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Small home · Licensed for 6 · Carmichael
New Life
6307 Grant Ave, Carmichael, CA 95608Licensed since 2019
Overview
No openings reported
- Approved by the state: Wheelchair · HospiceState licensing record · October 26, 2026
- Licensed for 6: a small care homeThe state license record
Ask this home
Free for families. A home gets your number only if you say yes.
Care and support
- Wheelchairup to 6 residents
- Hospiceup to 4 residents
Not on file: dementia and bedridden 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; APPROVED FOR CAPACITY OF 6 NON-AMBULATORY; APPROVED FOR HOSPICE WAIVER FOR 4 HOSPICE RESIDENTS.
935 - ELDERLY
CDSS record, verbatim · October 26, 2026
As needs change
Staying through hospice
Hospice waiver on file · covers up to 4 — care may continue at the end of life
State licensing record · October 26, 2026
We’ll ask for you. Not on file for New Life: two-person transfers or a lift, who is awake overnight, help with medicines and care if memory loss develops. When we check availability, we ask about these too.
Check availabilityWhat it costs here
Covelight estimate
$4,200a month to start
Likely $3,450–$5,200
From 11 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$4,200likely a month
Memory care is not priced here: a dementia-care designation is not on file for this home. Ask the home.
Starting monthly rate$4,200likely $3,450–$5,200
Covelight’s estimate starts from the rates 11 small homes and similar homes within 3 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 $3,450–$5,400
- $4,200
- First monthWith a one-time move-in fee · likely $4,050–$8,600
- $6,700
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.
Rates at nearby homes11 nearby homes publish starting rates of $3,300 to $6,000
11 homes like this within 3 miles publish starting rates mostly between $3,450–$5,000.
- Splendor Oaks Senior Living 1Carmichael · 0.7 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Madison Square Senior Living IICarmichael · 0.9 mi · Small home$4,000Listed on Seniorly · seen September 9, 2026
- Hollister Care HomeCarmichael · 1.0 mi · Small home$4,500Listed on Seniorly · seen September 9, 2026
- Cozy Home CareCarmichael · 1.2 mi · Small home$5,000Listed on Seniorly · assisted living · seen September 9, 2026
- Abundant Love and Care for the ElderlyCarmichael · 1.9 mi · Small home$3,300Listed on A Place for Mom · seen September 9, 2026
- Magnolia Elderly Care HomeFair Oaks · 2.2 mi · Small home$6,000Listed on Seniorly · assisted living · seen September 9, 2026
- Marylou's Home CareSacramento · 2.6 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Norris Senior HomeSacramento · 2.6 mi · Small home$5,000Listed on Seniorly · assisted living private room · seen September 9, 2026
- Royal Gardens Elder CareRancho Cordova · 2.7 mi · Small home$5,000Listed on A Place for Mom · seen September 9, 2026
- Eastern ManorSacramento · 2.7 mi · Mid-size home$3,800Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Meraki of SacramentoSacramento · 2.9 mi · Mid-size home$3,500Listed on Seniorly · seen September 9, 2026
How this estimate worksWithin 25% for 7 in 10 homes in testing
Covelight’s estimate starts from the rates 11 small homes and similar homes within 3 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.
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 tourWhere it is
6307 Grant Ave, Carmichael, CA 95608Address from the public record · October 26, 2026. Confirm the entrance with the home before visiting.
Opening the neighborhood map…
- Mercy San Juan Medical CenterHospital · General acute care, on the state’s list2.8 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 directionsThe 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 #342700429 · See the state’s own record
The last 36 months — 5 of 8 documents
Complaint outcomes in these 36 months, in the state’s words: 1 “Unfounded”.
