Pricing ranges from
    $3,200 – 4,160/month

    Paintbrush Assisted Living

    4356 W Ashlan Ave, Fresno, CA, 93722
    4.3 · 94 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    3.0

    Beautiful facility, inconsistent care, monitor

    I chose this community for my mom and overall it's a beautiful, clean, hotel-like place with roomy apartments, great amenities, a full activities calendar (music, outings, crafts) and many compassionate staff - the Memory Care director and several caregivers went above and beyond and gave us real peace of mind. That said, staffing and organization are inconsistent: I saw missed medications, help delayed (getting out of bed), no RN on-site at times, medication/security and safety concerns, and poor phone responsiveness. Leadership turnover, occasional insensitive behavior, and rising costs are also worrying. I'd recommend touring and meeting the memory-care team in person, but go in with eyes open and monitor staffing/medication practices.

    Pricing

    $3,200+/moSemi-privateAssisted Living
    $3,840+/mo1 BedroomAssisted Living
    $4,160+/moStudioAssisted Living

    Schedule a Tour

    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

    4.31 · 94 reviews

    Overall rating

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

      3.9
    • Staff

      4.2
    • Meals

      4.1
    • Amenities

      4.4
    • Value

      3.0

    Pros

    • Friendly, caring, and attentive staff
    • Strong and compassionate memory care leadership frequently praised
    • Beautiful, resort-like campus and lodge-style design
    • Well-maintained, clean rooms and common areas
    • Restaurant-quality meals and varied menu options
    • Flexible dining schedule and off-menu accommodations
    • Wide range of activities and events (music, bingo, crafts, outings)
    • Abundant on-site amenities (theater, salon, fitness room, barista cafe)
    • Pet-friendly with dog park and outdoor spaces
    • Spacious private apartments with private bathrooms and kitchenettes
    • Courtyards, gardens, pizza oven, and inviting outdoor living spaces
    • Transportation to appointments and shopping outings
    • Proactive communication and easy care coordination (pharmacy/doctor paperwork)
    • Family-like atmosphere and strong sense of community
    • Well-organized tours and responsive admissions staff
    • 24/7 assistance available and peace of mind for many families
    • Veteran discounts and perceived good value by several reviewers
    • Regular laundry service and clean linens
    • Numerous social opportunities and frequent live entertainment
    • On-site services (hairstylist, salon, barista/snack options)

    Cons

    • Understaffing and inconsistent staffing levels
    • Limited clinical coverage (no RN on site reported at times)
    • Reports of missed medications, delayed care, and medical incidents (dehydration, UTIs, weight loss, falls)
    • Security issues: reports of doors left open enabling wandering and thefts
    • Variable quality in memory care and some untrained/inexperienced staff
    • Staff turnover and leadership changes negatively affecting continuity
    • Inconsistent or poor follow-up and communication after move-in in some cases
    • Food complaints from some residents: bland, small portions, or missing dietary accommodations (diabetic menu)
    • High cost, extra charges, and price increases; affordability concerns
    • Decline in activities or fewer evening activities after staff departures
    • Medication storage and security concerns (reports of meds not properly locked)
    • State board complaints or investigations referenced by reviewers
    • Occasional unprofessional or rude staff behavior reported
    • Some families reported being upsold or pressured to higher care levels
    • Large facility size not ideal for all residents

    Summary review

    Overall sentiment in the reviews of Paintbrush Assisted Living is strongly mixed but leans positive: many families and residents praise the facility for its staff, aesthetics, food, activities, and amenities, while a notable minority report serious care and safety concerns. The most consistently applauded aspects are the warm, engaged caregiving teams and the campus itself. Multiple reviews highlight staff described as friendly, compassionate, and attentive; specific leaders (including memory care directors and activity directors) receive high praise and are credited with delivering life-changing support for residents and peace of mind for families. The campus is repeatedly described as beautiful, resort- or mountain-vibe, and well maintained, with thoughtful design touches (barista cafe, pizza oven, courtyards, hummingbirds, theater, salon, fitness rooms, dog park) that contribute to a hotel-like, homey ambiance.

    Dining and activities are frequent strengths in the majority of accounts. Many reviewers report restaurant-quality meals, varied monthly menus, off-menu options, flexible dining schedules, and a strong social dining environment. Activity programming is extensive in many descriptions: bingo, crafts, dancing lessons, live music, happy hours, field trips, shopping and restaurant outings, gardening clubs, movie nights, and veteran events are commonly mentioned. Transportation services, on-site therapies, and regular outings reinforce a busy social calendar that keeps residents engaged. Apartments are also described favorably: roomy private studios or one-bedroom units, private bathrooms, some with kitchenettes, roll-in showers, accessible designs, and regular laundry services.

