Illustration — no photo of this home on file yet
- Care approvals on fileWheelchair · Dementia · HospiceState licensing record · September 27, 2026
- Estimated starting rate$4,800 a monthCovelight estimate · likely $3,950–$5,950
- Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
- Room at the last state visit6 of 6 beds occupiedApril 8, 2026 · not a current opening
- Ways to payAsk the homeMedi-Cal ALW participation not on file
- Last state visitApril 8, 2026CDSS inspection record
Harmony Senior Home Care is a small care home in Orangevale — 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. 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 Harmony Senior Home Care
Is Harmony Senior Home Care licensed?
The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
How many residents is Harmony Senior Home Care licensed for?
6 residents — a small home, per CDSS records as of September 27, 2026.
Has Harmony Senior Home Care been cited?
1 Type A and 0 Type B citation, per CDSS records as of September 27, 2026.
Is Harmony Senior Home Care still open?
This license was on the CDSS roster as of September 28, 2026.
What does Harmony Senior Home Care cost?
$4,800 a month to start is a Covelight estimate, likely $3,950–$5,950. 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 15 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 7 other homes of a similar licensed size in Orangevale that publish a starting rate, the middle half runs $3,500 to $4,375 a month, and the middle figure is $4,000 (n = 7 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 Senior Home Care 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 Senior Home Care, LLC, per CDSS records as of September 27, 2026.
Is there a hospital nearby?
Mercy San Juan Medical Center is 3.4 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.
Can Harmony Senior Home Care keep a resident on hospice?
Hospice care is approved on this license, covering up to 4 residents, per CDSS records as of September 27, 2026.
Harmony Senior Home Care license and inspection record
- Name on the license: “HARMONY SENIOR HOME CARE LLC”, per the CDSS roster as of June 12, 2026.
- License #345920307. 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 Harmony Senior Home Care, LLC, per CDSS records as of September 27, 2026.
- First licensed: the year is not on file — the roster carries no first-license date for it. Ask: “When did this license start?”
- 2 state inspection visits on file, per CDSS records as of September 27, 2026.
- 1 Type A and 0 Type B citation on file, per CDSS records as of September 27, 2026.
- 1 complaint and 1 substantiated allegation on file, per CDSS records as of September 27, 2026. One complaint can carry several allegations.
- The most recent state visit on file is April 8, 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 4 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. APPROVED FOR SIX (6) NON-AMBULATORY RESIDENTS. HOSPICE WAIVER GRANTED FOR HOSPICE CARE FOR FOUR (4) RESIDENTS.
983 - RCFE / DEMENTIA
CDSS record, verbatim · September 27, 2026
As needs change
- Staying through hospice
Hospice waiver on file · covers up to 4 — 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
$4,800a month to start
Likely $3,950–$5,950
From 15 nearby homes that publish rates · this home’s rate is not on file
Likely monthly total
$4,800a month
Likely $3,950–$6,100
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$4,800likely $3,950–$5,950
Covelight’s estimate starts from the rates 15 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 $3,950–$6,100
- $4,800
- First monthWith a one-time move-in fee · likely $4,600–$9,200
- $6,800
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 15 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.
15 homes like this within 3 miles publish starting rates mostly between $3,500–$6,750.
- 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 15 nearby homes behind this estimate
- All Seasons HialeahFair Oaks · 0.4 mi · Small home$9,000Listed on Seniorly · assisted living · seen September 9, 2026
- Love You MomOrangevale · 0.6 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Comfort & CareOrangevale · 0.7 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Glen Creek Villa II-Res. Care Fac. for the ElderlyOrangevale · 0.9 mi · Small home$4,000Listed on Seniorly · seen September 9, 2026
- Splendor Oaks Senior Living #3Fair Oaks · 0.9 mi · Mid-size home$5,000Listed on A Place for Mom · seen September 9, 2026
- Ettys' CareOrangevale · 1.4 mi · Small home$4,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- The Elderly Inn IIICitrus Heights · 2.2 mi · Small home$3,500Listed on Seniorly · seen September 9, 2026
- Aaa CareCitrus Heights · 2.3 mi · Small home$3,500Listed on A Place for Mom · seen September 9, 2026
- Crown JewelOrangevale · 2.4 mi · Small home$3,000Listed on A Place for Mom · seen September 9, 2026
- Citrus Pines Senior LivingCitrus Heights · 2.7 mi · Small home$4,800Listed on Seniorly · assisted living private room · seen September 9, 2026
- Angels Assisted LivingRoseville · 2.7 mi · Small home$4,000Listed on A Place for Mom · seen September 9, 2026
- Shearwater ResidenceOrangevale · 2.8 mi · Mid-size home$4,500Listed on Seniorly · seen September 9, 2026
- Best Life Home CareCitrus Heights · 2.8 mi · Small home$6,000Listed on A Place for Mom · seen September 9, 2026
- Renaissance Senior CareOrangevale · 3.0 mi · Small home$6,500Listed on Seniorly · assisted living · seen September 9, 2026
- Glorious Homes #1Citrus Heights · 3.0 mi · Small home$5,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Where it is
- 6405 Big Bear Ct, Orangevale, CA 95662Address 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. The most recent — a complaint investigation report on April 8, 2026 — closed with the state’s outcome word: “Substantiated.”