20253 state visits · 4 documents
Dec 17, 2025Complaint investigation reportUnfounded
Allegation investigated: Staff do not ensure the facility is properly maintained Staff do not prevent resident from selling drugs on the facility premises
On 12/17/2025, Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to deliver final findings to a complaint Community Care Licensing (CCL) received on 10/01/2025. LPA met with Administrator Vlad Custura and explained the purpose of the visit. During the course of the investigation, the Department conducted interviews and walked through the facility Please continue to LIC9099C… Unfounded Allegation: Staff do not ensure the facility is properly maintained – Unfounded On 10/07/2025 LPA Ratajczak and Administrator conducted a walkthrough of the facility. The backyard and front yard were both properly maintained. LPA observed the facility to have a pile of debris on the side of the house. Administrator showed proof to LPA that the facility had a scheduled pick up on 10/07/2025. After LPAs visit LPA received a photo confirmation from the administrator that all the debris had been picked up the next morning. Allegation: Staff do not prevent resident from selling drugs on the facility premises- Unfounded LPA conducted interviews with facility staff and residents. Administrator does have a designated smoking area in the backyard for those that smoke cigarettes. Additionally, Administrator stated they do have a resident that spends a lot of time in the backyard. This resident has family and friends that come to visit and some days instead of using the front door they will come through the facility side gate. Administrator stated that they will have all visitors using the front door if needed going forward. Based on information obtained through interviews, the Department finds the allegation to be UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of the report was left at the facility.the state’s words, verbatim · CDSS document, Dec 17, 2025 · control 59-AS-20251001144806
Dec 17, 2025Facility evaluation reportRoutine visitReport on file
Type of visit: Required - 1 Year
On 12/17/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a required one year annual inspection. LPA met with Administrator Vlad Custura and explained the purpose of the visit. LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: resident bedrooms, bathroom, laundry room, kitchen, backyard and common areas. In areas toured no immediate health, safety and personal rights violation observed. LPA conducted a file review of facility fire drill record. LPA did not observe any drills being conducted for the year of 2025. LPA informed facility they are to conduct fire drills quarterly. LPA conducted a file review of six (6) residents files. All files were incomplete with missing or incomplete documents. R1 and R2 are missing Physicians report (LIC602) and Needs& Service plan. R3 and R4 are missing admission agreements, ID page, Consent forms, Needs&Service and personal rights. R5 is missing their Needs&Service plan and personal rights. R6 documents are from their pervious facility and need to be switched to current facility. LPA conducted a file review of one (1) staff file. Staff file was missing Health screening and annual training. As a result of today's visit deficiencies cited on LIC809D. Exit interview conducted a copy of the report, appeal rights and LIC809G was left at the facility.the state’s words, verbatim · CDSS document, Dec 17, 2025
Mar 25, 2025Facility evaluation reportCase Management - Health ChecksReport on file
Type of visit: Case Management - Health Checks
Licensing Program Analyst (LPA) Michael Hood arrived at the facility to conduct a health and safety check and follow-up regarding technical assistance that was provided to the facility during an inspection conducted on 2/19/2025. During today's inspection, LPA toured the facility and reviewed documentation for centrally stored medications. As a result of today's inspection, no deficiencies are being cited. Exit interview was conducted. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Mar 25, 2025
Feb 19, 2025Facility evaluation reportRoutine visitReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 2/19/25 to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and four (4) bathrooms for resident use, as well as two (2) bedrooms for staff use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 109 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required two (2) day perishable and seven (7) day non-perishable food supply on cite. LPA observed knives, cleaning products, and other toxins to be locked away and inaccessible to residents. LPA observed the backyard and perimeter of the care home. LPA observed smoke detectors and carbon monoxide detectors to be operational in the care home. First aid kit is maintained and ready for emergency use. LPA reviewed two (2) residents' medications and observed medication to be locked away and inaccessible to the residents. LPA reviewed two (2) resident files and two (2) staff files. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit was interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, Feb 19, 2025
20241 state visit · 1 document
Feb 15, 2024Facility evaluation reportRoutine visitReport on file
Type of visit: Required - 1 Year
