The Watermark at Rosewood Gardens

    35 Fenton St, Livermore, CA, 94550
    • Independent living
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    5.0

    Outstanding, reassuring experience; highly recommend

    I'm so grateful we chose this place - the food is exceptional, the rooms and grounds are beautiful and spotless, and the staff are consistently warm, kind and helpful. My mom settled in quickly thanks to attentive, personalized memory-care and plenty of social activities, gardens and outings that make it feel like home. It's on the pricey side and there are occasional maintenance or communication hiccups, but overall we've had an outstanding, reassuring experience and would recommend it.

    Pricing

    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
    • 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

    4.78 · 127 reviews

    Overall rating

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

      4.5
    • Staff

      4.7
    • Meals

      4.8
    • Amenities

      4.5
    • Value

      2.8

    Pros

    • Consistently praised, caring and compassionate staff
    • Staff known to residents by name and treat them like family
    • Strong, engaged activities program (music, singing group, bingo, outings)
    • Regular field trips and cultural outings
    • Gourmet Bites dining option and varied menu choices
    • Generally excellent, restaurant-quality meals and desserts
    • Housekeeping and tidy, well-maintained rooms
    • Freshly renovated and spacious rooms available
    • Beautiful landscaping and rose gardens
    • Resort-like patio, Club House, and inviting common areas
    • Indoor amenities: gym, swimming pool, salon
    • Independent living cottages and mobility-friendly design
    • Memory care program described as attentive and personal
    • Friendly, welcoming front desk and sales teams
    • Approachable directors and responsive management (frequently named staff)
    • Personalized medication management and attentive nursing (in many accounts)
    • Strong sense of community and socialization opportunities
    • Therapy dog and special events (Mother's Day, Father's Day, luncheons)
    • Free transportation and excursions for residents
    • Pet-friendly features including fenced backyard for dogs
    • High cleanliness standards and well-kept facility
    • Dining area with fine-dining setup and small kitchen for events
    • Volunteering opportunities and community engagement
    • Positive volunteer and performer experiences; entertainers well received
    • Proximity to hospital, medical offices, groceries and restaurants
    • Family-friendly atmosphere with frequent family praise
    • Staff frequently go above and beyond and are described as angels
    • Strong initial tours and move-in support reported by many
    • Multiple reports of improved resident happiness and social skills
    • Good accommodations for visitors and inviting outdoor spaces

    Cons

    • Occasional staffing shortages and inconsistent staff responsiveness
    • Reports of delayed emergency response in some cases
    • Isolated reports of inadequate caregiver competence and care decline
    • Some administrative and admissions paperwork problems
    • Pushy or aggressive sales/administrative behavior reported
    • Lack of price transparency and perceptions of high cost/overpriced
    • Not suitable for residents needing 24-hour, high-level hands-on care
    • Limitations due to California rules (e.g., no insulin administration by some staff)
    • Inconsistent communication with families in certain cases
    • Some residents experience loneliness in independent living
    • Occasional maintenance issues: heating/cooling and water temperature inconsistency
    • Aging exterior or parts of building need updating
    • Mixed feedback on food quality in a few reports
    • Rooms sometimes located near noisy unloading areas
    • Some reports of staff disrespectful or poor treatment of certain residents
    • Phone access/ability to reach residents occasionally problematic
    • Variable performance between different staff members and shifts
    • Some families felt previous facility offered better care
    • Distance from some city centers was a concern for a few reviewers
    • High overall cost relative to expectations

    Summary review

    Overview: Overall sentiment across the reviews for The Watermark at Rosewood Gardens is strongly positive, with repeated and consistent praise for the staff, dining, activities, cleanliness, and the community atmosphere. The dominant impression is of a caring, engaged team that fosters a warm, home-like environment where many residents thrive socially and emotionally. Multiple reviewers explicitly credit the facility with improving residents’ happiness, social skills, and quality of life. Family members often report peace of mind and gratitude for the care and personal attention their loved ones receive.

    Care quality and staff: Staff performance is the most frequently lauded aspect. Reviews repeatedly describe caregivers, nurses, directors, activities staff, front desk personnel, and other employees as kind, compassionate, attentive, and professional. Several staff members are named repeatedly (for example Betty, Kelly, Cynthia, Dianne, Tabitha, Chelsea E, Vladimir, and Chef Carlo) as exemplars of dedication and effective communication. Many accounts note that staff know residents by name, treat them with dignity, and go above and beyond typical expectations—including special events, individualized attention, and accommodating volunteer schedules. Memory care is singled out as particularly caring and personal in many reports.

