I placed my parent here and I'm very pleased: staff are warm, professional, and attentive, the resort-like, park-like grounds and gardens are beautiful, and the facility is clean and well kept. Memory care is strong - 24/7 nursing, personalized care levels, lots of engaging activities (painting, music, resident art), on-site chef/dietician, and flexible dining and visiting options that give our family real peace of mind. Communication is excellent and residents seem active and happy; I recommend this community for quality, compassionate care.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Coordination with health care providers
Hospice waiver
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Memory care community services
Dementia waiver
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (medical)
Transportation arrangement (non-medical)
Transportation to doctors appointments
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.68·(71)
Overall rating
5
4
3
2
1
Care
4.6
Staff
4.7
Meals
4.6
Amenities
4.3
Value
2.9
Pros
Compassionate, dementia-focused caregiving
24/7 licensed nursing and on-site medical coordination
Personalized, flexible care levels and one-on-one support
High-quality, chef-led dining with dietitian oversight
Multiple dining rooms and private family dining options
Robust, varied daily activities and specialized programming
Extensive park-like 18-acre grounds and outdoor walking spaces
Secure outdoor areas designed for wander-management
Pet-friendly environment (dogs, cats, chickens)
Resort-like exterior and updated public spaces
Welcoming, family-friendly visitation and event spaces
Responsive maintenance and generally well-kept grounds
Resident-centered end-of-life and hospice support
Evidence-based memory-care practices and family education
Clear emphasis on dignity and quality-of-life programming
Cons
High cost and premium pricing
Inconsistent staffing levels and turnover
Variability in medication-management and responsiveness
Odor concerns in certain interior wings and common areas
Outdated decor and furnishings in some resident rooms
Limited secure storage and room-locking options
Smaller room sizes in older units
Traffic and site-access constraints
Inconsistent family–facility communication
Perceived management emphasis on occupancy/sales
Summary of reviews
Silverado Belmont Hills positions itself as a specialized memory-care community with a resort-like campus and a broad range of clinical and social supports. Reviewers consistently highlight its dementia-focused approach, 24/7 licensed nursing coverage, on-site medical coordination, and staff emphasis on dignity and quality of life. The campus is large and park-like (approximately 18 acres), offering extensive outdoor walking spaces, fenced wander-management areas, and a visible commitment to landscaping and outdoor access. The community is pet-friendly and offers a number of resident-centered amenities that aim to create a welcoming environment for families.
Care and staff performance are the strongest recurring themes. Families and visitors frequently describe compassionate, patient caregivers and nursing teams who provide individualized attention, one-on-one engagement, and coordinated medical care. The community provides flexible care-level options and formal programs for memory support; reviewers reference evidence-based programming, family education, and a staff culture that prioritizes resident dignity. At the same time, several families raised operational concerns: staffing levels and turnover are inconsistent at times, and there are occasional delays or variability in medication-management practices and responsiveness. Communication between facility staff and families or external physicians is generally good but not uniformly consistent, and some reviewers advised that prospective families clarify communication and medication protocols during touring.
Dining and activities are prominent positives. Silverado Belmont is described as having chef-led meals with dietitian oversight, multiple dining rooms (including private dining for family meals), and plentiful snacks and treats. Meal quality is frequently praised as fresh and appealing. The activities program is broad and varied — painting, karaoke, live music, themed events, animals, and other creative programs were highlighted — and participation is optional to respect resident preference. These offerings contribute to increased social engagement and activity levels for many residents.
Facility features show contrast across the campus. Public spaces, exterior landscaping, and common areas are often described as updated, resort-like, and well maintained. Conversely, some resident rooms and certain interior wings were characterized as dated or institutional in feel; room sizes in older units can be smaller, and a few reviewers noted sanitation/odor concerns in specific interior areas. There are also practical issues to verify in advance: limited secure storage or room-locking options were mentioned, and the site can present traffic and parking/access constraints. Pricing is consistently identified as at the premium end of the market; many families felt the cost was justified by the level of memory-care expertise and campus amenities, while others found it expensive relative to perceived gaps.
Overall, Silverado Belmont Hills is frequently recommended for families seeking a memory-care–specialized community with strong clinical resources, active programming, and a park-like campus. Prospective residents and families should tour multiple neighborhoods, ask detailed questions about staffing ratios and turnover, review medication-management and communication protocols, inspect individual rooms for layout and furnishings, and confirm secure storage options and odor-management practices before making a decision. For those who prioritize dementia-specific programming, one-on-one engagement, and extensive outdoor space, the community offers substantial strengths; for budget-conscious families or those seeking uniformly updated private rooms and consistently low staff turnover, there are operational trade-offs to evaluate.
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Location
Silverado Belmont Hills Memory Care Community is located at 1301 Ralston Ave, Belmont, CA, 94002.
