Pricing ranges from
    $4,000 – 4,800/month
    AnonymousLoved one of resident
    5.0

    Compassionate holistic care and meals

    I placed my mom at Marama and have been thrilled - Chef Gil's three organic, restaurant-quality, brain-and-body-optimized meals and snacks are amazing, the staff are unbelievably kind, loving, and communicative with family, and the 12-bed home is immaculately clean with sunny rooms, a patio, and beautiful grounds. Dr. Sandison's holistic, cutting-edge care (specialized diets, supplements, sauna/red-light therapy, oxygen-assisted exercise, hospice supervision, state certification) has given us real hope for cognitive improvement while residents are treated with dignity and prioritized. I'm grateful - it feels like a peaceful, welcoming healing oasis.

    Pricing

    $4,000+/moSemi-privateAssisted Living
    $4,800+/mo1 BedroomAssisted 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
    • 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

    4.50 · 8 reviews

    Overall rating

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

      4.3
    • Staff

      4.3
    • Meals

      5.0
    • Amenities

      5.0
    • Value

      5.0

    Pros

    • Specialized diet tailored for brain and body health
    • Holistic medical work-up and root-cause approach
    • Use of supplements and alternative therapies (sauna, red-light therapy)
    • Exercise programs with supplemental oxygen
    • Reports of clinical improvements and potential reversal of cognitive symptoms
    • Highly praised medical leadership (Dr. Sandison and team)
    • Loving, dignified, and respectful daily care
    • Staff consistently described as kind, encouraging, and beloved by residents and families
    • Welcoming, home-like environment
    • On-site owners living on the premises
    • Hospice supervision available when needed
    • State audited/certified facility
    • Good communication with families
    • Peaceful end-of-life experiences reported
    • Small 12-bed size enabling individualized attention
    • Abundant natural light and pleasant views
    • Well-maintained, immaculately kept grounds and rooms
    • Unique activities and alternative therapy offerings
    • High-quality meals prepared by Chef Gil (three meals daily)
    • Organic, restaurant-quality food optimized for brain/body health
    • Safe, clean, and cheerful environment
    • Patio outside rooms and outdoor sunshine
    • Residents prioritized and treated with utmost respect
    • Transformative outcomes and grateful families
    • Healing oasis / cutting-edge medical care atmosphere

    Cons

    • Allegation of not following medication guidelines
    • Claim of unskilled nursing by at least one reviewer
    • At least one strongly negative review calling for closure

    Summary review

    Overall sentiment: The reviews for Marama are overwhelmingly positive, with multiple reviewers describing the facility as a healing oasis that combines cutting-edge, root-cause medical care with warm, family-style caregiving. Most reviewers emphasize dramatic, observable improvements in residents’ cognitive and physical conditions, crediting a specialized, holistic program led by Dr. Sandison and his team. Across many accounts families express gratitude, relief, and renewed hope — particularly for people with cognitive decline — and praise both the medical approach and the day-to-day caregiving.

    Care quality and medical approach: A dominant theme is Marama’s integrative, brain-health-focused model. Reviewers repeatedly mention a comprehensive medical work-up, targeted supplements, specialized diet, and therapies such as sauna, red-light treatment, and exercise with supplemental oxygen. Many families report meaningful improvements in symptoms and describe the program as offering potential reversal or prevention of dementia-related decline; these are presented as anecdotal outcomes by grateful families. The medical leadership (specifically Dr. Sandison) and his clinical team receive frequent accolades for expertise and dedication. The facility is also described as state audited/certified and having hospice supervision available, which reviewers cite as assurances of oversight and end-of-life support.

    Staff, communication, and management: Staff are consistently portrayed as a major strength. Words used across reviews include loving, kind, encouraging, cheerful, and attentive. Families note strong communication and frequent updates, and many highlight the benefit of on-site owners living at the facility — contributing to a family-like, accountable atmosphere. Several reviews describe dignified, person-centered care that prioritizes residents’ preferences and daily joy, and one account specifically mentions a peaceful, well-supported passing. The small size (12 beds) is framed positively in most reviews, enabling plenty of individualized attention and close relationships between staff, residents, and family members.

