State assisted-living licensing record · California CDSS · record as pulled September 18, 2026· Not the federal nursing home survey
River Bluffs Memory Care Community
5425 W. Spruce Ave., Fresno, CA 93722 · FRESNO County · 36 licensed beds
CDSS facility number 107209048 · licensed · first licensed May 2020
The licence
Licensed by CDSS · Residential Care Facility for the Elderly · managed by Sierra Meadows Senior Care, INC.
Licence details, as listed by CDSS
- CDSS regional office
- 24
Position within California
3 citations — more than 77% of the 8,587 licensed assisted living facilities in California. Compared only within California: a citation from CDSS means what it means in California, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated
Not in this record
Fire and life safety. A Residential Care Facility for the Elderly needs a fire clearance from the local fire authority, and that inspection is not part of the CDSS record. What CDSS does cite about the building is here: maintenance and operation of the premises, the emergency and disaster plan, and the physical environment sections of Title 22.
Get an email about River Bluffs Memory Care Community
One email when it happens, from the CDSS record as it is pulled each month. No account; stop it any time with one click.
Building-related citations
The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
How that compares
Compared with the median licensed assisted living facility in California. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 3 |
| Median facility in California | 0 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| November 2, 2021 | complaint investigation | 0 |
| April 18, 2022 | other visit | 0 |
| April 18, 2022 | licensing inspection | 0 |
| April 18, 2022 | complaint investigation | 0 |
| October 24, 2022 | complaint investigation | 0 |
| June 6, 2023 | licensing inspection | 0 |
| October 26, 2023 | complaint investigation | 0 |
| May 15, 2024 | licensing inspection | 0 |
| September 24, 2024 | complaint investigation | 0 |
| September 24, 2024 | complaint investigation | 0 |
| March 5, 2025 | complaint investigation | 1 |
| March 5, 2025 | other visit | 1 |
| June 4, 2025 | licensing inspection | 0 |
| August 28, 2025 | complaint investigation | 0 |
| August 28, 2025 | complaint investigation | 0 |
| August 28, 2025 | other visit | 1 |
| May 21, 2026 | licensing inspection | 0 |
| August 4, 2026 | complaint investigation | 0 |
What the citations cover
- Physical plant 2
- Resident care 1
| Category | Citations |
|---|---|
| Physical plant | 2 |
| Resident care | 1 |
Every visit on file since September 2021
As published by CDSS, newest first, including visits that cited nothing. The wording and the classes are CDSS’s own.
August 4, 2026 — complaint investigation, nothing cited
May 21, 2026 — licensing inspection, nothing cited
August 28, 2025 — other visit, 1 citation
| Tag | What CDSS checks | Type | POC due |
|---|---|---|---|
| CCR-87608 | Postural Supports | Type B | August 29, 2025 |
August 28, 2025 — complaint investigation, nothing cited
August 28, 2025 — complaint investigation, nothing cited
June 4, 2025 — licensing inspection, nothing cited
March 5, 2025 — other visit, 1 citation
| Tag | What CDSS checks | Type | POC due |
|---|---|---|---|
| CCR-87309 | Storage Space | Type A | March 6, 2025 |
March 5, 2025 — complaint investigation, 1 citation
| Tag | What CDSS checks | Type | POC due |
|---|---|---|---|
| CCR-87303 | Maintenance and Operation | Type B | March 19, 2025 |
September 24, 2024 — complaint investigation, nothing cited
September 24, 2024 — complaint investigation, nothing cited
May 15, 2024 — licensing inspection, nothing cited
October 26, 2023 — complaint investigation, nothing cited
June 6, 2023 — licensing inspection, nothing cited
October 24, 2022 — complaint investigation, nothing cited
April 18, 2022 — complaint investigation, nothing cited
April 18, 2022 — licensing inspection, nothing cited
April 18, 2022 — other visit, nothing cited
November 2, 2021 — complaint investigation, nothing cited
Reflects the CDSS record as pulled September 18, 2026. A recent visit may not appear yet. This is the California state licensing record; it is not the federal nursing home survey and the two are never combined.