Pricing ranges from
    $3,375 – 4,387/month

    The Gardens of Modesto

    2325 St Pauls Way, Modesto, CA, 95355
    4.5 · 84 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    4.0

    Caring staff but inconsistent housekeeping

    I'm overall very happy with El Rio - the staff are caring, attentive and cheerful, the memory-care program feels home-like with great activities, and my loved one was well looked after so I would recommend it. That said I've seen inconsistent housekeeping (dirty toilet, occasional smells), understaffing and slow call responses, and even a safety/escape incident; management communication and cost increases can also be frustrating. Staff went above and beyond during COVID and their compassion is why I'd still choose this community despite those concerns.

    Pricing

    $3,375+/moSemi-privateAssisted Living
    $4,050+/mo1 BedroomAssisted Living
    $4,387+/moStudioAssisted Living

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    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
    • Internet
    • 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

    4.51 · 84 reviews

    Overall rating

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

      4.4
    • Staff

      4.4
    • Meals

      3.4
    • Amenities

      3.6
    • Value

      2.4

    Pros

    • caring, compassionate staff
    • skilled and knowledgeable dementia/Alzheimer's care
    • home-like atmosphere
    • small-neighborhood design / pods
    • immaculate, up-to-date facility
    • well-maintained grounds and gardens
    • secured memory care environment
    • outdoor walking paths
    • family-oriented culture
    • attentive, supportive management (in many reviews)
    • staff that goes above and beyond
    • personalized, resident-focused attention
    • long-tenured and stable caregivers (in many areas)
    • good communication with families (often)
    • supportive during transitions and end-of-life/hospice
    • three meals a day plus snacks (regular meal service)
    • engaging activities and programming (puzzles, music, exercise)
    • active activity staff and exercise programs
    • companion apartments and community connection
    • clean common areas and attractive dining spaces
    • welcoming tours and helpful admissions staff (often)
    • respite stays recommended by some families
    • pet-friendly environment
    • FaceTime and remote visit accommodation
    • helpful translation services (in at least one case)
    • staff that encourages family participation
    • helpful nursing presence on site
    • housekeeping/cleaning performed (many positive reports)
    • positive COVID-19 response and dedication during pandemic
    • overall high recommendation from many families

    Cons

    • chronic understaffing (day and night concerns)
    • slow response to call lights and requests
    • management indifferent, rude, or money-focused (in some reviews)
    • ownership-driven or sudden rate increases
    • eviction/transfer for financial reasons reported
    • safety incidents: falls, injuries, and at least one escape/death
    • reported food poisoning and occasional poor food quality
    • inconsistent meal/snack delivery (residents missed if sleeping)
    • shared/split rooms, small rooms, limited closet/storage
    • lack of single/private room availability
    • poor or inconsistent janitorial/housekeeping in some instances
    • sanitation lapses (urine puddles, scum, inadequate disinfectant)
    • persistent bad smells reported by some families
    • staff congregation away from residents / low engagement
    • staff inconsistency and poor organization in places
    • broken promises during tours and admissions process
    • locked bedrooms and door alarm concerns
    • model room smell and discrepancies between tour and reality
    • inadequate laundry information/uncertainty from staff
    • dining area confining or pod dining disliked by some
    • limited privacy and furniture-fitting problems in rooms
    • some reports of uncaring or low-quality caregivers
    • insufficient activities or social structure reported by some
    • flat or confusing pricing; cost could be prohibitive
    • management communication lapses in some cases
    • staffing cuts and reduced services reported
    • instances where administration was slow to address issues
    • mixed experiences with nursing/leadership friendliness
    • isolated negative experiences advising to seek other options

    Summary review

    Overall impression Many reviews of The Gardens of Modesto reflect a broadly positive view centered on high-quality, compassionate dementia and memory-care services, with numerous families emphasizing warm, attentive caregiving and a home-like environment. Repeated praise focuses on the staff’s interpersonal skills — described as caring, professional, and family-oriented — and on the facility’s clean, well-maintained appearance and attractive outdoor spaces. However, a meaningful minority of reviews report significant concerns around staffing levels, management decisions, sanitation lapses, and isolated safety incidents. The aggregate picture is therefore mixed: strong strengths in person-centered dementia care and environment, tempered by recurring operational and resourcing issues that prospective families should probe further.

    Care quality and staff The dominant positive theme is staff quality: many reviewers describe caregivers, nurses, and activity staff as compassionate, skilled in Alzheimer’s/dementia care, and dedicated — often going “above and beyond” to engage residents and support families. Multiple posts note excellent personal relationships between staff and residents, long-tenured employees, and effective nursing presence. Families repeatedly say that residents appear happier and better looked-after than at previous placements. That said, a substantial number of reviews point to staffing inconsistencies and understaffing as ongoing problems. Reported effects include slow call-light responses, insufficient staff presence in common areas, and limited night staffing. Some reviewers describe specific staff members or shifts as uncaring or poorly trained. In some cases, staffing cuts and reorganizations were tied to reduced service quality and family frustration. Thus while many staff receive high praise, variability across shifts and time periods is a recurrent concern.