    Facilities, environment, and activities: The physical environment is described as bright, cheerful, and immaculately kept. Reviewers frequently mention natural light, pleasant views, a patio outside rooms, and well-maintained grounds. Rooms are described as well-equipped and comfortable. Activities are noted as unique and complementary to the medical program, and the overall atmosphere is repeatedly called joyful and restorative. Many families highlight the sense of safety and the emotional uplift residents experience while living there.

    Dining and nutrition: Food and nutrition receive especially strong praise. Multiple reviews name Chef Gil and commend three high-quality meals per day, snacks, and an emphasis on organic ingredients. The meals are described as restaurant-quality and specifically optimized for brain and body health rather than merely taste or convenience. Nutrition is presented as a core component of the therapeutic strategy and a daily highlight for residents.

    Concerns and dissenting feedback: While nearly all reviews are positive, there is at least one strongly negative review alleging serious problems: claims that the facility does not follow medication guidelines, employs unskilled nurses, and a recommendation that it should be shut down. This is a stark outlier compared with other comments. Given the severity of those allegations, prospective residents and families should treat them seriously and seek clarifying information directly from Marama: request documentation of clinical protocols, medication administration policies, staff licensing and training records, and details of state audits and certifications. It would also be prudent to ask for references from current families and to verify hospice partnership details.

    Synthesis and recommendations: The bulk of reviews portray Marama as a small, high-touch, clinically innovative memory care setting that couples alternative, nutrient- and lifestyle-based interventions with compassionate caregiving and strong family communication. Most reviewers attribute notable health and quality-of-life improvements to the facility’s comprehensive approach. However, the presence of a forceful negative claim about medication practices and nursing skill elevates the importance of due diligence. Prospective families should verify licensure, ask specific clinical questions about medication management and nursing oversight, and consider meeting the clinical team (including Dr. Sandison) and touring the facility to reconcile overwhelmingly positive testimonials with the isolated but serious complaint.

    Location

    Map showing location of Marama

    About Marama

    Marama sits on a peaceful, gated property in Vista at 727 Ascot Drive, and the community runs out of a large, custom-built two-story home that welcomes residents with plenty of natural light and beautiful hillside views filled with greenery, which you can enjoy from quiet outdoor sitting areas, and the place has a cozy, home-like feel since it houses only twelve residents at a time, with at least three long-term staff members on duty during the day. The care here is focused on dementia and Alzheimer's, offering services for people in mid to moderate stages, and the staff makes personalized care plans so each resident gets the right help. Marama follows Dr. Dale Bredesen's protocol, which is unique in the USA, with the goal of slowing or even reversing memory decline for those with Alzheimer's and dementia using a mix of medical support, brain-healing activities, and a specific diet.

    Residents get three home-cooked, nutritious meals and two snacks daily, with food tailored for special diets like the organic Keto-Flex diet, vegan options, and allergy accommodations, earning recognition for tasty and healthy meals. The culinary experience includes family-style and formal dining, all enjoyed in beautiful indoor or outdoor spaces, with organic mattresses and linens in the rooms and non-toxic housekeeping services. Marama also has a special organic garden where residents can walk and help grow things like artichokes, which ties into classes on gardening, cooking, and herbalism.

    The staff supports personal hygiene, medication management, and health and wellness programs, while residents can join cognitive therapies and activities like LiveO2, BioMat, infrared sauna, Joovv light, VieLight, yoga, chair exercises, journaling, book club, dual-tasking exercises, live music, meditation, group games, animal visits, confidence building, and monthly outings. Residents can also get personalized salon services for men and women, social and educational activities, and counseling.

