Illustration — no photo of this home on file yet
- Care approvals on fileHospice · BedriddenState licensing record · September 27, 2026
- Estimated starting rate$4,500 a monthCovelight estimate · likely $3,700–$5,550
- Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
- Room at the last state visit6 of 6 beds occupiedSeptember 26, 2024 · not a current opening
- Ways to payAsk the homeMedi-Cal ALW participation not on file
- Last state visitAugust 12, 2025CDSS inspection record
- Licence holderDean and Grey Care Services Inc.Since 2022 · 2 licensed homes
Dean Estate 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 2022. Wheelchair and non-ambulatory care and dementia care are 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 Dean Estate
Is Dean Estate licensed?
The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
How many residents is Dean Estate licensed for?
6 residents — a small home, per CDSS records as of September 27, 2026.
Has Dean Estate been cited?
0 Type A and 1 Type B citation since 2022, per CDSS records as of September 27, 2026. Those records count 9 state visits over the same years.
Is Dean Estate still open?
This license was on the CDSS roster as of September 28, 2026.
What does Dean Estate cost?
$4,500 a month to start is a Covelight estimate, likely $3,700–$5,550. 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 12 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.
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 Dean Estate 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 Dean and Grey Care Services Inc., per CDSS records as of September 27, 2026. See the homes licensed to Dean and Grey Care Services Inc. — at least 2 on the state roster.
Is there a hospital nearby?
Kaiser Foundation Hospital - Sacramento is 3.1 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.
Can Dean Estate keep a resident on hospice?
Hospice care is approved on this license, covering up to 6 residents, per CDSS records as of September 27, 2026.
Dean Estate license and inspection record
- Name on the license: “DEAN ESTATE”, per the CDSS roster as of May 25, 2025.
- License #345002929. 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 Dean and Grey Care Services Inc., per CDSS records as of September 27, 2026.
- First licensed in 2022, per CDSS records as of September 27, 2026.
- 9 state inspection visits since 2022, per CDSS records as of September 27, 2026.
- 0 Type A and 1 Type B citation on file since 2022, per CDSS records as of September 27, 2026. The same records count 9 state visits in that period.
- 2 complaints and 1 substantiated allegation on file since 2022, per CDSS records as of September 27, 2026. One complaint can carry several allegations.
- The most recent state visit on file is August 12, 2025, 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-ambulatoryNot on file · ask the home
- Dementia / memory careNot on file · ask the home
- Hospice careApproved · covers up to 6 residents
- BedriddenApproved by the state
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 BEDRIDDEN. HOSPICE WAIVER FOR 6.
935 - ELDERLY
CDSS record, verbatim · September 27, 2026
As needs change
- Staying through hospice
Hospice waiver on file · covers up to 6 — 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
4 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?”
- If memory loss develops
Dementia-care designation not on file
Ask: “If memory loss develops, what would change — and when would a move be needed?”
What it costs here
Covelight estimate
$4,500a month to start
Likely $3,700–$5,550
From 12 nearby homes that publish rates · this home’s rate is not on file
Likely monthly total
$4,500a month
Likely $3,700–$5,750
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
Memory care is not priced here: a dementia-care designation is not on file for this home. Ask the home.
Starting monthly rate$4,500likely $3,700–$5,550
Covelight’s estimate starts from the rates 12 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 (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 $3,700–$5,750
- $4,500
- First monthWith a one-time move-in fee · likely $4,300–$8,850
- $6,500
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 12 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.
12 homes like this within 3 miles publish starting rates mostly between $3,350–$5,000.
- 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 12 nearby homes behind this estimate
- Madison Square Senior Living IICarmichael · 0.7 mi · Small home$4,000Listed on Seniorly · seen September 9, 2026
- Cozy Home CareCarmichael · 0.8 mi · Small home$5,000Listed on Seniorly · assisted living · seen September 9, 2026
- Abundant Love and Care for the ElderlyCarmichael · 0.9 mi · Small home$3,300Listed on A Place for Mom · seen September 9, 2026
- Marylou's Home CareSacramento · 1.4 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Norris Senior HomeSacramento · 1.4 mi · Small home$5,000Listed on Seniorly · assisted living private room · seen September 9, 2026
- Eastern ManorSacramento · 1.4 mi · Mid-size home$3,800Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Splendor Oaks Senior Living 1Carmichael · 2.1 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Kentfield Estates Ranch RCFESacramento · 2.3 mi · Small home$4,000Listed on Seniorly · seen September 9, 2026
- Meraki of SacramentoSacramento · 2.3 mi · Mid-size home$3,500Listed on Seniorly · seen September 9, 2026
- Hollister Care HomeCarmichael · 2.4 mi · Small home$4,500Listed on Seniorly · seen September 9, 2026
- Sunny Beach VillaSacramento · 2.7 mi · Small home$3,200Listed on A Place for Mom · seen September 9, 2026
- Courtyard TerraceSacramento · 2.9 mi · Mid-size home$4,345Listed on Seniorly · seen September 9, 2026
Where it is
- 5214 North Ave, 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 2022, the state has filed 8 documents for this home, and its records count 9 visits since 2022. The most recent is a facility evaluation report, dated August 12, 2025.