On 2/15/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required 1-year annual inspection utilizing the CARE tool. LPA met with Administrator, Vlad Custura, and explained the purpose of the visit. LPA observed one resident sleeping in the common area, three residents resting in their private rooms, and one resident in the backyard. During today's visit, LPA and Administrator conducted a tour of the interior and exterior of the facility to ensure the health and safety of residents in care. Areas toured included but not limited to: six resident bedrooms, two bathrooms, kitchen, laundry room, backyard and the common areas. LPA observed toxins to be locked in the laundry room. LPA observed facility to be at a comfortable temperature of 74*. LPA observed fire extinguisher present, last serviced on 06/21/2023. LPA observed bathrooms to be clean with nonskid mats present. LPA observed facility to have 2+ day of perishable and 7+ days on nonperishable foods. File review conducted for S1, S2, R1, R2 and R3. Administrator reported there are no residents on hospice services and no residents with pressure injuries. LPA and Administrator discussed placing medical training verifications for S1 on file. CARE tool was completed with Administrator and found facility to be in compliance to Title 22. LPA took a photo of facility liability insurance. At this time, LPA is requesting a copy of LIC 500 to be emailed to LPA by Tuesday February 20, 2024. Exit interview conducted and a copy was emailed to Administrator.the state’s words, verbatim · CDSS document, Feb 15, 2024
Earlier years2021 to 2023 · 3 documents
20231 state visit · 1 document
Feb 23, 2023Facility evaluation reportRoutine visitReport on file
Type of visit: Required - 1 Year
On 2/23/2023, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct an annual inspection. LPA met with Administrator, Vlad Custura, and explained the purpose of the visit. Prior to entering the facility, LPA ensure to apply hand sanitizer and wore a surgical mask. The facility has a capacity of 6, today's census is 6. The facility is in compliance to the the hospice waiver of (4) as LPA observed the facility to have (3) residents on hospice services. LPA and Administrator toured the interior of the facility to ensure the health and safety of residents in care. Areas toured included but not limited to: (6) residents bedroom, (3) bathroom, laundry room, kitchen, private staff room and common areas. LPA observed the medication to be locked and secured in the private staff room. LPA observed (4) residents to be in their private bedrooms and (2) residents to be watching television in the common area. LPA observed the Administrator Certificate to be up to date with expiration date of 4/30/2024. LPA observed the facility to have their liability to be renewed. LPA requested a copy of the liability insurance, Administrator Certificate, and LIC 500 to be emailed to LPA by Friday March 3, 2023. Infection Control Domain was completed with Administrator, the facility is found to be in compliance. No deficiencies observed. Exit interview conducted and a copy of the report was left at the facility.the state’s words, verbatim · CDSS document, Feb 23, 2023
20221 state visit · 1 document
Jan 31, 2022Facility evaluation reportRoutine visitReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a required annual. LPA met with Aurica Popovici, Caregiver, and explained purpose of inspection. LPA completed required COVID-19 testing protocols and completed daily assessment and confirmed the facility does not currently have any positive COVID-19 diagnoses. LPA were screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 mask. Caregiver contacted Vlad Custura, Administrator, who arrived shortly to the facility. LPA's observed (3) residents in the common area and (3) residents in their private room. The facility has an approved mitigation plan. LPA and Administrator toured the interior of the facility, including (6) private resident rooms, (2) common restrooms, kitchen, laundry, private staff room, outdoor balcony, and common areas. LPA observed it to be clean and in good repair. LPA observed required postings throughout in the facility. LPA advised Administrator to post "mask required" sign at the front door and coughing etiquette posters throughout the facility. Inside temperature was observed to be 73* F. Fire extinguisher last serviced 6/7/2021. LPA observed sufficient 2+day perishable and 7+day non-perishable food. LPA observed paper towels, soap, sanitizer, trash can with lid and hand washing posters in the restrooms. LPA observed ample PPE and medication supply located in the private staff room. In the areas toured no immediate health, safety, or personal rights violations were observed. Sharps, Toxins and medications were secured. LPA and Administrator discussed vaccination status of residents and staff as well as visitation protocols per PIN 22--04. LPA and Administrator completed the infection control domain together and facility was found to be in compliance at this time. No deficiencies are being cited as a result of today's inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Jan 31, 2022
20211 state visit · 1 document
Sep 1, 2021Facility evaluation reportRoutine visitReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Llopis arrived at the facility unannounced on 09/01//2021 to conduct a Required - 1 Year Inspection utilizing the infection control domain. Prior to initiating the annual inspection LPA completed required COVID-19 testing protocols and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Upon entering LPA conducted a facility risk assessment. LPA applied hand sanitizer prior to entering the facility and wore the following personal protective equipment (PPE) during today's visit: N95 mask. LPA met with administrator Vlad Custura and explained the purpose of the visit. LPA and administrator toured the facility together, areas toured include but are not limited to: common areas, kitchen, resident bedrooms, bathrooms, and outdoor area. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and administrator completed the infection control domain together and facility was found to be in compliance at this time. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Sep 1, 2021
6 of 6 beds were occupied at the December 17, 2025 state visit, the most recent — a count on that day, not an opening.