    However, there are non-trivial reports of inconsistent care in isolated cases. A few reviewers described caregiver incompetence, inadequate care escalation, or a decline in a resident’s health linked to delayed emergency responses. Families should be aware that while most accounts describe reliable attentive care, some incidents suggest variability between shifts or teams which can affect outcomes. Several reviews also note that the community is not intended for 24-hour, high-acuity nursing needs, and some medical limitations exist due to regulatory constraints (e.g., administration of insulin), so prospective families should confirm specific clinical capabilities.

    Facilities and maintenance: The physical environment receives strong positive feedback. The property is described as clean, freshly renovated in many areas, and beautifully landscaped with well-maintained rose gardens, a water fountain, and inviting outdoor seating. Interior common spaces are often described as bright, airy, and acoustically pleasant for music and performances. Amenities cited include a Club House/patio, gym, swimming pool, salon, and independent living cottages. Rooms are described as spacious with some units featuring kitchen areas, and housekeeping is noted as thorough.

    Some reviewers did mention building age and maintenance issues: an older exterior in places, intermittent heating and cooling problems, and inconsistencies with water temperature. These appear less frequent than the compliments but worth noting to prospective residents, particularly for those sensitive to HVAC reliability or expecting uniformly new facilities.

    Dining and food service: Dining is one of the most consistently praised areas. Many reviewers describe the food as restaurant-quality, with variety, well-balanced meals, and special offerings such as Gourmet Bites. The kitchen staff receives multiple compliments for service and special event catering (Mother’s Day, Father’s Day, themed meals). A few reviews noted dissatisfaction with specific meals or mentioned that food quality was inconsistent in isolated instances, but those are in the clear minority.

    Activities and social life: Activity programming is robust and widely appreciated. Regular onsite music, singing groups, bingo, library puzzles, movies, and arts or performance events are commonly cited, alongside frequent offsite outings—shopping, lunch trips, Scenic Drives, cultural outings, and neighborhood excursions. Volunteer opportunities and positive interactions with entertainers are highlighted. These offerings are credited with facilitating friendships, boosting residents’ social engagement, and improving overall wellbeing. A few residents in independent living reported feelings of loneliness, indicating that social outcomes may vary depending on individual mobility, engagement levels, and personal preferences.

    Management, admissions, and communication: Many reviewers praise approachable management, good tours, and responsive directors; some staff in leadership roles earned individual recognition for supporting families. At the same time, a number of reviews flagged administrative or admissions friction: pushy sales tactics, lack of price transparency, paperwork delays or refusals, and initial communication hiccups. While many report improving communication over time, the admissions and sales experience appears uneven. Prospective families should clarify pricing, paperwork timelines, and sales practices up front.

    Safety, medical limitations, and logistics: Several positive notes relate to medication management, proximity to medical services, and attentive nursing in many cases. Conversely, limitations rooted in California regulations (for example restrictions on certain injections or procedures by staff) are mentioned, as are instances where nurses could not address specific clinical needs. Emergency response delays were reported in a few reviews and are a critical consideration. The facility is generally characterized as appropriate for independent and assisted living and for many memory care needs, but not for residents who absolutely require continuous, high-level skilled nursing.

    Patterns and final recommendations: The overarching pattern is one of a high-quality, warm, and social senior living community with standout staff, excellent food, varied activities, and attractive grounds. Families frequently report improved mood and social connections for residents and express strong recommendations. Counterbalancing this is a pattern of occasional administrative friction (sales and admissions), variability in responsiveness and clinical capability across specific incidents, and concerns about cost. Prospective residents and families are advised to prioritize a few checks during touring and decision-making: clarify the exact clinical and emergency response protocols for the level of care needed, verify medication and treatment policies (including insulin administration), ask for examples of staffing consistency across shifts, confirm pricing and any additional fees up front, and tour both renovated and older parts of the property to understand maintenance variability.

    In summary, The Watermark at Rosewood Gardens emerges from these reviews as a caring, activity-rich, and well-regarded community where many residents thrive socially and receive compassionate, personalized attention. While most feedback is strongly positive—particularly around staff dedication, dining, and activities—there are meaningful caveats regarding administrative practices, occasional lapses in responsiveness, regulatory clinical limitations, and cost. Families should weigh the frequent strengths against these concerns, verify clinical capability relative to the resident’s needs, and clarify administrative and financial details before committing.

