Pricing ranges from
    $4,676 – 5,611/month
    AnonymousLoved one of resident
    5.0

    Kind attentive staff, peaceful home

    I am so grateful we found this place - the staff are kind, loving and truly treat residents like family, providing attentive 24/7 care, on-time meds, wound and hospice support when needed. The home-cooked meals, spotless rooms, safe, peaceful environment and warm, involved owners put us at ease and felt like the best value. I highly recommend it.

    Pricing

    $4,676+/moSemi-privateAssisted Living
    $5,611+/mo1 BedroomAssisted 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
    • Medication management

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    4.95 · 20 reviews

    Overall rating

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

      4.8
    • Staff

      4.8
    • Meals

      4.5
    • Amenities

      4.5
    • Value

      5.0

    Pros

    • exceptional, attentive, and personalized care
    • welcoming, compassionate, and kind staff
    • family-like, home atmosphere
    • administrator Jacob noted for dedication and flexibility
    • strong end-of-life and hospice support
    • frequent bedside checks and hands-on nursing (e.g., every 2 hours)
    • proactive clinical care and wound management
    • safe and secure environment
    • clean, well-maintained, and updated facility
    • private rooms available
    • home-cooked, delicious meals and dining at a home-style table
    • in-bed feeding and individualized meal assistance when needed
    • owners and caregivers described as congenial, loving, and charismatic
    • well-managed, family-run operation
    • high staff-to-tenant ratio and 24/7 attentive staffing
    • on-time medication administration
    • positive, peaceful, and sociable atmosphere
    • helpful with transfers and bedding
    • well-kept outdoor space/garden (including fruit trees)
    • good value and relief/peace of mind for families

    Cons

    • occasional staff communication difficulties reported
    • some staff struggled with diabetic dietary needs
    • isolated equipment issues (e.g., malfunctioning call bell)
    • reports of diaper rash for at least one resident
    • one reviewer rated care as average and called food 'OK'
    • minor inconsistencies in care quality reported by a small number of reviewers

    Summary review

    Overall sentiment in these reviews is strongly positive, with the dominant themes being highly personalized, compassionate care and a warm, family-like environment. Multiple reviewers describe the staff as welcoming, kind, and attentive, often using terms like "treated like family," "loving," and "trustworthy." Care is characterized as hands-on and proactive — for example, bedside visits every two hours, careful hydration, wound care, and staff-initiated research to improve care. The facility is repeatedly credited for providing exceptional end-of-life support and hospice-level compassion, which gave families peace of mind during difficult transitions.

    Staff and management receive specific praise. Several reviews single out the administrator Jacob for dedication and flexibility. The owners are consistently described as congenial, charismatic, and involved, reinforcing the impression of a well-managed, family-run home. Reviewers highlight excellent communication in many cases — noting constant updates, empathy, respect, and patience from staff — and say the team eased transitions and eliminated fears about appropriate care. The facility’s staff-to-resident ratio and 24/7 availability are mentioned as advantages over home care, with on-time medication administration and thorough daily cleaning adding to the sense of reliability.

    Facilities and amenities are another strong point. The home is described as clean, updated, spacious, and well-maintained both inside and out; several reviews emphasize an immaculate environment, an attractive yard and garden with fruit trees, and a peaceful, healing atmosphere. Private rooms are available, and reviewers note bright rooms and a home-like décor. Dining is repeatedly praised: home-cooked meals served family-style around a table, satisfying menu items, and individualized feeding (including in-bed feeding) when necessary contribute to a homely experience. Many reviewers contrasted Bethesda favorably with previous facilities, citing improved personal care and regular family updates.

    Despite overwhelmingly positive feedback, a few recurring concerns appear in the reviews and warrant attention. A small number of reviewers reported communication difficulties with some staff members, and at least one family noted staff struggled with managing a diabetic diet. There were isolated reports of a malfunctioning nurse call bell and a diaper rash for one resident; one reviewer characterized care as only "average" and food as "OK." These comments suggest occasional inconsistencies in staff training or procedural adherence rather than pervasive problems, since the majority of reviews emphasize attentive, proactive care and strong clinical follow-through.