- On file since
- 2022
- State visits
- 9
- Most recent visit
- August 12, 2025
- Occupied · September 26, 2024 visit
- 6 of 6 bedsa count on that day, not an opening
We hold 2 complaint reports the state published for this home, dated October 19, 2023 to September 26, 2024. 2 of the 2 carry the state's recorded outcome word: “Unfounded” (1), “Unsubstantiated” (1). 2 include the transcribed allegation the state investigated, word for word. Summary composed by computer from the 2 complaint reports below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.
Beside homes the same size
- Type A citations0typical 0
- Type B citations1typical 0
- Substantiated allegations1typical 0
- Total complaints2typical 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 2022.
Year by year
The last 36 months — 5 of 8 documents
Aug 12, 2025Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Lavinia Muscan arrived on August 12, 2025 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (3) and staff files (2). All resident files contained the required paperwork. All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility is current on fire drills. Staff training contained the required initial training. LPA and Administrator Karl Ramos toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area.The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. The disaster drill is current. The administrator's certificate is current. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher is ready for emergency use. Water temperature is within compliance. In the areas toured, there were no health or safety violations observed. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month. Exit interview conducted. A copy of this report was printed and given to Administrator.the state’s words, verbatim · CDSS document, Aug 12, 2025
Oct 17, 2024Facility evaluation reportReport on file
Type of visit: Required - 1 Year
On 10/17/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required annual inspection utilizing the full care tool. LPA met with Resident Care Coordinator and explained the purpose of the visit. Facility has six residents in care with two on hospice services. Facility is currently licensed for six non-ambulatory with hospice waiver for six. During today's visit, LPA and Assistant Administrator conducted a tour of the interior and exterior of the facility to ensure the health and safety of residents in care. Areas toured included but not limited to: residents bedrooms, bathroom, kitchen, backyard and the common areas. LPA observed the sharps and toxins to be locked and inaccessible to residents in care. LPA observed medications to be locked and secure in the staff office. LPA observed facility to have two days of perishable and seven days of nonperishable foods. File review conducted for six resident records and four personnel records. LPA observed personnel files to have the required documents needs on file. Additionally, LPA reviewed facility's quarterly Fire Drill, Infection Control Plan and Emergency Disaster Plan. CARE tool completed with Resident Care Coordinator and found facility to be in substantial compliance. AS a result of today's inspection, no deficiencies observed. Exit interview conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, Oct 17, 2024
Sep 26, 2024Complaint investigation reportUnsubstantiated
Allegation investigated: Resident sustained unexplained bruising
On 9/26/2024, Licensing Program Analyst (LPA) Cassie Yang arrived at the facility unannounced to deliver the finding of the allegation cited above. LPA met with Caregiver and explained the purpose of the visit. During the course of this investigation, LPA conducted extensive file reviews and interviews regarding the allegation cited above. Please continue to LIC 9099-C for the result of the investigation. Unsubstantiated LIC 9099-C Allegation: Resident sustained unexplained bruising. Based on file review conducted, incident report submitted to Community Care Licensing revealed that R1 was transported to the emergency room for evaluation on March 30, 2024 then after five days on April 4, 2024, R1 was transported to a skilled nursing facility. Based on file review conducted R1 was discharged from skilled nursing and returned to the facility on April 22, 2024. Based on shower skin sheet for R1, it revealed on April 23, 2024 R1 was documented to have scratch marks on R1's right lower thigh and foot. Additionally, it was documented of discoloration/bruising on R1's left arm. The following was observed and documented by Assistant Administrator. Based on resident care notes reviewed, it was revealed on May 1, 2024 facility faxed R1's primary care physician for advisory regarding "old discoloration and spreading and color changed". On May 3, 2024, it revealed "resident's discoloration is getting better and fading. Will continue to monitor and report changes." Based on R1's Mini-Mental State Examination conducted on April 23, 2024, it revealed there was a list of eleven (11) questions with the maximum score of 30, R1's score was zero (0) with a second try refusal. Based on R1's preplacement appraisal on April 20, 2024, it was documented that R1's mental condition was listed as "confused and disoriented with hallucinations sometimes". Based on interview conducted with Administrator, it revealed that R1 has dementia and is often forgetful where R1 informed Administrator and Long Term Care Ombudsman that R1 does not know what happened. Interview with R1 revealed that R1 does not recall living at the facility, but R1 does remember having a big bruising. R1 was unable to state if R1 was injured at skilled nursing facility prior to returning to the facility or at the facility. With the information obtained, LPA found the allegation to be unsubstantiated as R1 is unable to recall the incident along with facility having skin check documentation of bruising present when R1 returned to he facility after skilled nursing discharge. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 26, 2024 · control 59-AS-20240530142459
