Pricing ranges from
    $9,150 – 11,895/month

    Silverado San Juan Capistrano Memory Care Community

    30311 Camino Capistrano, San Juan Capistrano, CA, 92675
    4.3 · 48 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    4.0

    Compassionate care, pricey and inconsistent

    I moved my loved one here and have mostly been grateful - the memory-care team is skilled and loving, 24/7 nursing and personalized plans improved quality of life, the staff are kind, activities/art/music/gardens and great food make it feel homey, and pets and courtyard are wonderful. It's expensive and I saw worrying issues at times: understaffing, hygiene and safety lapses (delayed showers, odors, shared sink), and what felt like profit-driven or inconsistent administration. Despite those concerns, caregivers were attentive and compassionate and gave us real peace of mind.

    Pricing

    $9,150+/moSemi-privateAssisted Living
    $10,980+/mo1 BedroomAssisted Living
    $11,895+/moStudioAssisted Living

    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
    • Restaurant-style dining
    • 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

    4.29 · 48 reviews

    Overall rating

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

      4.2
    • Staff

      4.3
    • Meals

      4.0
    • Amenities

      4.0
    • Value

      2.1

    Pros

    • Clean, well-maintained facility and rooms
    • Attractive grounds: courtyard, gardens, walking paths, and aviaries
    • Pet-friendly environment with resident animals and pet therapy
    • Memory-care–focused design (one-floor layout, cognition-based dining rooms, home-like hallways)
    • Compassionate, familiar, and engaged caregiving staff
    • Personalized nursing and dementia expertise
    • 24/7 nursing presence / med-tech availability reported by many reviewers
    • Robust activities program: music, art, live entertainment, clubs, and holiday/family events
    • Social, family-like atmosphere with open communication and community events
    • Multiple dining venues (all-day dining, two bistros) and on-site chef/kitchen
    • Programs that spark memory (animal collection, garden with labeled plants, cooking classes)
    • Rehabilitation and therapy support (PT team, mobility improvements)
    • Safety-oriented practices and fall-risk programming noted by some
    • Welcoming reception and transition support staff (named staff praised: Sheila, Casey, Gilda)
    • Small household model options and private rooms available (though limited)

    Cons

    • Allegations of poor hygiene practices (shared sinks mixing toothbrushes/shavers/soaps)
    • Reports of delayed or missed showers (some residents >10 days without a shower)
    • Understaffing and caregiver shortages at times
    • Claims of overmedication and pressure to increase psychotropic medications
    • Reports that psych evaluations were used to justify increased charges
    • Perception of a profit-driven management focus and billing concerns
    • High cost relative to peers; expensive / top-of-range pricing
    • Additional fees (for example, a reported ~$700/month incontinence product charge)
    • Limited number of private rooms; some double-occupancy rooms are small or misconfigured
    • Inconsistent physician availability (reliance on on-call rather than on-site physician)
    • Mixed or inconsistent responsiveness from administration (polarizing opinions about leaders)
    • Inconsistent food quality reports (some call food exceptional; others call it low-budget/too salty)
    • Reported unpleasant odors (urine smell) in some areas
    • Safety concerns with animals roaming freely in some reports
    • Parking shortages
    • Alleged staff burnout, low pay, and some reports of demeaning language toward residents
    • Inconsistent communication about medical events (missed notifications of infections/strokes reported by some)

    Summary review

    Overall sentiment across the review summaries is strongly mixed, with many families praising the facility’s dementia-focused programming, compassionate front-line staff, attractive environment and activities — while a smaller but significant subset of reviewers raise serious concerns about hygiene, medication practices, staffing and management priorities. Taken together, the reviews describe a high-end memory-care community that offers many trademark strengths of specialized memory care (engagement, amenities and design) but also exhibits recurring operational and policy issues that prospective families should probe closely.

    Care quality and nursing: A major theme is a split perception of clinical care. Numerous reviewers report attentive, knowledgeable and loving caregivers, personalized nursing plans, and round-the-clock nursing/med-tech coverage; families describe situations where staff quickly address health needs, support rehabilitation, and sustain dignity and individualized engagement. Conversely, other reviewers allege understaffing, delayed responses to care needs (notably showers and personal hygiene), and examples of poor bedside practice. Several reviews flag troubling claims of overmedication or pressure to increase psychotropic medications to manage behaviors, including use of powerful sedatives. There are also reports that psych evaluations or required one-on-one caregiver periods (72-hour requirements) were used to justify higher charges; several families questioned medication and billing practices and wanted clearer medical oversight.

