Aldersly

    326 Mission Ave, San Rafael, CA, 94901
    4.3 · 20 reviews
    • Independent living
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    4.0

    Warm active community, some understaffing

    I placed my mom here and overall I'm pleased: staff are warm, caring and helpful, the facility and grounds are beautiful with garden-style buildings and Mt. Tam views, meals are plentiful and tasty, and activities (bocce, rummikub, cookouts, movie nights, outings) keep residents engaged. Memory care staff were kind and my relative thrived after transitioning from hospice. Biggest drawbacks are recurring understaffing (weekends especially), occasional supply and pandemic-related issues, tight/smaller units with stairs and limited parking, and ongoing pricing increases. For a friendly, active, professionally run community, I feel it was the right choice despite the staffing/value concerns.

    Pricing

    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
    • 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

    4.25 · 20 reviews

    Overall rating

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

      3.9
    • Staff

      4.0
    • Meals

      4.1
    • Amenities

      4.3
    • Value

      1.7

    Pros

    • Friendly, caring and attentive staff
    • Helpful staff and smooth move-in assistance
    • Varied, regular activities (bocce, rummikub, parades, cookouts, movie nights)
    • Restaurant-style dining and multiple dining areas
    • High-quality and plentiful meals reported by many
    • Beautiful grounds and gardens with pleasant views (Mt. Tam)
    • Large library and available reading spaces (in many reports)
    • Transportation and bus service for outings
    • Gym with instructor and opportunities for physical activity (reported)
    • Bright, clean, light and airy facility
    • Garden-style, non–high-rise apartments
    • Memory care staff praised (supervisor Garmen) and individualized care
    • Family-focused atmosphere and walkable neighborhood
    • Extended meal hours and advance meal lists
    • Welcoming management and specific praised staff (Rosanne Angel, Shannon)

    Cons

    • Inadequate staffing at times (weekends understaffed, general shortages)
    • Supply shortages during pandemic (gowns, face cloths, towels)
    • Reports of virus outbreak and quarantined nurses' floor
    • High buy-in and pricing increases during COVID (cost concerns)
    • Small one-bedroom units in some buildings
    • Many stairs and insufficient number of elevators
    • Limited parking availability
    • Mixed reports about dining quality and dining-room experience (steam trays, no tablecloths)
    • Some staff language barriers and staff chatting in hallways
    • Inconsistent facility features (some report no gym or library; ongoing construction)
    • Perception of poor value for money by some residents/families
    • Occasional casual or not-smooth staff interactions despite friendliness

    Summary review

    Overall sentiment across the reviews is predominantly positive, with repeated praise for the staff, activities, dining, and the attractive campus, but with clear and recurring concerns around staffing levels, costs, and some inconsistencies in facilities and service.

    Care quality and staff: The most consistent praise goes to the staff — described repeatedly as friendly, warm, caring, attentive, and helpful. Several reviews single out individual staff and managers (e.g., Rosanne Angel, executive director Shannon, memory care supervisor Garmen) as especially supportive, and families report individualized care and smooth transitions (including from hospice into regular residency). Positive mentions of move-in assistance and thorough tours reinforce a perception of a resident-centered, family-focused environment. However, multiple reviews also raise staffing concerns: weekends can be understaffed, there have been supply shortages during the pandemic, and some reports describe inadequate staffing that impacted care and resident comfort (residents sleeping in knit shirts cited as an example). Some reviews mention language barriers among staff and casual hallway conversations that detract from professionalism. These mixed reports suggest strong individual caregiver commitment but system-level staffing and training gaps that occasionally affect the resident experience.

    Facilities and grounds: Reviewers frequently praise the campus aesthetics — bright, clean, light and airy buildings, large gardens, first-class garden areas, and notable views (Mt. Tam). The setting is described as walkable and well kept, with pleasant touches like essential oil diffusers and a grand piano. Apartment style is often garden-style rather than a high-rise, and some residents report very nice, large one-bedroom units. At the same time, there are practical facility concerns: several reviewers note many stairs and an insufficient number of elevators, which can be a mobility problem. Parking is limited according to multiple comments. There are contradictory reports about on-site amenities: some residents describe a gym with an instructor and a large library, while others report no gym or no library and note ongoing construction. Those contradictions suggest that amenities may vary between buildings or that features have changed over time.

