Lytton Gardens

    649 University Avenue, Palo Alto, CA, 94301
    4.1 · 13 reviews
    • Assisted living
    • Skilled nursing
    AnonymousCurrent/former resident
    4.0

    Attentive staff, clinical care prioritized

    I live here and the staff are genuinely caring, professional and attentive - therapy, on-site nursing and medical services are excellent and the grounds, therapy rooms and apartments are very clean and well kept. The facility is enormous and can feel noisy and institutional; residents sometimes seem tired or bored and activities are hit-or-miss (pandemic affected things). Dining is generally bland/average and internet connectivity is erratic with limited wireless options - management has seemed focused on cutting costs and unresponsive to complaints. There are good amenities (patios, beauty parlor, varied apartment sizes) and affordable options - they accept Medi-Cal but there's often a long waiting list. Overall, a solid choice for rehab, chronic care or hospice and for those who prioritize attentive staff and medical support over a boutique feel.

    Pricing

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    Amenities

    4.08 · 13 reviews

    Overall rating

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

      4.2
    • Staff

      4.1
    • Meals

      3.0
    • Amenities

      3.5
    • Value

      3.0

    Pros

    • Detailed and competent clinical care
    • High staffing levels and long‑tenured staff (reported in several reviews)
    • On‑site medical services (doctor, nurse, podiatrist)
    • Professional therapists and clean therapy rooms
    • Clean, well‑kept environment and immaculate areas
    • Beautiful, well‑tended interior and exterior gardens and shaded patios
    • Variety of apartment options (studios, one‑bedrooms, independent living, assisted living)
    • Rehab floor and dedicated memory care floor
    • Meals delivered to rooms available
    • Some reviewers reported excellent, varied meals
    • Amenities including library, gym, beauty parlor, televisions in rooms
    • Robust activity programming (chair exercises, bingo, games, movies, trips, holiday events)
    • Proximity to Stanford Hospital / superb location
    • Accepts Medi‑Cal while also offering private‑pay options
    • Friendly, caring, and responsive staff in many reports
    • Warm, loving environment reported by some reviewers
    • Good for hospice or residents with chronic illness (per some reviewers)
    • Rehabilitation and therapy services praised

    Cons

    • Older building with long, narrow, and dark hallways
    • Noisy, busy, and institutional atmosphere
    • Mixed and inconsistent dining quality (several reports of bland or inedible food)
    • Elevator problems reported
    • Parking issues
    • Long waiting list
    • Management sometimes described as cost‑cutting or unresponsive
    • Erratic internet connectivity and limited wireless options
    • Hallway carpeting unstable/needs replacement
    • Some reports of limited staff (contrast to other reports of high staffing)
    • Residents sometimes appeared tired, bored, or not vigorous
    • Some wings lack on‑site dining options
    • Large facility size can feel impersonal
    • Rates described as expensive by some reviewers
    • Contrast between public/federally run impressions and private‑pay expectations
    • Activities curtailed during the pandemic (reduced social opportunities)
    • Mixed feedback about warmth of attendants (competent but not always warm)

    Summary review

    Overall sentiment across the reviews is mixed but leans toward confidence in medical and caregiving competence coupled with concerns about the physical plant, dining consistency, and institutional atmosphere. Multiple reviewers emphasize that clinical care—particularly nursing, rehabilitation therapy, and on‑site medical services—is a strong point. There are repeated mentions of long‑tenured, high‑quality staff, on‑site doctors and nurses, professional therapists, a podiatrist, and clean therapy rooms. The facility also has dedicated rehab and memory care floors, and several reviewers explicitly recommended it for hospice or residents with chronic illness because of its medical capabilities and available supportive services.

    Facility and amenities receive similarly mixed feedback. Many reviewers praise the cleanliness, well‑tended interior gardens, shaded patios, and a range of apartment options (studios, one‑bedrooms, independent and assisted living). There are useful amenities such as a library, gym, beauty parlor, and televisions in rooms, and the location near Stanford Hospital is considered a major advantage. However, those positives sit alongside consistent complaints about the building’s age and layout: long, narrow, and sometimes dark hallways; worn carpeting; occasional elevator problems; and general signs that parts of the facility need modernization. The facility’s large size is a double‑edged sword—some residents benefit from many social opportunities and a big peer group, while others find it noisy, busy, and impersonal.

