Pricing ranges from
    $4,471 – 5,812/month

    Kingston Bay Senior Living

    6161 W Spruce Ave, Fresno, CA 93722
    • Independent Living
    • Assisted Living
    • Memory Care

    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
    • 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

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    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

    4.13·(127)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.6
    • Staff

      4.0
    • Meals

      3.8
    • Amenities

      4.2
    • Value

      2.7

    Pros

    • Compassionate caregiving staff
    • Personalized attention from familiar caregivers
    • Robust activity program with frequent outings
    • Strong memory-care activity offerings
    • New, well-maintained resort-like facility
    • Attractive, bright private rooms and common areas
    • Wide amenity set (salon, gym, activity center, gardens)
    • On-site transportation and weekday excursions
    • Chef-driven dining with extensive menu options
    • Freshly plated meals and appealing presentation
    • Housekeeping and laundry services praised by many families
    • Responsive admissions and marketing team
    • Hospice and end-of-life support available
    • Central location near shopping and services
    • Live entertainment and regular social events
    • Welcoming tour and move-in coordination
    • Reasonable pricing options for some residents
    • Clean, well-kept grounds and communal spaces

    Cons

    • Understaffing and inconsistent staffing ratios
    • High staff turnover affecting continuity
    • Limited clinical oversight and uneven RN coverage
    • Medication-management inconsistencies
    • Delays in responding to resident requests
    • Sanitation and housekeeping inconsistencies
    • Contract and billing transparency issues
    • Leadership instability and inconsistent management responsiveness
    • Inconsistent dining quality and menu execution
    • Limited capacity for high-acuity medical or dementia needs
    • Maintenance and room-completion deficiencies
    • Communication and family-engagement gaps
    • Technology and infrastructure limitations

    Summary of reviews

    Kingston Bay Senior Living elicits strongly mixed impressions in the reviews. Many families and residents praise the physical environment, amenities, and activity programming: the community is frequently described as new, bright and resort-like, with attractive private rooms, multiple outdoor spaces, a salon and gym, and an active calendar that includes outings, live entertainment, pet therapy, and frequent social events. Several reviewers specifically highlighted robust memory-care activities and an engaged activities team. Dining earns both high marks and criticism: some reviewers describe a chef-driven menu, well-plated fresh meals and a wide selection of options, while others describe inconsistent meal quality and service problems.

    Care and clinical oversight show a clear pattern of variability. Numerous accounts describe individual caregivers as compassionate and attentive, with families naming caregivers who provided strong personal attention. At the same time, there are recurring operational concerns: understaffing, high caregiver turnover, and limited on-site RN coverage were noted as factors that have led to delayed assistance, medication-management lapses, and uneven response to health changes. Several families said the community struggled to meet higher-acuity medical needs or complex dementia presentations, and a subset of reviewers described serious adverse events that they felt reflected gaps in clinical oversight. Memory-care was described by some as improved and strong in programming, whereas other families found the level of clinical support insufficient for particular conditions.

    Facility operations and housekeeping are similarly mixed. Many reviewers appreciated clean, well-kept communal areas and reliable laundry/housekeeping services. Conversely, there are specific concerns about sanitation consistency in certain areas, incomplete room maintenance at move-in, missing fixtures or supplies, and limited housekeeping coverage in memory-care units. Reviews also raised inventory and personal-belongings issues. These operational gaps often intersect with staffing shortages and scheduling challenges.

    Management, communication and business practices are another area of divided feedback. Some families commended particular leaders and frontline administrators for professionalism, helpfulness and strong communication. Other families reported delayed or inadequate communication, concerns about how family inquiries or HIPAA-related matters were handled, and inconsistent follow-through from management. Contract and billing transparency emerged as a substantive concern for multiple families, including unexpected rent increases and perceived deviations from promised contract terms. There are also mentions of past allegations of theft and procedural shortcomings; these items suggest families should review security, incident reporting and financial safeguards during any visit.

    In summary, Kingston Bay offers a modern facility with a wide range of amenities, a lively activities program, and many caregivers who provide warm, personalized attention. However, reviewers consistently point to operational weaknesses—especially inconsistent staffing levels, variable clinical oversight, communication and management reliability, and uneven execution of dining and housekeeping services. Prospective residents and families would benefit from targeted questions during a tour: current staffing ratios by shift, on-site nursing coverage, medication and incident-reporting protocols, housekeeping schedules for memory care, contract terms and escalation processes for concerns, and examples of recent improvements tied to previously identified issues. This will help determine whether the community’s strengths align with the prospective resident’s clinical and social needs.