    Despite these strengths, there are recurring and significant concerns that appear across a meaningful number of reviews. Staffing levels and clinical coverage are the most frequent operational worries. Multiple reviewers mention understaffing, staff turnover, and times when no RN was on site. Related to those issues are reports of missed medications, delayed responses to illness or fever, dehydration, significant weight loss, UTIs, falls, and poor documentation or handling of medical needs. A few reviewers reported severe negative outcomes for residents that led to transfers out of the community and improvement after removal. Medication security and emergency preparedness (CPR, timely medical attention) are also questioned in several accounts.

    Memory care receives polarized feedback: some families call the memory care team lifesaving, deeply compassionate, and highly competent, while others report that memory care staff were undertrained or that the unit experienced outbreaks, inappropriate dietary practices (concerns about meals and choking hazards), and inconsistent daily care. Several reviews describe dramatic changes in quality tied to leadership transitions or when key staff members (like activities directors or memory care directors) were on leave. Reviewers sometimes observe a strong initial intake/tour and smooth admission process but then describe communication gaps, lack of follow-up, or diminished service after move-in, indicating variable consistency in management and operations.

    Security-specific concerns appear in a subset of reports and are important to note: there are direct mentions that doors were left open, enabling wandering and in one case thefts. These accounts raise safety concerns for residents with cognitive impairment. Some reviewers also reference state or local board complaints and investigations, suggesting that isolated or systemic regulatory issues have been raised. Additionally, a few families report unprofessional staff behavior or poor management response when complaints were raised, while many other families praise proactive communication and responsiveness from management.

    Cost and value perceptions vary. Several reviewers feel the community offers good value given the high level of amenities and care, with specific mention of veteran discounts and reported pricing around $4,800/month in one account. However, many others cite higher-than-expected costs, extra charges, recent price increases, and affordability as barriers; a few residents moved out for cost reasons. Certain clinical and dietary gaps (for example, insufficient diabetic meal accommodations and the desire for a dietitian) were flagged by some families who felt that clinical nutrition could be improved.

    Patterns and takeaways: Paintbrush commonly offers an attractive, activity-rich, pet-friendly environment with a strong community feel and many standout staff who provide exceptional care. Where the community receives its negative ratings, the issues tend to cluster around staffing shortages, clinical oversight (including no RN on site at times), inconsistent care in memory services, lapses in safety practices (doors/security), and uneven management follow-through. Many reviewers emphasize that quality can depend heavily on who is working there at a given time—particular care leaders and activity staff draw strong praise, while their departures or absences often coincide with deterioration in resident experience.

    For prospective families: the facility merits serious consideration for its environment, food, amenities, and many examples of excellent staff and memory care leadership. At the same time, visitors and decision-makers should probe current staffing ratios and clinical coverage, policies on medication security and emergency response, memory care staffing and training, recent state complaints or investigations, and how the community handles dietary accommodations and after-admission communication. Asking for recent staffing schedules, RN coverage details, incident logs, and references from current families—plus confirming contractual fees and potential extra charges—would help clarify whether Paintbrush's generally strong positives align with a given prospective resident's care and safety needs.

    Location

    Map showing location of Paintbrush Assisted Living

    About Paintbrush Assisted Living

    Paintbrush Assisted Living offers assisted living services and has a dedicated Memory Care unit for seniors with different needs, including those with Alzheimer's and dementia, and the memory care section is locked for safety, so residents who need extra help are safe and secure, and the staff here includes professional caregivers who are known for being compassionate and competent, which really makes a difference for the residents, because the care is always attentive and kind, and the new director of Memory Care leads a dedicated team who help residents step out of their comfort zones, and they put together all kinds of group activities like painting and coloring, music, and lively social events, and they also organize field trips for residents which a lot of folks enjoy. This senior living community has a craftsman-style building, and the design and feel take inspiration from Yosemite, which means there are nice touches and spaces filled with art from well-known artists, plus lovely gardens and open gathering spaces that make the place feel bright, welcoming, and private. Meals are a big thing here with restaurant-style dining and food that's prepared to fit each resident's needs, and staff work to keep things interesting and personal, so everyone feels cared for, especially when it comes to memory care where food and activities are tailored just right. Paintbrush Assisted Living gives its staff chances to learn more on the job, which helps them stay professional and supportive, and the staff are known to help residents and families with tough transitions and promote independence and wellbeing, making the place feel warm, lively, and close to home. The community has strong ties to the Central Valley, with family ownership and local connections, and families who visit will notice the comfortable, home-style setting and friendly atmosphere, because this facility has a real focus on high-quality care, with 24/7 expert health services, custom-crafted dining, and a good variety of activities to keep both body and mind active. There are apartment-style rooms in Assisted Living and secure suites in Memory Care, and residents' care plans are always personal, with medical and supportive services that match different independence levels, and folks say you can see the dedication here in the way staff work to keep residents safe and happy, with life enrichment programs, creative gatherings, and a real sense that family, friendships, and traditions matter. This senior living community is licensed under RCFE number 107206929 and is described as The Gold Standard of Senior Care, with specialty care support and a secure, welcoming feeling for long-term living.

