Illustration — no photo of this home on file yet
- Care approvals on fileWheelchair · Dementia · HospiceState licensing record · September 27, 2026
- Estimated starting rate$4,600 a monthCovelight estimate · likely $3,750–$5,700
- Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
- Ways to payAsk the homeMedi-Cal ALW participation not on file
- Last state visitApril 16, 2026CDSS inspection record
Care Horizons is a small care home in Carmichael — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 6 residents since 2025. Bedridden care is not on file.
Built from CDSS public records · September 27, 2026. Every fact below names its source and date.
Quick answers and the state record
A citation does not make a home unsafe, and an empty file does not make a home good.
Quick answers about Care Horizons
Is Care Horizons licensed?
The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
How many residents is Care Horizons licensed for?
6 residents — a small home, per CDSS records as of September 27, 2026.
Has Care Horizons been cited?
0 Type A and 0 Type B citations since 2025, per CDSS records as of September 27, 2026. Those records count 2 state visits over the same years.
Is Care Horizons still open?
This license was on the CDSS roster as of September 28, 2026.
What does Care Horizons cost?
$4,600 a month to start is a Covelight estimate, likely $3,750–$5,700. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”
Covelight’s estimate starts from the rates 22 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.
Among 5 other homes of a similar licensed size in Carmichael that publish a starting rate, the middle half runs $3,450 to $4,625 a month, and the middle figure is $4,000 (n = 5 other homes publishing a starting rate).
Each of those is a home’s own published figure, gathered on its own date in September 2026 — not an average of ours, and not a survey. Similar size means small and mid-size homes counted together, and large communities counted on their own, because they are different markets.
A home outside the band is not overcharging or underpricing: a starting rate covers different things in different homes, which is the first thing to ask about.
The price is made in the phone call. Nothing here is a quote, an offer or a discount.
A starting rate is the room and the base care. California homes commonly bill care levels, medication management, supplies, transport and a second person in the room as extras. Many also charge a one-time fee at move-in. Ask for that list in writing before anything is signed.
Only prices a home put out itself count here: its own website, a listing it supplied, or a price a listing site says the home confirmed. Prices a site shows without saying where they came from are left out.
Does Care Horizons take Medi-Cal?
On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated September 23, 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 Care Horizons LLC, per CDSS records as of September 27, 2026.
Is there a hospital nearby?
Mercy San Juan Medical Center is 2.4 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.
Can Care Horizons keep a resident on hospice?
Hospice care is approved on this license, covering up to 3 residents, per CDSS records as of September 27, 2026.
Care Horizons license and inspection record
- Name on the license: “CARE HORIZONS LLC”, per the CDSS roster as of May 25, 2025.
- License #345920261. The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
- Licensed for 6 residents — a small home, per CDSS records as of September 27, 2026.
- Licensed to Care Horizons LLC, per CDSS records as of September 27, 2026.
- First licensed in 2025, per CDSS records as of September 27, 2026.
- 2 state inspection visits since 2025, per CDSS records as of September 27, 2026.
- 0 Type A and 0 Type B citations on file since 2025, per CDSS records as of September 27, 2026. The same records count 2 state visits in that period.
- 0 complaints and 0 substantiated allegations on file since 2025, per CDSS records as of September 27, 2026.
- The most recent state visit on file is April 16, 2026, per CDSS records as of September 27, 2026.
California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗
Can they support the care needed?
California licenses a home for specific kinds of care. The state’s record lists what this home is approved for; the home’s own answers fill in what changes as needs change.
- Wheelchair / non-ambulatoryApproved · covers up to 6 residents
- Dementia / memory careApproved by the state
- Hospice careApproved · covers up to 3 residents
- BedriddenNot on file · ask the home
State licensing record · September 27, 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. 6 AMBULATORY, OF WHICH 6 MAY BE NON-AMBULATORY.WAIVER/GRANTED FOR HOSPICE CARE FOR (3).
983 - RCFE / DEMENTIA
CDSS record, verbatim · September 27, 2026
As needs change
- Staying through hospice
Hospice waiver on file · covers up to 3 — care may continue at the end of life
Ask: “If hospice is needed, can care continue here until the end?”
State licensing record · September 27, 2026
- If memory loss develops
Dementia-care designation on file
Ask: “Can we read the dementia care disclosure and discuss how daily support works?”
