Illustration — no photo of this home on file yet
- Care approvals on fileWheelchair · BedriddenState licensing record · September 27, 2026
- Estimated starting rate$4,250 a monthCovelight estimate · likely $3,500–$5,250
- Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
- Ways to payAsk the homeMedi-Cal ALW participation not on file
- Last state visitFebruary 3, 2026CDSS inspection record
Rose Guest Home is a small care home in San Jose — 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 2019. Dementia care and hospice 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 Rose Guest Home
Is Rose Guest Home licensed?
The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
How many residents is Rose Guest Home licensed for?
6 residents — a small home, per CDSS records as of September 27, 2026.
Has Rose Guest Home been cited?
0 Type A and 0 Type B citations since 2019, per CDSS records as of September 27, 2026. Those records count 5 state visits over the same years.
Is Rose Guest Home still open?
This license was on the CDSS roster as of September 28, 2026.
What does Rose Guest Home cost?
$4,250 a month to start is a Covelight estimate, likely $3,500–$5,250. 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 11 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 51 other homes of a similar licensed size in San Jose that publish a starting rate, the middle half runs $3,525 to $4,875 a month, and the middle figure is $4,200 (n = 51 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 Rose Guest Home 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 Sacun, Lilian, per CDSS records as of September 27, 2026.
Is there a hospital nearby?
Regional Medical Center of San Jose 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 Rose Guest Home keep a resident on hospice?
Not on file — the state’s record does not list hospice care on this license. Ask: “Can a resident stay here on hospice, and under what conditions?”
Rose Guest Home license and inspection record
- Name on the license: “ROSE GUEST HOME”, per the CDSS roster as of May 25, 2025.
- License #435202674. 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 Sacun, Lilian, per CDSS records as of September 27, 2026.
- First licensed in 2019, per CDSS records as of September 27, 2026.
- 5 state inspection visits since 2019, per CDSS records as of September 27, 2026.
- 0 Type A and 0 Type B citations on file since 2019, per CDSS records as of September 27, 2026. The same records count 5 state visits in that period.
- 0 complaints and 0 substantiated allegations on file since 2019, per CDSS records as of September 27, 2026.
- The most recent state visit on file is February 3, 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 careNot on file · ask the home
- Hospice careNot on file · ask the home
- BedriddenApproved · covers up to 1 resident
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 60 AND OVER. 6 NON-AMBULATORY, OF WHICH 1 MAY BE BEDRIDDEN. ROOM #6 APPROVED FOR BEDRIDDEN.
935 - ELDERLY
CDSS record, verbatim · September 27, 2026
As needs change
5 questions to ask the home — nothing on file yet
- 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?”
- Staying through hospice
Hospice waiver not on file
Ask: “If hospice is needed, can care continue here until the end?”
- 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
$4,250a month to start
Likely $3,500–$5,250
From 11 nearby homes that publish rates · this home’s rate is not on file
Likely monthly total
$4,250a month
Likely $3,500–$5,450
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$4,250likely $3,500–$5,250
Covelight’s estimate starts from the rates 11 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 $3,500–$5,450
- $4,250
- First monthWith a one-time move-in fee · likely $4,100–$8,600
- $6,250
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 11 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.
11 homes like this within 5 miles publish starting rates mostly between $2,550–$5,250.
- 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 11 nearby homes behind this estimate
- Bristolwood HomeSan Jose · 1.1 mi · Small home$4,000Listed on Seniorly · assisted living private room · seen September 9, 2026
- Evonne's Residential Care Home #1San Jose · 1.7 mi · Mid-size home$3,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Olga's Care Home for the ElderlySan Jose · 2.0 mi · Small home$5,000Listed on Seniorly · assisted living private room · seen September 9, 2026
- Cjcp RCFESan Jose · 2.2 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Lorrie Residential Care Home IVSan Jose · 2.2 mi · Small home$5,500Listed on Seniorly · assisted living private room · seen September 9, 2026
- A Heavenly Care HomeSan Jose · 3.2 mi · Small home$2,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Casa LaurelSan Jose · 3.2 mi · Small home$5,000Listed on Seniorly · assisted living private room · seen September 9, 2026
- Amor Residential Care HomeSan Jose · 3.9 mi · Mid-size home$4,300Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Santo Nino Residential Care Home #1San Jose · 4.3 mi · Small home$1,600Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Bonnevie Residence and CareSan Jose · 4.4 mi · Small home$4,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Rose Garden CourtSan Jose · 4.8 mi · Mid-size home$6,000Listed on Seniorly · memory care shared bedroom · seen September 9, 2026. We don’t have this home’s dementia-care disclosure. California requires a home that advertises dementia care to describe that care in writing when you ask.
Where it is
- 1820 Bethany Ave, San Jose, CA 95132Address 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 5 documents for this home, and its records count 5 visits since 2019. The most recent is a facility evaluation report, dated February 3, 2026.
- On file since
- 2022
- State visits
- 5
- Most recent visit
- February 3, 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. Counts cover this licence since 2019.