- On file since
- 2025
- State visits
- 2
- Most recent visit
- April 8, 2026
- Occupied at that visit
- 6 of 6 bedsa count on that day, not an opening
We hold 1 complaint report the state published for this home, dated April 8, 2026. 1 of the 1 carries the state's recorded outcome word: “Substantiated” (1). 1 includes the transcribed allegation the state investigated, word for word. Summary composed by computer from the 1 complaint report 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 citations1typical 0
- Type B citations0typical 0
- Substantiated allegations1typical 0
- Total complaints1typical 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.
Year by year
The last 36 months — 2 of 2 documents
Apr 8, 2026Complaint investigation reportSubstantiated
Allegation investigated: Lack of staff supervision resulting in resident eloping from facility.
Licensing Program Analyst (LPA) Melissa Parks arrived on Wednesday April 8, 2026 unannounced to conduct a complaint visit regarding the above allegation. LPA met with Administrator Iryna and explained the purpose of the visit. LPA interviewed the Administrator regarding the allegation. LPA learned the following: On April 3, 2026, R1 was seated outside with other residents and staff (s1). Another staff (s2) was inside assisting a resident with a shower. A home health nurse arrived, and s1 went inside to answer the door. While inside, s1 assisted the home health nurse with requested documents. S1 then went back outside and observed that R1 was not in the backyard. S1 began to search for R1 outside of the facility. The home health nurse's spouse was in the car in the driveway. This person observed R1 leaving. S1 contacted the Administrator, who then called 911. 911 let the Administrator know that they were contacted by someone in an adjacent neighborhood regarding R1. The police then escorted R1 to the Administrator. Per R1's physicians report, Resident (R1) is not able to leave the facility unassisted due to a diagnosis of Dementia. Substantiated Based on the information detailed above, LPA finds the allegation to be substantiated. A finding that the allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiency cited on 9099-D. Exit interview. Copy of report and appeal rights provided.the state’s words, verbatim · CDSS document, Apr 8, 2026 · control 59-AS-20260406204648
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(j) · Plan of correction due date: Apr 9, 2026
87705 Care of Persons with Dementia. (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement was not met as evidenced by: Based on interview conducted and documentation reviewed, the Licensee did not ensure that resident (R1) was not able to exit the facility (backyard gate), unassisted, on 4/3/26, which posed an immediate health and safety risk to residents in care. Resident was returned to the facility, uninjured, 20 minutes later.the state’s words, verbatim · CDSS document, Apr 8, 2026
Plan of correction: Facility installed a camera on 4/3/26 (after the incident) by the backyard. This camera notifies the Administrator (by phone) and an audible alarm for staff when there is activity by the gate. This deficiency was cleared at the time of the visit.
Oct 28, 2025Facility evaluation reportReport on file
Type of visit: Prelicensing
On 10/28/25, Licensing Program Analyst (LPA) Talwinder Bains met with applicant Iryna Omelian to conduct a announced Pre- Licensing visit. The facility has a fire clearance (07/24/25) for 6 non ambulatory residents . Facility has no residents at this time. Applicant holds a current administrator certificate (# 7031186740 with expiration date 06/14/27) . LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA inspected 5 bedrooms for residents, 1 staff room, 2 bathrooms, common area, family room, kitchen, laundry area ,garage and outdoor area. LPA observed facility to be properly furnished, including appropriate bedding and lighting in the facility . Bathrooms were in sanitary condition and properly maintained. LPA checked the kitchen area for the ability to prepare and store food. LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medications to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detectors at the care home to be operational. Fire extinguisher and first aid kit are maintained and ready for emergency use. Water temperature was observed at 107 degrees F. Applicant agrees to notify LPA once first resident is admitted. A working telephone has been set up for residents use. Pre-licensing passed and Component III (RCFE) was completed. Facility has satisfied all requirements in accordance to Title 22, California Code of Regulations. Application is pending and LPA will forward findings to the Centralized Application Bureau (CAB) for final review and approval. CAB will further contact applicant on final status of application. Exit interview conducted. A copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Oct 28, 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.
Blossom Residential Care Home
Orangevale · Small home · 0.3 mi away
$4,250 a month to start · Covelight estimate
Four Seasons Care Home
Orangevale · Small home · 0.3 mi away
$4,000 a month to start · Covelight estimate
Trajan Villa Care Home
Orangevale · Small home · 0.3 mi away
$4,000 a month to start · Covelight estimate
All Seasons Hialeah
Fair Oaks · Small home · 0.4 mi away
$9,000 a month to start · Listed by the home
My Brother's House
Orangevale · Small home · 0.5 mi away
$4,400 a month to start · Covelight estimate
Tuscany Villa Care Home
Orangevale · Small home · 0.5 mi away
$4,150 a month to start · Covelight estimate