Aldersly

    326 Mission Ave, San Rafael, CA 94901
    • Independent Living
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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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
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • 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

    Reviews

    4.55·(33)

    Overall rating

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

      4.3
    • Staff

      4.4
    • Meals

      4.5
    • Amenities

      4.5
    • Value

      1.7

    Pros

    • Friendly, attentive staff
    • Warm, caring caregiving culture
    • Skilled memory/dementia-focused care
    • Full continuum of care
    • Restaurant-style, varied dining
    • Multiple dining areas and extended meal hours
    • Engaging, varied activities program
    • Strong social community and family focus
    • Well-maintained grounds and attractive gardens
    • Bright, clean, inviting common areas
    • Fitness center and physical-activity offerings
    • Large, well-stocked library
    • Transportation and bus services
    • Helpful move-in, IT, and logistical support
    • Convenient, walkable location

    Cons

    • Inconsistent staffing levels and weekend understaffing
    • Supply shortages affecting clinical and care supplies
    • Language and communication barriers among staff
    • Variable dining quality and inconsistent service presentation
    • Accessibility constraints (multiple stairs, limited elevators)
    • Limited on-site parking
    • High entry buy-in and periodic fee increases
    • Mixed condition of older apartment units and periodic construction disruptions

    Summary of reviews

    Aldersly presents as a community with many strengths in day-to-day resident life: reviewers consistently emphasize a warm, service-oriented culture, staff who are described as friendly and attentive, and a range of clinical services that include memory-care expertise and a full continuum of care. Several families highlighted individualized attention from caregivers and specific memory-care coordination that supported transitions from higher-acuity to regular residential status. Pandemic-era safety measures were noted by some as a positive operational focus, although an infection-control event and related quarantines were also mentioned as an operational stressor.

    Dining and social programming are prominent positives. The facility offers restaurant-style dining, multiple dining rooms, and extended meal hours with advance menus; many residents praised the quality and variety of meals and named particular dining staff positively. At the same time, there is variability in the dining experience: reviewers cited occasions of lower presentation (steam-tray service, smaller dining-room settings) and described uneven meal quality. The activities program is robust and varied — bocce, card games, movie nights, parades, outdoor cookouts, and a designated Happiness/dementia-focused program — and is frequently credited with supporting an engaged social community.

    Facilities and amenities are generally described as attractive and well cared for. The campus landscaping, gardens, views, and common spaces (including a large library and fitness offerings) receive consistent praise. However, the physical plant shows mixed characteristics: some apartments and common areas are light, airy, and modern, while others are older and undergoing construction. Accessibility concerns were raised related to stair-heavy layouts and limited elevator capacity. Limited on-site parking was also noted as a recurring operational constraint for families and visitors.

    Operational and management patterns deserve balanced consideration. Positive comments reference helpful admissions and move-in assistance, effective transportation and IT support, and visible engagement from leadership and dining staff. Conversely, persistent operational weaknesses include inconsistent staffing levels (with weekend shortfalls), intermittent supply shortages for care items, and communication challenges tied to language barriers and staff conduct in shared spaces. Cost is another recurring theme: the community has a substantial entry buy-in and reviewers noted fee increases that affected perceptions of value.

    Overall, Aldersly appears to offer a strong social environment, a broad slate of programs, and competent clinical capabilities, particularly in memory care. Prospective residents and families should weigh those strengths against operational factors — staffing consistency, supply reliability, apartment condition variability, accessibility, parking, and cost — and consider scheduling a tour focused on current staffing patterns, sample meals, and the specific apartment unit to assess fit for their priorities.

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    Location

    Aldersly is located at 326 Mission Ave, San Rafael, CA, 94901.

