Belmare Senior Living is a residential care home for the elderly (RCFE) in Oakdale, Stanislaus County, California — state license #502701207, licensed for 114 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 43 dated inspection and complaint documents on file for this home going back to 2022, the most recent dated March 19, 2026 — published below in full, verbatim and unscored.

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Belmare Senior Living

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Residential care home for the elderly (RCFE) · Large community, 114 residents · Oakdale, CA · Stanislaus County
LicensedWheelchairMemory careHospiceBedridden
No openings reportedBeds change hands in days ·
License #502701207, held since 2022 · read from the California state record on August 2, 2026 ·See on State Site →
1450 West F Street · Oakdale, Stanislaus County
Phone
(209) 764-3164
from the state licensing roster · August 2, 2026
No Google listing is on file for this home.
Website
None on file
Many small homes have no website — that says nothing about the care inside.
Contact facts come from the state roster, a county Area Agency on Aging roster, the home’s Google listing, or the operator — each labelled, never blended. Operators: add or correct yours, free →
Print tour sheet →

Wheelchair / non-ambulatoryApproved for 77 residents
Dementia / memory careVerified in record
Hospice careApproved for 7 residents
Bedridden careApproved for 14 residents

“Not on file” is not a no — approvals can be bed- or room-specific, so confirm current scope with the home on a tour. Where a number is shown it is the state’s own wording for how many residents the approval covers, not how many places are open today; where none is shown, the record simply does not state one.

Specific medical needs — insulin, oxygen, a catheter, an ostomy — aren’t in the state license record; ask the home directly. A feeding tube, tracheostomy, or advanced wound care usually needs skilled nursing →

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What the state record says, word for word
AGE RANGE 60 AND OVER. APPROVED FOR 23 AMBULATORY AND 77 NON-AMBULATORY, OF WHICH 14 MAY BE BEDRIDDEN. APPROVED HOSPICE WAIVER FOR 7. NEW MGMT. CO, (ONELIFE SENIOR LIVING, LLC.), EFFECTIVE (2/18/25).State service designation983 - RCFE / DEMENTIAthe CDSS license record, verbatim · checked August 2, 2026

“RCFE / Dementia” is the state’s designation for a home with an approved Dementia Care Plan of Operation — it’s recorded separately from the comments above, which is why the memory-care approval may not appear in that text.

Since 2022, the state has visited this home 52 times and filed 43 documents. The most recent is a facility evaluation report, dated March 19, 2026.

Most recent state visit
April 3, 2026
Occupancy at the September 3, 2025 visit
83 of 114 beds

The state's published file for this home includes 12 documents with transcribed findings, dated September 21, 2023 to September 3, 2025. 12 of the 12 carry the state's recorded outcome word: “Substantiated” (7), “Unsubstantiated” (5). 12 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 12 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
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedinvestigated, but couldn’t be confirmed either way — not a finding of wrongdoingUnfoundedthe state concluded it was false or couldn’t have happenedType A citationthe most serious: an immediate health-or-safety risk, usually fixed on the spot or on a short deadlineType B citationless serious, with a deadline to fix
The last 36 months — 39 of 43 documentsFull record on the state’s site →
20263 state visits · 3 documents
Mar 19, 2026Facility evaluation reportReport 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 5, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 22, 2026Facility evaluation reportReport 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.

20258 state visits · 14 documents
Nov 19, 2025Facility evaluation reportReport 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 29, 2025Complaint investigation reportReport 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 29, 2025Facility evaluation reportReport 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 1, 2025Complaint investigation reportReport 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 1, 2025Facility evaluation reportReport 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 3, 2025Complaint investigation reportSubstantiated

Allegation investigated: Facility staff does not answer pendant calls in a timely manner.