    About Northstar Senior Living

    Paintbrush Assisted Living is managed by Northstar Senior Living.

    Founded in 2008 and headquartered in Redding, California, Northstar Senior Living has established itself as one of the premier providers of senior living management and consulting services in the United States. Under the leadership of President and CEO Rick Jensen, who co-founded the company, Northstar has built a reputation for excellence in senior care management through its commitment to setting industry gold standards. The privately owned company operates approximately 40-51 communities across nine states, offering comprehensive management services that span the full spectrum of senior living operations.

    People often ask...

    State of California Inspection Reports

    42

    Inspections

    10

    Type A Citations

    12

    Type B Citations

    5

    Years of reports

    09 Apr 2025
    Found no health and safety concerns during an unannounced case management health and safety review connected to a complaint investigation. Residents were observed participating in activities, and common areas and individual apartments were clean and well maintained with staff available to assist.
    • § 9058
    10 Feb 2025
    Identified mismanagement of a resident’s medications, including stockouts of Xanax and Memantine, missing administration documentation, and days with four doses given in a day instead of the ordered three. Found that the administrator declined to share MAR records with the resident’s authorized representative, and interviews indicated a staff member administered the wrong medication.
    16 Oct 2024
    Found no health and safety issues; observed clean, accessible resident apartments and common areas with unobstructed walkways and properly stored cleaning supplies and medications. Interviewed management, reviewed staff and resident rosters, and noted posted activity calendars; no citations were issued.
    26 Aug 2024
    Identified deficiencies related to personnel requirements, storage space, and incidental medical and dental care services. Observed clean living areas with proper safety measures, secured medications and cleaning supplies, and adequate common spaces.
    26 Aug 2024
    Identified deficiencies in staffing, storage space, and medical care services during inspection.
    • § 87465(a)(4)
    • § 87506(c)(1)
    12 Jul 2024
    Identified that a staff member was immediately excluded and cannot work or be on the premises, and should be disassociated. Observed that the staff member never worked there and was disassociated on 7/3/2024; no deficiencies observed.
    12 Jul 2024
    Confirmed exclusion of Staff 1 from the premises, no deficiencies observed during inspection.
    12 Oct 2023
    Found that resident rooms had required furnishings and lighting, bathrooms had safe hot water, medications were securely stored, and food supplies were available. Safety systems and detectors were in working order, and staff and resident records were reviewed.
    • § 87303(a)
    • § 87705(c)(5)
    • § 87465(h)(1)
    12 Oct 2023
    Identified deficiencies during inspection of a facility by state officials.
    • § 87309(a)
    • § 87411(c)(1)
    • § 87465(a)(1)
    15 Mar 2023
    Determined that private visitation for a resident was limited to common areas at the POA's request, and that the POA documents did not specifically address visitation authority.
    15 Mar 2023
    Identified three specific incidents: an altercation with staff on 1/4/23, a fall on 11/12/22, and a medication error on 1/17/23. Record review and interviews were conducted to gather information.
    15 Mar 2023
    Found an issue with limiting a resident's visitation based on the request of their Power of Attorney, as the POA documents did not specifically grant authority over visitation.
    21 Nov 2022
    Found two incident reports involving residents: one about an unknown-origin injury after a hospital stay, and another about a fall with hospital evaluation and return with no new orders or injuries; interviews and record reviews were conducted, and no citations were issued.
    21 Nov 2022
    Visited the facility to review reports of incidents involving residents, including injuries of unknown origin and falls, ultimately finding no citations issued during the visit.
    • § 87468.1
    17 Aug 2022
    Found that the allegation that staff refused to provide the resident with copies of monthly payment statements was unfounded; documents were mailed and confirmed received.
    17 Aug 2022
    Determined the allegation of staff refusing to provide a resident with monthly payment statements was unfounded, as documents were sent and confirmed received. No citations issued.
    • § 87411
    • § 87466
    20 Jul 2022
    Reviewed records and interviews, found that the urinary tract infection concern could have occurred but there was insufficient evidence to prove it did or did not. Also, reviewed records and interviews indicated no evidence that a fracture was caused by care or supervision, and no deficiencies were cited.
    20 Jul 2022
    Identified comprehensive infection control measures in place, including daily symptom screenings, vaccination/testing, visitation and quarantine/isolation procedures, staffing plans, PPE use, and daily infection control routines, with sanitizer available, distancing in common areas, and designated visitation areas. Found no deficiencies, and noted that an infection control plan has been submitted.
    20 Jul 2022
    Investigated complaints about a resident experiencing a UTI and a fracture due to possible lack of care or supervision. Unable to determine if the facility was responsible for these issues, as evidence was insufficient to confirm or deny the allegations.