Year by year
The last 36 months — 3 of 5 documents
Feb 3, 2026Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Designated Administrator (ADM) Lilian Sacun. 2 staff and 5 residents were observed in the facility LPA checked 3 resident files and 3 staff files. LPA toured the facility inside out with ADM. Family room, kitchen, dinning room and 2 restrooms were inspected. 5 resident rooms, and laundry area were inspected. One staff live-in room was observed in the facility. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet was observed locked. Knives closet and cleaning product closet were observed unlocked. Staff locked knives closet and cleaning product closet immediately. The Room temperature was at 74 degree F, and hot water temperature was at 118 degree F in facility. Fire extinguisher was serviced on 9/2/2025. First aid box, night lights, and flash lights were observed in the facility. The last time the facility conducted the fire alarm drill was on 1/5/26. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Smoke detector was found out of battery. Staff replaced the battery immediately. Front yard and backyard were inspected. There was no obstruction to block the walkways. . No citation noted today. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of the report was provided to ADM.the state’s words, verbatim · CDSS document, Feb 3, 2026
Feb 14, 2025Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Lilian Sacun, Administrator/Licensee (ADM/LIC). LPA announced the purpose of the visit. LPA observed 2 staff and 5 residents. During visit, LPA toured the facility inside and out. LPA toured the garage area and observed food storage areas and locked cabinets for cleaning supplies. LPA observed the kitchen area and observed locked cabinets for medications, sharp objects, and cleaning supplies. During tour LPA observed a bottle of Cleaning Spray (Photo Taken) in unlocked cabinet under sink accessible to residents in care. S1 removed Cleaning Spray and placed it in locked closet. LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days. Refrigerator temperature was measured with thermometer at 37 degrees and freezer at 0 degrees F. LPA observed Posters, ADM certificate and License posted in the facility as well as and Residents Rights. LPA toured 4 resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. While touring resident bedroom LPA observed a medication Inhaler and Eye Drops and and Over the Counter medication belonging to a resident R3 accessible to residents in care. S1 removed medication and placed it in Centrally Stored Medication Closet. Page 1 of 2 page 2 of 2 LPA toured two out of two resident bathrooms. Each bathroom had available soap and paper towels and functioning lights. The water temperatures in the bathroom sinks measured with thermometer at 116-120 degrees F. ADM tested the smoke detector in the hallway and found the smoke detector to function properly when tested. Facility has a Fire Pull Alarm which was serviced 09/2024. LPA toured the outside area and found the exits to be clear of obstructions. LPA observed fire extinguisher was last purchased on 07/12/2024. LPA reviewed Fire and Earthquake log and last disaster drill was conducted on 01/31/2025 LPA reviewed resident records for 3 residents. LPA reviewed 3 staff records. LPA reviewed Centrally Stored Medication for 3 residents with S1. Deficiency was cited as per California Code of Regulations Title 22. This report was reviewed with ADM/LIC and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Feb 14, 2025
Feb 9, 2024Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Lilian Sacun. During the visit, LPA observed 4 residents and 2 staff. LPA toured the facility inside out with Staff S3, which included the Living room, kitchen, dining room, 2 restrooms and 4 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways. While touring facility bedrooms, LPA observed bedroom #3 at approximately 1pm. S3 stated bedroom #3 is a staff bedroom. LPA observed the door to bedroom #3 does not have a lock. LPA observed a medication container on the dresser. (Photographs were taken.) Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 72 degrees F, and hot water temperature was measured at 110 degrees F in both resident bathrooms. Fire extinguisher was serviced in August 16, 2023. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on February 3,2024. LPA reviewed facility records for 3 staff . While reviewing S3's file, LPA asked ADM for S3's training for 2023. ADM stated she did train S3 but she did not document any of S3's training's for 2023. Page 1 out of 2. LPA reviewed facility records for 3 residents. While reviewing resident records, LPA requested to review facility weight records for R1-R3. ADM stated the facility does not have weight records for the residents. LPA reviewed R1's records; R1's physicians report, dated March 4, 2022, states R1 has dementia. LPA asked ADM if she has a current copy of R1's physicians report, ADM stated that was the latest copy. LPA reviewed R1's Needs and Services Plan, dated March 1, 2023, which was not signed by R1's Responsible party. LPA reviewed 3 resident medications and centrally stored medication records. LPA conducted interviews with 2 staff (S1 to S2) and 2 residents (R1-R2). Deficiencies are being cited during today's visit. This report was reviewed with Administrator Lilian Sacun and a copy of the signed report was provided. Appeal Rights were provided. Page 2 out of 2.the state’s words, verbatim · CDSS document, Feb 9, 2024
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 Santa Clara County, closest first. Every listed home appears on the same terms.
Paradise Manor
San Jose · Small home · 0.4 mi away
$3,750 a month to start · Covelight estimate
Bristolwood Home
San Jose · Small home · 1.1 mi away
$4,000 a month to start · Listed by the home
Ivy Park at Milpitas
Milpitas · Large community · 1.6 mi away
$3,895 a month to start · Listed by the home
Heatherfield Inn
San Jose · Mid-size home · 1.6 mi away
$4,700 a month to start · Covelight estimate
Evonne's Residential Care Home #1
San Jose · Mid-size home · 1.7 mi away
$3,000 a month to start · Listed by the home
Duraliza Care Home
San Jose · Small home · 1.9 mi away
$4,450 a month to start · Covelight estimate