    About Aldersly

    Aldersly sits on a calm, well-kept 3.5-acre garden campus in Marin County, and it has a quiet, cozy feeling with a bit of Scandinavian style that's easy to see in its modern studios and one-bedroom apartments with open, light-filled layouts and smooth, non-transition floors for safety, including in bathrooms. Some apartments work well for couples and there are guest suites, a few different floor plans, and independent living options like Alcove studios starting at 370 square feet, and monthly fees begin at $5,136. The place focuses on comfort-what they call "hygge," that idea from Denmark about coziness and feeling connected-so the main dining room looks out at Mt. Tam, and residents get a monthly meal allowance with chef-prepared meals three times a day, a restaurant-style menu, a bistro, and a wine bar. People with special diets can get their food made different ways, and the kitchen team will work with them.

    You'll see flowers, neat paths, and a greenhouse somewhere on campus, and the grounds team keeps it organized and tidy; there's space to garden, common rooms that get good sunlight, a library, and a card or game room where groups meet up for book club, art, bridge, or bocce and corn hole. Residents keep active with fitness classes in the gym, outings to shop, visit restaurants, or see art and concerts, and spiritual groups get together for meditation, worship, and fellowship. Pets are welcome, if needed, covered parking and on-site storage are available for extra fees, and there's help with laundry, cleaning, and bed or bathroom duties every day if needed, plus weekly housekeeping, towel service every other day, and linen changes once a week. Almost all utilities are included, but residents pay for cable and phone.

    The staff keeps an eye on residents with regular health checks. Every room has circadian lighting and a "zero blue light" lamp by the bed. Air in the common spaces gets cleaned and a care team voice assistant (Alexa Echo Show) is always listening when help is needed. Licensed nurses provide care every day of the week, manage medications, and oversee a team that helps with bathing, dressing, grooming, and moving around. Families or people themselves can plan for care as needs change, because Aldersly has independent living, assisted living, memory care, skilled nursing, hospice, and an adult day care program all on one campus, so there's a path from one level of support to another. People with memory loss can live in upgraded areas designed for comfort and safety, using a program called Heartfelt Connections-A Memory Care Program™, and the Health Care & Rehabilitation Center in the Kronborg Building has professional nurses and therapy services like physical, speech, and occupational therapy.

    Community life keeps folks busy, with educational talks about art and history, entertainment, music by local performers, and group outings to shopping and cultural spots, or big events like the July Chamber Morning Program and All County Mixer at Angel Island Ferry. There are tech classes for women age 50 and up, fellowships, meditation groups, and support resources for caregivers. The board of directors, committees, and care staff handle planning and operations, with a focus on friendly service and keeping things organized and clean. People who live at Aldersly enjoy a relaxed, warm feeling, a sense of belonging, and support that adjusts as they need it, all on a pretty, sunny campus.

    About Life Care Services

    Aldersly is managed by Life Care Services.

    Life Care Services (LCS), established in 1971 and headquartered in Des Moines, Iowa, stands as the nation's leading manager of full-service senior living communities and the largest not-for-profit senior living operator in the United States. With over five decades of experience, LCS manages more than 130 communities serving over 40,000 residents nationwide, specializing in Life Plan Communities (formerly known as Continuing Care Retirement Communities or CCRCs), as well as stand-alone assisted living, memory care, and rental communities.

    The company's comprehensive approach encompasses operations management, marketing and sales support, health services, compliance, finance, human resources, risk management, strategic planning, and technology development. Through the LCS Family of Companies, they provide end-to-end solutions including development services, real estate private equity enterprises, insurance, national purchasing consulting, and in-home care services. Their innovative development projects feature amenity-forward designs, including cutting-edge elements like rooftop restaurants and microbreweries, demonstrating their commitment to evolving senior living experiences.

    LCS's philosophy centers on purposeful living, where aging means adding experiences rather than giving up on them. Their hospitality-driven approach combines data-driven services with personalized care to strengthen teams, streamline workflows, and enhance resident experiences. Signature programs include Extraordinary Impressions, their employee culture initiative; Heartfelt Connections®, a nationally recognized memory care approach; Eversafe 360 senior safety protocols; and the Health & Wellness Navigation Program™ that provides personalized care plans addressing all aspects of well-being. The LCS Signature Experiences program infuses hospitality into every aspect of community life, creating rich, engaging experiences for residents and employees alike.

    The company's excellence has earned unprecedented recognition, including being ranked #1 in Customer Satisfaction among Independent Living Senior Living Communities by J.D. Power for six consecutive years (2019-2024), winning more independent living awards than any other brand in the J.D. Power U.S. Senior Living Satisfaction Studies. Additionally, LCS received three awards from Top Workplace USA in 2023, reflecting their commitment to both resident care and employee satisfaction. As the fourth-largest operator of life plan and rental senior living communities nationwide, LCS continues to shape the future of senior living through innovation, excellence, and a deep commitment to empowering seniors to live their best lives.

    People often ask...

    Aldersly offers independent living, assisted living, memory care, continuing care retirement community, and skilled nursing.

    There are 52 photos of Aldersly on Mirador.

    Yes, Aldersly allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 326 Mission Ave, San Rafael, CA 94901.

    No, Aldersly 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 number216801686
    StatusLicensed
    Facility typeRcfe-continuing Care Retirement Community
    Capacity172 residents
    LicenseeALDERSLY/LIFE CARE SERVICES,LLC
    EffectiveNovember 5th, 2004
    View the official license record

    Inspection Reports

    35

    Reports

    8

    Type A Citations

    9

    Type B Citations

    13

    Complaints

    7

    Years

    31 Aug 2026Complaint
    Investigated a visitation complaint and found that a visitor was not allowed to visit with a resident, violating personal rights; a deficiency was cited.
    • Type BCCR 87468.1(a)(11)Personal Rights of Residents in All Facilities
    31 Aug 2026Inspection
    Found that a resident’s inhaler lacked a physician order and wasn’t secured, enabling self-administration without proper authorization.
    • Type BCCR 87465(a)(4)Incidental medical and dental care; assist residents with self-administered medications
    09 Jul 2026Complaint
    Investigated the complaint and found no deficiencies cited.
    24 Feb 2026Complaint
    Investigated an unlawful eviction and a refund dispute involving a resident; reviewed records and conducted interviews.
    • Type B87224(a)
    • Type B87463
    21 Oct 2025Inspection
    Identified deficiencies related to centralized medication storage and medication recordkeeping, including unlocked storage and noon medications pre-poured earlier than scheduled.
    • Type B87465(h)(2)
    • Type B87465(h)(6)
    03 Oct 2025Inspection
    Identified a delay in assisting a resident after a fall, with video footage showing the resident on the floor for over two hours and creating an immediate health and safety risk.
    • Type A87468.2(a)(4)
    20 Aug 2025Inspection
    Observed completion of expansion with updated capacity to 172 non-ambulatory residents (12 bedridden); no deficiencies cited.
    01 Jul 2025Complaint
    Investigated allegations related to personal rights, reporting, COVID protocol adherence, and staffing; found no deficiencies cited.
    15 Jan 2025Inspection
    Identified that all on-site staff were background cleared and associated; noted that four of five staff files lacked proof of first aid certification, while a nurse on each shift held first aid certification.
    15 Oct 2024Inspection
    Identified that a resident with dementia eloped from the premises, creating an immediate safety risk. Incident reports described wandering and unsupervised exits.
    • Type A87705(b)(2)
    29 Feb 2024Inspection
    Observed a resident with a stage two coccyx wound and ongoing wound care overseen by Accent Care.
    29 Feb 2024Complaint
    Investigated an allegation that a resident's care needs were not met, including failure to shower, provide incontinence care, and administer a suppository; could not determine if a violation occurred due to insufficient documentation.
    06 Dec 2023Inspection
    Identified 67 residents in care and 9 staff on-site; reviewed staff and resident files were thorough and organized, and medications were centrally stored and secure.
    18 Oct 2023Inspection
    Identified elopement and wandering safety concerns after two incidents involving residents with dementia: one went missing during a community outing and was found nearby, and another eloped from the setting and was located a short distance away.