    In summary, Bethesda Senior Care is portrayed as a warm, family-run residence that delivers compassionate, personalized, and clinically attentive care with a strong emphasis on dignity and respect. Strengths include dedicated leadership (with Jacob specifically named), a high level of hands-on nursing and hospice support, a clean and attractive facility, comforting home-cooked meals, and a peaceful, social environment that many families highly recommend. Prospective residents and families should be aware of a few isolated issues raised by some reviewers — mainly around dietary management for diabetics, intermittent communication lapses, and a couple of equipment or skin-care incidents — and may want to ask about staff training, diabetic meal protocols, and call-bell maintenance during a tour to ensure those areas meet their expectations.

    Location

    Map showing location of Bethesda Senior Care

    About Bethesda Senior Care

    Bethesda Senior Care sits in a quiet part of Orangevale, CA, right in the center of town, so it's easy for residents to enjoy nearby parks, shops, banks, and medical facilities, and the place itself feels peaceful and home-like with a small, family-run setting that usually takes care of 10 or fewer seniors at a time, so folks really get the chance to know each other and the caregivers who are around day and night. The community offers different living arrangements with private or shared rooms, each room is fully furnished and has a private bathroom, air-conditioning, cable TV, Wi-Fi, telephone, and even a kitchenette option, plus, they have housekeeping, laundry, and dry cleaning, which means nobody has to stress about chores or keeping things tidy, and staff will even help folks move in so settling down feels easy.

    The care choices at Bethesda Senior Care cover assisted living, independent living, memory care for people with Alzheimer's or dementia, and skilled nursing, and as a licensed board and care home, the staff handle medication management, activities of daily living like bathing or dressing, transfers, feeding in bed if needed, and specialized care such as incontinence and diabetes care with 24-hour watchfulness. Safety's worked into the building with emergency alert systems, so someone can always get help if they need it, and for people who may have trouble moving around, there's non-ambulatory care and caregivers who help with just about everything.

    Bethesda Senior Care serves three meals a day around a dining table to help residents enjoy home-cooked food together, and there's a menu with many options-vegan, vegetarian, gluten-free, kosher, organic, low-sodium, or diabetic diets can all be arranged, and if somebody feels too tired to join others, they can have their meal served right in their room. Activities are part of daily life, with birthday parties, movie nights, music, dance, religious services with visiting chaplains or rabbis, and organized outings in town, while quiet time is easy to find in the indoor sitting rooms or the garden outside that's filled with fruit trees and walking paths.

    Residents at Bethesda get the benefit of coordinated care with outside doctors, transportation arranged for appointments or trips, and help for those who want to stay active or make new friends, and people who like peace and simple fun can find both here, whether that means tending the garden, sitting with friends in the common areas, or joining in on planned activities. The whole place runs with a focus on quality care, comfort, respect, and creating genuine connections so residents feel safe, looked after, and valued through every day of their stay.

    People often ask...

