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Madison Gardens Senior Living

Small home·Licensed for 6·Sacramento, California

LicensedLicence #345920275
(916) 367-8239From the state roster · September 27, 2026Plan a visit
  • Care approvals on fileWheelchair · Dementia · HospiceState licensing record · September 27, 2026
  • Estimated starting rate$4,850 a monthCovelight estimate · likely $4,000–$6,000
  • 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 28, 2026CDSS inspection record

Madison Gardens Senior Living is a small care home in Sacramento — 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 Madison Gardens Senior Living

Is Madison Gardens Senior Living licensed?

The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.

How many residents is Madison Gardens Senior Living licensed for?

6 residents — a small home, per CDSS records as of September 27, 2026.

Has Madison Gardens Senior Living been cited?

0 Type A and 0 Type B citations, per CDSS records as of September 27, 2026.

Is Madison Gardens Senior Living still open?

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

What does Madison Gardens Senior Living cost?

$4,850 a month to start is a Covelight estimate, likely $4,000–$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 19 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 19 other homes of a similar licensed size in Sacramento that publish a starting rate, the middle half runs $3,046 to $4,461 a month, and the middle figure is $3,500 (n = 19 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 Madison Gardens Senior Living 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 Madison Gardens Senior Living LLC, per CDSS records as of September 27, 2026.

Is there a hospital nearby?

Mercy San Juan Medical Center is 2.6 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Madison Gardens Senior Living keep a resident on hospice?

Hospice care is approved on this license, per CDSS records as of September 27, 2026.

Madison Gardens Senior Living license and inspection record

  • Name on the license: “MADISON GARDENS SENIOR LIVING”, per the CDSS roster as of June 12, 2026.
  • License #345920275. 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 Madison Gardens Senior Living 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?”
  • 4 state inspection visits on file, per CDSS records as of September 27, 2026.
  • 0 Type A and 0 Type B citations on file, per CDSS records as of September 27, 2026.
  • 0 complaints and 0 substantiated allegations on file, per CDSS records as of September 27, 2026.
  • The most recent state visit on file is April 28, 2026, per CDSS records as of September 27, 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 6 residents
  • Dementia / memory careApproved by the state
  • Hospice careApproved by the state
  • 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 IN ROOM #1,#2, #3, #4, #5, #6. HOSPICE WAIVER GRANTED FOR THREE (3).

983 - RCFE / DEMENTIA

CDSS record, verbatim · September 27, 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 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

$4,850a month to start

Likely $4,000–$6,000

From 19 nearby homes that publish rates · this home’s rate is not on file

Likely monthly total

$4,850a month

Likely $4,000–$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$4,850likely $4,000–$6,000

    Covelight’s estimate starts from the rates 19 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 $4,000–$6,150
$4,850
First monthWith a one-time move-in fee · likely $4,650–$9,250
$6,850
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 19 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.

19 homes like this within 5 miles publish starting rates mostly between $3,500–$5,800.

  • 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 19 nearby homes behind this estimate

Where it is

  • 4982 Tyler St., Sacramento, CA 95841Address 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 4 documents for this home, and its records count 4 visits. The most recent is a facility evaluation report, dated April 28, 2026.

On file since
2025
State visits
4
Most recent visit
April 28, 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.

Year by year
YearVisitsDocumentsSubstantiated20261102025330

The last 36 months — 4 of 4 documents

The full record on the state’s site →
20261 state visit · 1 document
Apr 28, 2026Facility evaluation reportReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 04/28/26 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. The home is very clean and residents stated they are happy with care. West fence is in need of repair is being planned. Fire extinguisher is past one year inspection. Quarterly emergency drill are not recorded. LPA reviewed 3 resident files. Files are complete though disorganized. Admin will organize files to better ensure files remain complete and up to date. LPA reviewed staff files. Files are complete. S1 has a criminal record clearance and live scan completed. The association to this home did not record. Admin will submit a transfer request. Licensee will submit: LIC610E- Emergency plan, liability ins. cert, LIC 308 of S1 as designee. To submit by 5/5/26 Deficiencies are being cited as a result of todays inspection. Exit interview conducted with licensee and copy of report and appeal rights left at the facility.the state’s words, verbatim · CDSS document, Apr 28, 2026
20253 state visits · 3 documents
Sep 30, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Other

On 9/30/25, Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility announced to conduct a Post-licensing inspection continuation. LPA met with the caregiver and explained the purpose of the visit. The administrator arrived to assist LPA had received copies of documents regarding residents and staff. LPA inspected resident files and staff files. Files are present and complete LPA provided resource information regarding training and updated regs. Licensee will submit LIC 308s for designees. No deficiencies are cited as a result of this inspection Report reviewed with Davis Stir and copy provided.the state’s words, verbatim · CDSS document, Sep 30, 2025
Sep 24, 2025Facility evaluation reportReport on file

Type of visit: Post Licensing

On 9/24/25, Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility announced to conduct a Post-licensing inspection referencing the CARE inspection tool. LPA met with the caregiver and explained the purpose of the visit. The administrator spoke with LPA by phone but was unavailable to attend. LPA toured the interior and exterior of the facility and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room and outdoor areas In the areas toured no immediate health, safety concerns observed. LPA and staff discussed best practices for a number of topics. Review of Guardian Roster found staff transferred from the prior licensee- advised to update Guardian. LPA inspected resident files and staff files. Files are not present at this time. Licensee to submit copies 9/26/25. Records to be submitted to include LIC 500 No deficiencies are cited as a result of this inspection Report reviewed with Anisia Stir and copy provided.the state’s words, verbatim · CDSS document, Sep 24, 2025

The state marks this report as 6 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

May 22, 2025Facility evaluation reportReport on file

Type of visit: Prelicensing

On 5/14/25 LPA Mknelly attempted a unannounced visit due to an open license. Licensee unavailable. Visit to be scheduled. Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility announced on 5/22/25 to conduct a Pre-licensing referencing the CARE inspection tool. LPA met with the Administrator and explained the purpose of the visit. LPA toured the interior and exterior of the facility and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, outdoor areas and The Gardens (memory Care) area, In the areas toured no immediate health, safety concerns observed. Component III review is waived as the applicant has other facilities. The facility is in significant compliance. License pending approval. Report reviewed and copy provided.the state’s words, verbatim · CDSS document, May 22, 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.
Open CDSS facility search ↗Report a record errorOperate this home? Respond or correct, free →

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?
Print a visit sheetCompare saved homesOpen saved homes

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The nearest licensed homes in Sacramento County, closest first. Every listed home appears on the same terms.

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Sycamore Residential Care Center, B

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Harjit and Navgeet RCFE II

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Vista Esperanza

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$4,400 a month to start · Covelight estimate

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