State assisted-living licensing record · California CDSS · record as pulled September 18, 2026· Not the federal nursing home survey
Twin Rivers at Natomas
421 San Juan Road, Sacramento, CA 95834 · SACRAMENTO County · 48 licensed beds
CDSS facility number 342700012 · licensed · first licensed June 2016
The licence
Licensed by CDSS · Residential Care Facility for the Elderly · managed by Twin Rivers at Natomas INC
Licence details, as listed by CDSS
- CDSS regional office
- 59
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 Twin Rivers at Natomas
One email when it happens, from the CDSS record as it is pulled each month. No account; stop it any time with one click.
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 |
|---|---|---|
| March 16, 2022 | licensing inspection | 0 |
| June 23, 2023 | licensing inspection | 0 |
| May 15, 2024 | licensing inspection | 0 |
| September 25, 2024 | other visit | 0 |
| January 31, 2025 | other visit | 1 |
| January 31, 2025 | other visit | 1 |
| March 11, 2025 | other visit | 1 |
| April 11, 2025 | complaint investigation | 0 |
| May 22, 2025 | other visit | 0 |
| June 5, 2025 | licensing inspection | 0 |
| June 17, 2025 | other visit | 0 |
| December 8, 2025 | other visit | 0 |
| February 25, 2026 | complaint investigation | 0 |
| March 17, 2026 | complaint investigation | 0 |
| March 20, 2026 | complaint investigation | 0 |
| June 3, 2026 | licensing inspection | 0 |
What the citations cover
- Resident care 2
- Staffing and training 1
| Category | Citations |
|---|---|
| Resident care | 2 |
| Staffing and training | 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.
June 3, 2026 — licensing inspection, nothing cited
March 20, 2026 — complaint investigation, nothing cited
March 17, 2026 — complaint investigation, nothing cited
February 25, 2026 — complaint investigation, nothing cited
December 8, 2025 — other visit, nothing cited
June 17, 2025 — other visit, nothing cited
June 5, 2025 — licensing inspection, nothing cited
May 22, 2025 — other visit, nothing cited
April 11, 2025 — complaint investigation, nothing cited
March 11, 2025 — other visit, 1 citation
| Tag | What CDSS checks | Type | POC due |
|---|---|---|---|
| CCR-87411 | Personnel Requirements – General | Type A | March 12, 2025 |
January 31, 2025 — other visit, 1 citation
| Tag | What CDSS checks | Type | POC due |
|---|---|---|---|
| CCR-87468.1 | Personal Rights of Residents in All Facilities | Type B | February 28, 2025 |
January 31, 2025 — other visit, 1 citation
| Tag | What CDSS checks | Type | POC due |
|---|---|---|---|
| CCR-87468.2 | Additional Personal Rights of Residents in Privately Operated Facilities | Type B | February 28, 2025 |
September 25, 2024 — other visit, nothing cited
May 15, 2024 — licensing inspection, nothing cited
June 23, 2023 — licensing inspection, nothing cited
March 16, 2022 — licensing inspection, 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.