State licensing record · September 27, 2026
3 more questions to ask the home
- Two-person transfers or a lift
Not on file
Ask: “If two people or a lift are needed to transfer, can the person stay?”
- Someone awake overnight
Not on file
Ask: “Who is awake overnight, and how do residents ask for help?”
- Medicines
Not on file
Ask: “Who manages the medicines, and what happens when a dose is missed?”
What it costs here
Covelight estimate
$4,600a month to start
Likely $3,750–$5,700
From 22 nearby homes that publish rates · this home’s rate is not on file
Likely monthly total
$4,600a month
Likely $3,750–$5,900
With a shared room and basic help.
An estimate for planning, not a quote. The price is made in the phone call.
See the full cost breakdownRoom, care and fees · how people pay · how this estimate works
Starting monthly rate$4,600likely $3,750–$5,700
Covelight’s estimate starts from the rates 22 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 (45 California homes publish a care-level range, seen in September 2026).
One-time move-in fee$2,000one time · likely $0–$4,000
Homes that list a one-time entry or community fee charge a median of $2,000 (134 California listings; middle half $1,000–$4,000). Many homes list none — ask.
- Likely monthly totalLikely $3,750–$5,900
- $4,600
- First monthWith a one-time move-in fee · likely $4,400–$9,000
- $6,600
How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance
- 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 September 23, 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.
- MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
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 community 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.
- What is the full monthly cost for the room and care we need, and what does it include?
- What would the next care level cost, and who decides when it changes?
- What is billed separately, and is there a one-time fee or deposit at move-in?
- Is any private-pay period required before another payment program can begin?
How this estimate worksWithin 25% for 7 in 10 homes in testing
Covelight’s estimate starts from the rates 22 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.
22 homes like this within 5 miles publish starting rates mostly between $3,500–$5,750.
- 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.
Show the 22 nearby homes behind this estimate
- Splendor Oaks Senior Living 1Carmichael · 0.5 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Hollister Care HomeCarmichael · 0.6 mi · Small home$4,500Listed on Seniorly · seen September 9, 2026
- Madison Square Senior Living IICarmichael · 1.5 mi · Small home$4,000Listed on Seniorly · seen September 9, 2026
- Magnolia Elderly Care HomeFair Oaks · 1.7 mi · Small home$6,000Listed on Seniorly · assisted living · seen September 9, 2026
- Cozy Home CareCarmichael · 1.9 mi · Small home$5,000Listed on Seniorly · assisted living · seen September 9, 2026
- Abundant Love and Care for the ElderlyCarmichael · 2.5 mi · Small home$3,300Listed on A Place for Mom · seen September 9, 2026
- Royal Gardens Elder CareRancho Cordova · 2.7 mi · Small home$5,000Listed on A Place for Mom · seen September 9, 2026
- Meraki of SacramentoSacramento · 3.0 mi · Mid-size home$3,500Listed on Seniorly · seen September 9, 2026
- Marylou's Home CareSacramento · 3.1 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Norris Senior HomeSacramento · 3.1 mi · Small home$5,000Listed on Seniorly · assisted living private room · seen September 9, 2026
- Eastern ManorSacramento · 3.3 mi · Mid-size home$3,800Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Kentfield Estates Ranch RCFESacramento · 3.6 mi · Small home$4,000Listed on Seniorly · seen September 9, 2026
- Glorious Homes #1Citrus Heights · 4.2 mi · Small home$5,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Mount Hood Serenity CareSacramento · 4.2 mi · Small home$3,800Listed on Seniorly · seen September 9, 2026
- Best Life Home CareCitrus Heights · 4.3 mi · Small home$6,000Listed on A Place for Mom · seen September 9, 2026
- Splendor Oaks Senior Living #3Fair Oaks · 4.3 mi · Mid-size home$5,000Listed on A Place for Mom · seen September 9, 2026
- All Seasons HialeahFair Oaks · 4.4 mi · Small home$9,000Listed on Seniorly · assisted living · seen September 9, 2026
- Sunny Beach VillaSacramento · 4.6 mi · Small home$3,200Listed on A Place for Mom · seen September 9, 2026
- Maria's Home CareNorth Highlands · 4.7 mi · Small home$6,500Listed on Seniorly · assisted living · seen September 9, 2026
- Courtyard TerraceSacramento · 4.7 mi · Mid-size home$4,345Listed on Seniorly · seen September 9, 2026
- Comfort & CareOrangevale · 4.9 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Love You MomOrangevale · 5.0 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Where it is
- 6645 Care Lane, Carmichael, CA 95608Address from the public record · September 27, 2026. Confirm the entrance with the home before visiting.
