Small home · Licensed for 6 · Fair Oaks

Saint Thomas Care Home

4905 Saint Thomas Drive, Fair Oaks, CA 95628Licensed since 2023

Overview

Estimated starting rate

$4,550 a month

Covelight estimate · likely $3,750–$5,650 See costs

No openings reported

Approved by the state: Wheelchair · Dementia · Hospice · BedriddenState licensing record · October 26, 2026
Licensed for 6: a small care homeThe state license record

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Care and support

Wheelchairup to 6 residents
Dementia
Hospiceup to 6 residents
Bedriddenup to 1 resident

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 SIX (6) NON-AMBULATORY OF WHICH ONE MAY BE BEDRIDDEN. BEDRIDDEN IN ROOM 4. HOSPICE WAIVER FOR SIX.

983 - RCFE / DEMENTIA · 985 - RCFE / HOSPICE

CDSS record, verbatim · October 26, 2026

As needs change

Staying through hospice
Hospice waiver on file · covers up to 6 — care may continue at the end of life
State licensing record · October 26, 2026
If memory loss develops
Dementia-care designation on file
State licensing record · October 26, 2026

We’ll ask for you. Not on file for Saint Thomas Care Home: two-person transfers or a lift, who is awake overnight and help with medicines. When we check availability, we ask about these too.

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What it costs here

Covelight estimate

$4,550a month to start

Likely $3,750–$5,650

From 9 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$4,550likely a month

Room

Daily care

Sharing the room

Starting monthly rate$4,550likely $3,750–$5,650
Covelight’s estimate starts from the rates 9 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 $3,750–$5,850: $4,550
First monthWith a one-time move-in fee · likely $4,400–$9,050: $7,050

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 homes9 nearby homes publish starting rates of $3,000 to $9,000

9 homes like this within 3 miles publish starting rates mostly between $3,350–$7,650.

Splendor Oaks Senior Living #3Fair Oaks · 1.2 mi · Mid-size home
$5,000Listed on A Place for Mom · seen September 9, 2026
All Seasons HialeahFair Oaks · 1.6 mi · Small home
$9,000Listed on Seniorly · assisted living · seen September 9, 2026
Crown JewelOrangevale · 2.0 mi · Small home
$3,000Listed on A Place for Mom · seen September 9, 2026
Ettys' CareOrangevale · 2.1 mi · Small home
$4,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Magnolia Elderly Care HomeFair Oaks · 2.5 mi · Small home
$6,000Listed on Seniorly · assisted living · seen September 9, 2026
Love You MomOrangevale · 2.6 mi · Small home
$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Glen Creek Villa II-Res. Care Fac. for the ElderlyOrangevale · 2.6 mi · Small home
$4,000Listed on Seniorly · seen September 9, 2026
Comfort & CareOrangevale · 2.7 mi · Small home
$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Shearwater ResidenceOrangevale · 2.8 mi · Mid-size home
$4,500Listed 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 9 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.

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

4905 Saint Thomas Drive, Fair Oaks, CA 95628Address 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 list4.1 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 #345920012 · See the state’s own record

The last 36 months — 7 of 9 documents

20261 state visit · 1 document

Jun 26, 2026Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

On June 26 2026 at 12:30pm Licensing Program Analyst (LPA) Sarah Benson arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator Evelina Magurean (cert #6081806740 exp:3-16-28) and explained the purpose of the visit. Administrator certificate is current. LPA Benson and administrator toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to six (6) resident rooms, common areas, seven (7) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. Medications were also reviewed. Medication is locked in a locked closet. The common area was clean, odor-free and in good repair. All bedrooms had required furniture, bedding, lighting and windows with screens. The bathrooms were clean and in good repair. The kitchen was clean and in good repair. Cooking/dining equipment and utensils were present. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. The facility was observed to be at a comfortable temperature. First aid kit fully stocked and ready for emergency use. Fire extinguisher fully charged. Smoke detectors are all operational. Hot water temperature measured within required Title 22 regulations of 105 degrees F and 120 degrees F. All employees requiring background checks are cleared. All required postings are displayed within the facility. The pools/bodies of water are inaccessibly to residents in care through fencing and a locked gate. No firearms are on premises. The last disaster drill was conducted and documented on 04-02-26, the facility has been conducting drills every 3 months. LPA interviewed one resident and one staff. The following deficiencies were observed (See LIC 809D) and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted, a copy of the report, and appeal rights provided to administrator.the state’s words, verbatim · CDSS document, Jun 26, 2026

20252 state visits · 2 documents

May 15, 2025Facility evaluation reportCase Management - Annual ContinuationReport on file

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 5/15/25 to conduct an annual continuation visit utilizing the inspection tool following the Required-1 Year Inspection conducted on 5/13/2025. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA finished file review for two (2) staff. LPA reviewed two (2) residents' medications and found medication to be locked away and inaccessible to the residents. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of today's visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, May 15, 2025

May 13, 2025Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 5/13/25 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 seven (7) bathrooms for resident 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 113 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 to be free of clutter and debris. 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. As a result of today's visit, no deficiencies were cited per California Code of Regulations, Title 22. LPA will return at a later time to finish reviewing files, reviewing medications, and complete annual inspection. Exit interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, May 13, 2025

20243 state visits · 4 documents

Aug 28, 2024Facility evaluation reportCase Management - Health ChecksDeficiency pages: Type A, Type B