On 9/03/2025, Licensing Program Analysts (LPA) Triel Ellen Lindstrom and Arielle Pascua arrived unannounced at the facility to deliver the findings on a complaint received on 5/1/2025. The LPA met with Administrator Lacy Vincent and explained the purpose of the visit. LPA Lindstrom had toured and made observations at the facility, reviewed records and work schedules, and interviewed residents, staff, and family members. This investigation was conducted during site visits on 5/5/25, 5/28/25, 6/9/2025 and 8/4/2025. Allegation: Facility staff does not answer pendant calls in a timely manner On 5/5/25, LPA Pascua interviewed S7, who stated that the expectation regarding response time to pendant calls was 10 minutes. An analysis of the pendant log for April 2025 showed that the wait 11-20 minutes 21% of the time, 21 to 30 minutes 5% of the time, and over 30 minutes 3% of the time. LPA Lindstrom interviewed a resident R6, who stated that when the facility is not sufficiently staffed, it canthe state’s words, verbatim · CDSS document, Sep 3, 2025 · control 27-AS-20250521081550
Sep 3, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff do not ensure that residents' incontinence needs are met. Staff speak inappropriately to residents. Staff do not distribute resident's medication as prescribed. Staff did not ensure resident's dietary needs were met. Staff did not answer resident's call button in a timely manner.

On 9/03/2025, Licensing Program Analysts (LPA) Triel Ellen Lindstrom and Arielle Pascua arrived unannounced at the facility to deliver the findings on a complaint received on 5/1/2025. The LPAs met with Administrator Lacy Vincent and explained the purpose of the visit. LPA Lindstrom had toured and made observations at the facility, reviewed records and work schedules, and interviewed residents, staff, and family members. This investigation was conducted during site visits on 5/5/25, 5/28/25, 6/9/2025 and 8/4/2025. Allegation: Staff do not ensure that residents' incontinence needs are met A family member (F1) of a resident (R1) was interviewed and stated that R1 had had two occurrences when incontinence care was not met. On 8/4/25, F1 discovered R1 still in bed at 8:20 AM. F1 walked into R1’s bedroom and found R1 lying in bed with soaked briefs and bed pads. In another occurrence, F1 looked throughout the unit for a caregiver to help R1 toilet and could find none. R1 subsequently got (Cthe state’s words, verbatim · CDSS document, Sep 3, 2025 · control 27-AS-20250501155055
Sep 3, 2025Complaint investigation reportReport 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 3, 2025Complaint investigation reportReport 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 3, 2025Complaint investigation reportReport 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 19, 2025Facility evaluation reportReport 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 7, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jun 9, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 22, 2025Facility evaluation reportReport 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.

20248 state visits · 11 documents
Dec 30, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff did not seek medical attention to resident in a timely manner. Staff did not notify CCL of incidents

On 12/30/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a complaint visit. LPA met with Facility Designated Administrator (FDA), Lacy Vincent and explained the purpose of the visit. The purpose of this visit was to deliver complaint findings for the allegations above. Current census was 87. A brief interview with FDA Vincent was conducted. Allegation: Staff did not seek medication attention to resident in a timely manner It was alleged that the staff did not seek medication attention to a resident in a timely manner. During the course of this investigation, interviews were conducted, and facility records were reviewed. Based on interviews conducted it was learned that on 07/26/2024 R1 was found on the floor next to their bed by staff. It was stated by staff that they were unsure how long R1 was on the floor for and upon assessment the facility asked if R1 they wanted to get assessed by emergency services however reminded R1 that thethe state’s words, verbatim · CDSS document, Dec 30, 2024 · control 27-AS-20240807121831
Dec 26, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff do not keep the facility free from scabies Staff behavior poses as a risk the residents

On 12/26/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to continue a complaint investigation in to the above listed allegations. LPA Jensen met with Executive Director Lacey Vincent and explained the purpose of today's visit. During the course of this investigation LPA Jensen conducted site visits on 3 separate occasions. LPA Jensen also interviewed 7 current staff members, 1 former staff member, 3 family members of residents and 1 external contractor paid to provide ancillary services to a resident. LPA Jensen also reviewed the infection control plan and resident records. Allegation 1: Staff do not keep the facility free from scabies The facility has an infection control plan that is adequate. During the course of the site visits LPA Jensen observed staff practicing appropriate infection control measures. The parties interviewed stated that the scabies outbreak was handled in a timely and appropriate manner. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 26, 2024 · control 27-AS-20241023142247
Dec 26, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not prevent a resident from dragging another resident

