# River Bluffs Memory Care Community License #107209048 · Fresno, Fresno County · Licensed for 36 — Mid-size care home · a licensed care home (RCFE) River Bluffs Memory Care Community is a mid-size care home in Fresno — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 36 residents since 2020. Dementia care and bedridden care are not on file. - Care approvals on file: Wheelchair · Hospice — State licensing record · September 27, 2026 - Typical starting rate: $4,500 a month — Typical in Fresno County · likely $3,500–$5,500 Full page: A citation does not make a home unsafe, and an empty file does not make a home good. ## Quick answers about River Bluffs Memory Care Community ### Is River Bluffs Memory Care Community licensed? The state lists this license as “Licensed,” per CDSS records as of September 27, 2026. ### How many residents is River Bluffs Memory Care Community licensed for? 36 residents — a mid-size home, per CDSS records as of September 27, 2026. ### Has River Bluffs Memory Care Community been cited? 0 Type A and 1 Type B citation since 2020, per CDSS records as of September 27, 2026. Those records count 26 state visits over the same years. ### Is River Bluffs Memory Care Community still open? This license was on the CDSS roster as of September 28, 2026. ### What does River Bluffs Memory Care Community cost? $4,500 a month to start is typical in Fresno County, likely $3,500–$5,500. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?” Too few homes publish a rate here, so this is the middle of Covelight’s researched range for assisted-living communities in Fresno County (compiled June 2026). This home’s own rate is not on file. Among 5 other homes of a similar licensed size in Fresno that publish a starting rate, the middle half runs $3,450 to $5,175 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. [What Medi-Cal’s Assisted Living Waiver covers in a care home.]() ### Does River Bluffs Memory Care Community take Medi-Cal? On Medi-Cal’s Assisted Living Waiver: this home appears on the DHCS participation list, August 9, 2026. Confirm eligibility and current participation with the program. The waiver pays for care services, not room and board. ### Who holds the license? The license is held by Sierra Meadows Senior Care, Inc., per CDSS records as of September 27, 2026. ### Can River Bluffs Memory Care Community keep a resident on hospice? Hospice care is approved on this license, covering up to 10 residents, per CDSS records as of September 27, 2026. ## River Bluffs Memory Care Community license and inspection record - Name on the license: “RIVER BLUFFS MEMORY CARE COMMUNITY”, per the CDSS roster as of May 25, 2025. - License #107209048. The state lists this license as “Licensed,” per CDSS records as of September 27, 2026. - Licensed for 36 residents — a mid-size home, per CDSS records as of September 27, 2026. - Licensed to Sierra Meadows Senior Care, Inc., per CDSS records as of September 27, 2026. - First licensed in 2020, per CDSS records as of September 27, 2026. - 26 state inspection visits since 2020, per CDSS records as of September 27, 2026. - 0 Type A and 1 Type B citation on file since 2020, per CDSS records as of September 27, 2026. The same records count 26 state visits in that period. - 10 complaints and 2 substantiated allegations on file since 2020, per CDSS records as of September 27, 2026. One complaint can carry several allegations. - The most recent state visit on file is August 4, 2026, per CDSS records as of September 27, 2026. - Type A citation: a violation that poses an immediate risk to health, safety or personal rights if it is not corrected - Type B citation: a 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)]() ## Sources - CDSS Community Care Licensing — status, capacity, license holder, the first-license year, citations, complaints and visits, per CDSS records as of September 27, 2026: [See the state’s own record]() - CDSS licensing roster — the listing, as of September 28, 2026 - DHCS Assisted Living Waiver participant list, as of September 23, 2026: