Pricing ranges from
    $8,639 – 11,230/month

    Discovery Commons San Ramon

    12720 Alcosta Blvd, San Ramon, CA, 94583
    4.5 · 57 reviews
    • Independent living
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    4.0

    Welcoming care with minor issues

    I'm very glad I chose this community - the new, clean, lodge-like rooms feel private and welcoming and my loved one settled in quickly. The food is outstanding (chefs and dining staff really know residents' preferences), and there are tons of activities and engaging memory-care programming so residents stay active. Leadership and caregivers (Kiel and the exec team) are hands-on, kind and attentive, and overall the staff goes the extra mile. Be aware of growth pains - staffing inconsistencies, occasional bathing/incontinence issues, and rising rents - but problems are usually addressed and I'd recommend it for quality, compassionate care.

    Pricing

    $8,639+/moSemi-privateAssisted Living
    $10,366+/mo1 BedroomAssisted Living
    $11,230+/moStudioAssisted 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
    • 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

    • 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 patio
    • 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

    4.53 · 57 reviews

    Overall rating

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

      4.6
    • Staff

      4.7
    • Meals

      4.7
    • Amenities

      4.9
    • Value

      2.2

    Pros

    • Compassionate, attentive caregiving staff
    • Accessible and responsive leadership (notably director Kiel)
    • High-quality, restaurant-style meals prepared on-site
    • Dining staff who remember resident preferences
    • Varied menus with dietary options and all-day service
    • Talented chefs praised by name (Josh, Fili, Betty)
    • Engaging, creative activities and strong activities director
    • Wide range of programs (exercise, crafts, cooking, music therapy, field trips)
    • Beautiful, lodge- or craftsman-style building and scenic grounds
    • Boutique-hotel/resort-like accommodations and décor
    • Spacious, clean, temperature-controlled rooms with in-room amenities
    • Safe, secure environment with key-access and concierge service (Nancy)
    • Supportive memory care with personalized attention
    • Good laundry service and weekly salon visits on-site
    • Positive respite-stay experiences and flexibility to extend stays
    • Collaborative relationships with home health and hospice providers
    • Strong sense of community; residents form friendships
    • Prompt communication with families and regular updates (photos, meetings)
    • Efficient med techs and caregivers mentioned by name (Marian S., Sara)
    • Family events and opportunities for social engagement
    • Dog-friendly policy and family-inclusive approach
    • Cleanliness and well-maintained, new facility
    • Residents report improved well-being and thriving in community
    • Staff frequently go above and beyond daily duties
    • Multiple reviewers highly recommend touring the community

    Cons

    • Staffing shortages and ongoing staff turnover
    • Inconsistent caregiver quality across shifts
    • Growing pains of a new facility leading to training gaps
    • Reports of serious safety and clinical issues (medication errors, wound care by non-nurses)
    • Allegations of unqualified nursing coverage and LVN concerns
    • Incidents of neglect reported by some (bathing, incontinence care, missing clothes or dentures)
    • Claims that HR or management downplayed safety incidents
    • Some reviewers reported sedation or medication timing issues
    • Short staffing causing limited showers or reduced services
    • Perceived bait-and-switch pricing and rapid rent increases (10% first year, 15% subsequent)
    • RCFE rent not capped; affordability concerns for low-income or memory-care residents
    • Occasional miscommunications or administrative sloppiness
    • Higher cost; several reviewers labeled the community expensive
    • Inconsistent activity or service availability during growth/stabilization periods
    • A few alarming individual reports that contradict otherwise positive feedback

    Summary review

    Overall sentiment: The reviews for Discovery Commons San Ramon are predominately positive, with frequent praise for the staff, dining, activities, facilities, and sense of community. Many reviewers describe the place as boutique-hotel-like, warm, and welcoming, and multiple family members report peace of mind after placement. There is a clear pattern of appreciation for hands-on, personal leadership (several mentions of director Kiel and other leadership being accessible), a high standard of food and dining service (chefs Josh, Fili, and Betty are repeatedly praised), and a robust, creative activities program that supports residents socially and physically.

    Care and staff: Across the majority of summaries, caregivers are characterized as compassionate, attentive, and willing to go above and beyond. Reviewers call out individual staff members and med techs (for example Marian S. and Sara) as professional and conscientious. Families consistently report that staff provide gentle, respectful memory-care and personalized attention, and that communication with families (photos, updates, timely meetings) is strong. That said, a notable minority of reviews highlight serious personnel issues: inconsistent caregiver quality, short staffing, and staff turnover tied to the community's growth. More alarmingly, a few reviews allege clinical and safety problems, including medication errors, wound care performed by non-nurses, claims of an unqualified LVN, incidents of forced sedation, and inadequate incident escalation (for example, 911 reportedly not called in some incidents). These safety allegations are significant and stand in stark contrast to the otherwise positive reports; they should be treated as critical points to investigate directly with management during a tour or interview.

    Facilities and accommodations: Reviewers repeatedly praise the physical plant. The building is described as gorgeous, craftsman- or lodge-like, with a spectacular front porch view and beautifully decorated common areas. Private rooms and suites are described as spacious, clean, temperature-controlled, and hotel-like, often with comfortable recliners and in-room amenities. Grounds and exterior spaces receive favorable comments, and many reviewers mention that the community does not feel institutional. Concerns tied to facilities are usually indirect (e.g., newness leading to growing pains, or limited shower availability when staffing is being trained).

    Dining and services: One of the strongest and most consistent themes is the food. Multiple reviewers call the meals scrumptious, restaurant-style, and the best food they have seen in a care facility. The dining team is noted for remembering preferences and offering daily-changing menus, soups, dietary accommodations, and snacks throughout the day. On-site services such as laundry, salon visits, concierge support, and collaboration with hospice/home health are also highlighted as strengths.

    Activities and community life: Discovery Commons San Ramon earns high marks for programming. Reviewers cite an energetic, creative activities director and a large variety of offerings: exercise and movement classes, crafts, cooking classes, music performances (harpist mentioned), outings and field trips, contests, trivia, and audio-visual stimulation. Many comments emphasize the active social life, resident engagement, and a strong sense of community—residents become friends and families note improved quality of life and increased activity levels.

    Management, communication, and operational issues: Many reviewers praise responsive leadership, accessible directors who answer phones and attend to families, and prompt administrative actions (billing meetings, accelerated move-ins, direct coordination of services). However, the community's relative newness shows up as growing pains in some accounts: training gaps, temporary service limitations, inconsistent staffing, and occasional administrative sloppiness (misdirected links or misplaced feedback requests). Several reviewers note that earlier short-staffing issues have stabilized and that activities and staffing improved over time.

    Financial considerations and policy concerns: Cost is a recurring theme. While many reviewers feel the pricing is fair for the quality provided, others call out affordability concerns—particularly for residents on fixed or limited incomes or those needing memory care for whom continuity and familiarity matter. Specific complaints include rapid rent increases (examples cited: 10% in the first year and 15% in a subsequent year), perception of bait-and-switch pricing, and the fact that RCFE rents may not be capped. Prospective residents should examine contract terms, fee escalation clauses, and long-term affordability when considering the community.

    Patterns and recommendations: In synthesis, most reviews present Discovery Commons San Ramon as an attractive, well-run, and caring community with standout dining and engaging programming. The leadership and many frontline staff receive high marks for responsiveness and compassion. However, there are recurring operational caveats: inconsistencies tied to growth, staffing shortages at times, and several serious safety/clinical allegations reported by a minority of reviewers. Because the majority of families report excellent outcomes while a smaller number report alarming clinical incidents, prospective families should validate staffing and clinical oversight during a tour. Specific recommended questions include: what licensed nursing coverage exists and when; staff-to-resident ratios by shift; policies for medication administration and narcotics control; incident reporting and escalation procedures (including 911 policy); procedures for bathing, incontinence, and personal effects; recent staffing turnover statistics; and the exact terms for rent increases and RCFE contract language.

    Bottom line: Discovery Commons San Ramon is broadly—and consistently—commended for its caring staff, exceptional on-site dining, thoughtful programming, attractive facilities, and engaged leadership, making it a strong option for assisted living and memory care for many families. At the same time, some reviewers report troubling clinical and operational issues that warrant direct, specific follow-up with management before committing. If you are considering this community, plan a thorough tour focused on nursing coverage, safety protocols, staffing stability, and contract terms to reconcile the overwhelmingly positive family experiences with the critical negative reports.

    Location

    Map showing location of Discovery Commons San Ramon

    About Discovery Commons San Ramon

    Discovery Commons San Ramon sits in a quiet area of San Ramon, California, where seniors can look out over landscaped grounds and relax in common spaces filled with natural light. This community has private sitting rooms, modern bathrooms with accessibility features, and a choice of studio, one-bedroom, and two-bedroom apartments, many with kitchenettes. There's a library, fitness center, fireside seating, and dining rooms where chef-prepared meals are served each day. Residents can enjoy housekeeping, transportation, an in-house cable channel, a salon and barber shop, and regular help moving in or coordinating new activities. The pet-friendly policy welcomes animals, and there are organized events to keep everyone busy and connected.

    Seniors who live at Discovery Commons San Ramon might want different levels of help, so the staff offers independent living, assisted living, memory care, and even nursing home services. A team of trained caregivers works around the clock, helping with daily tasks like bathing, medication, and continence care. In memory care, special steps help reduce confusion and prevent wandering, and there's careful help with dementia and related issues. Support goes beyond day-to-day care; there's a focus on wellness through fitness programs, activities, and advice on living with dementia, even in the form of articles and podcasts like "The Disappearing Mind."

    Discovery Commons San Ramon tries to make life easier for families, with a process that puts them in touch with local senior living advisors, offers consultations during long business hours, and provides information on a simple and clear website. The facility has no published pricing, but families don't pay fees for advice, since partner communities cover costs if there's a move-in. Verified reviews suggest a rating of 4.5 stars, with many calling the place excellent. The team encourages independence, provides transportation, plans activities, and keeps a calendar full of community events for seniors looking to stay active and social. The calm, polished grounds, caring staff, and the variety of care levels make this a straightforward choice for seniors and families who want clear support with daily living needs.

    About Integral Senior Living

    Discovery Commons San Ramon is managed by Integral Senior Living.

    Integral Senior Living (ISL), founded in 2002 and headquartered in Carlsbad, California, has emerged as a leading third-party management company specializing in senior independent living, assisted living, memory care, and new development properties. Managing 58 communities across 15 states including California, Oregon, Washington, Arizona, Utah, Idaho, Colorado, Texas, Oklahoma, Illinois, Tennessee, Alabama, Michigan, Missouri, and Florida, ISL ranks as the 20th largest senior living provider in the United States with annual revenues reaching $750 million.

    In 2023, ISL entered a transformative partnership with Discovery Senior Living through an investment by Lee Equity Partners and Coastwood Senior Housing Partners, creating the nation's fifth-largest senior housing operator. This strategic alliance positioned ISL as Discovery's largest vertically integrated senior living operator, managing over 113 communities within the Discovery family of companies. Together, Discovery Senior Living has become the largest privately held operator in the U.S., with a portfolio of nearly 35,000 units across 350 communities in almost 40 states, supported by more than 17,000 employees.

    ISL's care philosophy centers on fostering dignity and respect for residents while promoting their independence and individuality. Their person-centric approach is exemplified in programs like Generations Memory Care, where individuals are viewed as whole persons first rather than being defined by their conditions. The company delivers meaningful and vibrant life experiences through exceptional amenities, award-winning programs, chef-prepared meals, and expert care. This commitment extends to creating fulfilling work environments for associates, recognizing that employee satisfaction directly impacts resident care quality.

    The company's excellence has earned significant recognition, including 19 communities being named among the Best Senior Living Communities for 2024. Under the leadership of President and CEO Collette Gray, who received the 2025 McKnight's Senior Living Women of Distinction Lifetime Achievement Award and was inducted into the McKnight's Women of Distinction Hall of Honor in 2023, ISL has maintained its position as an industry leader. The partnership with Discovery has proven transformative for operations, enhancing support services, improving employee retention through enhanced benefits, and allowing both companies to leverage best practices while maintaining their unique cultures and programs.

    People often ask...