On 12/26/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to continue a complaint investigation in to the above listed allegations. LPA Jensen met with Executive Director Lacey Vincent and explained the purpose of today's visit. During the course of this investigation LPA Jensen interviewed 4 current staff members, 1 former staff member, 3 family members of residents and 1 external contractor paid to provide ancillary services to a resident. LPA Jensen also reviewed resident records. Based on the records reviewed and interviews conducted the facility was hosting a regularly scheduled happy hour. Resident 2 (R2) had placed her belongings on a chair and left her seat to dance. Resident 3 (R3) attempted to take over the already occupied seat and a disagreement ensued with R3 attempting to physically assault R2. Staff were within approximately 5 feet of the residents when this incident occurred. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 26, 2024 · control 27-AS-20241108155944
Sep 30, 2024Facility evaluation reportReport 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 24, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff did not order resident's medication refills in a timely manner

On 9/24/24 LPA Jensen arrived at the facility unannounced to continue a compliant investigation in to the above listed allegation. LPA Jensen met with Business Office Manager Desiree Soria and explained the purpose of today's visit. LPA Jensen conducted interviews with staff 1 (S1), staff 2 (S2), staff 3 (S3) and Resident 1 (R1). LPA Jensen also reviewed the Centrally Stored Medication and Destruction Record (CSMDR) and Medication Administration Record (MAR) for R1 and progress notes. Based on the CSMDR R1 had a 30 day supply of medications. The CSMDR revealed that multiple prescription medication orders were filled after the 30 day mark. The MAR shows that 5 seperate medications "on hold until the medication is available". LPA Jensen interviewed R1 who stated that she had previously had a problem with getting medication refills but the problem has been resolved since she has been assigned a new medication technician. Substantiatedthe state’s words, verbatim · CDSS document, Sep 24, 2024 · control 27-AS-20240712161154
Sep 24, 2024Complaint investigation reportReport 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.

Jul 5, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not seek medical attention for residents in a timely manner Resident wandered away from the facility due to lack of care from staff

On 7/5/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to continue a compliant investigation in to the above listed allegations. LPA Jensen met with Health and Wellness Director Teri Ford and explained the purpose of today's visit. Allegation 1: Staff did not seek medical attention for residents in a timely manner During the course of the investigation LPA Jensen reviewed the resident file for resident 1 (R1), interviewed 7 staff members and 3 residents. Based on the interviews conducted R1 experienced a change in condition around March of 2024. All staff interviews conducted and records reviewed appear to indicate that staff notified R1's medical providers and treatment was sought in a timely manner. During the course of the interviews conducted 3 of 3 residents interviewed agreed that staff seek medical attention for them in a timely manner when needed. While it was difficult to ascertain precisely when R1's change in condition presented itself there wathe state’s words, verbatim · CDSS document, Jul 5, 2024 · control 27-AS-20240408103523
Jul 5, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jun 6, 2024Facility evaluation reportReport 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 12, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff do not meet resident's needs

On 4/12/24 at approximately 3:15 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to open an investigation in to the above listed allegations. LPA Jensen met with Executive Director Cindy Lichtenhahn and explained the purpose of today's visit. LPA Jensen requested and received a staff roster with contact information and signal system activation logs for April 5th through April 12th. LPA Jensen also toured the memory care unit. In the memory care unit 3 rooms were inspected and interviews were conducted with 3 residents. LPA Jensen observed soiled under garments and soiled briefs on a bathroom vanity counter in 1 room. LPA Jensen observed soiled undergarments in the shower of a second bathroom. LPA Jensen reviewed the call signal activation logs which show that in a course of a week it took 20 minutes or more to respond when a resident activated their call signal 60 times. Substantiatedthe state’s words, verbatim · CDSS document, Apr 12, 2024 · control 27-AS-20240408103523
Jan 25, 2024Facility evaluation reportReport 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.

