Madison Square Senior Living II, also known as Care Horizons II, sits in Carmichael, California, and has room to care for up to six residents in a single-family house built in 2012, with four bedrooms, three bathrooms, and about 2,400 square feet, so things tend to feel homelike for those who live there, and you'll find both private and semi-private rooms, and baths that may be shared, with accessibility features built in for seniors or folks who need extra help, and there's even support for insulin-dependent residents, two-person transfers, Hoyer lifts, and folks who use wheelchairs or need specialized medical attention, so a wide range of care needs can be met; the home takes Medicaid right away, VA contract, Medicaid spend down, and has state licensing under Residential Care Elderly rules, so it stays under careful oversight for higher standards of care.
The staff knows how to care for residents who have memory problems, including those with Alzheimer's or other dementia, through a dedicated Life Guidance memory care neighborhood that helps prevent wandering and eases anxiety, and there's also skill to help people dealing with diabetes, Parkinson's, bariatric needs, traumatic brain injuries, ventilator or trach supports, and even those needing total parenteral nutrition or help after leaving the hospital, with programs to help folks regain independence or move to a lower level of care, and a focus on helping those who need support with dressing, bathing, taking medicine, and other daily activities.
The facility calls itself LGBT+ friendly, lets residents have pets, and offers many room types, from studio to one- and two-bedroom suites, plus common rooms recently updated, like a movie theater, game room, and outdoor patios and decks, and there's a fireplace for folks to sit by, and plenty of walking paths and gardens outside, with laundry and chef-prepared meals served in a gastro-friendly way for different diets, and a 24-hour call system and professional staff always on site, plus maintenance, transportation, and regular activities for social engagement, so folks can enjoy games, movie nights, and more, whether they're joining community-sponsored events or just spending time with others.
There's help for short-term stays, hospice support, home health, and independent living, making it easier for families wanting a place where care levels can change if needs do, and the location stays quiet, off a private road, with a big front yard, garage, carport, and a bit of room for RVs if needed, all close by to natural scenery, and with staff always keeping safety in mind, including vaccination requirements and supervision round the clock for peace of mind.
The community keeps costs lower than a nursing home and helps a variety of residents, including those who need specialized support, though it doesn't accept Medicare unless certified under the Centers for Medicare & Medicaid Services, so families tend to pick it for flexibility and a gentle, supportive setting where state regulations still hold things to a high standard, and with only six licensed beds, things stay personal, with each person getting the attention they need.