Type of visit: Case Management - Health Checks

Licensing Program Analysts (LPAs) Michael Hood and Cassie Mikkelson 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 5/8/2024. During today's inspection, LPAs toured the facility, reviewed documentation for centrally stored medications, and reviewed three (3) resident records and two (2) staff records. LPAs observed that one (1) caregiver did not have sufficient initial training per health and safety code. LPAs observed facility did not have logs documented for quarterly drills. LPAs also observed that facility was missing start dates for when medications were started for residents. As a result of today's inspection, deficiencies are being cited pursuant to California Code of Regulations, Title 22, Division 6. Deficiencies are listed on 809-D pages. Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Aug 28, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Aug 29, 2024

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on LPAs' observations and records reviewed, the facility did not ensure that documentation for medication administered was complete, resulting in information missing pertaining to medication administration, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 28, 2024

Plan of correction: Facility will complete a statement of understanding regarding regulation 87465 and submit statement of understanding to LPA by POC due date of 8/29/2024.

From the deficiency page — Deficiency type: Type B · Section cited: HSC1569.625(b)(1) · Plan of correction due date: Sep 12, 2024

§1569.625 Staff training; legislative findings; contents (b) (1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Based on LPAs' observations and records reviewed, facility did not ensure that initial training was sufficient for one (1) caregiver per Health and Safety Code, which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 28, 2024

Plan of correction: Facility will complete a statement of understanding regarding regulation 1569.625 and submit statement of understanding to LPA by POC due date of 9/12/2024.

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.695 · Plan of correction due date: Sep 12, 2024

§1569.695 Emergency Plans (c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is notrequired during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Based on LPAs' observations and records reviewed, facility did not ensure to document quarterly drills completed, which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 28, 2024

Plan of correction: Facility will complete a statement of understanding regarding regulation 1569.695 and submit statement of understanding to LPA by POC due date of 9/12/2024.

May 8, 2024Facility evaluation reportCase Management - Annual ContinuationReport on file

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 5/08/24 to conduct an annual continuation visit utilizing the inspection tool following the Required-1 Year Inspection conducted on 4/29/2024. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. 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 checked medication storage and found medication to be locked away and inaccessible to the residents. LPA reviewed three (3) 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 today's visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, May 8, 2024

Apr 29, 2024Facility evaluation reportPost LicensingReport on file

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Michael Hood arrived at the care home today and met with the Administrator, Evelina Magurean, to conduct an annual required and post licensing visit. For more information on the post licensing visit, please see LIC 809 for Required - 1 Year dated 4/29/24. No deficiencies cited for the post licensing visit.the state’s words, verbatim · CDSS document, Apr 29, 2024

Apr 29, 2024Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 4/29/24 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 seven (7) bathrooms for resident 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 113 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 to be locked away and inaccessible to residents. LPA observed the backyard and perimeter of the care home to be free of clutter and debris. As a result of today's visit, no deficiencies were cited per California Code of Regulations, Title 22. LPA will return at a later time to finish reviewing files and complete annual inspection. Exit interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, Apr 29, 2024

Earlier years2023 · 2 documents

20232 state visits · 2 documents

Jun 8, 2023Facility evaluation reportPrelicensingReport on file

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Michael Hood met with applicant, Evelina Magurean, to conduct a Pre- Licensing visit. The facility has a fire clearance for 6 non-ambulatory and 1 bedridden resident with a hospice waiver for 6 residents. Applicant holds a current administrator certificate (#6035852740 with expiration date 8/2/2023). LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and seven (7) bathrooms for resident use, along with one (1) room for staff. LPA observed facility to be properly furnished, including appropriate bedding and lighting in bedrooms. Bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 107 degrees F. LPA checked the kitchen area for the ability to prepare and store food. LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to clients. LPA observed smoke detectors and carbon monoxide detectors at the care home to be operational. Fire extinguisher and first aid kit are maintained and ready for emergency use. Component III was waived. Applicant has satisfied all requirements in accordance to Title 22, California Code of Regulations. Application is pending and LPA will forward findings to the Centralized Application Bureau (CAB) for final review and approval. CAB will further contact applicant on final status of application. A copy of this report was provided to the facility. Exit interview conducted.the state’s words, verbatim · CDSS document, Jun 8, 2023

May 1, 2023Facility evaluation reportOfficeReport on file

Type of visit: Office

On 05/1/2023 applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 1, 2023

License holder

Saint Thomas Care Home LLC, licensed since 2023.

The state’s totals for this licenseSince 2023, as the state’s facility page counts them

State visits on file: 9
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 2023, 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 Saint Thomas Care Home

Is Saint Thomas Care Home licensed?

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

How many residents is Saint Thomas Care Home licensed for?

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

Has Saint Thomas Care Home been cited?

0 Type A and 0 Type B citations since 2023, per CDSS records as of October 26, 2026. Those records count 9 state visits over the same years.

Is Saint Thomas Care Home still open?

This license was on the CDSS roster as of November 11, 2026.

What does Saint Thomas Care Home cost?

$4,550 a month to start is a Covelight estimate, likely $3,750–$5,650. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Among 54 other homes of a similar licensed size across Sacramento County that publish a starting rate, the middle half runs $3,500 to $5,000 a month, and the middle figure is $4,000 (n = 54 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 Saint Thomas Care Home 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 Saint Thomas Care Home LLC, per CDSS records as of October 26, 2026.

Is there a hospital nearby?

Mercy San Juan Medical Center is 4.1 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Saint Thomas Care Home keep a resident on hospice?

Hospice care is approved on this license, covering up to 6 residents, per CDSS records as of October 26, 2026.