Almond Heights is a residential care home for the elderly (RCFE) in Orangevale, Sacramento County, California — state license #342700525, licensed for 145 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It does not appear on the DHCS Assisted Living Waiver participant list checked August 9, 2026 — that list covers the state waiver only, not a home's own payment arrangements. California has 48 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated March 23, 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 57 times and filed 48 documents. The most recent is a complaint investigation report, dated March 23, 2026.
The state's published file for this home includes 18 documents with transcribed findings, dated July 8, 2021 to April 22, 2025. 18 of the 18 carry the state's recorded outcome word: “Substantiated” (3), “Unfounded” (4), “Unsubstantiated” (11). 18 include the transcribed allegation the state investigated, word for word.
Summary composed by computer from the 18 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
Mar 23, 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 23, 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 23, 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.
Nov 25, 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.
Oct 6, 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 23, 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 23, 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 14, 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 22, 2025Unsubstantiated
Allegation investigated: Resident sustained an injury while in care.
Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 04/22/25 to deliver complaint findings for above allegation. LPA met with administrator Stephen Macdonald and explained the purpose of the visit. Allegation- Resident sustained an injury while in care. - Unsubstantiated The department conducted record review, interviewed residents and staff to investigate this allegation. Record review indicated that R1 sustained a foot injury on 04/09/25 around 1pm when R1 was sitting in the common area and table lamp fell on their foot causing a cut on their foot. Staff immediately offered help to R1 and sent them to hospital to get medical care. R1 returned the same day after getting the necessary treatment. Four staff interviewed reflected that this incident was accidental, and staff offered appropriate help to R1. It has been evaluated that even though R1 got injury, but it was not due to lack and care from staff. Based on gathered information, this allegation wthe state’s words, verbatim · CDSS document, Apr 22, 2025 · control 59-AS-20250410161623
Apr 22, 2025Unsubstantiated
Allegation investigated: Staff wrongfully evicted resident. Staff has not issued responsible party a refund.
Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 04/22/25 to deliver complaint findings for above allegations. LPA met with administrator, Stephen Macdonald and explained the purpose of the visit. The department conducted records review ,facility observations and interviews to investigate the complaint. **Report continued on LIC9099-C** Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 22, 2025 · control 59-AS-20250326131505
Feb 12, 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.
Feb 12, 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.
Oct 7, 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.
Oct 2, 2024Unfounded
Allegation investigated: Staff mistreated the resident in care. Ilegal Eviction.
Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 10/02/24 to deliver complaint findings for above allegations. LPA met with administrator Stephen Macdonald and explained the purpose of the visit. The department conducted records review ,facility observations and interviews to investigate the complaint. **Report continued on LIC9099-C** Unfoundedthe state’s words, verbatim · CDSS document, Oct 2, 2024 · control 59-AS-20240819153957
Oct 2, 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.
Aug 5, 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 29, 2024Unsubstantiated
Allegation investigated: Staff do not respond to resident's call for assistance in a timely manner.
Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 05/29/24 to deliver complaint findings for above allegation. LPA met with administrator Stephen Macdonald and explained the purpose of the visit. The department conducted records review ,facility observations and interviews to investigate the complaint. **Report continued on LIC9099-C** Unsubstantiatedthe state’s words, verbatim · CDSS document, May 29, 2024 · control 59-AS-20240404105609
May 29, 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 23, 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.
Apr 24, 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.
Apr 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.
Apr 10, 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.
Apr 4, 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.
Apr 3, 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.
Mar 20, 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.
Mar 20, 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.
Mar 20, 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.
Mar 7, 2024Unsubstantiated
Allegation investigated: Staff did not properly supervise resident resulting in resident being sexually assaulted while in care.
Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 03/07/24 to deliver complaint findings for above allegation. LPA met with administrator Stephen Macdonald and explained the purpose of the visit. LPA was screened upon entry. The department conducted records review ,facility observations and interviews to investigate the complaint. **Report continued on LIC9099-C** Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 7, 2024 · control 59-AS-20240125145224
Dec 19, 2023Unsubstantiated
Allegation investigated: Licensee is not ensuring that resident(s) receive services as agreed to in the Admissions Agreement.
Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 12/19/23 to do complaint investigation and to deliver complaint findings for above allegation. LPA met with administrator Stephen Macdonald and explained the purpose of the visit. LPA was screened upon entry. The department conducted records review ,facility observations and interviews to investigate the complaint. **Report continued on LIC9099-C** Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 19, 2023 · control 59-AS-20231116093520
Nov 28, 2023Report 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.
Nov 1, 2023Report 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.
Oct 17, 2023Unsubstantiated
Allegation investigated: Staff are not following a licensed physician's order for a resident.
Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 10/17/23 to deliver complaint findings for above allegation. LPA met with administrator Stephen Macdonald and explained the purpose of the visit. LPA was screened by facility staff upon entry. The department conducted records review ,facility observations and interviews to investigate the complaint. **Report continued on LIC9099-C** Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 17, 2023 · control 59-AS-20231003154710
Oct 17, 2023Unsubstantiated
Allegation investigated: Staff do not ensure that resident is adminstered their medications according to physician's instructions. Staff are mismanaging resident's medical documentation. Staff do not respond to resident's requests for assistance in a timely manner.
Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 10/17/23 to deliver complaint findings for above allegations. LPA met with administrator Stephen Macdonald and explained the purpose of the visit. LPA was screened by facility staff upon entry. The department conducted records review ,facility observations and interviews to investigate the complaint. **Report continued on LIC9099-C** Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 17, 2023 · control 59-AS-20230908162502
Sep 19, 2023Unsubstantiated
Allegation investigated: Facility is in disrepair. Staff did not meet resident's needs.
Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 09/19/23 to do complaint investigation for above allegations. LPA met with administrator Stephen Macdonald and explained the purpose of the visit. LPA was screened by facility staff upon entry. The department conducted records review ,facility observations and interviews to investigate the complaint. **Report continued on LIC9099-C** Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 19, 2023 · control 59-AS-20230915164613
Sep 12, 2023Report 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.
Aug 17, 2023Substantiated
Allegation investigated: Resident sustained injury, fracture to spine, as a result of a fall. Facility is not meeting resident's needs.
***This report is amended to amend the plan of correction*** Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 08/17/23 to deliver complaint findings for above allegations. LPA met with administrator Stephen Macdonald and explained the purpose of the visit. LPA was screened by facility staff upon entry. The department conducted records review ,facility observations and interviews to investigate the complaint. **Report continued on LIC9099-C** Substantiatedthe state’s words, verbatim · CDSS document, Aug 17, 2023 · control 59-AS-20230510111939
Year-by-year trend
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Is Almond Heights licensed?
Yes — Almond Heights is a licensed residential care home for the elderly (RCFE) in Orangevale (Sacramento County): California license #342700525, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 145 residents. State records list 48 inspection and complaint documents since 2021; the most recent, a complaint investigation report dated March 23, 2026, appears in the inspection record on this page.
Can Almond Heights 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 Almond Heights with clearances for wheelchair / non-ambulatory, dementia / memory care, hospice care, and bedridden. Clearances describe what the license permits, not day-to-day staffing — confirm current scope and availability with the home directly 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 OLDER. APPROVED FOR (145) NON-AMBULATORY, OF WHICH (30) MAY BE BEDRIDDEN. HOSPICE WAIVER GRANTED FOR (25). DEMENTIA PLANOF OPERATIONS ON FILE WITH THE DEPARTMENT.
How much does Almond Heights cost?
California's public licensing record does not include Almond Heights'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 Almond Heights accept Medi-Cal or the Assisted Living Waiver?
Almond Heights is not in the DHCS Assisted Living Waiver participant record we checked August 9, 2026 — that list covers only the state's ALW program, not a home's own payment policies, so ask the home directly about private Medi-Cal arrangements. The waiver pays for assisted-living care services (not room and board) at participating homes; every DHCS-listed home appears on our statewide Medi-Cal page.
Assisted living on Medi-Cal in California →See the DHCS list →
104 of 145 beds occupied (72%) when the state visited on April 22, 2025. Availability changes constantly — confirm a current opening with the home.
What do state inspections show for Almond Heights?
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 57 state visits and 48 dated documents since 2021 for Almond Heights; 18 complaint-investigation narratives are transcribed verbatim below. The most recent, dated April 22, 2025, 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.
2025
2024
2023
Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.
What the state has logged
California has logged 57 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.
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(916) 542-7988Resident reviews, the exact monthly price, and the languages staff speak aren't part of California's public licensing record, so we don't show them here. Ask the home directly — the tour questions above are a good start.
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