    • Type A87705(b)(2)
    26 Sept 2023Inspection
    Observed a resident with dementia went missing during a zoo outing and was located safe about seven hours later.
    • Type A87705(b)(2)
    21 Apr 2023Complaint
    Investigated allegations about feeding plan adherence and fall-risk safety; found issues with following physician orders for feeding and with safety measures around a resident at risk of falling.
    • Type A87555(b)(7)
    21 Apr 2023Inspection
    Identified failures to report two falls and two resident deaths to licensing within required timelines, and found discrepancies between staff reports and law enforcement/911 records.
    • Type B87211(a)(1)
    • Type B87211(a)(B)
    09 Mar 2023Inspection
    Investigated three resident-related incidents: one found outside and later deceased; another with a skin tear and increased care needs; and a potential financial abuse case involving a private caregiver. No deficiencies were cited.
    09 Mar 2023Complaint
    Investigated the allegation that staff did not provide resident files to the resident's authorized representative; found licensing authority applied only to the assisted living portion and no deficiencies were identified.
    07 Feb 2023Complaint
    Investigated two allegations regarding resident care and reporting of an incident. Found no evidence to support that staff did not provide enough liquids to a resident, and could not determine whether the incident was reported to the authorized representative due to inconsistent information.
    07 Feb 2023Complaint
    Investigated an allegation of neglect/lack of supervision resulting in unexplained injuries; interviews and records did not provide a definite determination.
    07 Feb 2023Inspection
    Identified that no deficiencies were cited during the visit. Discussed follow-up on incident and death report status, the call light system audit, updating staff and resident files, and staff training.
    29 Dec 2022Complaint
    Identified that staff did not respond to residents’ emergency call buttons in a timely manner and there was inadequate staffing to meet residents’ needs.
    • Type A87411(a)
    29 Dec 2022Inspection
    Identified that a resident fall resulting in a fracture was not reported to licensing authorities, and no incident reports were submitted for November and December 2022.
    • Type B87211(a)(D)
    08 Nov 2022Inspection
    Observed infection-control measures, including masking, signage, cleaning and disinfection schedules, and a 30-day PPE supply; no deficiencies were cited.
    01 Nov 2022Inspection
    Concluded a case-management visit occurred to discuss the dementia care program; no deficiencies cited.
    03 Oct 2022Complaint
    Investigated allegations of a resident fall, lack of cleanliness, and staffing; evidence did not establish that the alleged issues occurred.
    13 Sept 2022Inspection
    Conducted an unannounced case management visit to review change of administrator paperwork and request supporting documents; no deficiencies cited.
    07 Jul 2022Inspection
    Identified a personal rights issue when a trash bag blocked a resident's access to clothing in a closet.
    • Type A87468.1(a)(3)
    05 Apr 2022Inspection
    Identified an unreported resident fall and failure to document incidents as required.
    • Type A87211
    05 Apr 2022Complaint
    Investigated a complaint alleging residents fell multiple times, sustained minor injuries, unqualified staff provided care, and inadequate laundry and hygiene; the allegations were unsubstantiated.
    10 Feb 2022Inspection
    Observed space that could accommodate 15 more residents in newly constructed rooms completed December 2021, with fire safety approval for the capacity increase.
    09 Sept 2021Inspection
    Observed clean conditions with functioning safety features and adequate supplies; no deficiencies noted.
    10 Aug 2021Complaint
    Investigated a complaint about a door alarm and about notifying the responsible party of room changes. The findings concluded the allegations were unfounded.
    16 Oct 2019Inspection
    Identified deficiencies and cited regulations were noted during a recent inspection of the facility, along with various areas of compliance and adherence to licensing regulations.

    Disclaimer

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

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