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Harmony Care House

Mid-size home·Licensed for 16·Hayward, California

LicensedLicence #19201516
  • Care approvals on fileWheelchair · Dementia · HospiceState licensing record · September 13, 2026
  • Estimated starting rate$4,550 a monthCovelight estimate · likely $3,600–$6,000
  • Home sizeLicensed for 16Mid-size care home · a licensed care home (RCFE)
  • Ways to payAsk the homeMedi-Cal ALW participation not on file
  • Last state visitJuly 2, 2026CDSS inspection record

Harmony Care House is a mid-size care home in Hayward — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 16 residents. Bedridden care is not on file.

Built from CDSS public records · September 13, 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 Harmony Care House

Is Harmony Care House licensed?

The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.

How many residents is Harmony Care House licensed for?

16 residents — a mid-size home, per CDSS records as of September 13, 2026.

Has Harmony Care House been cited?

0 Type A and 0 Type B citations, per CDSS records as of September 13, 2026.

Is Harmony Care House still open?

This license was on the CDSS roster as of September 28, 2026.

What does Harmony Care House cost?

$4,550 a month to start is a Covelight estimate, likely $3,600–$6,000. 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 9 homes with 7 to 49 beds 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 Hayward that publish a starting rate, the middle half runs $2,875 to $4,250 a month, and the middle figure is $3,000 (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 Harmony Care House 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 Harmony Care House LLC, per CDSS records as of September 13, 2026.

Is there a hospital nearby?

St Rose Hospital is 0.8 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Harmony Care House keep a resident on hospice?

Hospice care is approved on this license, per CDSS records as of September 13, 2026.

Harmony Care House license and inspection record

  • Name on the license: “HARMONY CARE HOUSE LLC”, per the CDSS roster as of June 12, 2026.
  • License #19201516. The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.
  • Licensed for 16 residents — a mid-size home, per CDSS records as of September 13, 2026.
  • Licensed to Harmony Care House LLC, per CDSS records as of September 13, 2026.
  • First licensed: the year is not on file — the roster carries no first-license date for it. Ask: “When did this license start?”
  • 4 state inspection visits on file, per CDSS records as of September 13, 2026.
  • 0 Type A and 0 Type B citations on file, per CDSS records as of September 13, 2026.
  • 0 complaints and 0 substantiated allegations on file, per CDSS records as of September 13, 2026.
  • The most recent state visit on file is July 2, 2026, per CDSS records as of September 13, 2026.
Type A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗

See the state’s own record

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 16 residents
  • Dementia / memory careApproved by the state
  • Hospice careApproved by the state
  • BedriddenNot on file · ask the home

State licensing record · September 13, 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. 16 NON-AMBULATORY. HOSPICE WAIVER GRANTED FOR (6).

983 - RCFE / DEMENTIA

CDSS record, verbatim · September 13, 2026

As needs change

  • Staying through hospice

    Hospice waiver on file — care may continue at the end of life

    Ask: “If hospice is needed, can care continue here until the end?”

    State licensing record · September 13, 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 13, 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

$4,550a month to start

Likely $3,600–$6,000

From 9 nearby homes that publish rates · this home’s rate is not on file

Likely monthly total

$4,550a month

Likely $3,600–$6,150

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
Room
Daily care
Sharing the room
  • Starting monthly rate$4,550likely $3,600–$6,000

    Covelight’s estimate starts from the rates 9 homes with 7 to 49 beds 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 $3,600–$6,150
$4,550
First monthWith a one-time move-in fee · likely $4,300–$9,100
$6,550
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.
If the money runs out, what Medi-Cal covers
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 9 homes with 7 to 49 beds 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.

9 homes like this within 5 miles publish starting rates mostly between $2,700–$5,950.

  • 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 9 nearby homes behind this estimate

Where it is

  • 565 Schafer Road, Hayward, CA 94544Address from the public record · September 13, 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 4 documents for this home, and its records count 4 visits. The most recent is a facility evaluation report, dated September 5, 2025.

On file since
2025
State visits
4
Most recent visit
July 2, 2026

Beside homes the same size

  • Type A citations0typical 0
  • Type B citations0typical 1
  • Substantiated allegations0typical 2
  • Total complaints0typical 6

“Typical” is the statewide median across the 1,354 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.

The last 36 months — 4 of 4 documents

20254 state visits · 4 documents
Sep 5, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Other

LPA K. Nguyen conducted a face to face Component III presentation on 09/05/25 starting at 8:30 am. LPA met with licensee and administrator respectively, Nalini Nath. LPAs presented Component III power point and discussed the regulations embodied in the power point. LPAs observed participant gained knowledge about running and maintaining the facility in accordance with regulations. Exit interview conducted with Nalini Nath a copy provided.the state’s words, verbatim · CDSS document, Sep 5, 2025
Aug 21, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Other