About Silverado Belmont Hills Memory Care Community
Silverado Belmont Hills Memory Care Community sits among quiet, tree-lined grounds and is built as a single-story, free-standing building, so folks don't have to worry about stairs or elevators, which makes getting around simpler. The place specializes in memory care and is designed for people with Alzheimer's or other forms of dementia, offering both private and semi-private rooms, with studios starting at $12,450 and semi-private rooms at $9,600. The community keeps the property secured with things like coded entry and a wander alert system - even using special bracelets to help prevent residents from getting lost. All the staff, including licensed nurses, masters level social workers, and a physician as medical director, are certified in dementia care, and there's someone on-site at all hours of the day and night, ready to help with medication, diabetic care, incontinence, and behavioral concerns such as wandering or aggression.
Silverado offers personalized care plans and adapts as needs change. Nurses help with daily tasks like bathing, dressing, and moving around-using lifts if needed-and also take care of people with diabetes, bowel or bladder issues, or mobility problems. Residents who have a risk of eloping or who show difficult behaviors can still be cared for here, and the team is trained to manage these situations, doing their best to keep everyone safe and treated with respect. Families can also find respite care here if they need a temporary break from caregiving responsibilities.
There's a regular schedule of activities, from stretching, yoga, and gardening, to art, cooking classes, and even karaoke or trips out on the Silverado bus. Programs like Nexus support brain-healthy living, while the Silverado Sensory Program offers ways to help residents connect with their environment. Social interaction and emotional well-being are encouraged, and staff run things like pet programs because residents can even bring their dog or cat, with help caring for the pet if needed. A chef prepares meals with options for special diets, including vegetarian, and there are guest meals and private dining if families visit. The community has indoor and outdoor common areas, a fitness room, library, garden spots, beautician services, and wheelchair-friendly showers.
Silverado Belmont Hills keeps a warm, inviting atmosphere, and the property stays clean and well-kept for all residents. The culture leans heavily on kindness and patience, and the community aims to give support to both residents and their families, offering educational resources on dementia and crisis help for caregivers. Amenities like complimentary transportation, hospice, and ADL/IADL support are included. Onsite and visiting professionals like physical, occupational, and speech therapists provide extra care as needed. The place also offers devotional services, intergenerational programs, and special activities that keep people's minds and bodies active. Silverado Belmont Hills Memory Care Community has spent more than twenty years focusing on memory care, striving to give seniors living with dementia a safe, dignified, and comfortable place to call home.
People often ask...
Silverado Belmont Hills Memory Care Community offers competitive pricing, with rates starting at a cost of $9,900 per month.
Silverado Belmont Hills Memory Care Community offers assisted living and memory care.
There are 12 photos of Silverado Belmont Hills Memory Care Community on Mirador.
The full address for this community is 1301 Ralston Ave, Belmont, CA 94002.
No, Silverado Belmont Hills Memory Care Community does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In California, the Department of Social Services' Community Care Licensing Division licenses residential care facilities for the elderly, conducting inspections and investigating complaints.
Investigated an allegation that two residents with Alzheimer's were found together, half undressed, and later involved in an intimate act.
05 Jan 2026Inspection
05 Jan 2026Inspection
Observed an unannounced case management visit to deliver amended licensing documents.
29 Dec 2025Inspection
29 Dec 2025Inspection
Investigated an incident of aggression between two residents during care; no injuries occurred and no citations were issued.
29 Dec 2025Inspection
29 Dec 2025Inspection
Found no deficiencies or citations during an unannounced annual visit.
08 Oct 2025Inspection
08 Oct 2025Inspection
Identified an incident between two residents with dementia in which one punched the other; they were separated.
16 Sept 2025Inspection
16 Sept 2025Inspection
Observed that a resident with dementia wandered off when a gate failed to lock; staff brought the resident back and all exits were locked after repairs.
05 Aug 2025Inspection
05 Aug 2025Inspection
Observed an unannounced case management visit addressing a staff exclusion matter.
31 Jul 2025Complaint
31 Jul 2025Complaint
Investigated an allegation that a resident sustained pressure injuries and was dehydrated due to staff neglect; the findings did not establish that the events occurred as described.
31 Jul 2025Inspection
31 Jul 2025Inspection
Investigated an incident in which a resident reported rough handling by staff and being thrown against a wall; no citations were issued.
04 Jun 2025Inspection
04 Jun 2025Inspection
Delivered an immediate exclusion letter for two staff members and explained the rights related to the process.
27 May 2025Inspection
27 May 2025Inspection
Investigated an incident where a 1:1 caregiver held a door knob to prevent a resident from leaving; reviewed staff response and care planning, with no citations issued.