202310 state visits · 11 documents
Dec 29, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Staff are not addressing a scabies outbreak

On 12/29/23 at approximately 10:30am Licensing Program Analyst (LPA) Maja Jensen arrived at facility unanounced to continue a complaint onvestigation in to the above listed allegation. LPA Jensen met with the Executive Director Cindy Lichtenhan and Nurisng Director Teri Ford. During the course of the investigation LPA Jensen conducted interviews with 4 staff members. 2 of the 4 staff members were directly responsible for resident care and 2 staff mebers were responsible for providing ancillary services. 3 of 4 staff members stated they were not informed of potential scabies exposure amongst the residents or staff in the facility. LPA Jensen reviewed records that included "Move In & Routine Skin Assessment" for 4 residents and "Post Skin Concern Investigation/Assessments" for 12 residents. The Post Skin Concern Assessments were dated from 10/17/23 through 10/26/23. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 29, 2023 · control 27-AS-20231020101853
Nov 30, 2023Facility evaluation reportReport 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 21, 2023Facility evaluation reportReport 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 26, 2023Complaint investigation reportSubstantiated

Allegation investigated: Licensee does not ensure staff properly respond to call button system for residents

On 10/26/23 at approximately 3pm Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to deliver findings related to a compliant investigation for the above listed allegations. LPA Jensen met with Health and Wellness Director, Teri Ford, and explained the purpose of todays visit. During the course of the investigation LPA Jensen conducted in person interviews with 3 residents. 3 of 3 residents indicated there have been occasions when staff are too busy to respond in a timely manner. LPA Jensen also reviewed the Signal System Response Time Report for the period of September 22, 2023 through October 2, 2023. According to the report provided to the Department, the signal system was activated 797 times during the selected period. The response times were as follows: Response time between 0-10 minutes - 449 activations (56%) Response time between 11-29 minutes - 262 activations (33%) Response time between 30-56 minutes - 86 activations (11%) Substantiatedthe state’s words, verbatim · CDSS document, Oct 26, 2023 · control 27-AS-20231002135058
Sep 26, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Staff is unable to provide proper supervision to resident in care.

On 09/26/23, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to continue working on the complaint regarding the allegation above. The LPA identified herself, the purpose of the visit and asked to speak with the Designated Facility Administrator. LPA met with the Executive Director, Cynthia Lichtenhan, and the Director of Health and Wellness, Teri Ford. On 08/20/23, at approximately 3:45 AM, a resident in Memory Care became aggressive and assaulted another resident and a staff member. Staff intervened and the police were notified. Police removed the resident from the facility and brought the resident to the ER for evaluation. The facility notified the resident's primary care and responsible parties. The hospital discharged the resident and sent them back to the community by 12:05 AM on 08/21/23. Once R was returned, R received 1-1 supervision in the model room of Assisted Living while waiting for the responsible parties to retrieve them. R wathe state’s words, verbatim · CDSS document, Sep 26, 2023 · control 27-AS-20230822134442
Sep 21, 2023Complaint investigation reportSubstantiated

Allegation investigated: Staff are not addressing a scabies outbreak. Staff restrained resident. Staff do not ensure facility is clean.