    Staff, culture and communication: Staff are repeatedly named as the facility’s greatest asset by many reviewers — warm, familiar, trained in dementia care, good at engagement and respectful interactions. Specific staff members and transition coordinators were praised for responsiveness and support. However, a number of reviews cite staff burnout, low pay, and instances of demeaning language or loss of dignity for residents. Administration and leadership receive polarized feedback: some reviewers commend administrators (Sheila, Casey, Gilda are named positively) and describe strong communication and quick problem resolution; others portray management as profit-driven, manipulative or unresponsive. This polarization suggests uneven experiences that may depend on timing, unit, or individual staff members.

    Facilities, layout and environment: Physical facilities and grounds are consistently highlighted as a strong positive. Reviewers praise the clean, open, home-like design: central courtyard, gardens with labeled plants, aviaries, walking paths, and indoor/outdoor freedom that stimulate residents. The pet-friendly atmosphere and on-site animal collections are repeatedly credited with improving quality of life and triggering memories. Room configuration concerns appear repeatedly: the community offers private and shared rooms, but private rooms are limited; some families report being placed in double-occupancy configurations with constrained amenities (for example, a single sink shared between two residents), which ties into the hygiene complaints. Parking shortages and the campus size (too large for some residents) are occasional logistical negatives.

    Food and activities: Many reviewers praise the food, on-site chef, multiple dining venues (bistros), and creative dining approaches (cognition-based dining rooms). The activities program is another consistent strength: music, live entertainment, art classes, cooking, clubs, garden activities, and family parties are frequently mentioned as keeping residents engaged and socially connected. A few reviewers disagree about food quality, calling some meals low-budget or too salty, and a few families wanted more programming for smaller groups or residents with hearing limitations. Overall, activities and dining are major positive selling points for many families.

    Safety, hygiene and clinical oversight concerns: Several reviews raise significant red flags around hygiene and safety. Specific allegations include shared sinks mixing toothbrushes, shavers and soaps; prolonged intervals without showers (examples cited of more than 10 days); urine odors in some areas; and concerns about animals roaming freely creating safety issues for certain residents. Clinical oversight concerns include reliance on an on-call physician rather than a full-time, on-site physician in some reports, and inconsistent notification of medical incidents by staff to families. These operational issues are serious in the context of memory care and are the primary drivers of negative sentiment among concerned reviewers.

    Cost, billing and policy patterns: Cost is another recurring theme. The community is described as high-end and expensive — “top of price range” — and while pricing is often all-inclusive (no level-of-care billing), some families report additional significant charges (for example, an incontinence product charge reported around $700/month) and question billing fairness when staffing appears lower or when psych evaluations are used to change billing categories. Several reviewers explicitly call out profit-driven practices and charging full daily rates despite fewer in-house caregivers. For price-sensitive families, several reviewers chose other options (board-and-care, smaller communities) after weighing cost against perceived service value.

    Net impression and guidance for prospective families: The reviews indicate that Silverado San Juan Capistrano can deliver a very high-quality memory-care experience — attractive campus, strong activities, engaged caregivers and many families who express gratitude and relief. At the same time, there are repeated and specific allegations about hygiene practices, medication management, staffing levels and perceived profit-first policies that cannot be ignored. The mixed nature of the feedback suggests variability by unit, time, or individual staff/management teams.

    If you are considering this community, prioritize an in-person tour focusing on: observation of hygiene and personal care routines, documentation of staffing ratios at different times of day, clarity on medication policies and who authorizes medication changes, specific questions about physician availability (on-site vs. on-call), inspection of room layouts (especially if double-occupancy is a possibility), explicit explanation of all fees and billing triggers (including incontinence supplies and any required one-on-one care), and references from current residents’ families about both daily care and administrative responsiveness. Given the polarized reviews, gather concrete, current evidence on the specific household or wing you are considering and ask for written policies on showers/personal care frequency, medication oversight, and incident notification so you can compare promises to observed practice.

    Location

    Map showing location of Silverado San Juan Capistrano Memory Care Community

    About Silverado San Juan Capistrano Memory Care Community

    Silverado San Juan Capistrano Memory Care Community sits right off the 5 freeway at Junipero Serra Road, close to CVS Pharmacy and near CHOC Children's at Mission Hospital as well as Family Medical Center, which makes medical care easy to reach if you ever need it, and the place is set up in a way that supports people living with Alzheimer's, dementia, or other memory issues, because the whole building is laid out for memory care with secure areas, safe walking paths, and staffed 24 hours with caring and helpful people who really seem to know their work and take pride in caring for everyone, and from the first few days people get private caregiver help during the adjustment. The staff gets praised for being joyful, kind, and patient, and they're trained and ready to handle things like confusion, wandering, or changes in behavior, even aggressive or exit-seeking actions, and if someone needs mechanical lifts or extra help with transferring, they can do that too, which is pretty rare. Residents get help with daily needs like bathing, dressing, or managing medicine, plus there are nurses on staff and doctors on call, and they can care for folks with complex needs like diabetes, incontinence, high acuity conditions, and help those who are non-ambulatory.