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    Location

    Kingston Bay Senior Living is located at 6161 W Spruce Ave, Fresno, CA, 93722.

    About Kingston Bay Senior Living

    Kingston Bay Senior Living offers a welcoming and comfortable environment, designed to feel like home from the moment residents arrive. The community stands out for its commitment to exceptional care, provided by an expertly trained staff dedicated to supporting every resident at a personalized level. Nestled in a charming residential area in Northwest Fresno, Kingston Bay enjoys both tranquility and convenience, presented by its lovely surroundings and close proximity to a range of retail options and recreational opportunities.

    At Kingston Bay, residents experience daily life enriched by a wealth of amenities crafted to promote both comfort and engagement. The community features all day restaurant-style dining, allowing residents the freedom to enjoy meals at their own pace, with delicious culinary offerings that focus on nutrition and variety. Leisure and entertainment are always close at hand, thanks to an in-house theater where residents can enjoy movies and events in the company of friends, as well as an on-site salon that provides haircuts, styling, and more to keep everyone looking and feeling their best. For those who value wellness and activity, a resident fitness center provides a dedicated space for health and exercise routines tailored to all abilities and preferences.

    Beyond services and amenities, life at Kingston Bay is characterized by a philosophy that embraces the whole person. The community actively supports all aspects of wellness, with life enrichment programs that foster social connection, intellectual stimulation, and everyday joy. Whether through friendly conversations, group activities, or special programs, the staff ensures a stimulating and supportive atmosphere. Residents are encouraged to pursue their interests, remain active, and build meaningful relationships, reinforcing the sense of community that sets Kingston Bay apart.

    Kingston Bay Senior Living is guided by a heartfelt belief that residents of any age or ability can thrive. With a focus on treating everyone like family, the community goes beyond the basics to create a vibrant, caring environment where individuals can continue to lead fulfilling lives in comfort and dignity.

    About Agemark

    Kingston Bay Senior Living is managed by Agemark.

    Founded in 1987, Agemark Senior Living is a family-owned company headquartered in Orinda, CA and Elkhorn, NE, operating 28 communities across six states. They provide assisted living, memory care, independent living, and carefree living services with their LifeCycles wellness philosophy.

    People often ask...

    Kingston Bay Senior Living offers competitive pricing, with rates starting at a cost of $4,471 per month.

    Kingston Bay Senior Living offers independent living, assisted living, and memory care.

    There are 35 photos of Kingston Bay Senior Living on Mirador.

    Yes, Kingston Bay Senior Living allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 6161 W Spruce Ave, Fresno, CA 93722.

    No, Kingston Bay Senior Living 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.

    License number107206939
    StatusLicensed
    Facility typeResidential Care Elderly
    Capacity128 residents
    LicenseeFRESNO SR. HOUSING PTRS; AGEMARK MGMT LLC
    EffectiveJune 29th, 2016
    View the official license record