License holder
Custura, Vlad, licensed since 2019.
The state’s totals for this licenseSince 2019, as the state’s facility page counts them
- State visits on file
- 8
- Total complaints
- 1
- Substantiated allegations
- 0
- Type A citations
- 0
- Type B citations
- 0
These are the state’s own totals for this license since 2019, 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 | 1 | 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
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.
Frequently asked questions
A citation does not make a home unsafe, and an empty file does not make a home good.
Quick answers about New Life
Is New Life licensed?
The state lists this license as “Licensed,” per CDSS records as of October 26, 2026.
How many residents is New Life licensed for?
6 residents — a small home, per CDSS records as of October 26, 2026.
Has New Life been cited?
0 Type A and 0 Type B citations since 2019, per CDSS records as of October 26, 2026. Those records count 8 state visits over the same years.
Is New Life still open?
This license was on the CDSS roster as of November 11, 2026.
What does New Life cost?
$4,200 a month to start is a Covelight estimate, likely $3,450–$5,200. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”
Covelight’s estimate starts from the rates 11 small homes and similar homes within 3 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.
Among 5 other homes of a similar licensed size in Carmichael that publish a starting rate, the middle half runs $3,450 to $4,625 a month, and the middle figure is $4,000 (n = 5 other homes publishing a starting rate).
Each of those is a home’s own published figure, gathered on its own date in September 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 New Life 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 Custura, Vlad, per CDSS records as of October 26, 2026.
Is there a hospital nearby?
Mercy San Juan Medical Center is 2.8 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.
Can New Life keep a resident on hospice?
Hospice care is approved on this license, covering up to 4 residents, per CDSS records as of October 26, 2026.
New Life license and inspection record
- Name on the license: “NEW LIFE”, per the CDSS roster as of May 25, 2025.
- License #342700429. The state lists this license as “Licensed,” per CDSS records as of October 26, 2026.
- Licensed for 6 residents — a small home, per CDSS records as of October 26, 2026.
- Licensed to Custura, Vlad, per CDSS records as of October 26, 2026.
- First licensed in 2019, per CDSS records as of October 26, 2026.
- 8 state inspection visits since 2019, per CDSS records as of October 26, 2026.
- 0 Type A and 0 Type B citations on file since 2019, per CDSS records as of October 26, 2026. The same records count 8 state visits in that period.
- 1 complaint and 0 substantiated allegations on file since 2019, per CDSS records as of October 26, 2026. One complaint can carry several allegations.
- The most recent state visit on file is December 17, 2025, per CDSS records as of October 26, 2026.
California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗
Nearby
Other homes nearby
Licensed homes near this one in Sacramento County, most information on file first. Every listed home appears on the same terms.
- Map
Estimated starting rate
$4,250 a month to start
Covelight estimate · likely $3,450–$5,250On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Map
Estimated starting rate
$4,350 a month to start
Covelight estimate · likely $3,550–$5,350On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Map
Estimated starting rate
$4,400 a month to start
Covelight estimate · likely $3,600–$5,400On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Map
Estimated starting rate
$4,550 a month to start
Covelight estimate · likely $3,750–$5,600On the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Estimated starting rate
$4,400 a month to start
Covelight estimate · likely $3,600–$5,450On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Map
Estimated starting rate
$4,450 a month to start
Covelight estimate · likely $3,650–$5,500On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
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