25 Feb 2025Complaint
25 Feb 2025Complaint
Investigated two allegations: staff did not seek timely medical attention after a resident fall, and staff did not properly inform the responsible party of care needs. The investigation documented a delay in medical attention leading to a left hip fracture, while the notification issue was not supported by the evidence.
Type A87465(a)
Type A87465
25 Feb 2025Complaint
25 Feb 2025Complaint
Investigated a fall incident in which staff did not seek timely medical attention and failed to promptly inform the resident's responsible party.
Type A87465(a)
Type A87465(g)
03 Dec 2024Inspection
03 Dec 2024Inspection
Observed clean, well-maintained living areas with secured medications, complete records, and regular emergency drills during an unannounced visit.
15 Mar 2024Inspection
15 Mar 2024Inspection
Observed that a resident with Alzheimer's left the secured area and was found outside near the gates; perimeter gates were closed and locked with no evidence of being propped open.
16 Feb 2024Inspection
16 Feb 2024Inspection
Investigated a complaint of neglect and lack of supervision that contributed to a resident's serious injury; found deficient fall risk assessment and outdated care planning leading to a civil penalty.
Health and Safety Code § 1569.49Civil penalty for serious bodily injury
CCR Title 22, § 87464(f)Basic Services - fall prevention
31 Jan 2024Inspection
31 Jan 2024Inspection
Found no deficiencies. All areas appeared clean and records were complete.
19 Dec 2023Inspection
19 Dec 2023Inspection
Identified that a private one-on-one agency caregiver lacked documented orientation/training. This left a resident unattended and led to inappropriate touching between residents.
Type A87468.1(a)(2)
06 Dec 2023Inspection
06 Dec 2023Inspection
Identified two incidents of inappropriate touching between residents, with immediate separation and ongoing monitoring noted. No deficiencies were cited.
29 Sept 2023Inspection
29 Sept 2023Inspection
Observed an unannounced case management visit that delivered an immediate exclusion letter to an employee. The visit included discussions with the administrator and health services leadership.
07 Sept 2023Inspection
07 Sept 2023Inspection
Investigated an incident in which a staff member threw a cup of tea at a resident and another instance of inappropriate contact with a resident; the staff member was suspended and later terminated, and authorities were notified. Internal investigation records were requested to be sent to the licensing office.
18 Aug 2023Inspection
18 Aug 2023Inspection
Investigated an incident where a resident was bitten by a dog; vaccination records were reviewed and found up to date, and the dog was returned to the adoption center.
02 Aug 2023Inspection
02 Aug 2023Inspection
Investigated an incident alleging that a staff member engaged in three separate incidents with three residents; no citations were issued.
03 May 2023Inspection
03 May 2023Inspection
Identified an incident where a caregiver found one resident touching another inappropriately after dinner; both had dementia and one exhibited wandering behavior. The involved resident's medication dosage was increased and the room was moved to a different building.
17 Mar 2023Inspection
17 Mar 2023Inspection
Identified failure to timely report an alleged abuse incident that occurred on February 13, 2022.
Type B87211(a)
Type B87211(b)
03 Feb 2023Inspection
03 Feb 2023Inspection
Delivered an immediate exclusion letter to an employee during an unannounced visit.
27 Jan 2023Inspection
27 Jan 2023Inspection
Observed infection control measures in place, including COVID-19 signage, PPE availability, daily monitoring logs, and secure storage; no hazards or violations identified.
17 Oct 2022Inspection
17 Oct 2022Inspection
Identified safety and comfort concerns due to a resident with a history of aggressive and inappropriate behaviors toward other residents.
Type A87468.1(a)(2)
10 Oct 2022Inspection
10 Oct 2022Inspection
Investigated an incident in which one resident touched another, causing agitation. No citations were issued during the visit.
23 Sept 2022Inspection
23 Sept 2022Inspection
Investigated dementia-related incidents involving residents, with behavior mapping and one-on-one supervision implemented; no citations were issued.
12 Sept 2022Inspection
12 Sept 2022Inspection
Observed an incident where a resident jumped over a fence; staff redirected and no injuries were reported. A one-on-one caregiver was assigned and medications were adjusted, with ongoing behavior mapping; no citations were issued.
19 Jul 2022Inspection
19 Jul 2022Inspection
Identified a supervision lapse involving a dementia resident who was found lying beside another resident, following a prior similar incident.
Type B87464(f)(1)
18 Jul 2022Inspection
18 Jul 2022Inspection
Observed a resident with Alzheimer's dementia elope from the premises after climbing a gate; staff followed, redirected, and administered medications before the resident returned.
Type B87464(f)(1)
05 Jul 2022Inspection
05 Jul 2022Inspection
Observed a possible cat food ingestion by a resident with dementia due to insufficient supervision; no witnesses could confirm the incident.