    Location

    Map showing location of The Watermark at Rosewood Gardens

    About The Watermark at Rosewood Gardens

    The Watermark at Rosewood Gardens sits in Livermore, California, on a quiet, residential street, where folks can enjoy both indoor and outdoor common areas including a cozy Living Room, a Piano Parlor, and a beautiful rose garden under old oak trees. This community has served seniors for over 30 years and provides assisted living, memory care, independent living, short-term stays, and home care services. There are 81 private studio and one-bedroom apartments, each with a kitchenette and private bathroom, so people can have their own space with easy access to shared lounges, activity rooms with big TVs, and a library. Residents get meals served restaurant-style with vegetarian options and the special Gourmet Bites Cuisine program. The staff serves meals and takes care of daily chores like housekeeping and laundry.

    Watermark at Rosewood Gardens allows aging in place, which means people can stay while their care needs change, and both hospice and respite care are available. Staff are around 24 hours to help in emergencies, and nurses, a doctor, a dentist, and support staff are on call when needed. Therapies like physical, occupational, and speech therapy are all available. Memory care has a secured area for residents with Alzheimer's or other dementia, and there's support for major behavior issues, including those who may wander or need two-person help moving. The staff can help with managing medicines, blood sugar checks, and incontinence for folks who handle their own care.

    The community welcomes pets, has a beauty and barber salon onsite, and has wheel-chair accessible showers. Residents can park their cars or use free transportation for errands, outings, or appointments. There're also devotional services onsite and offsite, along with a meditation and fellowship area for spiritual needs, and support groups for people who want them. Activities happen every day to support movement, thinking, and social life, including Watermark University classes which encourage lifelong learning, a wellness program, events like Extraordinary Outings, tech features like EngageVR® virtual reality and LifeLoop, and even a BrainCafé™ program for staying sharp. The dining room, common spaces, and grounds are always kept clean and bright, and the staff are known for being helpful and friendly. The community follows a smoke-free policy inside, and its Partnerships with SAGE, recognition from Best of Senior Living, and a strong reputation show its commitment over the years. People can choose flexible spending plans, join as independent or assisted living residents, and even use short-term stay options. With its warm, homelike feeling, lively programs, and a campus that's both spotless and comfortable, Watermark at Rosewood Gardens tries to meet the many needs of seniors in a straightforward, flexible way, letting folks focus on living as independently as possible while getting help when it's needed.

    About Watermark Retirement

    The Watermark at Rosewood Gardens is managed by Watermark Retirement.

    Watermark Retirement Communities is a premier senior living operator managing over 70 communities across 21 states with approximately 5,800 associates, ranked as the nation's 9th-leading senior housing operator by the American Seniors Housing Association. Founded in 1985 by David Freshwater and David Barnes as The Fountains in Tucson, Arizona, the company pioneered wellness-based senior living in collaboration with the University of Arizona Center on Aging before rebranding as Watermark in 2006. Headquartered in Tucson, Watermark became a wholly-owned subsidiary of Singapore-based Keppel Corporation in March 2024, following Keppel's initial 50% acquisition in 2019, with Paul Boethel succeeding the founders as CEO while Freshwater continues as Chairman Emeritus.

    The company's signature Watermark University is an award-winning intergenerational learning program where residents, associates, family members, and local experts—including museum curators, university professors, and world-renowned doctors—teach dozens of classes ranging from watercolor painting and ballroom dancing to language learning and sculpture workshops. Named among Fortune's Top 25 Best Workplaces for Aging Services™ by the Great Place to Work® Institute, Watermark provides comprehensive training through programs like GO (General Orientation) Ripples, Leadership by Design workshops, and specialized sales systems focused on understanding buyer motivations and customer service excellence.

    Watermark's innovative Prema Memory Support℠ program features Naya caregivers—named after the Sanskrit word for "guide" or "person of wisdom"—who are Certified Dementia Practitioners trained through the National Council of Certified Dementia Practitioners. The Thrive Memory Care experience includes secure courtyards, multi-sensory environments with fresh flowers, music therapy, and sensory gardens. Their groundbreaking Thrive Dining (Gourmet Bites) program transforms nutritious meals into attractive, bite-sized portions that residents can enjoy independently without utensils. The Dementia Awareness Experience uses virtual simulations including impairment gloves and vision-loss glasses to help associates develop deeper empathy and understanding.

    The company leads the industry in technology innovation with EngageVR, a virtual reality program using Oculus Quest headsets that enables residents to travel virtually to the pyramids of Egypt, swim with whales, or reconnect with veterans from their battalions in virtual living rooms. The 360Well wellness program integrates four key circles—mind, body, spirit, and community—to promote holistic health and independence. Through partnerships with the University of Arizona's Evelyn F. McKnight Brain Institute and Curana Health for value-based care delivery in Florida, Texas, and Pennsylvania, Watermark continues advancing senior care research and innovation.

