Anastasia - Home Care for the Elderly, Board Care

    3646 East Ave, Livermore, CA, 94550
    4.4 · 7 reviews
    • Assisted living
    AnonymousLoved one of resident
    2.0

    Compassionate staff, serious safety concerns

    I appreciated the pleasant, compassionate staff (especially administrator Lacy Vincent), clean home-like rooms, home-cooked meals tailored to diets, and strong on-site PT/OT that helped regain mobility. That said, we experienced significant care lapses - inconsistent meds, short-staffed nights, a non-working call button, safety hazards (cords/outlets), a catheter complication with serious consequences, and poor post-discharge communication/billing - which prompted a move. Overall, great people and environment, but verify medication safety, equipment training, and night staffing before trusting long-term care.

    Pricing

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    Amenities

    4.43 · 7 reviews

    Overall rating

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

      3.8
    • Staff

      4.3
    • Meals

      3.8
    • Amenities

      4.0
    • Value

      4.4

    Pros

    • pleasant and attentive staff
    • compassionate and professional caregivers
    • supportive, hands-on leadership (administrator Lacy Vincent noted)
    • clean, fresh-smelling, home-like facility
    • comfortable, spacious and welcoming rooms
    • OT/PT onsite and rehabilitation services
    • successful mobility and independence outcomes after therapy
    • home-cooked meals tailored to dietary needs
    • varied activities and social interactions
    • excellent communication and resident-family reassurance (reported in several reviews)
    • quick accommodation and responsiveness to needs
    • relaxed, calm environment
    • staff education and visible leadership involvement

    Cons

    • inconsistent nursing coverage and insufficient nurse visits
    • medication management problems (meds not consistently given; meds running low)
    • serious patient safety hazards (exposed outlets, extension cords, etc.)
    • non-working call button
    • failure to follow PT/OT guidance in at least one case
    • catheter-related complication reported (internal bleeding) leading to transfer
    • poor communication and follow-up in some instances (contrasting other reviews)
    • short-staffed night shift
    • limited or poor meals reported in one review
    • billing/administrative follow-up issues (medical bill not forwarded after discharge)
    • need for better oxygen equipment training for family/patient
    • some variability in care quality leading to moves to other facilities

    Summary review

    Overall sentiment across the reviews is mixed but largely positive with several consistent strengths highlighted. Multiple reviewers emphasize that staff are pleasant, attentive, compassionate, and professional. Leadership is called out by name in at least one review (administrator Lacy Vincent) for being knowledgeable, hands-on, and involved in staff education. The facility itself is described repeatedly as clean, home-like, fresh-smelling, spacious, and welcoming. Many reviewers commented that the environment felt calm and conducive to rest and recovery, and residents were often described as appearing happier or smiling.

    Rehabilitation services are a clear strength: OT and PT are onsite and reviewers reported meaningful functional gains. Several families noted that therapy helped residents regain mobility and transition back to independent living. The facility also receives frequent praise for its home-cooked meals tailored to dietary needs, varied activities, and social interactions that contribute to feelings of safety and reassurance. Communication was called excellent in a number of accounts, with staff keeping families informed and making them feel reassured about care.

    Despite these positives, there are significant and recurring operational and safety concerns that must be highlighted. A subset of reviews report inconsistent nursing coverage, insufficient nurse visits, and medication management problems — including medications not being given consistently and supplies running low without timely refills. One review describes very serious clinical failures: malfunctioning call buttons, environmental safety hazards (uncovered outlets and extension cords), failure to follow PT/OT guidance, and a catheter issue that reportedly led to internal bleeding and transfer to another facility. These are critical issues because they directly affect resident safety and clinical outcomes.

    Other practical and administrative problems were mentioned: short-staffing on night shifts, variability in communication (some reviews praised it while others reported poor communication and lack of follow-up), a report of meals being limited or poor in one case, and a complaint about billing processes (a medical bill not being forwarded after discharge). There was also a note that families needed more training on oxygen equipment, indicating gaps in discharge education or equipment support.

    In sum, Anastasia - Home Care for the Elderly appears to deliver compassionate, rehabilitation-focused, and home-like care for many residents, with enthusiastic praise for staff, leadership, cleanliness, meals, and therapy outcomes. However, several reviews document critical lapses in safety, medication administration, staffing consistency (especially nights), and administrative follow-through. The pattern suggests generally strong person-centered care and environment, but with some potentially serious quality-control and operational risks that need addressing. Prospective residents and families should weigh the positive testimonials about staff and therapy against the reported safety and medication-management concerns, and current management should prioritize fixing call systems, medication protocols, night staffing, safety hazards, discharge training, and billing follow-through to align the facility’s operational practices with the high level of interpersonal care many reviewers describe.

    Location

    Map showing location of Anastasia - Home Care for the Elderly, Board Care

    About Anastasia - Home Care for the Elderly, Board Care

    Anastasia - Home Care for the Elderly, Board Care in Livermore, CA, serves older adults who need home-based and board care, giving folks help with daily living like bathing, grooming, hygiene, toileting, and medication reminders, and offering personal care assistants who know what they're doing and treat everyone with kindness and respect. Residents get everything from assisted living and independent living in studio, single, or two-bedroom setups to specialized memory and dementia care, with private rooms that come with their own bathrooms, hospital beds, and both dementia and hospice licenses so there's support when health needs change. The facility brings families peace of mind by using handicap features, safety systems, in-room sprinkler systems, and making sure the indoor spaces are easy to move around, with elegant furniture, cozy decor, and green features like solar panels with battery backup.

