Illustration — no photo of this home on file yet
Saint Thomas Care Home
Small home·Licensed for 6·Fair Oaks, California
- Care approvals on fileWheelchair · Dementia · Hospice · BedriddenState licensing record · September 27, 2026
- Estimated starting rate$4,600 a monthCovelight estimate · likely $3,800–$5,700
- Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
- Ways to payAsk the homeMedi-Cal ALW participation not on file
- Last state visitJune 26, 2026CDSS inspection record
Saint Thomas Care Home is a small care home in Fair Oaks — 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 2023.
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 Saint Thomas Care Home
Is Saint Thomas Care Home licensed?
The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
How many residents is Saint Thomas Care Home licensed for?
6 residents — a small home, per CDSS records as of September 27, 2026.
Has Saint Thomas Care Home been cited?
0 Type A and 0 Type B citations since 2023, per CDSS records as of September 27, 2026. Those records count 9 state visits over the same years.
Is Saint Thomas Care Home still open?
This license was on the CDSS roster as of September 28, 2026.
What does Saint Thomas Care Home cost?
$4,600 a month to start is a Covelight estimate, likely $3,800–$5,700. 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 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 51 other homes of a similar licensed size across Sacramento County that publish a starting rate, the middle half runs $3,500 to $5,000 a month, and the middle figure is $4,000 (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 Saint Thomas Care 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 Saint Thomas Care Home LLC, per CDSS records as of September 27, 2026.
Is there a hospital nearby?
Mercy San Juan Medical Center is 4.2 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.
Can Saint Thomas Care Home keep a resident on hospice?
Hospice care is approved on this license, covering up to 6 residents, per CDSS records as of September 27, 2026.
Saint Thomas Care Home license and inspection record
- Name on the license: “SAINT THOMAS CARE HOME”, per the CDSS roster as of May 25, 2025.
- License #345920012. 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 Saint Thomas Care Home LLC, per CDSS records as of September 27, 2026.
- First licensed in 2023, per CDSS records as of September 27, 2026.
- 9 state inspection visits since 2023, per CDSS records as of September 27, 2026.
- 0 Type A and 0 Type B citations on file since 2023, per CDSS records as of September 27, 2026. The same records count 9 state visits in that period.
- 0 complaints and 0 substantiated allegations on file since 2023, per CDSS records as of September 27, 2026.
- The most recent state visit on file is June 26, 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 6 residents
- 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 RANGE 60 AND OVER. APPROVED FOR SIX (6) NON-AMBULATORY OF WHICH ONE MAY BE BEDRIDDEN. BEDRIDDEN IN ROOM 4. HOSPICE WAIVER FOR SIX.
983 - RCFE / DEMENTIA · 985 - RCFE / HOSPICE
CDSS record, verbatim · September 27, 2026
As needs change
- Staying through hospice
Hospice waiver on file · covers up to 6 — 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
$4,600a month to start
Likely $3,800–$5,700
From 9 nearby homes that publish rates · this home’s rate is not on file
Likely monthly total
$4,600a month
Likely $3,800–$5,900
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$4,600likely $3,800–$5,700
Covelight’s estimate starts from the rates 9 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 $3,800–$5,900
- $4,600
- First monthWith a one-time move-in fee · likely $4,400–$9,000
- $6,600
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 9 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.
9 homes like this within 3 miles publish starting rates mostly between $3,350–$7,650.
- 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
- Splendor Oaks Senior Living #3Fair Oaks · 1.1 mi · Mid-size home$5,000Listed on A Place for Mom · seen September 9, 2026
- All Seasons HialeahFair Oaks · 1.6 mi · Small home$9,000Listed on Seniorly · assisted living · seen September 9, 2026
- Crown JewelOrangevale · 2.0 mi · Small home$3,000Listed on A Place for Mom · seen September 9, 2026
- Ettys' CareOrangevale · 2.1 mi · Small home$4,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Magnolia Elderly Care HomeFair Oaks · 2.5 mi · Small home$6,000Listed on Seniorly · assisted living · seen September 9, 2026
- Love You MomOrangevale · 2.5 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 · 2.6 mi · Small home$4,000Listed on Seniorly · seen September 9, 2026
- Comfort & CareOrangevale · 2.7 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Shearwater ResidenceOrangevale · 2.8 mi · Mid-size home$4,500Listed on Seniorly · seen September 9, 2026
Where it is
- 4905 Saint Thomas Drive, Fair Oaks, CA 95628Address 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 2023, the state has filed 9 documents for this home, and its records count 9 visits since 2023. The most recent is a facility evaluation report, dated June 26, 2026.
- On file since
- 2023
- State visits
- 9
- Most recent visit
- June 26, 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 2023.
