Afable Home Care

    4080 Palm Ave, Sacramento, CA 95842
    • Assisted Living

    Clean, safe, compassionate memory care

    I visited and was delighted - the place is clean, quiet, and feels safe, with rooms well kept and beds made. The staff are amazingly kind, patient, and accommodating (including a loving husband-and-wife team); they communicate well, handle special meal requests, and provide compassionate, supportive memory care - I highly recommend it.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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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

    Reviews

    4.20·(5)

    Overall rating

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

      3.7
    • Staff

      4.0
    • Meals

      2.5
    • Amenities

      4.2
    • Value

      4.2

    Pros

    • Kind, supportive staff
    • Patient and gracious caregivers
    • Clean, quiet facility
    • Accessible staff–family communication
    • Accommodating special-order meal service
    • Well-kept rooms and linens
    • Pleasant-smelling, home-like interior
    • Engaged ownership and leadership

    Cons

    • Inconsistent daily staffing quality
    • Gaps in medication-request responsiveness
    • Inconsistent meal nutrition and portion sizing
    • Limited in-room fall-alert infrastructure
    • Insufficient nutritional and weight-monitoring oversight

    Summary of reviews

    Overall impression: Reviewers convey a mixed but generally positive view of care at this facility. Many accounts emphasize a clean, quiet, and well-maintained environment with welcoming, home-like sensory qualities. Families and visitors frequently describe individual staff members and leadership as kind, patient, and compassionate; ownership appears engaged and approachable. Rooms and common areas are consistently described as tidy and pleasantly scented, and staff are often accessible for conversations about care.

    Care quality and staff: Strengths include attentive, patient caregivers and accessible communication about residents’ care. Several comments highlight specific staff who provide compassionate, hands-on support. At the same time, evaluations indicate variability in day-to-day staffing: while some staff are described as excellent, others are characterized as more difficult to work with. This unevenness suggests inconsistent staff performance or turnover that may affect the resident experience depending on shift and personnel.

    Dining and nutrition: The dining program is characterized as simple and accommodating of special orders, with some visitors appreciating straightforward meals. However, there are consistent concerns about portion sizes and the nutritional balance of meals, including limited fruit and vegetable offerings. Reviewers connected these dining patterns to observable weight changes in at least one resident, indicating a need for clearer nutritional planning and monitoring.

    Safety and clinical oversight: The facility receives positive comments for cleanliness and general upkeep, yet reviewers noted a notable safety infrastructure gap: the absence of in-room pull cords or equivalent fall-alert systems. In addition, there are concerns about responsiveness to medication requests and the timeliness of medication-related care. Together these items point to opportunities to strengthen clinical-response protocols, fall-detection systems, and routine monitoring (including weight and nutrition tracking).

    Activities and programming: Reviews provide little specific information about activities or programming. The absence of commentary makes it difficult to assess the breadth or consistency of recreational and engagement offerings; prospective families may wish to inquire directly about scheduled activities and therapeutic programming during a visit.

    Management and notable patterns: Leadership and ownership are described positively and appear to maintain an inviting, home-like culture. The main pattern across comments is a contrast between engaged leadership and variability at the caregiver level — strong individual caregivers alongside inconsistent day-to-day staff performance. Key operational areas for improvement are meal planning and portion control, medication-request responsiveness, and in-room fall-alert systems. Prospective residents and families should weigh the facility’s clear strengths in environment and individualized kindness against these operational gaps and seek specific, current information on staffing stability, clinical protocols, and nutrition/fall-prevention measures during a tour.

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    Location

    Map showing location of Afable Home Care

    Afable Home Care is located at 4080 Palm Ave, Sacramento, CA, 95842.

    About Afable Home Care

    Afable Home Care II is a residential care home nestled within the vibrant community of Sacramento, California. Known for its peaceful surroundings, the care home offers seniors a welcoming environment characterized by palm tree-lined streets and access to a variety of cultural attractions. Residents at Afable Home Care II are immersed in an atmosphere designed to be both nurturing and engaging, allowing them to enjoy a lifestyle that's active, fulfilling, and supported by dedicated caregivers.

    The care philosophy at Afable Home Care II centers on providing compassionate, individualized attention for every resident. Caregivers at the home are devoted to creating a familial setting where seniors feel respected and valued. The staff is available 24 hours a day, responding promptly whether residents need assistance with daily activities or are simply seeking companionship and conversation. The aim is not just to meet the needs of residents but to exceed expectations by fostering a supportive community where residents are always a priority.