    State of California Inspection Reports

    42

    Inspections

    11

    Type A Citations

    20

    Type B Citations

    5

    Years of reports

    01 Dec 2023
    Investigated the kiss allegation; could not prove or disprove that staff kissed the resident. Investigated the claim of unexplained injuries and short staffing; review of four residents showed none needed one-on-one care, and an unwitnessed fall did not prove staffing caused injuries; UNSUBSTANTIATED.
    19 May 2023
    Investigated and found the allegation that staff did not provide key fobs for access and retaliated against an authorized representative to be unsubstantiated.
    29 Sept 2022
    Found hot water was 110.6 degrees Fahrenheit in a resident bathroom, refrigerator was 40 degrees, and medications were securely stored in the med room, with 7-day non-perishable and 2-day perishable food supplies sufficient. Found interconnected smoke detectors with the sprinkler system, a carbon monoxide detector, and a full fire extinguisher last serviced on 9/1/2022; no accessible bodies of water, indoor and outdoor passageways free of obstructions, and no imminent health or safety concerns.
    30 Dec 2024
    Found that the resident experienced multiple falls, including a hospitalization after a fall, and that the care plan’s walker use and supervision were not consistently followed. Found that personal items were not safeguarded, with unsecured belongings and documentation gaps, and that staff did not follow physician’s instructions.
    • § 87217(b)
    • § 1569.269(a)(10)
    • § 87468.2(a)(4)
    05 Dec 2023
    Identified incomplete staff records from a September 2022 review, with missing applications and contact information for all three staff and no termination date or reason for one staff member; discussed with a former administrator and an email was sent. Noted a deficiency and that an exit interview was conducted.
    • § 87412(a)
    24 Apr 2025
    Investigated allegations that staff did not bathe residents, failed to dress or groom them, allowed sleeping on wet and dirty bedding, failed to report incidents, and did not meet diabetic needs; found hygiene and dressing lapses, incomplete reporting, and care plan concerns with disciplinary actions recorded. Observed no evidence that meals were denied, no food with ants was found, and no resident-to-resident aggression occurred; hydration practices improved after in-service training.
    • § 87211(a)
    • § 87555(b)(7)
    • § 87307(3)(c)
    • § 87411(a)
    • § 87464(f)(4)
    10 Apr 2025
    Reviewed the amended complaint and related documents to address the allegation noted in the previous final filing and to correct missing information from 12/30/2024. Arrived unannounced, explained the purpose of the visit, and conducted an exit interview.
    • § 9058
    01 Dec 2023
    Investigated the allegation that a resident sustained a fracture while in care, found bruising around the left shoulder before a medical visit, and noted that most staff were unaware of the injury and that the care plan inaccurately listed an assistive device. Investigated the allegations that reporting requirements were not met and that staff did not follow a licensed physician’s orders, including discrepancies between the medication administration record and orders; concluded that evidence did not clearly prove those items.
    • § 1569.269(a)(6)
    • § 87463
    • § 87211(a)(1)
    05 Mar 2024
    Identified that a staff member financially abused a resident by coordinating a trip funded by the resident, including airline tickets to New York for both and gifts such as a sweater and scarf.
    • § 1569.269(a)(10)
    30 May 2024
    Found no deficiencies after the visit; observed hallway temperature 72 degrees F, hot water around 112 F in several bathrooms, food supplies sufficient for 7 days non-perishable and 2 days perishable, refrigerator 39 F, freezer 0 F, medications locked in the med room, smoke detectors interconnected with the sprinkler system, first-aid kit complete, fire extinguisher full and last serviced 5/1/2024, no accessible bodies of water, and clear indoor and outdoor passageways.
    11 Sept 2024
    Found no deficiencies cited after an unannounced 1-year annual visit. Records for 5 staff and 5 residents were current, safety equipment and drills were up to date, and food storage and temperatures met required standards.
    03 Jun 2024
    Found no health or safety concerns after an unannounced visit; residents appeared safe and areas were clean and well maintained.
    29 Sept 2022
    Identified two safety deficiencies: unlocked rubbing alcohol and cleaning spray under a resident's bathroom sink, and unlocked scissors in a bathroom. Two of seven staff records were missing health screenings and TB tests, while PPE use and screening policies were in place.
    • § 87705(f)(1)
    • § 87705(f)(2)
    • § 87411(f)
    08 Nov 2023
    Identified deficiencies included loose ibuprofen in a kitchen cabinet and missing first-aid supplies for required staff during records review. Also observed were proper temperatures, adequate food and supplies, functioning detectors, and recent safety drills, with a request to submit liability insurance.
    • § 87411(c)(1)
    • § 87465(h)(2)
    18 Oct 2021
    Found no deficiencies; observed comprehensive infection control with universal screening at a central entry point (sign-in kiosk and hand sanitizer), posters on cough etiquette, social distancing, and hand washing, staff wearing PPE, a 30-day PPE supply kept centrally, two-day perishable and one-week non-perishable food stocks, and routine screening records kept.
    23 Feb 2023
    Identified violations: ombudsman and licensing posters were not properly posted (one missing in the lobby) and the complaint poster was not the correct size; and two chairs blocked an exit door in the memory care unit.
    • § 87307(d)(6)
    • § 87468.2(a)(10)
    08 Aug 2024
    Investigated an allegation that a resident did not receive proper medical attention in the care setting. Evidence indicated the assessment was not thorough and injuries were noticed only after the responsible party pointed them out.
    • § 87465(j)
    23 Feb 2023
    Found that complaint information was posted at the reception desk but not in the required 20-by-26 inch size. Identified a deficiency under state regulations and noted that failure to correct by the specified date could lead to penalties; an exit interview with management followed.
    • § 87468(c)(2)
    01 Dec 2023
    Identified the medication-allegation about gabapentin for resident R1, with missing MAR entries and no MAR copy available; noted gaps in safeguarding personal belongings and inconsistencies in laundry procedures. Found conflicting statements about whether residents’ ADL needs were met, whether housekeeping was performed, and whether linens were changed timely.
    • § 87468.2(a)(4)
    26 Oct 2020
    Reviewed and found that fire clearance exists for 80 non-ambulatory and 15 bedridden residents in a two-level building, with safety features including grab bars, proper water temperature, adequate lighting, a seven-day supply of non-perishable foods, secured medication storage, interconnected smoke detectors with sprinklers, and carbon monoxide detectors in common areas and apartments. Awaiting final licensing approval.
    30 Dec 2024
    Found inadequate staff training to provide care, missing or incomplete resident and staff records, and failure to submit incident reports as required.
    13 Aug 2024
    Identified misnumbered complaint from 8/8/2024 and corrected the record to the proper number. Observed no deficiencies and concluded with an exit interview.
    18 Aug 2022
    Found no deficiencies after a priority 1 complaint–driven health and safety check; observed 110°F hot water, 38°F refrigerator, medications securely locked, interconnected smoke detectors with the sprinkler system, carbon monoxide detector present, a full fire extinguisher last serviced 4/14/2022, adequate food supplies, and unobstructed indoor and outdoor passageways.
    01 Aug 2025
    Identified that a resident sustained a hip fracture during a morning transfer with no fall, according to staff statements and medical input. The physician noted a predisposition from a prior fracture and osteoarthritis, and no deficiencies were cited during the visit.
    • § 9058
    06 Mar 2025
    Found readiness for licensing; safety features were functional, furnishings were in place, and temperatures and hot water were within normal ranges. Confirmed no issues were identified.
    06 Feb 2025
    Confirmed COMP II was completed by telephone, with identities verified and understanding of licensing, resident populations, admissions, staffing and training, health condition restrictions, general provisions, emergency preparedness, complaints/reporting, and pre-licensing readiness; advised to submit LIC 809 with photo ID.
    11 Sept 2024
    Visited facility found to be in compliance with all regulations and requirements. No issues or deficiencies were noted during the inspection.
    13 Aug 2024
    No deficiencies were found during the visit.
    08 Aug 2024
    Found allegations of lack of thorough assessment for a resident to be substantiated, while allegations of medication mismanagement and lack of supervision were unsubstantiated.
    • § 87465(j)
    03 Jun 2024
    Found no health or safety concerns during the visit.
    30 May 2024
    Confirmed no deficiencies found during the health & safety inspection visit.
    05 Mar 2024
    Confirmed financial abuse of a resident by a staff member through unauthorized purchases and expenditures.
    • § 1569.269(a)(10)
    05 Dec 2023
    Identified deficiencies in staff records and failure to maintain complete documentation during the visit.
    • § 87412(a)
    01 Dec 2023
    Confirmed inappropriate behavior between staff and a resident, but unable to prove or disprove the allegation. Found insufficient evidence to support claims of inadequate care due to staffing levels.
    08 Nov 2023
    Observed deficiencies included loose medication and missing first aid supplies during the annual visit.
    • § 87465(h)(2)
    • § 87411(c)(1)
    19 May 2023
    Interviews and observations indicated that allegations of staff withholding key fobs for facility access and retaliating against an authorized representative were not supported by evidence.
    23 Feb 2023
    Confirmed a deficiency in posting complaint information in the correct size as required by regulations.
    • § 87468(c)(2)
    29 Sept 2022
    Inspection found overall safety and health conditions to be satisfactory, with no immediate concerns identified.
    18 Aug 2022
    Inspection found no immediate health or safety concerns at the facility.
    18 Oct 2021
    Inspection found no deficiencies, facility in compliance with infection control protocols.
    26 Oct 2020
    Confirmed sufficient safety measures in place, including fire clearance, grab bars in bathrooms, interconnected smoke detectors, and well-stocked medication carts.
    08 May 2020
    Confirmed successful completion of Component II for an initial RCFE application, with the applicant demonstrating understanding of relevant regulations and requirements.

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