On 09/21/2023 Licensing Program Analysts (LPAs), Kimberly Viarella and Maja Jensen made an unannounced visit to this facility to continue with a complaint investigation regarding the above allegations. The LPAs identified themselves, the reason for the visit, and asked to meet with the Designated Facility Administrator. LPAs met with Terri Ford, the Director of Health and Wellness. A brief interview followed. Staff are not addressing Scabies outbreak. Belmare Senior Living provided this LPA with their Policy and Procedure for Scabies. The policy was issued on 09/2018 and revised on 06/2020. When residents or staff experienced symptoms, Belmare Senior Living instructed them to obtain skin scrapings as proof that they had scabies, however, at the bottom of the first page of their policy it clearly states, “Failure to positively identify scrapings does not necessarily exclude the diagnosis. It is difficult to obtain a positive scraping because only one or two mites may cause multiple lesithe state’s words, verbatim · CDSS document, Sep 21, 2023 · control 27-AS-20230828162757
Sep 21, 2023Complaint investigation reportReport 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 11, 2023Facility evaluation reportReport 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 7, 2023Facility evaluation reportReport 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 6, 2023Facility evaluation reportReport 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 23, 2023Facility evaluation reportReport 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.

Beside homes the same size
Type A citations9typical 1
Type B citations7typical 1
Substantiated complaints18typical 2
Total complaints15typical 7
State visits on file52typical 19
“Typical” is the statewide median across the 1,244 licensed larger communities (16+ beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this license since 2022.
Year-by-year trend
YearVisitsDocumentsSubstantiated202633020258142202481132023121522022110
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.Operate this home? Respond to or correct any document here, free. Respond or correct →

See an error in these counts? Report it — free →

$3,500$5,500 /mo
our estimate — Stanislaus County band, market research June 2026; not this home’s quoted price
$3,500 · statewide low$9,000 · statewide high
California’s public record holds no per-home price, so we never invent one. Ask the home for its rate sheet, or
Ways families pay here
Private pay — ask what the base rate includes and what’s billed separately.SSI/SSP — California’s board-and-care payment standard is $1,626.07/mo (2026): $1,444.07 to the home, $182 stays with the resident.Medi-Cal ALW — this home isn’t on the DHCS waiver list (checked August 9, 2026). Details →

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What dementia training does staff have, and is the area secured?
Non-ambulatory approval — whole home or specific rooms, and is a spot open?
How is medication handled and logged day to day?
What’s in the base monthly rate, and what’s billed separately?
Staff-to-resident ratio on day and night shifts?
How are medical emergencies handled after hours?

The first two come straight from this home’s record — a brochure won’t answer them.

Operate this home? This page is generated from CDSS public records — respond or correct it, free.
Claim your home → · See something wrong? → · How we source every fact →
Call (209) 764-3164

Is Belmare Senior Living licensed?

Yes — Belmare Senior Living is a licensed residential care home for the elderly (RCFE) in Oakdale (Stanislaus County): California license #502701207, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 114 residents. State records list 43 inspection and complaint documents since 2022; the most recent, a facility evaluation report dated March 19, 2026, appears in the inspection record on this page.

Can Belmare Senior Living 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 Belmare Senior Living 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.

Wheelchair / non-ambulatoryDementia / memory careHospice careBedridden

From the California state record. Some approvals are bed- or room-specific — always confirm current scope with the facility.

What the state record says, word for word
Verbatim, from the CDSS license recordAGE RANGE 60 AND OVER. APPROVED FOR 23 AMBULATORY AND 77 NON-AMBULATORY, OF WHICH 14 MAY BE BEDRIDDEN. APPROVED HOSPICE WAIVER FOR 7. NEW MGMT. CO, (ONELIFE SENIOR LIVING, LLC.), EFFECTIVE (2/18/25).

How much does Belmare Senior Living cost?

California's public licensing record does not include Belmare Senior Living's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in Stanislaus County typically runs $3,500–$5,500/mo and small board-and-care homes $3,000–$5,000/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 Belmare Senior Living accept Medi-Cal or the Assisted Living Waiver?

Belmare Senior Living 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 →

How full it was at the last state visit

83 of 114 beds occupied (73%) when the state visited on September 3, 2025. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Belmare Senior Living?

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 52 state visits and 43 dated documents since 2022 for Belmare Senior Living; 12 complaint-investigation narratives are transcribed verbatim below. The most recent, dated September 3, 2025, records an allegation the state marked “Substantiated. 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.