    Dining and daily life are areas with highly variable experiences. Several reviewers report excellent, varied meals and the convenience of meals delivered to rooms, but an equal or greater number characterize the food as bland, inedible, or merely average. This inconsistency suggests variable kitchen performance across shifts or dining venues within the campus. Activity programming is broad on paper—chair exercises, bingo, games, movies, trips, holiday musical performances, tree‑decorating contests, and other festive events were all mentioned—but the pandemic had a clear negative impact on regular programming, and some reviewers felt residents still appeared bored or not vigorously engaged. Memory care and rehab floors appear to have targeted activities, and many positive reports reference holiday events and staff‑led engagement that felt meaningful.

    Operational and management themes also recur. Several reviewers said management can be unresponsive to complaints, and there were explicit mentions of cost‑cutting measures and poor handling of issues like erratic internet connectivity. Waiting lists are long, and there is a range of impressions about cost: some reviewers called the community expensive with private‑pay rates, while others described it as affordable and federally run/public housing in different summaries. This indicates variability by unit, payer mix, or time of review—and underscores the importance of clarifying contract terms, rates, and what is included before deciding. Parking and elevator trouble were practical drawbacks that came up multiple times.

    In summary, Lytton Gardens appears to be a large, medically capable senior living campus with strong clinical staff, robust rehab and memory care services, attractive grounds, and a wide selection of housing types. Its strengths are most evident for residents who need reliable medical oversight, therapy services, or hospice/chronic care support. The tradeoffs are an older, institutional‑feeling building that can be noisy and impersonal, inconsistent dining quality, infrastructure issues (elevators, carpeting, internet), and management/operational concerns such as waiting lists and mixed reports on cost. Prospective residents and families should prioritize an in‑person visit to assess the specific wing or apartment type they would occupy (independent vs assisted vs memory care), sample meals at the time of their visit, check internet and elevator reliability, and speak directly with management about staffing ratios, costs, and current activity schedules to determine if Lytton Gardens is the right fit for their needs.

    Location

    Map showing location of Lytton Gardens

    About Lytton Gardens

    Lytton Gardens, found at 649 University Ave in Palo Alto, California, gives people a choice of assisted living, memory care, independent living, skilled nursing, and short-term respite care, all on one campus. Lytton Gardens II, part of this community, offers affordable independent living in studio and one-bedroom homes with rent based on income, so qualifying seniors or adults with certain disabilities pay about 30% of their income, and each apartment houses one or two people. For those who need help every day, Lytton Gardens Community Care provides assisted living and memory care with staff who help with bathing, dressing, grooming, transfers, and medication. The team, including a Medical Director who's also the Director of the Geriatric Fellowship Program at Stanford, offers skilled nursing, 24-hour care, and specialized Alzheimer's and dementia care in a secure, well-lit area. There's also support for advanced needs like insulin shots or two-person transfers if required.

    Every resident gets access to meals prepared daily, options for special diets like diabetic meals, and both restaurant-style and all-day dining. Housekeeping, laundry services, move-in help, and concierge services make day-to-day life less stressful. People can join in with movie nights, fitness and music programs, board games, pet therapy, art plans, scheduled daily activities, and social and recreational events. Indoor and outdoor community spaces-gardens, reading rooms, walking paths, fitness areas, libraries, game rooms, a jacuzzi, social event rooms, and spaces for outdoor relaxation-give everyone room to gather or find some quiet time. Staff check in on residents around the clock and there's a 24-hour emergency alert system in each home.

    Seniors and families who live here get more help too, with VA benefits consulting, financial aid advice, home sale assistance, move-in support, and entry fee options, plus acceptance of credit card and check payments. All rooms and common spaces are furnished and wheelchair accessible, and units have features like cable TV, high-speed internet, private bathrooms, kitchenettes, phone service, and air conditioning. Residents can get to local grocery stores, restaurants, pharmacies, and churches with arranged transportation or enjoy devotional activities and off-site religious services. People also find support for hospice care and short-term stays if they need a break or more help for a little while.

    Lytton Gardens is licensed by the state and can serve up to 55 people in a setting that aims for a safe, comfortable, and easy-to-navigate home for those aged 62 or older or those with physical or developmental disabilities. The staff aim to be attentive and caring, offering help with personal care and day-to-day tasks. Everyone living here can choose from a range of activity programs, wellness support, and ways to stay active and social, depending on individual needs and current safety rules.

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