Year by year
The last 36 months — 7 of 9 documents
Jun 26, 2026Facility evaluation reportReport on file
Type of visit: Required - 1 Year
On June 26 2026 at 12:30pm Licensing Program Analyst (LPA) Sarah Benson arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator Evelina Magurean (cert #6081806740 exp:3-16-28) and explained the purpose of the visit. Administrator certificate is current. LPA Benson and administrator toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to six (6) resident rooms, common areas, seven (7) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. Medications were also reviewed. Medication is locked in a locked closet. The common area was clean, odor-free and in good repair. All bedrooms had required furniture, bedding, lighting and windows with screens. The bathrooms were clean and in good repair. The kitchen was clean and in good repair. Cooking/dining equipment and utensils were present. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. The facility was observed to be at a comfortable temperature. First aid kit fully stocked and ready for emergency use. Fire extinguisher fully charged. Smoke detectors are all operational. Hot water temperature measured within required Title 22 regulations of 105 degrees F and 120 degrees F. All employees requiring background checks are cleared. All required postings are displayed within the facility. The pools/bodies of water are inaccessibly to residents in care through fencing and a locked gate. No firearms are on premises. The last disaster drill was conducted and documented on 04-02-26, the facility has been conducting drills every 3 months. LPA interviewed one resident and one staff. The following deficiencies were observed (See LIC 809D) and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted, a copy of the report, and appeal rights provided to administrator.the state’s words, verbatim · CDSS document, Jun 26, 2026
May 15, 2025Facility evaluation reportReport on file
Type of visit: Case Management - Annual Continuation
Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 5/15/25 to conduct an annual continuation visit utilizing the inspection tool following the Required-1 Year Inspection conducted on 5/13/2025. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA finished file review for two (2) staff. LPA reviewed two (2) residents' medications and found medication to be locked away and inaccessible to the residents. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of today's visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, May 15, 2025
May 13, 2025Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 5/13/25 to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and seven (7) bathrooms for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 113 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required two (2) day perishable and seven (7) day non-perishable food supply on cite. LPA observed knives, cleaning products, and other toxins to be locked away and inaccessible to residents. LPA observed the backyard and perimeter of the care home to be free of clutter and debris. LPA observed smoke detectors and carbon monoxide detectors to be operational in the care home. First aid kit is maintained and ready for emergency use. As a result of today's visit, no deficiencies were cited per California Code of Regulations, Title 22. LPA will return at a later time to finish reviewing files, reviewing medications, and complete annual inspection. Exit interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, May 13, 2025
Aug 28, 2024Facility evaluation reportReport on file
Type of visit: Case Management - Health Checks
Licensing Program Analysts (LPAs) Michael Hood and Cassie Mikkelson arrived at the facility to conduct a health and safety check and follow-up regarding technical assistance that was provided to the facility during an inspection conducted on 5/8/2024. During today's inspection, LPAs toured the facility, reviewed documentation for centrally stored medications, and reviewed three (3) resident records and two (2) staff records. LPAs observed that one (1) caregiver did not have sufficient initial training per health and safety code. LPAs observed facility did not have logs documented for quarterly drills. LPAs also observed that facility was missing start dates for when medications were started for residents. As a result of today's inspection, deficiencies are being cited pursuant to California Code of Regulations, Title 22, Division 6. Deficiencies are listed on 809-D pages. Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Aug 28, 2024
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Aug 29, 2024
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on LPAs' observations and records reviewed, the facility did not ensure that documentation for medication administered was complete, resulting in information missing pertaining to medication administration, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 28, 2024
Plan of correction: Facility will complete a statement of understanding regarding regulation 87465 and submit statement of understanding to LPA by POC due date of 8/29/2024.
From the deficiency page — Deficiency type: Type B · Section cited: HSC1569.625(b)(1) · Plan of correction due date: Sep 12, 2024
§1569.625 Staff training; legislative findings; contents (b) (1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Based on LPAs' observations and records reviewed, facility did not ensure that initial training was sufficient for one (1) caregiver per Health and Safety Code, which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 28, 2024
Plan of correction: Facility will complete a statement of understanding regarding regulation 1569.625 and submit statement of understanding to LPA by POC due date of 9/12/2024.
From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.695 · Plan of correction due date: Sep 12, 2024
§1569.695 Emergency Plans (c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is notrequired during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Based on LPAs' observations and records reviewed, facility did not ensure to document quarterly drills completed, which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 28, 2024
Plan of correction: Facility will complete a statement of understanding regarding regulation 1569.695 and submit statement of understanding to LPA by POC due date of 9/12/2024.
May 8, 2024Facility evaluation reportReport on file
Type of visit: Case Management - Annual Continuation
Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 5/08/24 to conduct an annual continuation visit utilizing the inspection tool following the Required-1 Year Inspection conducted on 4/29/2024. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA observed smoke detectors and carbon monoxide detectors to be operational in the care home. First aid kit is maintained and ready for emergency use. LPA checked medication storage and found medication to be locked away and inaccessible to the residents. LPA reviewed three (3) resident files and two (2) staff files. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of today's visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, May 8, 2024
Apr 29, 2024Facility evaluation reportReport on file
Type of visit: Post Licensing
Licensing Program Analyst (LPA) Michael Hood arrived at the care home today and met with the Administrator, Evelina Magurean, to conduct an annual required and post licensing visit. For more information on the post licensing visit, please see LIC 809 for Required - 1 Year dated 4/29/24. No deficiencies cited for the post licensing visit.the state’s words, verbatim · CDSS document, Apr 29, 2024
Apr 29, 2024Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 4/29/24 to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and seven (7) bathrooms for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 113 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required two (2) day perishable and seven (7) day non-perishable food supply on cite. LPA observed knives to be locked away and inaccessible to residents. LPA observed the backyard and perimeter of the care home to be free of clutter and debris. As a result of today's visit, no deficiencies were cited per California Code of Regulations, Title 22. LPA will return at a later time to finish reviewing files and complete annual inspection. Exit interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, Apr 29, 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 Sacramento County, closest first. Every listed home appears on the same terms.
The Elderly Inn IV
Fair Oaks · Small home · 0.2 mi away
$4,250 a month to start · Covelight estimate
A Hearty Care Home IV
Fair Oaks · Small home · 0.3 mi away
$4,500 a month to start · Covelight estimate
Royal Palms Care Home
Fair Oaks · Small home · 0.3 mi away
$4,250 a month to start · Covelight estimate
Phoenix Manor
Fair Oaks · Small home · 0.4 mi away
$4,000 a month to start · Covelight estimate
Jerida Lane Residential Care
Fair Oaks · Small home · 0.5 mi away
$3,900 a month to start · Covelight estimate
Fair Oaks Villa
Fair Oaks · Small home · 0.5 mi away
$4,450 a month to start · Covelight estimate