    Marama has a private, safe environment, providing a structured daily routine and immersive lifestyle program, focusing on helping people return to as much independent living as possible. The small size, caring team, and friendly community often earn praise for a loving atmosphere and individualized care. Marama has earned several awards, including the Best of Senior Living All Star Award for outstanding reviews and the Best Meals and Dining award. The facility operates Monday to Friday from 9 AM to 5 PM, and offers tours by application so families can see the place and programs for themselves. All these features work together to support residents' cognitive health and comfort, using evidence-based strategies to halt dementia progression and actively improve quality of life.

    People often ask...

    State of California Inspection Reports

    20

    Inspections

    2

    Type A Citations

    3

    Type B Citations

    6

    Years of reports

    26 Aug 2024
    Identified that all residents had been relocated by 06/30/2024 and no residents were in care at the time; the licensee no longer wished to hold a license, an exit interview was conducted, and a final closure letter will be sent to the licensee’s mailing address.
    26 Aug 2024
    Investigated the allegation that staff did not assist with mobility needs, and found that the resident required two-person transfers with a gait belt and transfers were performed by more than one person with no staffing shortages noted; there was insufficient evidence to prove the allegation.
    26 Aug 2024
    Conducted final inspection; facility closed; all residents relocated.
    16 Apr 2024
    Identified that one resident's dementia-related Physician's Report was not updated for 2024, with the last on file dated 02/25/2023. A deficiency for the lack of an up-to-date annual report for a resident with dementia was noted.
    16 Apr 2024
    Identified outdated physician report for a resident with dementia during visit. Deficiency cited, corrective action required.
    19 Sept 2023
    Found that infection control measures, safety systems, medications, and resident records were in order, with no deficiencies identified. Noted disaster preparedness, functioning safety equipment, and adequate food and emergency supplies.
    19 Sept 2023
    Confirmed no deficiencies observed during the inspection.
    07 Sept 2022
    Found infection control measures in place, including a designated lead responsible for tracking any cases and for maintaining PPE supplies and cleaning provisions. Noted no COVID-19 cases on-site; 9 clients and 5 caregivers were present, and an exit interview was conducted.
    07 Sept 2022
    Observed infection control measures in compliance during recent inspection.
    20 Jul 2022
    Investigated the allegation that residents were not provided telephone communication; found a phone available for use with staff assistance and no clear evidence that messages were withheld, though one resident was not interviewed. Investigated the allegation that residents did not receive appropriate medical care; records showed medical assessments and subsequent doctor visits for both residents.
    20 Jul 2022
    Confirmed failure to provide telephone communication for residents. Medical care allegations unfounded.
    17 Jun 2022
    Found the allegation that a resident was illegally evicted unfounded, since there was a change of condition, a rate change was proposed but not implemented, no eviction notice was issued, and the resident voluntarily transferred.
    17 Jun 2022
    Investigated the allegation of illegal eviction through a rate change and determined it unfounded, as the resident voluntarily transferred after proposed rate change due to a change in condition.
    • § 87705(c)(5)
    28 Sept 2021
    Found infection control measures in place, including central entry screening, routine symptom checks for staff and visitors, PPE availability, hand hygiene stations, and a designated visitation area; no deficiencies observed.
    28 Sept 2021
    Confirmed no deficiencies found during the inspection and facility is in compliance with infection control practices.
    31 Jul 2020
    Confirmed compliance with all regulations and standards during virtual inspection. Ready for licensure pending final management approval.
    15 Jun 2020
    Confirmed understanding of facility operations, staff qualifications, program policies, grievance procedures, physical plant, and application requirements during the inspection.
    19 Feb 2020
    Reviewed a visit conducted by a Licensing Program Analyst to address an amended form, ensure appeal rights were provided, and conduct an exit interview with the General Manager.
    • §
    • §
    14 Jan 2020
    Reviewed deficiencies had been corrected, except for one regarding medication logs. A penalty was assessed until the deficiency is resolved.
    22 Nov 2019
    Identified deficiencies were corrected during the inspection. All necessary safety measures were observed, and residents were provided with appropriate care and living conditions.
    • § 87465(h)(2)
    • § 87309(a)

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