    Inspection Reports

    56

    Reports

    22

    Type A Citations

    25

    Type B Citations

    28

    Complaints

    6

    Years

    25 Aug 2026Complaint
    Investigated and concluded that the allegations were unsubstantiated; no deficiencies were cited.
    20 Jul 2026Inspection
    Identified deficiencies in medication management and recordkeeping, including unaccounted pills and incomplete PRN logs, that posed health and safety risks.
    • Type ACCR87465(a)(4)Incidental Medical and Dental Care Services - assistance with self-administered medications
    • Type BCCR87465(a)(6)Incidental Medical and Dental Care Services - central storage medication log
    • Type BCCR87465(c)(3)Incidental Medical and Dental Care Services - PRN medication record
    14 Apr 2026Complaint
    Investigated a complaint about transportation and resident care, and found the van's air conditioning was not functioning properly, contributing to a heat-related incident during a trip.
    • Type B87468.2(a)(8)
    12 Mar 2026Complaint
    Investigated allegation that staff did not address resident falls; interviews and records showed no evidence to support the claim.
    12 Mar 2026Complaint
    Investigated the complaint and found no deficiencies.
    12 Dec 2025Complaint
    Identified inappropriate staff interaction involving body exposure in front of a resident, violating the resident's personal rights.
    • Type B87468.1(a)(1)
    11 Sept 2025Complaint
    Investigated a complaint about room temperature and adherence to the menu; interviews and records showed some thermostats not properly set and occasional menu item shortages with open work orders.
    26 Aug 2025Inspection
    Observed clean resident spaces, accessible bathrooms, and secured medications; no deficiencies were cited.
    18 Aug 2025Inspection
    Identified medication administration and documentation issues, unsafe storage of medications, and a missing reappraisal of a resident's condition. Noted maintenance, sanitation, and pest-control concerns.
    • Type A87465(a)(4)
    • Type A87465(h)(2)
    • Type A87465(c)(3)
    • Type A87463(b)
    • Type B87608(a)(5)(B)
    • Type B87303(a)
    29 Jul 2025Inspection
    Found no licensing deficiencies. Reviewed resident and staff files during a case management visit.
    29 Jul 2025Inspection
    Observed clean, well-maintained spaces with proper safety features; no deficiencies were cited.
    18 Jul 2025Complaint
    Investigated complaints about toileting needs, call-button responses, medications, and meals; all allegations were unfounded.
    28 May 2025Complaint
    Investigated an allegation that staff handled a resident roughly, pulling the legs and arms and causing a skin tear on the right arm.
    • Type A87468.1(a)(3)
    28 May 2025Inspection
    Observed disinfectants and other hazardous cleaning items left unlocked and accessible to residents, creating a safety risk.
    • Type B87309(a)
    23 May 2025Complaint
    Investigated allegations that staff handled residents roughly and spoke to them in a demeaning way, and that a caregiver lacked required training and First Aid/CPR certification.
    • Type B87468.1(a)
    • Type B87411(c)
    23 May 2025Complaint
    Investigated the allegation that staffing was inadequate to meet residents' needs. Records showed some shifts had only one caregiver on each floor and a resident experienced falls, with documentation of multiple communications with the responsible party.
    17 Apr 2025Inspection
    Identified concerns related to complaint accumulation, staffing, and reporting requirements were discussed during an office meeting.
    04 Feb 2025Complaint
    Investigated the allegation that staff did not ensure adequate staffing to meet residents' needs. Found the allegation unfounded.
    10 Dec 2024Complaint
    Investigated a complaint about a medication error that led to a resident's hospitalization and a failure to provide a written incident report.
    • Type A87465(a)(4)
    • Type B87211(a)(1)(D)
    10 Dec 2024Complaint
    Investigated two specific allegations: billing beyond the terms of the admission agreement and not assessing a resident's change of condition prior to discharge.
    • Type B87507(f)
    • Type B87463(a)(3)
    23 Oct 2024Inspection
    Identified that staff did not properly assist residents with self-administered medications, causing residents to receive the wrong medications and one fall requiring medical evaluation.
    • Type A87465(a)(4)
    06 Sept 2024Complaint
    Investigated a series of complaints about residents' linen and hygiene product access and dehydration; found hygiene items were accessible and some linens were dirty, while the dehydration issue could not be confirmed.
    • Type B87705(g)(1)
    • Type B87303(a)
    06 Sept 2024Inspection
    Identified an intimate relationship between two residents and multiple inappropriate interactions occurred without safeguards for the resident's safety.
    • Type A87464(f)
    12 Aug 2024Complaint
    Identified inappropriate interactions between residents with dementia and inadequate supervision that allowed safety risks to persist. Reports to licensing, ombudsman, and law enforcement were not submitted as required.
    • Type A87464(f)(1)
    • Type A87101(c)(3)
    • Type A1569.2(c)
    • Type B87211(a)(1)(D)
    12 Aug 2024Inspection
    Observed an unannounced case management health checks visit in response to a complaint; no citations were issued.
    12 Jul 2024Inspection
    Identified the immediate exclusion of a staff member and confirmed disassociation; no deficiencies observed.
    11 Jun 2024Inspection
    Identified deficiencies in records and care management, including outdated hospice plans, an outdated administrator certification, issues with oxygen administration for a resident, and an incomplete medical assessment.
    • Type B87633(d)
    • Type B87458(b)(1)
    • Type B87405(a)
    • Type B87618(a)(1)
    09 May 2024Inspection
    Observed medications not centrally stored and secured in multiple resident apartments. A deficiency was cited for unsecured medications and improper storage.
    • Type A87465(h)(2)
    23 Apr 2024Inspection
