Small home · Licensed for 6 · Sacramento

Madison Gardens Senior Living

4982 Tyler St., Sacramento, CA 95841Licensed since 2025

Overview

Estimated starting rate

$4,400 a month

Covelight estimate · likely $3,600–$5,400 See costs

No openings reported

Approved by the state: Wheelchair · Dementia · HospiceState 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 3 residents

Not on file: bedridden approval.

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 IN ROOM #1,#2, #3, #4, #5, #6. HOSPICE WAIVER GRANTED FOR THREE (3).

983 - RCFE / DEMENTIA

CDSS record, verbatim · October 26, 2026

As needs change

Staying through hospice
Hospice waiver on file · covers up to 3 — 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 Madison Gardens Senior Living: 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

$4,400a month to start

Likely $3,600–$5,400

From 18 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$4,400likely a month

Room

Daily care

Sharing the room

Starting monthly rate$4,400likely $3,600–$5,400
Covelight’s estimate starts from the rates 18 small homes and similar homes within 5 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 $3,600–$5,600: $4,400
First monthWith a one-time move-in fee · likely $4,250–$8,800: $6,900

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 homes18 nearby homes publish starting rates of $3,200 to $6,000

18 homes like this within 5 miles publish starting rates mostly between $3,500–$5,300.

Meraki of SacramentoSacramento · 0.1 mi · Mid-size home
$3,500Listed on Seniorly · seen September 9, 2026
Kentfield Estates Ranch RCFESacramento · 1.2 mi · Small home
$4,000Listed on Seniorly · seen September 9, 2026
Norris Senior HomeSacramento · 1.8 mi · Small home
$5,000Listed on Seniorly · assisted living private room · seen September 9, 2026
Marylou's Home CareSacramento · 1.8 mi · Small home
$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Madison Square Senior Living IICarmichael · 2.9 mi · Small home
$4,000Listed on Seniorly · seen September 9, 2026
Mount Hood Serenity CareSacramento · 3.0 mi · Small home
$3,800Listed on Seniorly · seen September 9, 2026
Eastern ManorSacramento · 3.0 mi · Mid-size home
$3,800Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Abundant Love and Care for the ElderlyCarmichael · 3.1 mi · Small home
$3,300Listed on A Place for Mom · seen September 9, 2026
Cozy Home CareCarmichael · 3.2 mi · Small home
$5,000Listed on Seniorly · assisted living · seen September 9, 2026
Splendor Oaks Senior Living 1Carmichael · 3.5 mi · Small home
$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Sunny Beach VillaSacramento · 3.5 mi · Small home
$3,200Listed on A Place for Mom · seen September 9, 2026
Hollister Care HomeCarmichael · 3.6 mi · Small home
$4,500Listed on Seniorly · seen September 9, 2026
Glorious Homes #1Citrus Heights · 4.0 mi · Small home
$5,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Marconi VillaSacramento · 4.1 mi · Small home
$5,500Listed on Seniorly · assisted living private room · seen September 9, 2026
Best Life Home CareCitrus Heights · 4.1 mi · Small home
$6,000Listed on A Place for Mom · seen September 9, 2026
Courtyard TerraceSacramento · 4.2 mi · Mid-size home
$4,345Listed on Seniorly · seen September 9, 2026
Magnolia Elderly Care HomeFair Oaks · 4.6 mi · Small home
$6,000Listed on Seniorly · assisted living · seen September 9, 2026
A Bright FutureAntelope · 4.7 mi · Small home
$4,500Listed on A Place for Mom · seen September 9, 2026

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

Covelight’s estimate starts from the rates 18 small homes and similar homes within 5 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

4982 Tyler St., Sacramento, CA 95841Address 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 list2.6 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 #345920275 · See the state’s own record

The last 36 months — 4 of 4 documents

20261 state visit · 1 document

Apr 28, 2026Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 04/28/26 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. Administrator arrived to assist. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. The home is very clean and residents stated they are happy with care. West fence is in need of repair is being planned. Fire extinguisher is past one year inspection. Quarterly emergency drill are not recorded. LPA reviewed 3 resident files. Files are complete though disorganized. Admin will organize files to better ensure files remain complete and up to date. LPA reviewed staff files. Files are complete. S1 has a criminal record clearance and live scan completed. The association to this home did not record. Admin will submit a transfer request. Licensee will submit: LIC610E- Emergency plan, liability ins. cert, LIC 308 of S1 as designee. To submit by 5/5/26 Deficiencies are being cited as a result of todays inspection. Exit interview conducted with licensee and copy of report and appeal rights left at the facility.the state’s words, verbatim · CDSS document, Apr 28, 2026