    Facilities, layout, and safety Physical environment feedback is largely positive: reviewers like the small-neighborhood/pod design, secure memory-care setting, bright rooms, housekeeping of common areas, attractive dining spaces, and well-maintained gardens and walking paths. The environment is frequently described as home-like, comfortable, and welcoming for families and residents. Conversely, reviewers raised tangible issues with room size and privacy — several noted tiny rooms, split/companion rooms, limited closet space, and furniture-fitting problems; single private rooms appear scarce. Safety-related concerns appear in multiple reviews: falls and injuries (broken nose, broken kneecap, sprained wrist), at least one escape/safety incident resulting in death, door alarms on exterior doors that some found troubling, and locked bedrooms. These reports do not dominate the dataset but are serious enough that safety history and incident response should be clarified during a tour.

    Dining, housekeeping, and infection control Many families compliment the meal program (three meals plus snacks) and describe healthy, appealing meals and a pleasant dining area. Several reviews also note snacks and stocked drinks available. However, a number of reviews report inconsistent food quality—references to canned/freezer meals, plain sandwiches, and at least one reported food poisoning incident. There are also accounts of residents not being fed if they slept through a meal. Housekeeping and sanitation receive mixed feedback: while many call the facility immaculate, others describe lapses such as a puddle of urine, a soiled toilet, superficial mop-ups, persistent bad smells, and uneven janitorial attention. Given these mixed reports, families should ask specific questions about laundry processes, cleaning schedules, infection-control practices, and recent sanitation audits.

    Activities and social engagement Activity programming is frequently praised: reviewers mention puzzles, music, poems, exercise, dance, and well-run recreational offerings. Many families say activities kept their loved ones entertained and stimulated, and that activity staff proactively encouraged resident socialization. Still, some reviewers felt activities were insufficiently structured or lacked variety in certain shifts, and a few noted limited social opportunities for residents who need more engagement. This suggests stronger programming in some neighborhoods/shifts than others.

    Management, communication, and cost Perceptions of management are mixed. Several reviewers report open, responsive communication, supportive leadership during transitions (including hospice coordination) and helpfulness in minimizing rate increases. Other reviewers accuse management of being indifferent, rude to staff, or overly focused on money — including reports of abrupt rent increases, ownership-proposed rate hikes, and even a claim that a resident was asked to leave for financial reasons. These divergent views point to variable experiences with administration and an ownership/financial dynamic that has created concern for some families. Cost and billing transparency are recurring considerations: some families find pricing competitive compared with local options, while others report surprise increases or affordability problems. Medicare coverage limitations were also raised by at least one reviewer.

    Patterns, risks, and recommendations for prospective families The most consistent positives are person-centered dementia expertise, a warm caregiving culture, and an inviting, secure physical environment with strong landscaping and social spaces. The most consistent negatives are staffing shortages/variability, occasional sanitation lapses, room-size/privacy limitations, management or ownership decisions around costs, and a handful of serious safety incidents. These issues are not uniformly reported but appear often enough to merit direct questions. If you are considering The Gardens of Modesto, ask targeted questions on: current staffing ratios by shift (including nights), turnover rates, how call lights are handled, recent incident/accident reports, specific housekeeping and infection-control procedures, laundry schedules, room sizes and availability of private rooms, menu sourcing and food-safety records, and the facility’s policy on rate increases and resident transfer/eviction. Arrange multiple visits at different times of day (including evenings) to observe staffing levels, activity engagement, and meal service. Speak with several families and request written documentation of safety/quality metrics. Overall, many families strongly recommend The Gardens for memory-care needs because of its caring staff and environment, but due diligence on operational and safety practices is essential given the mixed reports in those areas.

    Location

    Map showing location of The Gardens of Modesto

    About The Gardens of Modesto

    The Gardens of Modesto sits in Modesto, California, and offers several levels of care all in one place, including independent living, assisted living, memory care, and nursing home services, which means folks don't have to move if their needs change, and they let people age in place surrounded by staff who know how to handle memory problems, daily care, and all the things that come with growing older. The facility has 73 memory care suites built for safety and comfort, with secured areas so folks with Alzheimer's or dementia won't wander off, and they use bracelets with alarms for extra safety. There's always staff on duty, including nurses, ready to help 24 hours a day, and the team knows how to deal with wandering or difficult behaviors. Men and women can live here, and the community accepts folks that need help with one-person or two-person transfers, even if lifts are needed, and they're set up for residents who use wheelchairs. Guests will find both private and shared rooms, which get regular housekeeping service, so residents can focus on social times or seeing family, and the rooms come with coastal touches, single beds, and comfy chairs.

    Meals get cooked on site, with options for vegetarians or those who need special diets, and guest meals are available if company comes by. The dining setup includes both restaurant-style spaces and private dining rooms, with all meals eaten together if folks want, and the staff keeps the portions good for nutrition with an eye on healthy eating. They've got a beauty salon right in the building, so getting a haircut or grooming doesn't mean leaving the grounds, and those grounds are kept nice, with landscaped gardens, outdoor spaces, and shaded patios with plenty of places to sit in the fresh air or sun. The whole building and its outdoor spaces are easy for folks using walkers or wheelchairs to get around, with grab bars and wide doorways, and everything stays smoke-free indoors.