At around 9:30 am, Licensing Program Analyst (LPA) K. Nguyen arrived to conduct final pre licensing inspection and met with previous Administrator, Shirley Marshall. LPA was informed that Licensee and Administrator Nalini Nath is currently out of town. LPA checked: - trash bins on driveway is not overflow with trashed - inside the dishwasher and are not being used as storage. - activities and resident drawer handle have been fix/ replaced - observed shared bathroom are clean - observed broken title in the share bathroom fixed - observed in resident room that Corinz and cleaning product on top of the drawer (Shared room) have been removed Report continued LIC809c... -observed Isopropyl Alcohol and dry shampoo in resident drawer (shared room) is removed and cleared - observed one nail polished inside the med chart, and multiple nail polishes left unlock on the shelve have been cleared and removed - observed resident medication are locked in the drawer - observed that Lysol cleaning wipe are locked in cabinet - observed room 3 shared closet is clear - observed room 7, 6, and 4 do not have a strong odor - observed chemical lock in the drawer near the laundry room - observed the wood on the patio have a hole and lift up have be fix - observed that all the piles of wood in between the two building have been removed After today's visit, the Pre-licensing inspection LPA have to conduct another visit to complete the COMP III, due to Administrator/ Licensee is out of town. Copy of report provided to the previous Administrator.the state’s words, verbatim · CDSS document, Aug 21, 2025
May 19, 2025Facility evaluation reportReport on file

Type of visit: Prelicensing

On 5/19/2025 at 10:00AM, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced Pre-licensed and Comp III inspection. LPA met with administrator; Shirley Marshall currently holds a certificate (#6005261740) that expired on 06/26/2025. Licenses Nalini Nath was informed and arrived at a later time. The facility’s fire clearance was approved for sixteen (16) non-ambulatory residents. LPA observed two residents in the dinning room. With Shirley, LPA inspected the physical plant including but not limited to 4 bedrooms, 4 bathrooms, living room, kitchen/dining area, laundry, and the outdoor area. The facility is a 1-storey building that has 8 designated resident rooms. Other rooms observed were designated for dining, activity and laundry. There is also a room designated as an office. The rooms are provided with drawers, nightstand lamps, sidewall lamp by the bed, closets, drawers, chairs and beds with mattress, box springs, linens, bed sheets, comforters, mattress pads, pillows with pillowcases. There are 4 common toilet/bathroom at the facility. All resident bathrooms/toilets are equipped with grab bars. All exit doors are installed with alarm/auditory signals. Toiletry supplies, bedsheets, linens, towels, paper towels and toilet papers are available. First Aid kit was checked and observed to be complete with manual. Water temperature in the shared bathroom was tested at 115.2 degrees Fahrenheit. Facility had flashlights for emergencies. There were 3 lights in the hallway. There is a locked cabinet for medications in the kitchen. The facility had a written emergency disaster plan. Smoke detectors were interconnected. Currently, there is a working telephone located in the office. Administrator states 2 additional extension phones will be installed by 2/15/18. Varied activity supplies residents were observed. There were non-perishable and perishable foods observed. Weekly menu is available. Dishes, glasses, and utensils are sufficient for the residents’ use. There was sufficient supply of warm blankets, hand towels, face towels and hand towels observed. continuation on Lic 809C Multiple fire extinguishers were observed and showed purchased date on 2/23/2025. Several carbon monoxide detectors were observed and tested functional. LPA observed the following deficiencies: At around 10am, LPA observed trash bins on driveway is overflow with trashed and on the ground At around 10:10am, LPA observed pizza slicer inside the dishwasher. Dishwasher used as storage. At around 10:30am, LPA observed activities and resident drawer handle is broken and are missing At around 10:33am, LPA observed shared bathroom are not clean At around 10:35am, LPA observed broken title in the share bathroom At around 10:40am, LPA observed in resident room contain a Corinz and cleaning product on top of the drawer (Shared room) At around 10:45am, LPA observed Isopropyl Alcohol and dry shampoo in resident drawer (shared room) At around 10:50am, LPA observed one nail polished inside the med chart, and multiple nail polishes left unlock on the shelve At around 10:51am, LPA observed resident medication left unlocked in the drawer At around 10:50am, LPA observed Lysol cleaning wipe outside in the back of the facility At around 10:55am, LPA observed room 3 shared closet is being used as a storage At around 10:55am, LPA observed room 7, 6, and 4 have a strong odor At around 10:55am, LPA observed chemical left unlock in the drawer near the laundry room At around 11:00am, LPA observed the wood on the patio have a whole and lift up Prior to licensure, the following is to be faxed to CCL by 5/23/25 : This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required. Comp III will be conduct after all POC is submit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, May 19, 2025
May 1, 2025Facility evaluation reportReport on file

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: CHOW Capacity: 16 Census (if any clients in care): 13 Method: Telephone call with CAB COMP II Participants: Nalini Nath, Administrator/Owner; Shannon Betker, analyst. Applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 1, 2025
What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedthere was not enough evidence to prove a violation occurred — not a finding of wrongdoingUnfoundedthe evidence showed the allegation was false, could not have happened, or had no reasonable basisType A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗

An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record, and we publish no reviews — the state’s dated documents and the questions below stand in their place.

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.

  1. What is included in the monthly rate, and what costs extra?
  2. Who is awake overnight, and how do residents ask for help?
  3. Which rooms does the non-ambulatory approval cover, and what transfer support is provided?
  4. What could change whether someone can stay here?
  5. Can we see a bedroom and share a meal during a visit?

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