    The community accepts both cats and dogs, and families are allowed to bring their loved ones' pets, which sometimes helps folks feel more at home, with care offered for the animals too. There's a wander alert system using bracelets and a computerized setup that tells staff if someone tries to leave a safe area, which helps keep everyone secure, especially those prone to confusion or wandering. People live in a comfortable place with wheelchair accessible showers, full tubs, a garden, game room, fitness and wellness rooms, a library, and a spa for relaxing, and there are both indoor and outdoor spaces where folks gather. Meals get prepared by chefs with choices for kosher or vegetarian diets, and residents enjoy nutritious food that's supposed to taste good and offer variety, and there's beauty care available, along with activities both at the community and offsite, like outings and devotional services. There's a daily schedule full of things to do, including music, brain-healthy Nexus programs, Silverado sensory programs, movie nights, and resident-run activities, trying to keep people engaged mentally, physically, and emotionally every day.

    People can age in place here, meaning they can stay as their needs change, with help available all along the way, including hospice and respite care if needed, and everything is purpose-built for memory care, from the secured entrance and the dedicated section of the building, to the safety features meant to cut down on confusion and wandering or help those at risk for self-harm. Specialized services help residents with behavioral needs, and staff can support residents with difficult behaviors, including those who sometimes act out aggressively or show signs of self-destructive tendency, as long as each situation fits what the community can manage. People who visit or live here tend to talk about the friendly, welcoming atmosphere, and the attention to both safety and comfort, plus the staff's ability to work with all kinds of memory needs. The community won the 2025 Best of Senior Living Award from Seniorly and has a 9.9 score on its own rating system, and people interested in learning more can take a virtual tour to see how the place feels.

    People often ask...

    State of California Inspection Reports

    15

    Inspections

    0

    Type A Citations

    3

    Type B Citations

    6

    Years of reports

    06 Aug 2025
    Investigated allegations that a resident did not receive showers, that personal items were not safeguarded, that residents shared a toothbrush, and that a resident was allowed to engage in an altercation. Found shower gaps for one resident and one physical altercation; however, the evidence was insufficient to prove or disprove the remaining concerns, leaving conclusions unsettled.
    • § 87464(f)(1)
    07 Feb 2025
    Found no deficiencies after an unannounced visit. Safety measures, medication handling, staffing clearances, and resident activities were in order, with all staff background cleared and the last emergency drill completed.
    12 Mar 2024
    Found deficiencies including one staff member lacking the required 20 hours of annual training and a See Something Say Something poster smaller than required; otherwise, safety, records, and living areas were in good order.
    12 Mar 2024
    Cited deficiencies in resident rooms, kitchen, staff training, and signage were identified during the inspection.
    • § 1569.625(b)(2)
    08 Feb 2024
    Identified conflicting accounts about an alleged sexual remark by a staff member to a resident, with the resident, the resident’s girlfriend, staff, and the executive director offering inconsistent details. Unable to determine whether the incident occurred; no deficiencies were cited.
    08 Feb 2024
    Investigated an allegation that a staff member made an inappropriate remark to a resident; however, conflicting information and lack of evidence prevented a definitive conclusion. No violations or concerns were identified.
    31 Oct 2023
    Investigated allegations that a resident was dehydrated due to staff failure and that staffing levels were inadequate to meet residents' needs; findings deemed both unsubstantiated.
    31 Oct 2023
    Investigated allegations revealed no evidence of staff failing to meet a resident’s needs causing dehydration or insufficient staffing to meet residents' needs, with each claim lacking a preponderance of evidence.
    16 Mar 2022
    Found no deficiencies after the unannounced annual inspection; the site had secure medications, a clean kitchen with current temperature logs and adequate food supplies, fully charged fire extinguishers, appropriate resident furnishings, safe hot water temperature, and a functioning emergency signaling system with prompt staff response. An approved mitigation plan was in place and an exit interview was conducted.
    16 Mar 2022
    Found no deficiencies during the visit.
    24 Feb 2021
    Found readiness for licensure after a remote prelicensing check, with a new license to replace the current one and a capacity of 96 for dementia care; final approval was to be processed by a state licensing unit in Sacramento.
    24 Feb 2021
    Confirmed all necessary requirements were met for the facility to be licensed as an RCFE providing Dementia care with a capacity of 96 residents.
    13 Jul 2020
    Reviewed complaint regarding timely hospice care, found allegation unfounded as resident's condition did not warrant hospice until evaluated and initiated by medical professionals prior to passing.
    18 Nov 2019
    Confirmed allegations of interference with resident's right to communication, while unfounded allegations regarding inadequately meeting resident's needs.
    • § 87468.1(a)(14)
    24 Oct 2019
    Investigated incident of resident hitting another resident, no injuries reported.

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