Type B87464(f)(1)
Type B87101(c)(3)
Type B1569.2(c)
16 Jun 2022Inspection
16 Jun 2022Inspection
Investigated incidents involving a resident with dementia who assaulted a caregiver, touched a caregiver during a shower, and touched another resident; another resident walked into a female resident's room. Staff implemented more frequent checks and assigned two caregivers during care.
24 May 2022Inspection
24 May 2022Inspection
Identified that a resident left the premises due to an inadequately latched gate and lack of staff supervision, creating a safety risk.
Type B87411(a)
05 May 2022Complaint
05 May 2022Complaint
Investigated a complaint about COVID-19 protocol compliance and found that positive residents were not properly isolated in the designated area, with staff noting isolation was difficult due to residents' dementia.
Type B87303(a)
29 Apr 2022Complaint
29 Apr 2022Complaint
Investigated a private caregiver not associated with the site and a failure to report an elder abuse incident. Findings showed the caregiver was never associated and the incident was not reported within required timelines.
Type A87355(e)(2)
Type B87211(a)(1)
Type B87211(b)
24 Feb 2022Inspection
24 Feb 2022Inspection
Found that two residents with dementia were involved in an unwitnessed altercation because there was no staff supervision.
Type B87411(a)
15 Nov 2021Inspection
15 Nov 2021Inspection
Observed a one-time altercation between two residents diagnosed with dementia after they were left alone in the dining room; staff noted no prior history of physical abuse, and relevant parties were informed.
12 Nov 2021Inspection
12 Nov 2021Inspection
Observed safety systems in place, including smoke detectors, a fire panel, carbon monoxide detectors, and a 72-hour emergency generator. Rooms were furnished and equipped with call systems and safety features; no citations were issued.
12 Nov 2021Complaint
12 Nov 2021Complaint
Investigated an allegation that a resident sustained an unexplained injury while in care and found no evidence to prove the allegation.
12 Nov 2021Inspection
12 Nov 2021Inspection
Observed safety systems and resident areas met required standards, and all critical operations functioned properly. No citations were issued.
12 Nov 2021Complaint
12 Nov 2021Complaint
Investigated allegations that staff did not assist with hygiene, the resident's bathroom was dirty, linens were not provided, and food served was not of adequate quality.
30 Apr 2021Inspection
30 Apr 2021Inspection
Investigated an incident of alleged abuse by staff toward residents and found that residents' personal rights were not protected, creating risk.
Type A87468.1(a)
07 Apr 2021Inspection
07 Apr 2021Inspection
Investigated an unusual incident from 3/29/2021; interviewed the administrator and witnesses and requested additional documents for review. Planned follow-up with the administrator and other staff interviews; the incident needs further investigation.
18 Dec 2020Complaint
18 Dec 2020Complaint
Determined that residents sustained injuries due to inadequate supervision and insufficient staff presence on the floor during two incidents.
Type A87468.2(a)(4)
18 Dec 2020Complaint
18 Dec 2020Complaint
Investigated allegations that staff failed to provide adequate care and supervision, resulting in a resident's fatal fall.
Type A87468.2(a)(4)
18 Dec 2020Inspection
18 Dec 2020Inspection
Reviewed policies on elopement, pressure injury, and fall prevention with leadership, and discussed how residents' needs are identified and met, plans of care, safety of the living environment, residents' personal rights, staff training and monitoring, and medication monitoring.
25 Feb 2020Inspection
25 Feb 2020Inspection
Identified serious violations concerning personnel, medical care, reporting requirements, dementia care, personal rights, basic services, and criminal record clearance.
Type A87468.2(a)(4)
20 Feb 2020Complaint
20 Feb 2020Complaint
Confirmed failure to provide care and supervision resulting in serious bodily injury to a resident.
31 Jan 2020Complaint
31 Jan 2020Complaint
Verified complaint of resident being left in sun, resulting in skin injuries. Failure to report incident promptly noted. Allegations of negligence and lack of immediate medical attention were inconclusive.
22 Nov 2019Complaint
22 Nov 2019Complaint
Found that the allegation of bruising on a resident's thumb could not be confirmed based on interviews, observations, and record reviews.
10 Oct 2019Complaint
10 Oct 2019Complaint
Determined allegations related to a resident's food intake, medication, and pressure injuries lacked sufficient evidence to confirm if violations occurred.
Type A87468.1
08 Oct 2019Inspection
08 Oct 2019Inspection
Identified deficiencies in admitting and retaining residents with restricted health conditions without submitting proper requests. Residents were not approved for exceptions as required by regulations.
Type B87464(f)(1)
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Silverado Belmont Hills Memory Care Community. The information above has not been verified or approved by the owner or operator. For exact information, please contact Silverado Belmont Hills Memory Care Community directly. There is no cost for this service. We are compensated by the community you select.
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