    Following a "shrinking to grow" strategy under new leadership, Watermark focuses on operating premium communities while maintaining its founding philosophy that they are "a wellness company that happens to provide housing and services for seniors," committed to creating experiences where residents truly feel at home with purpose, possibility, and joy.

    People often ask...

    State of California Inspection Reports

    42

    Inspections

    16

    Type A Citations

    15

    Type B Citations

    6

    Years of reports

    29 Nov 2022
    Found insufficient evidence to prove the wandering prevention allegation, the falls allegation, and the unexplained injuries allegation. Staff reported monitoring the resident and notifying a doctor about incidents.
    06 Mar 2024
    Investigated the allegation that staff had not received required training prior to assisting with medications; found that all medication technicians completed the required training and certifications before working independently.
    29 Jul 2022
    Found that the allegation that a resident wrote a check to a staff member for tuition and that the check was torn and never cashed was unsubstantiated.
    02 Jul 2025
    Found bleach and carpet cleaner were left unsecured in the laundry room with staff not stationed nearby at the time; items were locked up during the visit.
    • § 9058
    • § 87309(a)
    05 Jan 2024
    Found insufficient evidence to prove that laundry and room cleaning were not performed, that residents' hygiene or nail care were neglected, or that medical attention for an infection was not sought.
    20 Oct 2022
    Investigated allegations that PPE was insufficient and that cleaning/disinfection times were not followed during the 2020 COVID-19 outbreak. Interviews and records indicated PPE was adequate, staffing was maintained with agency support, and management was present during holidays.
    • § 87470(a)(2)
    08 Nov 2023
    Identified that a resident received incorrect medications, prompting a 911 call and hospital evaluation with a same-day return. Family and physician were notified.
    • § 87468.2(a)(4)
    13 Jul 2023
    Identified that two residents lacked chest x-ray results in their records after review. Noted that safety measures and basic care practices were in place and generally adequate.
    • § 87458(b)(1)
    31 Jul 2024
    Found no deficiencies; safety systems and equipment were in good order, medications secured, food supplies adequate, and living areas clean and accessible.
    21 Jul 2021
    Found no deficiencies; observed that infection control measures were in place, including screening, hand hygiene, mask use, distancing, and posted reminders, with logs for visitors and staff, completed N95 fit testing, ongoing surveillance testing, and sufficient PPE and supplies.
    04 Sept 2020
    Found a resident unresponsive; CPR started by a caregiver, then halted after discovering a DNR, and paramedics pronounced death. Reviewed physician's report showing CHF; no deficiencies were cited.
    28 Jun 2021
    Found a delayed egress door in the Memory Care Unit opened without the required 15-second hold. This was observed during a visit with staff present.
    • §
    29 Sept 2022
    Identified that the on-site administrator had left more than a month ago and that the change of administrator had not been reported to the licensing agency; documents related to the administrator change were collected and a deficiency was cited. Conducted an exit interview.
    • §
    29 Nov 2022
    Found that a 3-day eviction notice was issued to a resident on 11/11/2022 without written approval from the licensing agency.
    • §
    29 Jul 2022
    Found infection control measures in place, including entry screening, hand sanitizer, posted signs, and stocked bathrooms; records showed visitors and staff temperature logs, a mitigation plan on file, staff N95 fit testing, ongoing surveillance testing, and sufficient PPE and supplies; no deficiencies cited.
    11 Apr 2025
    Identified multiple safety concerns during the visit, including unlocked knives in the kitchen, unlocked cleaning supplies in the laundry area, unlocked gardening tools in the backyard, unlocked medications in the refrigerator, and a broken window screen in the hall bathroom. Noted that smoke and carbon monoxide detectors, fire extinguishers, and a complete first aid kit were present, and resident and staff files were reviewed.
    • § 87309(a)
    • § 87465(h)(2)
    • § 9058
    • § 87303(a)
    31 Jul 2024
    Approved the facility during the inspection. No deficiencies found.
    16 Apr 2024
    Identified multiple deficiencies, including unlocked cleaning supplies and medications, missing health screenings and TB test results for some residents and staff, and an unpermitted exit-door alteration placing non-ambulatory residents in a room approved for ambulatory use. Civil penalties are being assessed for repeat violations and caregiver background checks.
    16 Apr 2024
    Identified deficiencies during the inspection included unlocked cleaning supplies, unlocked medications, high hot water temperatures, unapproved staff roles, lack of health screenings, and improper resident room use.
    • § 87355(e)(1)
    • § 87303(e)(2)
