDSS document, Feb 25, 2026 · control 59-AS-20260220130912
Dec 8, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Jun 17, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Jun 5, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
May 22, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Apr 11, 2025Unfounded
Allegation investigated: Due to lack of supervision, resident assaulted another resident
On April 11, 2025, Licensing Program Analsyt (LPA) Cassie Yang arrived unannounced at the facility to investigate the allegation of the complaint listed above. LPA met with medication technican and Assistant Administrator and explained the purpose of the visit. Today's investigation, LPA conducted extensive file reviews and interviews. Result of investigation is as follow on LIC 9099-C. Unfoundedthe state’s words, verbatim · CDSS document, Apr 11, 2025 · control 59-AS-20250401103006
Mar 11, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Jan 31, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Jan 31, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Sep 25, 2024Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
May 15, 2024Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Year-by-year trend
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Is Twin Rivers At Natomas licensed?
Yes — Twin Rivers At Natomas is a licensed residential care home for the elderly (RCFE) in Sacramento (Sacramento County): California license #342700012, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 48 residents. State records list 17 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated June 3, 2026, appears in the inspection record on this page.
Can Twin Rivers At Natomas care for dementia, hospice, bedridden, or non-ambulatory residents?
From the CDSS license record, checked August 2, 2026.
The CDSS license record checked August 2, 2026 lists Twin Rivers At Natomas with clearances for wheelchair / non-ambulatory, dementia / memory care, and hospice care; it does not list bedridden. A clearance that is not on file is not a “no” — it may simply be unrecorded, so if your family needs one of these, ask the home directly and confirm its current scope on a tour.
From the California state record. Some approvals are bed- or room-specific — always confirm current scope with the facility.
What the state record says, word for word
Verbatim, from the CDSS license recordAGE RANGE 60 AND OVER. 48 NON-AMBULATORY. HOSPICE WAIVER FOR 4.
How much does Twin Rivers At Natomas cost?
California's public licensing record does not include Twin Rivers At Natomas's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in Sacramento County typically runs $5,000–$7,500/mo and small board-and-care homes $4,000–$6,500/mo (market research compiled June 2026 — ranges, not quotes; California's 2026 SSI/SSP board-and-care payment standard is $1,626.07/month, of which $1,444.07 is the room-and-board portion paid to the home). Ask the home for its own rate sheet and what the base rate includes — or use the cost section at the top of this page.
Does Twin Rivers At Natomas accept Medi-Cal or the Assisted Living Waiver?
Yes — Medi-Cal can help pay for care at Twin Rivers At Natomas through California's Assisted Living Waiver (ALW): the home appears on the Department of Health Care Services participant list checked August 9, 2026. The waiver pays for assisted-living care services — not room and board — for eligible Medi-Cal members, and each home takes a limited number of waiver residents, so ask the home about a current ALW opening.
Medi-Cal / ALW homes in Sacramento County →Assisted living on Medi-Cal in California →See the DHCS list →
41 of 48 beds occupied (85%) when the state visited on March 20, 2026. Availability changes constantly — confirm a current opening with the home.
What do state inspections show for Twin Rivers At Natomas?
Verbatim from CDSS complaint-investigation reports — the state's own words, never summarized by us. Record checked August 2, 2026.
The CDSS state record checked August 2, 2026 lists 18 state visits and 17 dated documents since 2021 for Twin Rivers At Natomas; 4 complaint-investigation narratives are transcribed verbatim below. The most recent, dated March 20, 2026, records an allegation the state marked “Unsubstantiated”. Open any entry to read the state's full finding, word for word.
Most licensed homes receive some findings over 36 months; what matters is what was found and whether it was corrected. Counts here are shown compared with homes of similar size, and the state's own words appear in full below.
2026
2025
Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.
What the state has logged
California has logged 18 state visits for this home as of August 2, 2026. These are the home's own counts, straight from that record — shown beside the statewide median for larger communities (16+ beds), computed across all 1,244 licensed homes of that size, because larger and longer-licensed homes naturally accumulate more visits and reports. They are facts, not a grade — a citation may be minor and since corrected, and an “unsubstantiated” complaint is not a finding of wrongdoing. No substantiated complaints are on file.
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