    17 May 2022
    Investigated Allegations 1 through 10 and found insufficient evidence to prove them as described. Interviews and record reviews showed fall precautions, monitoring of skin changes, and staff training on care and communication were in place, and no evidence of abuse or neglect was found.
    17 May 2022
    Reviewed multiple complaints and conducted interviews with staff, finding some allegations substantiated regarding falls and reporting procedures, while others were not substantiated due to lack of evidence.
    25 Feb 2022
    Investigated an incident in the parking lot involving a former staff member and a current staff member, with a resident present. 911 was called, a police report filed, interviews were conducted, and no citations were issued.
    25 Feb 2022
    Investigated an incident between staff members that occurred on the premises, involving a former staff member and a current staff member, with a resident present.
    14 Jan 2022
    Found no health and safety concerns after an unannounced, tele-visit check connected to a complaint. A tour of resident areas with the administrator showed no issues.
    14 Jan 2022
    No deficiencies were cited during the inspection; all health and safety standards were met.
    • § 87466
    20 Sept 2021
    Identified mismanagement of medications and failure to follow physician orders, along with a 30-day reassessment not conducted and delays in basic laundry service. Found water was available to residents; allegations about change in condition, hygiene needs, and room odor were not proven.
    20 Sept 2021
    Confirmed mismanagement of medications and delayed laundry service. Substantiated lack of reassessment per agreement. Hygiene and odor allegations were unsubstantiated.
    02 Sept 2021
    Found that two residents left through a side gate after it was opened by the notification system. Concluded that the claim staff did not meet residents' needs lacked sufficient evidence, and the claim of understaffing was unfounded.
    02 Sept 2021
    Confirmed staff allowed residents to leave the facility and the allegation was substantiated. Found that staff were meeting residents' needs. Determined facility was not understaffed.
    21 Jul 2021
    Investigated the allegation that staff did not respond to call buttons promptly; determined a resident’s call button was activated and not cleared for 38 minutes, resulting in emergency medical care.
    21 Jul 2021
    Confirmed an allegation that staff did not respond promptly to a resident's call button, resulting in the resident needing emergency medical care.
    • § 87465(a)(5)
    • § 87507(f)
    • § 87307(3)(c)
    18 Jun 2021
    Found infection control measures in place and in compliance with guidelines, including daily symptom screenings for staff, residents and visitors, testing, visitation, quarantine and isolation procedures, emergency staffing, PPE storage and training, and daily infection control routines. Noted visible postings for hand hygiene and masking, distancing in common areas, staff wearing face coverings, multiple visitation areas, and ready access to PPE and a 30-day medication supply; no issues were identified.
    18 Jun 2021
    Confirmed compliance with infection control practices during an unannounced inspection, with no deficiencies cited.
    • § 87208(c)
    07 May 2021
    Investigated allegations included a filthy resident room, inadequate hygiene assistance, a fall, sleeping in soiled bedding, lack of basic laundry services, and a malodorous room. Based on interviews and photographs, the department identified concerns in these areas.
    07 May 2021
    Confirmed that the resident's room was filthy, soiled bedding was present, laundry services were insufficient, and the room was malodorous, while it was also found that allegations of unmet hygiene needs and a resident's fall were not supported by evidence.
    • § 87411(a)
    04 Mar 2021
    Reviewed records and interviews found that medical assessments were not signed by the resident or their authorized representative. Investigated the allegation that staff failed to notify the authorized representative of incidents; could not determine whether the resident’s hygiene needs were met, and noted that planned activities may have been limited or canceled due to Covid-19 restrictions.
    04 Mar 2021
    Found that the complaint alleging a resident sustained multiple pressure injuries and a fall while in care was unfounded.
    08 Mar 2021
    Investigated the complaint alleging failure to coordinate medical care with the authorized representative and found no evidence that such coordination was lacking. Found that staff did not notify the authorized representative about Home Health services being ordered and started without authorization, and that medications were not administered as prescribed on multiple dates.
    08 Mar 2021
    Investigated complaints found no evidence of failure to coordinate medical care, confirmed staff did not notify a change in condition, and identified failures in dispensing medication as prescribed.
    • § 87303(a)(1)
    • § 87307(3)(c)
    04 Mar 2021
    Investigated complaints of a resident sustaining multiple pressure injuries and a fall; determined that the complaints were unfounded due to medical records indicating an allergic reaction and proper procedures being followed after the fall.
    23 Jun 2020
    Interview with Resident Care Director revealed complaint concerning a resident was unfounded, as resident was not evicted and received necessary care.
    • § 87468.1(a)(8)
    • § 87465(a)(5)
    14 Jan 2020
    Identified deficiencies in various areas were cited during the inspection, with civil penalties issued as a result.

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