Oct 19, 2023Complaint investigation reportUnfounded
Allegation investigated: Licensee admitted resident without a medical assessment signed by a physician within one year
Licensing Program Analysts (LPAs) Cassie Yang and Cheyenne Ratajczak arrived uannounced to open and deliver the finding of the allegation listed above. LPAs met with Assistant Administrator Kassie Howell, and explained the purpose of the visit. This investigation, LPAs conducted file review and interviews for the following allegation. Results are as follow. Please see LIC 9099-C. Unfounded Allegation: Licensee admitted resident without a medical assessment signed by a physician within one year. The Department conducted interview and file review. Based on interview with S1, it revealed facility was licensed October 2022. Based on file review, LPA observed facility to be licensed on 10/25/2022. Additionally, based on file review, it revealed R1 was admitted to the facility with a medical assessment- LIC 602A PHYSICIAN'S REPORT FOR RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE) signed and dated 08/24/2022. File review revealed R1 was admitted to facility with a medical assessment that is within a year. The following allegation is unfounded. UNFOUNDED-means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview conducted and a copy of the report and appeal rights provided. Allegation: Licensee prohibited resident from having phone calls. The Department conducted interviews with S1 and S2 regarding this matter. Interview with S1 on 4/21/2023, it revealed that S1 has contacted Power of Attorney(s) prior to allowing R1 speak on the phone with other individuals, due to safety reasons. Interview revealed S1 is unsure if R1 is able to speak to others without Power of Attorney's approval. Based on interview with S2 on 10/6/2023, it revealed S2 confirmed to have inform family members that S2 will need to speak to R1's Power of Attorney frist before letting family members speak to R1. Based on file review, it revealed R1's Power of Attorney does not have limitation of visitations. The allegation is SUBSTANTIATED- A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following allegation cited above is substantiated, please see LIC9099-D. Exit interview conducted, and a copy of the report and appeal rights was provided.the state’s words, verbatim · CDSS document, Oct 19, 2023 · control 59-AS-20231018154926
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(1) · Plan of correction due date: Oct 27, 2023
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations... This requirement is not met as evidenced by: Based on interviews, Licensee did not comply with the section cited above as S1 and S2 informed LPA they contacted R1's Power of Attorney prior to allowing R1 talk on the phone with R1's family members which poses a potential risk for residents in care.the state’s words, verbatim · CDSS document, Oct 19, 2023
Plan of correction: Licensee will submit a statement of compliance to the following regulation cited. Provide POC to LPA by 10/27/2023 via email.
Oct 5, 2023Facility evaluation reportReport on file
Type of visit: Required - 1 Year
On 10/5/2023 at 1:45PM, Licensing Program Analysts (LPAs) Cassie Yang and Cheyenne Ratajczak arrived unannounced at the facility to conduct a Required 1- year annual inspection utilizing the care tool. LPAs met with caregiver, Kassie Howell, and explained the purpose of the visit. Facility is licensed for six bedridden and hospice waiver for six. Facility is found to be in compliance to licensure. During today's inspection, LPAs and Caregiver conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: six private residents room, four bathroom, kitchen, backyard, storage area, and common areas. LPAs observed the fire extinguisher to be last serviced on October 14, 2022. LPAs informed Caregiver that fire extinguisher should be serviced annually to ensure it is in good condition. LPAs observed sharps, toxins, and medications to be locked and secured. LPAs observed five out of six residents LIC 602 Physician's Report to be dated in 2022. LPAs informed caregiver that LIC 602s should be updated annually to ensure no change in conditions for residents in care. Additionally, LPAs provided California Code Regulation 87506 Resident Records to caregiver as reference. LPAs and Caregiver completed the care tool together and found the facility to be in compliance. Exit interview conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, Oct 5, 2023
What the state’s words mean
CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗
Who holds the licence
Dean and Grey Care Services Inc., licensed since 2022, operates 2 licensed homes in California. Running more than one home is common and is neither good nor bad on its own.
- Grey Manor · Carmichael
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?
- 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.
Grey Manor
Carmichael · Small home · 0.0 mi away
$4,550 a month to start · Covelight estimate
Reminisce Care Retreat 1
Carmichael · Small home · 0.2 mi away
$4,650 a month to start · Covelight estimate
Walnut House
Carmichael · Large community · 0.2 mi away
$1,895 a month to start · Listed by the home
Serenity Residence
Carmichael · Small home · 0.2 mi away
$5,100 a month to start · Covelight estimate
Reminisce Care Retreat 2
Carmichael · Small home · 0.2 mi away
$4,450 a month to start · Covelight estimate
The Elderly Inn I
Carmichael · Small home · 0.3 mi away
$3,950 a month to start · Covelight estimate