12 transcribed reports on file

2025

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility staff does not answer pendant calls in a timely manner.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 9/03/2025, Licensing Program Analysts (LPA) Triel Ellen Lindstrom and Arielle Pascua arrived unannounced at the facility to deliver the findings on a complaint received on 5/1/2025. The LPA met with Administrator Lacy Vincent and explained the purpose of the visit. LPA Lindstrom had toured and made observations at the facility, reviewed records and work schedules, and interviewed residents, staff, and family members. This investigation was conducted during site visits on 5/5/25, 5/28/25, 6/9/2025 and 8/4/2025. Allegation: Facility staff does not answer pendant calls in a timely manner On 5/5/25, LPA Pascua interviewed S7, who stated that the expectation regarding response time to pendant calls was 10 minutes. An analysis of the pendant log for April 2025 showed that the wait 11-20 minutes 21% of the time, 21 to 30 minutes 5% of the time, and over 30 minutes 3% of the time. LPA Lindstrom interviewed a resident R6, who stated that when the facility is not sufficiently staffed, it canCDSS inspection report, September 3, 2025 · control 27-AS-20250521081550
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff do not ensure that residents' incontinence needs are met. Staff speak inappropriately to residents. Staff do not distribute resident's medication as prescribed. Staff did not ensure resident's dietary needs were met. Staff did not answer resident's call button in a timely manner.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 9/03/2025, Licensing Program Analysts (LPA) Triel Ellen Lindstrom and Arielle Pascua arrived unannounced at the facility to deliver the findings on a complaint received on 5/1/2025. The LPAs met with Administrator Lacy Vincent and explained the purpose of the visit. LPA Lindstrom had toured and made observations at the facility, reviewed records and work schedules, and interviewed residents, staff, and family members. This investigation was conducted during site visits on 5/5/25, 5/28/25, 6/9/2025 and 8/4/2025. Allegation: Staff do not ensure that residents' incontinence needs are met A family member (F1) of a resident (R1) was interviewed and stated that R1 had had two occurrences when incontinence care was not met. On 8/4/25, F1 discovered R1 still in bed at 8:20 AM. F1 walked into R1’s bedroom and found R1 lying in bed with soaked briefs and bed pads. In another occurrence, F1 looked throughout the unit for a caregiver to help R1 toilet and could find none. R1 subsequently got (CCDSS inspection report, September 3, 2025 · control 27-AS-20250501155055