    Identified unsecured resident medications due to improper central storage, with medications found unlocked in multiple apartments.
    • Type A87465(h)(2)
    08 Jan 2024Complaint
    Investigated allegations of questionable death, rough handling of residents, medication administration issues, and delayed medical care; no evidence found to support the allegations.
    20 Dec 2023Complaint
    Observed trash in the transport van and incomplete infection control training for staff.
    • Type B87303(a)
    • Type B87470(c)(1)(C)
    30 Nov 2023Complaint
    Investigated an allegation that staff did not meet residents' incontinence needs. Evidence did not establish that the alleged violation occurred.
    21 Sept 2023Inspection
    Identified that a resident's medications were left unsecured and accessible to another resident, posing an immediate safety risk.
    • Type A87465(h)(1)(C)
    26 Jul 2023Inspection
    Identified deficiencies in staff training and resident records during a routine annual review.
    • Type B1569.696(a)(1)
    • Type B87506(a)
    19 Jul 2023Complaint
    Investigated a complaint alleging improper medication administration, injections by staff, and vaping around oxygen. Found no evidence to support the allegations.
    21 Sept 2022Inspection
    Identified an AWOL incident in which a resident with wandering behavior left the premises without staff awareness. Safety concerns related to wandering among residents with dementia were noted.
    • Type A80075(b)(2)
    • Type A87208
    • Type A87705(b)(2)
    21 Sept 2022Complaint
    Investigated a complaint alleging violations of residents' personal rights due to a resident's disruptive outbursts. Documentation and interviews described frequent yelling and belittling in common areas.
    • Type B87468.1(a)(1)
    21 Sept 2022Complaint
    Investigated the allegation of a questionable death. Found there was no preponderance of evidence to prove the alleged violations.
    29 Jun 2022Inspection
    Observed disinfectants and cleaning solutions stored under bathroom sinks and accessible to residents, creating an immediate health and safety risk.
    • Type A87309(a)(1)
    14 Jun 2022Complaint
    Found that residents were provided water and beverages with meals and during activities; no evidence supported the dehydration allegation.
    25 Apr 2022Inspection
    Observed infection control measures and related postings, with no deficiencies noted.
    25 Apr 2022Inspection
    Observed residents socializing in a clean, well-maintained setting with staff wearing masks and hand sanitizer available; no deficiencies cited.
    08 Dec 2021Inspection
    Investigated follow-up on Special Incident Reports and found that complete reports were not submitted to licensing within seven days for several incidents, including a fall on 11/28/2021 and an incident on 9/14/2021 resulting in hospitalization. SIRs and hospice notification were provided during the visit.
    • Type B87211(a)(1)
    08 Dec 2021Inspection
    Investigated an alleged physical altercation between two residents; reviewed resident files and spoke with the administrator. The two residents sharing a room did not want to be separated, and no deficiencies were cited.
    17 Sept 2021Inspection
    Identified follow-up on a 6/17/21 AWOL incident and an 8/7/21 resident altercation; no deficiencies cited.
    03 Aug 2021Inspection
    Identified a medication error from 7/27/2021 and that a resident was not assisted with self-administered medications as needed, creating an immediate health and safety risk.
    • Type A87465(a)(5)
    03 Aug 2021Inspection
    Conducted a case-management visit and reviewed the resident's file.
    25 May 2021Inspection
    Observed adherence to infection control measures, including masks, temperature checks, and hand sanitizer; no deficiencies were identified.
    08 Apr 2021Complaint
    Investigated the allegation that a violation occurred; found a lack of a preponderance of evidence to prove the alleged violation, leaving the allegation unsubstantiated.
    07 Apr 2021Complaint
    Found that the allegation that staff did not seek timely medical attention for residents was unfounded. Found that the allegation that a resident sustained serious injuries due to multiple falls was unfounded.
    22 Mar 2021Complaint
    Investigated the allegation that staff did not respond to the call button in a timely manner and found no sufficient evidence that it occurred. Determined that the allegation that staff failed to inform the responsible party of a change in the resident's condition was not borne out, as changes were reported to the appropriate Responsible Party per policy.
    19 Mar 2021Complaint
    Found that the allegation of inadequate staffing was unfounded, with staff responding promptly when called and residents reporting no issues with care.
    12 Feb 2021Complaint
    Investigated a complaint alleging staff did not seek medical attention for a resident in a timely manner; found that health-related delay allegation to be supported. Other allegations— questionable death, failure to notify the authorized representative of health changes, and staff training concerns—were unfounded.
    • Type A87465(g)
    27 Jan 2021Inspection
    Reviewed Covid-19 mitigation measures, PPE use, and fall/injury procedures with the administrator by phone during a health and safety check; no deficiencies found.
    29 Oct 2020Complaint
    Found that morning medications were given more than an hour late because only one med-tech was on duty. Found that residents said their needs were met, with insufficient evidence to prove otherwise.
    07 Jan 2020Inspection
    Inspection found rooms clean, proper food storage, safety measures in place, and maintenance up to date.
    • Type A87465(a)(2)

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    Mirador Living is not affiliated with the owner or operator(s) of Kingston Bay Senior Living. The information above has not been verified or approved by the owner or operator. For exact information, please contact Kingston Bay Senior Living directly. There is no cost for this service. We are compensated by the community you select.

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