    Staff provide fresh healthy meals with hidden veggies and superfoods, snacks and dining room service, helping with light cleaning, laundry, and changing linens so residents can focus on things they enjoy like arts and crafts, fitness, educational programs, and different social events in activity rooms or outdoors in the green space. Residents can also use amenities like a salon, fitness center, guest parking, wifi, and housekeeping, and there's transportation for errands, appointments, and shopping. The Board Care model gives each person a personalized care plan, with help from caregiver companions trained for different needs, including memory issues, so residents can stay in familiar surroundings, keep up with hobbies, and enjoy time with others.

    Anastasia is set up to work with long-term care insurance, non-medical care, and support with moving or furniture needs, while working with the American Caregiver Relief Network and local caregiver communities to keep care updated and responsive. The staff keeps up relaxation programs, safety protocols, and a schedule that aims to keep minds and bodies active and make the home a safe, pleasant place, and they're known among locals for providing caring help and paying close attention to health and safety. Community opinions score Anastasia at 4.3 out of 5 and value at 4.0 out of 5, so word around town is it's a good place for seniors looking for board care, independent living, assisted living, memory and long-term dementia care, and a house that really does feel like home.

    People often ask...

    State of California Inspection Reports

    19

    Inspections

    8

    Type A Citations

    6

    Type B Citations

    3

    Years of reports

    28 May 2025
    Found no deficiencies after an unannounced 1-year inspection on 5/28/2025. Noted safety features (smoke and CO detectors, a full fire extinguisher), grab bars and non-slip mats, adequate lighting, clean and furnished resident rooms, a complete first aid kit, a disaster plan with a drill on 5/2/2025, proper food supplies with hot water at 115.5°F, and review of six resident and three staff files plus a sample of medications.
    • § 9058
    26 Sept 2024
    Identified that a staff member was not fingerprint-cleared or linked to the site; observed the staff member leave the licensed area during the visit, and a $200 civil penalty was assessed.
    26 Sept 2024
    Investigated two specific allegations: inadequate feeding leading to weight loss for a resident, and failure to assist a resident in transferring out of bed. Found insufficient evidence to prove these violations occurred.
    26 Sept 2024
    Identified a staff member working at the facility without proper fingerprint clearance and observed them leaving the licensed area during a complaint investigation, resulting in a civil penalty.
    • § 87411(g)(1)
    16 Jul 2024
    Identified that a staff member did not have fingerprint clearance on file and that medications were administered by someone not qualified. Found incomplete training hours and missing files related to medication administration for staff.
    16 Jul 2024
    Confirmed that staff administered medications without proper training or proper clearance, and that unqualified staff provided medication services to residents.
    • § 87411(g)(1)
    • § 1569.629(a)(2)
    19 Jun 2024
    Identified several deficiencies, including an incomplete resident file, missing MAR for PRN medications, PRN meds not available, and lack of hospice training records. Also observed unlocked medications during review and other documentation gaps.
    19 Jun 2024
    Found several safety and medication management deficiencies, including unlocked medications, incomplete resident files, missing medication records, and lack of hospice training documentation.
    • § 87465(h)(2)
    • § 87633(f)(1)
    • § 87465(c)(3)
    • § 87465(c)(2)
    • § 87412(g)
    23 Jun 2023
    Identified deficiencies in resident care planning and medication management, including missing reappraisals/needs and service plans for two residents and no MAR for PRN medications. Noted one resident had full bed rails in use but removed during review, while detectors, grab bars, non-skid mats, adequate food supplies, and a written disaster plan with a recent drill were observed.
    23 Jun 2023
    Found deficiencies in resident recordkeeping and medication documentation during a routine inspection, including missing care plans and medication records.
    • § 87608(a)(5)
    • § 87463(a)
    • § 87465(d)(3)
    26 Sept 2022
    Found that COVID-19 screening on arrival was not conducted and cleaning supplies were left unlocked in the hallway and kitchen; one resident did not have a health screening during records review. Safety measures and supplies were otherwise reported as sufficient, with deficiencies noted.
    26 Sept 2022
    Found that staff did not conduct COVID-19 screening upon entry, medications were centrally stored and locked, some cleaning supplies were left unsecured, and a staff member's health screening was missing, leading to citations for violations of health and safety requirements.
    • § 87309(a)
    • § 87411(f)
    09 Jun 2022
    Found readiness for licensing; no issues identified and safety updates completed, including fire clearance for six bedridden residents and updated security features. Pending final approval by CAB.
    09 Jun 2022
    Confirmed that the facility met licensing requirements with necessary safety features, fencing, and documentation, and was ready for final approval.
    13 May 2022
    Found that the administrator gained knowledge about operating in compliance with Title 22 regulations during a Component III presentation.
    13 May 2022
    Identified safety and compliance deficiencies at the site, including no carbon monoxide detectors, a front gate secured with a mechanical lock and no fire clearance, a missing grab bar in the hallway bathroom, improper door hardware on Room 4, and knives locked only with a child lock; backyard clutter, only one temporary shelter location, and a complaint poster that is too small. Noted hot water temperature of 112.8 degrees Fahrenheit in the kitchen and an unknown last service date for the fire extinguisher.
    13 May 2022
    Confirmed that the facility met several safety and licensing requirements, but identified issues such as missing carbon monoxide detectors, unverified fire extinguisher servicing, incomplete perimeter security, inadequate bathroom grab bars, and insufficient temporary shelter locations, which needed correction before licensure.
    29 Apr 2022
    Confirmed completion of the competency step and understanding of licensing requirements, staff duties, qualifications, and program policies; reviewed essential documents and screenings such as health checks, background clearances, and required certifications.
    29 Apr 2022
    Confirmed that the applicant and administrator successfully completed required certification by verifying their identities and understanding key topics related to facility operation, staff and applicant qualifications, policies, and safety requirements.

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