    • § 87309(a)
    • § 87411(f)
    • § 87305(a)
    • § 87204(b)
    • § 87465(h)(2)
    06 Mar 2024
    Investigated allegation that staff lacked required training before assisting with medications; found insufficient evidence to support this claim.
    05 Jan 2024
    Investigated allegations of inadequate care regarding laundry service, resident hygiene, nail care, and medical attention; found insufficient evidence to prove any violations occurred.
    08 Nov 2023
    Identified incorrect medication incident. Training provided to prevent future errors.
    • § 87468.2(a)(4)
    13 Jul 2023
    Found deficiencies in certain record-keeping practices during the inspection.
    • § 87458(b)(1)
    25 Apr 2023
    Identified multiple safety and record-keeping issues at the home. Unlocked cleaning supplies, bleach, and medications were found; hot water temperature was initially too high; residents lacked reappraisal or needs and service plans; some half-bed rails had no doctor’s orders; disaster drills were not documented; and there was a Metformin dosage discrepancy on the MAR.
    25 Apr 2023
    Identified deficiencies in safety and medication management during the inspection.
    • § 87303(e)(2)
    • § 87465(c)(2)
    • § 87309(a)
    • § 87465(h)(2)
    • § 87608(a)(3)
    • § 87463(a)
    • § 1569.695(c)
    29 Nov 2022
    Investigated allegations of a resident wandering, sustaining falls, and unexplained injuries. Found insufficient evidence to confirm any violations, as staff promptly managed wandering incidents and informed the doctor and family about falls and injuries.
    20 Oct 2022
    Confirmed allegations of insufficient cleaning and disinfecting procedures but found that there was sufficient staffing and management present during the COVID-19 outbreak in 2020.
    • § 87470(a)(2)
    29 Sept 2022
    Identified deficiency in administrative personnel reporting to licensing agency.
    • §
    29 Jul 2022
    Confirmed that the facility met infection control standards during the inspection.
    28 Mar 2022
    Found LPAs conducted a face-to-face Component III presentation with the administrator, discussed the regulations, and observed that the participant gained knowledge about running and maintaining operations in compliance with regulations; an exit interview was conducted.
    28 Mar 2022
    Identified five bedrooms and two bathrooms on the premises, with adequate lighting, proper bedding and furnishings, unobstructed passageways, hot water at 117°F, and fire safety equipment and a first aid kit in place. Noted missing documentation needed before licensure: photos of each bedroom with a chest of drawers, a photo of the locked cabinet for sharps and medications, and a photo of the backyard area near the washer and dryer free of paint cans, doors, and trash; not ready for licensure and awaiting final approval.
    28 Mar 2022
    LPAs conducted a presentation with the administrator and discussed regulations for running and maintaining the facility. Participants were observed to gain knowledge about compliance with regulations.
    24 Feb 2022
    Confirmed COMP II completed by phone, with the applicant and administrator verifying understanding of RCFE license type, resident populations, staff qualifications and responsibilities, and program policies including abuse, admission, medication management, incident reporting, grievances, and community resources. Identified understanding of required documentation and clearances, including criminal record clearance, health screening, fire clearance, First Aid/CPR certification, administrator certification, financial verification, pre-licensing inspection, compliance history, and property control.
    24 Feb 2022
    Confirmed successful completion of COMP II by applicant/administrator during a telephone call with CAB analyst. Operations, staffing, policies, procedures, and documentation were reviewed and understood.
    21 Jul 2021
    Inspection found no deficiencies or issues at the facility regarding infection control practices.
    28 Jun 2021
    Identified deficiency in the delayed egress door system during a case management visit.
    • §
    04 Sept 2020
    Reviewed incident report/death report following the discovery of a resident's unresponsiveness, CPR initiation, and subsequent pronouncement of death by paramedics.
    07 Aug 2020
    Reviewed incident report involving a resident leaving unassisted, resulting in a police involvement and subsequent move to a different unit.
    02 Jun 2020
    Reviewed the circumstances surrounding a resident's death after becoming unresponsive and hospitalized due to aspiration, noting no deficiencies were identified in the facility's care practices.
    28 May 2020
    Conducted a case management regarding an elopement incident reported by the facility. Review of resident's medical records requested.
    19 Feb 2020
    Confirmed inadequate staffing response time to emergency calls and unclogging of toilets on the same day. Identified proper training for staff and security measures in place for residents who wander.
    12 Dec 2019
    Reviewed incident reports of AWOL and personal rights violation, no deficiencies cited during visit.

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