    The Gardens of Modesto fills the calendar with activities aimed at keeping folks moving, thinking, and connected, with stretching and exercise classes, Tai Chi, yoga and chair yoga, art classes, and cooking programs, plus gardening, trivia games, karaoke, and live music from a musician who comes often, and folks who like pets can join pet therapy or animal-centered activities, even have their own cats or dogs if the staff says that's alright. The brain fitness program called Dakim is here for mental exercise, and there's a gardening club for those who like putting their hands in the dirt, as well as trips offsite, movie and game nights, monthly themed activities, and programs that bring in younger folks for intergenerational fun. For those who want spiritual time, devotional services and wellness programs led by Coro Health help with music and other kinds of support.

    The Gardens of Modesto is right by bus lines and offers both free and paid transportation for errands and appointments, so getting about town doesn't have to be tough, and there's guest parking for visitors. For health, trained staff help with medications, wound care, help folks with bathing, dressing, mobility, and also bring in occupational therapy, podiatry, and handle wound and behavioral care, so when health issues show up, people don't need to leave. There's respite care if someone just needs a short stay or extra support for a while, and if hospice care is needed, that's available too.

    This community is a stand-alone building set up to provide strong security, with careful entry and exit controls, so it doesn't have that big institution feel, with spaces designed to feel like home and common rooms with leather chairs, big windows, and gentle natural light, plus easy places to gather for meals, card games, or shared TV. Each resident gets an individual care plan, so support fits the person, and the team meets with the resident and their family about needs, costs, and what's right for them, including virtual or in-person tours for folks thinking about moving in. The Gardens of Modesto keeps its focus on comfort, security, and helping seniors with memory loss or changing care needs feel safe, respected, and as independent as possible, whether they're there for a short while or for the long haul.

    About Northstar Senior Living

    The Gardens of Modesto 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

    13

    Inspections

    0

    Type A Citations

    1

    Type B Citations

    3

    Years of reports

    26 Sept 2024
    Identified 37 residents during an unannounced annual visit to a site licensed for 73, with hospice and home health services; eight resident files and five staff files were current, and safety, food storage, and medication areas were in good order. Discussed a technical violation under one regulation with the administrator; no citations were issued.
    20 Nov 2023
    Found that on 10/26/23 an unwitnessed fall led to ER evaluation and a spinal fracture at L2. Found that a prior signal-system inoperability was noted, technical assistance was provided on signal systems and related areas, no deficiencies were cited, and an exit interview was conducted with the administrator.
    20 Nov 2023
    Reviewed incident involving an unwitnessed fall resulting in a spinal fracture, with ongoing efforts to address equipment malfunctions affecting resident safety; no deficiencies were cited.
    17 Oct 2023
    Found that prior deficiencies were cleared and no deficiencies were observed during this visit.
    17 Oct 2023
    Confirmed that all cited deficiencies from the previous inspection were corrected and met compliance standards during the unannounced visit.
    14 Sept 2023
    Identified safety and maintenance concerns at the site, including nonworking pull cords in resident bedrooms and water damage in the main laundry area, with renovations ongoing in one wing; the administrator certificate had expired but renewal was in progress. Noted that several forms needed updating and a deficiency was cited.
    14 Sept 2023
    Reviewed a comprehensive inspection revealing that the facility met many safety and compliance standards but also identified some issues with resident emergency cords, water damage in the laundry room, and expired administrator certification.
    • § 87303(a)
    02 Jun 2023
    Reviewed records and interviews found that staff coverage was provided during call-outs, with the Activities Director, BOM, and Administrator covering shifts and others working overtime during a period of staff COVID, while charts showed medications and incontinence care were delivered and no higher-than-normal incidents occurred, though meal timing could not be confirmed. Found that the COVID-19 outbreak was reported on 4/15/2023 to the department and public health, PPE was adequate, and the allegation that residents did not receive care due to staffing shortages was unsubstantiated.
    02 Jun 2023
    Found no evidence to support the allegations that staff worked overtime due to Covid-19 staffing shortages, failed to report Covid-19 outbreaks, or lacked PPE supplies, and confirmed residents received necessary care and medications.
    04 Oct 2022
    Identified the allegation of a recent suspected scabies outbreak at the site and discussed monitoring and reporting of rash/scabies cases with public health representatives; no deficiencies were cited.
    04 Oct 2022
    Reviewed an outbreak of suspected scabies at a senior living facility, with discussions focusing on infection control, resident and staff monitoring, and reporting procedures; no deficiencies were cited during the visit.
    21 Sept 2022
    Found no deficiencies during a pre-licensing visit for a change of ownership; safety measures, resident spaces, and medication management were in good order, with ongoing renovations in two corridors and a dementia program on file.
    21 Sept 2022
    Reviewed the facility’s compliance with licensing requirements, observing that fire safety equipment, resident areas, and medication storage met standards, and noting ongoing renovations and COVID-19 precautions in place, with no deficiencies identified.

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