2024

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not seek medical attention to resident in a timely manner. Staff did not notify CCL of incidents
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 12/30/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a complaint visit. LPA met with Facility Designated Administrator (FDA), Lacy Vincent and explained the purpose of the visit. The purpose of this visit was to deliver complaint findings for the allegations above. Current census was 87. A brief interview with FDA Vincent was conducted. Allegation: Staff did not seek medication attention to resident in a timely manner It was alleged that the staff did not seek medication attention to a resident in a timely manner. During the course of this investigation, interviews were conducted, and facility records were reviewed. Based on interviews conducted it was learned that on 07/26/2024 R1 was found on the floor next to their bed by staff. It was stated by staff that they were unsure how long R1 was on the floor for and upon assessment the facility asked if R1 they wanted to get assessed by emergency services however reminded R1 that theCDSS inspection report, December 30, 2024 · control 27-AS-20240807121831
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff do not keep the facility free from scabies Staff behavior poses as a risk the residents
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 12/26/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to continue a complaint investigation in to the above listed allegations. LPA Jensen met with Executive Director Lacey Vincent and explained the purpose of today's visit. During the course of this investigation LPA Jensen conducted site visits on 3 separate occasions. LPA Jensen also interviewed 7 current staff members, 1 former staff member, 3 family members of residents and 1 external contractor paid to provide ancillary services to a resident. LPA Jensen also reviewed the infection control plan and resident records. Allegation 1: Staff do not keep the facility free from scabies The facility has an infection control plan that is adequate. During the course of the site visits LPA Jensen observed staff practicing appropriate infection control measures. The parties interviewed stated that the scabies outbreak was handled in a timely and appropriate manner. UnsubstantiatedCDSS inspection report, December 26, 2024 · control 27-AS-20241023142247
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not prevent a resident from dragging another resident
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 12/26/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to continue a complaint investigation in to the above listed allegations. LPA Jensen met with Executive Director Lacey Vincent and explained the purpose of today's visit. During the course of this investigation LPA Jensen interviewed 4 current staff members, 1 former staff member, 3 family members of residents and 1 external contractor paid to provide ancillary services to a resident. LPA Jensen also reviewed resident records. Based on the records reviewed and interviews conducted the facility was hosting a regularly scheduled happy hour. Resident 2 (R2) had placed her belongings on a chair and left her seat to dance. Resident 3 (R3) attempted to take over the already occupied seat and a disagreement ensued with R3 attempting to physically assault R2. Staff were within approximately 5 feet of the residents when this incident occurred. UnsubstantiatedCDSS inspection report, December 26, 2024 · control 27-AS-20241108155944
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not order resident's medication refills in a timely manner
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 9/24/24 LPA Jensen arrived at the facility unannounced to continue a compliant investigation in to the above listed allegation. LPA Jensen met with Business Office Manager Desiree Soria and explained the purpose of today's visit. LPA Jensen conducted interviews with staff 1 (S1), staff 2 (S2), staff 3 (S3) and Resident 1 (R1). LPA Jensen also reviewed the Centrally Stored Medication and Destruction Record (CSMDR) and Medication Administration Record (MAR) for R1 and progress notes. Based on the CSMDR R1 had a 30 day supply of medications. The CSMDR revealed that multiple prescription medication orders were filled after the 30 day mark. The MAR shows that 5 seperate medications "on hold until the medication is available". LPA Jensen interviewed R1 who stated that she had previously had a problem with getting medication refills but the problem has been resolved since she has been assigned a new medication technician. SubstantiatedCDSS inspection report, September 24, 2024 · control 27-AS-20240712161154
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not seek medical attention for residents in a timely manner Resident wandered away from the facility due to lack of care from staff
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 7/5/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to continue a compliant investigation in to the above listed allegations. LPA Jensen met with Health and Wellness Director Teri Ford and explained the purpose of today's visit. Allegation 1: Staff did not seek medical attention for residents in a timely manner During the course of the investigation LPA Jensen reviewed the resident file for resident 1 (R1), interviewed 7 staff members and 3 residents. Based on the interviews conducted R1 experienced a change in condition around March of 2024. All staff interviews conducted and records reviewed appear to indicate that staff notified R1's medical providers and treatment was sought in a timely manner. During the course of the interviews conducted 3 of 3 residents interviewed agreed that staff seek medical attention for them in a timely manner when needed. While it was difficult to ascertain precisely when R1's change in condition presented itself there waCDSS inspection report, July 5, 2024 · control 27-AS-20240408103523
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff do not meet resident's needs
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 4/12/24 at approximately 3:15 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to open an investigation in to the above listed allegations. LPA Jensen met with Executive Director Cindy Lichtenhahn and explained the purpose of today's visit. LPA Jensen requested and received a staff roster with contact information and signal system activation logs for April 5th through April 12th. LPA Jensen also toured the memory care unit. In the memory care unit 3 rooms were inspected and interviews were conducted with 3 residents. LPA Jensen observed soiled under garments and soiled briefs on a bathroom vanity counter in 1 room. LPA Jensen observed soiled undergarments in the shower of a second bathroom. LPA Jensen reviewed the call signal activation logs which show that in a course of a week it took 20 minutes or more to respond when a resident activated their call signal 60 times. SubstantiatedCDSS inspection report, April 12, 2024 · control 27-AS-20240408103523