20253 state visits · 3 documents

Sep 30, 2025Facility evaluation reportCase Management - OtherReport on file

Type of visit: Case Management - Other

On 9/30/25, Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility announced to conduct a Post-licensing inspection continuation. LPA met with the caregiver and explained the purpose of the visit. The administrator arrived to assist LPA had received copies of documents regarding residents and staff. LPA inspected resident files and staff files. Files are present and complete LPA provided resource information regarding training and updated regs. Licensee will submit LIC 308s for designees. No deficiencies are cited as a result of this inspection Report reviewed with Davis Stir and copy provided.the state’s words, verbatim · CDSS document, Sep 30, 2025

Sep 24, 2025Facility evaluation reportPost LicensingReport on file

Type of visit: Post Licensing

On 9/24/25, Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility announced to conduct a Post-licensing inspection referencing the CARE inspection tool. LPA met with the caregiver and explained the purpose of the visit. The administrator spoke with LPA by phone but was unavailable to attend. LPA toured the interior and exterior of the facility and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room and outdoor areas In the areas toured no immediate health, safety concerns observed. LPA and staff discussed best practices for a number of topics. Review of Guardian Roster found staff transferred from the prior licensee- advised to update Guardian. LPA inspected resident files and staff files. Files are not present at this time. Licensee to submit copies 9/26/25. Records to be submitted to include LIC 500 No deficiencies are cited as a result of this inspection Report reviewed with Anisia Stir and copy provided.the state’s words, verbatim · CDSS document, Sep 24, 2025

The state marks this report as 6 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

May 22, 2025Facility evaluation reportPrelicensingReport on file

Type of visit: Prelicensing

On 5/14/25 LPA Mknelly attempted a unannounced visit due to an open license. Licensee unavailable. Visit to be scheduled. Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility announced on 5/22/25 to conduct a Pre-licensing referencing the CARE inspection tool. LPA met with the Administrator and explained the purpose of the visit. LPA toured the interior and exterior of the facility and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, outdoor areas and The Gardens (memory Care) area, In the areas toured no immediate health, safety concerns observed. Component III review is waived as the applicant has other facilities. The facility is in significant compliance. License pending approval. Report reviewed and copy provided.the state’s words, verbatim · CDSS document, May 22, 2025

License holder

Madison Gardens Senior Living LLC, licensed since 2025.

The state’s totals for this licenseSince 2025, as the state’s facility page counts them

State visits on file: 4
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 2025, 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.

The earlier licensePreviously at this address: Nelus Care Home II (license #347000553).

The state lists license #347000553 as “Closed, Change of Ownership” as of October 26, 2026. Inspections and reports filed under license #347000553 are on the state’s record of that license.

The state’s record for license #347000553 The state’s record for license #345920275

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 Madison Gardens Senior Living

Is Madison Gardens Senior Living licensed?

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

How many residents is Madison Gardens Senior Living licensed for?

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

Has Madison Gardens Senior Living been cited?

0 Type A and 0 Type B citations since 2025, per CDSS records as of October 26, 2026. Those records count 4 state visits over the same years.

Is Madison Gardens Senior Living still open?

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

What does Madison Gardens Senior Living cost?

$4,400 a month to start is a Covelight estimate, likely $3,600–$5,400. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Among 21 other homes of a similar licensed size in Sacramento that publish a starting rate, the middle half runs $3,149 to $5,000 a month, and the middle figure is $3,800 (n = 21 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 Madison Gardens Senior Living 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 Madison Gardens Senior Living LLC, per CDSS records as of October 26, 2026.

Is there a hospital nearby?

Mercy San Juan Medical Center is 2.6 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Madison Gardens Senior Living keep a resident on hospice?

Hospice care is approved on this license, covering up to 3 residents, per CDSS records as of October 26, 2026.