    State of California Inspection Reports

    25

    Inspections

    7

    Type A Citations

    10

    Type B Citations

    4

    Years of reports

    14 Jul 2025
    Found all required documents for two residents and two staff and identified no deficiencies; safety measures, food supply, and utilities met regulatory requirements at the care home. Requested submission of LIC 500, LIC610E, and current liability insurance by 07/31/25.
    • § 9058
    29 Jan 2025
    Investigated allegation that eviction was being attempted. Found no eviction notice issued to the resident; a temporary relocation for room repairs was issued and later rescinded per regulatory guidance; both the resident and staff indicated awareness of the repairs and that no eviction was planned.
    23 Jul 2024
    Found two resident files contained all required documents, while two staff files were missing CPR/First Aid certification. Found safety and health measures in place—adequate food storage, secured medications, functioning smoke and CO detectors, and proper hot water temperature—but noted a fire extinguisher not serviced since 2022 and a medication management issue.
    23 Jul 2024
    Identified deficiencies in staff CPR/FIRST AID certifications, medication management, fire extinguisher servicing, and missing required documentation during the annual inspection.
    • § 1569.618(c)(3)
    • § 87465(c)(2)
    • § 87202(a)
    13 May 2024
    Identified a resident wrist fracture after swelling was noticed on 05/06/24 and confirmed by X-ray on 05/08/24; interviews with the resident, the administrator, and one staff member were conducted, and no citations were issued; the case remains under review.
    13 May 2024
    Conducted interviews regarding a resident's wrist fracture, with no citations issued.
    08 Nov 2023
    Identified that an incident on 05/31/23 involving two staff members was not reported to the department as required, with law enforcement involvement and an arrest, while both staff were on duty and responsible for residents’ health and safety. Found the administrator aware of the incident but not in compliance with reporting requirements, and that the claimed faxed report could not be verified, with deficiencies noted.
    08 Nov 2023
    Found a violation related to a staff incident that was not reported as required by regulations, putting resident health and safety at risk.
    • § 87211(a)(1)
    • § 87405(d)(2)
    17 Aug 2023
    Identified one deficiency; home was clean and safe with adequate food storage, locked hazardous items and medications, functioning smoke and carbon monoxide detectors, and a safe hot water temperature.
    17 Aug 2023
    Identified deficiencies requiring correction for resident safety during the annual inspection.
    • § 87411(d)
    • § 87412(a)
    • § 87412(a)(11)
    • § 87458(a)
    • § 87468(b)(1)
    17 Aug 2022
    Identified that a resident was left outside without staff supervision and that the incident was not reported to the regulatory agency or the responsible party.
    17 Aug 2022
    Investigated complaint of resident left unsupervised outside.
    19 Jul 2022
    Found that a resident with dementia was left unattended for about 45 minutes when staff took them to retrieve a charger, and that the resident's responsible party was not notified of the absence. Found that an incident report had not yet been completed for the 2/1/2022 incident.
    19 Jul 2022
    Confirmed allegations of resident being left unattended and not notifying family when resident left the community.
    • § 87211(a)(1)
    • § 87705(c)(4)
    14 Jul 2022
    Found no health, safety, or personal rights violations during an unannounced visit; infection control was in substantial compliance and no deficiencies were cited.
    14 Jul 2022
    Reviewed and found no deficiencies during the visit. The facility was in substantial compliance with infection control regulations.
    22 Mar 2022
    Found that starting July 2021, a resident was charged a higher monthly rate without the required 60 days' prior written notice, violating state rules.
    22 Mar 2022
    Investigated allegations found that staff overcharged a resident for services not received, ignored call alerts, slept during night shifts, and did not ensure residents were properly fed, but there was insufficient evidence to prove any violations.
    22 Mar 2022
    Confirmed an increase in fees without proper notice given to residents.
    • § 1569.655(a)
    27 Jul 2021
    Found that the allegation that a licensee intimidated a responsible party in front of a resident was unfounded.
    27 Jul 2021
    Interviews found no evidence of intimidation as alleged, leading to the dismissal of the complaint.
    08 Jul 2021
    Identified unlocked medications in two bedrooms and issues in three resident records, including one resident who could not store medications, one who could store with assistance, and one lacking a medical assessment. Determined infection control measures were in substantial compliance at the time.
    08 Jul 2021
    Identified deficiencies in medication storage and record-keeping during inspection.
    • § 87465(h)(1)
    • § 87458(a)
    18 Jun 2021
    Found that all three staff were in the garage unloading groceries during the incident, leaving no staff indoors to supervise residents. Found that the allegation of a resident-on-resident physical altercation resulting in injury is supported.
    18 Jun 2021
    Confirmed substantiated physical altercation resulting in injury between residents due to lack of staff supervision.
    • § 87411(a)

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