2023

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff are not addressing a scabies outbreak
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 12/29/23 at approximately 10:30am Licensing Program Analyst (LPA) Maja Jensen arrived at facility unanounced to continue a complaint onvestigation in to the above listed allegation. LPA Jensen met with the Executive Director Cindy Lichtenhan and Nurisng Director Teri Ford. During the course of the investigation LPA Jensen conducted interviews with 4 staff members. 2 of the 4 staff members were directly responsible for resident care and 2 staff mebers were responsible for providing ancillary services. 3 of 4 staff members stated they were not informed of potential scabies exposure amongst the residents or staff in the facility. LPA Jensen reviewed records that included "Move In & Routine Skin Assessment" for 4 residents and "Post Skin Concern Investigation/Assessments" for 12 residents. The Post Skin Concern Assessments were dated from 10/17/23 through 10/26/23. UnsubstantiatedCDSS inspection report, December 29, 2023 · control 27-AS-20231020101853
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedLicensee does not ensure staff properly respond to call button system for residents
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 10/26/23 at approximately 3pm Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to deliver findings related to a compliant investigation for the above listed allegations. LPA Jensen met with Health and Wellness Director, Teri Ford, and explained the purpose of todays visit. During the course of the investigation LPA Jensen conducted in person interviews with 3 residents. 3 of 3 residents indicated there have been occasions when staff are too busy to respond in a timely manner. LPA Jensen also reviewed the Signal System Response Time Report for the period of September 22, 2023 through October 2, 2023. According to the report provided to the Department, the signal system was activated 797 times during the selected period. The response times were as follows: Response time between 0-10 minutes - 449 activations (56%) Response time between 11-29 minutes - 262 activations (33%) Response time between 30-56 minutes - 86 activations (11%) SubstantiatedCDSS inspection report, October 26, 2023 · control 27-AS-20231002135058
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff is unable to provide proper supervision to resident in care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 09/26/23, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to continue working on the complaint regarding the allegation above. The LPA identified herself, the purpose of the visit and asked to speak with the Designated Facility Administrator. LPA met with the Executive Director, Cynthia Lichtenhan, and the Director of Health and Wellness, Teri Ford. On 08/20/23, at approximately 3:45 AM, a resident in Memory Care became aggressive and assaulted another resident and a staff member. Staff intervened and the police were notified. Police removed the resident from the facility and brought the resident to the ER for evaluation. The facility notified the resident's primary care and responsible parties. The hospital discharged the resident and sent them back to the community by 12:05 AM on 08/21/23. Once R was returned, R received 1-1 supervision in the model room of Assisted Living while waiting for the responsible parties to retrieve them. R waCDSS inspection report, September 26, 2023 · control 27-AS-20230822134442
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff are not addressing a scabies outbreak. Staff restrained resident. Staff do not ensure facility is clean.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 09/21/2023 Licensing Program Analysts (LPAs), Kimberly Viarella and Maja Jensen made an unannounced visit to this facility to continue with a complaint investigation regarding the above allegations. The LPAs identified themselves, the reason for the visit, and asked to meet with the Designated Facility Administrator. LPAs met with Terri Ford, the Director of Health and Wellness. A brief interview followed. Staff are not addressing Scabies outbreak. Belmare Senior Living provided this LPA with their Policy and Procedure for Scabies. The policy was issued on 09/2018 and revised on 06/2020. When residents or staff experienced symptoms, Belmare Senior Living instructed them to obtain skin scrapings as proof that they had scabies, however, at the bottom of the first page of their policy it clearly states, “Failure to positively identify scrapings does not necessarily exclude the diagnosis. It is difficult to obtain a positive scraping because only one or two mites may cause multiple lesiCDSS inspection report, September 21, 2023 · control 27-AS-20230828162757

Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.

What the state has logged

California has logged 52 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.

Type A citations
9
typical for this size: 1
Type B citations
7
typical for this size: 1
Substantiated complaints
18
typical for this size: 2
Total complaints
15
typical for this size: 7
State visits on file
52
typical for this size: 19
See the full inspection record on the state's site →
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