    A key feature of life at Afable Home Care II is the emphasis on nutritious and appealing meals. The home takes pride in its meal planning, ensuring residents enjoy dishes prepared with quality ingredients that meet their dietary needs. The dining experience is tailored to promote both health and enjoyment, turning every meal into a satisfying event that enhances overall well-being. The commitment to balanced nutrition distinguishes Afable Home Care II as a place where residents can look forward to thoughtfully crafted cuisine each day.

    Beyond daily care, Afable Home Care II places significant importance on enrichment and engagement. Residents benefit from a thoughtfully curated activities calendar that offers diverse opportunities for socialization, recreation, and mental stimulation. Outings to local museums, the zoo, and even boating adventures are organized to help residents explore and appreciate the wider Sacramento area. Inside the home, activities are designed to support social, physical, and emotional wellness, encouraging all residents to stay active and involved.

    Afable Home Care II provides a range of accommodations to suit the preferences and needs of its residents, with options for both private and semi-private rooms. This flexibility allows individuals to choose the living arrangements that best match their personal routines and comfort. The living spaces are intended to be both cozy and functional, creating an inviting backdrop for relaxation, connection, and everyday life.

    Overall, Afable Home Care II stands as a beacon of quality care within Sacramento. Through its dedicated staff, lively programming, and holistic approach to resident well-being, the care home offers a nurturing environment for seniors seeking both independence and support in their daily lives.

    People often ask...

    Afable Home Care offers competitive pricing, with rates starting at a cost of $4,305 per month.

    Afable Home Care offers assisted living and board and care.

    The full address for this community is 4080 Palm Ave, Sacramento, CA 95842.

    No, Afable Home Care does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In California, the Department of Social Services' Community Care Licensing Division licenses residential care facilities for the elderly, conducting inspections and investigating complaints.

    License number347002549
    StatusLicensed
    Facility typeResidential Care Elderly
    Capacity6 residents
    LicenseeAFABLE, NICOLASA O.
    EffectiveMarch 29th, 2004
    View the official license record

    Inspection Reports

    12

    Reports

    6

    Type A Citations

    10

    Type B Citations

    4

    Complaints

    5

    Years

    02 Feb 2026Inspection
    Identified that staff did not administer certain medications to a resident per doctors' orders, and medication records were not up to date.
    • Type A87465(h)
    13 Mar 2025Inspection
    Observed no health or safety violations and found required paperwork, medications, and safety measures in place.
    06 Mar 2024Inspection
    Identified deficiencies in medication management and dementia care documentation, including missing updated LIC602 and dementia-related re-appraisal for a resident, and medications stored in bubble packs during the audit.
    • Type A87465(c)(2)
    • Type B87705(c)(5)
    • Type B87458
    30 Mar 2023Inspection
    Observed residents resting; home was clean, in good repair, and no deficiencies were cited.
    12 Aug 2022Complaint
    Investigated the allegation that resident records were not released; with written consent from the resident's responsible party, a records request was generated to release the records.
    • Type B87506(c)(1)
    • Type B87506
    12 Aug 2022Complaint
    Identified inadequate supervision of a resident and that a proper pre-admission assessment for a new admission was not completed.
    • Type A87705(c)(4)
    • Type B87457(c)
    19 May 2022Complaint
    Investigated bed bug infestation and safety concerns related to pest control.
    • Type B87303(a)
    01 Apr 2022Inspection
    Investigated an unusual incident involving a resident's unwitnessed fall and AWOL, and followed up on hospital status; noted that there were no current COVID-19 positive cases and requested medical records for review, with further investigation planned.
    01 Apr 2022Inspection
    Observed no COVID-19 positive cases and that staff wore masks; found a 2-day perishable and 7-day nonperishable food supply and debris cleared from the backyard. No deficiencies were noted.
    01 Mar 2022Inspection
    Identified multiple health and safety deficiencies, including staff not wearing masks indoors, unsafe food storage with expired and unlabeled items, knives left accessible to residents, and debris in the backyard.
    • Type A80072(a)(2)
    • Type A87555(b)(8)
    • Type A87705(f)(1)
    • Type B87303(a)
    15 Oct 2021Complaint
    Investigated a complaint alleging delays in medical care, inadequate incontinence care, and restricted visiting/privacy during visits; found the allegations were not supported.
    30 Aug 2021Inspection
    Identified deficiencies in infection control and operations, including no documented daily temperature or COVID-19 symptom checks, staff handwashing lapses, a missing visitor symptom screening log, pest presence, and improper solid waste handling.
    • Type B87468.1(a)(2)
    • Type B87211(a)
    • Type B87303(f)(1)

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Afable Home Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact Afable Home Care directly. There is no cost for this service. We are compensated by the community you select.

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