Opening the neighborhood map…
The state record
California inspects every licensed home and publishes what it found. Here are the dated documents and the state’s own words, beside what is typical for homes this size.
Since 2025, the state has filed 2 documents for this home, and its records count 2 visits since 2025. The most recent is a facility evaluation report, dated April 16, 2026.
- On file since
- 2025
- State visits
- 2
- Most recent visit
- April 16, 2026
Beside homes the same size
- Type A citations0typical 0
- Type B citations0typical 0
- Substantiated allegations0typical 0
- Total complaints0typical 0
“Typical” is the statewide median across the 6,808 licensed small board-and-care homes (6 or fewer 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 licence since 2025.
Year by year
The last 36 months — 2 of 2 documents
Apr 16, 2026Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 4/16/26 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. In the areas toured no immediate health, safety, or personal rights violations were observed. The home is very clean and residents stated they are happy with care. Water is maintained at the required temp by a tankless heater. LPA reviewed 3 resident files. Files are complete and well organized. LPA reviewed 2 staff files. Files are complete. LPA and Admin discussed several topics. LPA interviewed resident and had extensive discussion. Resident stated receiving good care in a well maintained home. No deficiencies are being cited as a result of todays inspection. Exit interview conducted with licensee and copy of report left at the facility.the state’s words, verbatim · CDSS document, Apr 16, 2026
Apr 2, 2025Facility evaluation reportReport on file
Type of visit: Prelicensing
Licensing Program Analyst (LPA) Hiratsuka conducted this announced prelicensing visit. LPA met with applicants Cristina and Adrian Iordache. This facility has a fire clearance for six non-ambulatory residents. The facility is on a gated street. There is a call system on the gate that connects to the facility for staff to let visitors in. There is no fence around the property but there is a walkway and patio areas for outside activities. There are six private resident rooms. All resident rooms have full private bathrooms and exits to the outside. There is a staff room that has a full private bathroom. There is one half bathroom for visitors and staff. There is a laundry room that has locked double doors. There is one office and a door that connects to the garage. The kitchen has locked cabinets for medications, knives, and other items that need to be kept locked. The kitchen, dining, and common area is one large space. Component III orientation was conducted. This facility meets regulations. LPA is going to submit this report to the application specialist.the state’s words, verbatim · CDSS document, Apr 2, 2025
What the state’s words mean
CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗
Life here
Rooms, meals, the rhythm of a day, faith and language, pets and house rules — as the home describes them. Tap any detail for its source and date; nothing here is graded.
The home has not described daily life anywhere we have reviewed yet — that is the case for most small homes, and it says nothing about the home. These questions fill in the picture; keep the ones that matter to you.
Before you call
Ask every home the same questions — the state’s record does not answer these. Keep the ones that matter and they travel with your saved homes.
- What is included in the monthly rate, and what costs extra?
- Who is awake overnight, and how do residents ask for help?
- Which rooms does the non-ambulatory approval cover, and what transfer support is provided?
- What could change whether someone can stay here?
- Can we see a bedroom and share a meal during a visit?
Other homes nearby
The nearest licensed homes in Sacramento County, closest first. Every listed home appears on the same terms.
Care Horizons II
Carmichael · Small home · 0.0 mi away
$4,550 a month to start · Covelight estimate
Care Horizons Assisted Living
Carmichael · Small home · 0.0 mi away
$4,550 a month to start · Covelight estimate
Atria Carmichael Oaks
Carmichael · Large community · 0.2 mi away
$2,695 a month to start · Listed by the home
Grandma's Home II
Carmichael · Small home · 0.3 mi away
$4,350 a month to start · Covelight estimate
Palms Court I
Carmichael · Small home · 0.4 mi away
$4,250 a month to start · Covelight estimate
Oak Garden Senior Residence
Carmichael · Small home · 0.4 mi away
$4,050 a month to start · Covelight estimate