    Dining and food service: Dining is a prominent theme with a split picture. Many reviewers praise restaurant-style dining, extended meal hours, advance meal lists, plentiful and high-quality meals, and courteous dining room staff. Multiple dining areas are appreciated, and some reviewers describe the dining room as beautiful. Conversely, others describe the dining experience as less refined — small dining rooms, steam trays, no tablecloths, or “so-so” food. This variation may reflect differences across buildings, meal periods, or changes over time (some reports indicate improvement while others recall poorer service). Overall, dining is generally seen as a strong point but not uniformly excellent.

    Activities and social life: Activity programming is repeatedly highlighted as a strength. Reviews list a varied set of regular activities — bocce, rummikub, card games, parades, outdoor cookouts, movie nights, and more — plus transportation for outings. Several reviewers report that the activities are engaging and that residents thrive socially. The presence of structured physical activity and instructor-led programs (where available) further supports an active, social environment.

    Management, policies, and pandemic response: Management receives positive mentions for being welcoming and helpful, and several reviewers feel glad about their decision to move to Aldersly. Some reviewers specifically praise pandemic safety measures and detailed responses; others report serious pandemic-related issues such as supply shortages, an outbreak that led to a quarantined nurses’ floor, and price increases during COVID. Pricing and value for money are a concern for some families: reviews mention a high buy-in, COVID-era pricing increases, and perceptions of inadequate value given occasional staffing and supply problems.

    Summary assessment and patterns: In synthesis, Aldersly appears to be a well-maintained, attractive senior living community with strong programming, pleasant grounds, and many devoted staff members who provide caring, individualized attention. The most frequent negatives center on operational issues: inconsistent staffing levels (especially on weekends), pandemic-era supply and outbreak problems, cost/value concerns, some older or smaller apartments, elevator/stairs limitations, and occasional variability in amenities like gym and library access. Prospective residents and families should weigh the strong social life, dining (generally well-regarded), and positive staff interactions against the potential for understaffing, additional costs, and variability across buildings or over time. A careful, up-to-date tour focusing on the specific building, elevator access, parking, dining experience, and recent staffing patterns would help confirm which of the mixed reports apply to a particular unit or timeframe.

    Location

    Map showing location of Aldersly

    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...

    State of California Inspection Reports

    42

    Inspections

    7

    Type A Citations

    2

    Type B Citations

    6

    Years of reports

    01 Jul 2025
    Investigated four complaints about resident rights, reporting requirements, COVID protocol during an outbreak, and staffing. Concluded the available evidence did not support the claims, after reviewing records and interviewing involved parties.
    15 Oct 2024
    Identified three resident-related incidents: one resident was found outside on the grounds unable to leave unassisted and had no dementia diagnosis; a second resident was found on the floor with wine in the room and has mild cognitive impairment; a third resident was found outside across the street with an inoperable garden exit lock, though wander bracelet was functional and the resident has dementia. A civil penalty of $1,000 was issued for a repeat violation within 12 months.
    29 Feb 2024
    Found a resident with a stage II coccyx wound observed on 02/21/2024; first aid was provided and all required notifications were made. Engaged a wound-care provider to evaluate and oversee treatment, with ongoing communication and documentation, and no deficiencies cited.
    29 Feb 2024
    Investigated allegation that care needs were not met for the resident—specifically no shower, no incontinence care, and no suppository administration. Due to missing records and unavailable staff, unable to determine whether any violations occurred.
    29 Feb 2024
    Investigated allegations of unmet care needs, including not showering, not providing incontinence care, and not administering suppository medication, leading to a urinary tract infection and sepsis, but insufficient evidence to determine regulatory violations.
    • § 87705(b)(2)
    18 Oct 2023
    Identified two elopement incidents: a resident went missing during a community outing and was later found safe, and another resident eloped and was found nearby, resulting in a civil penalty of $1,000 for a repeat violation.
    18 Oct 2023
    Identified deficiencies in procedures and training related to resident elopements during community outings, resulting in a civil penalty being issued.
    26 Sept 2023
    Identified that a resident wandered off during a group outing to the zoo and was later found safe; the supervision issue tied to the incident was cleared. The annual continuation visit was scheduled for a later date.
    • § 87705(b)(2)
    26 Sept 2023
    Identified cleanliness, safety, and staffing compliance during inspection. Incident of resident elopement resolved with new procedures implemented.
    • § 87705(b)(2)
    21 Apr 2023
    Identified lapses in incident reporting and documentation, including two falls not reported within seven days and two death notices submitted on February 7, 2023; noted an allegation that law enforcement was not contacted for a death, with 911 called instead, and questioned January security guard rounds.
    21 Apr 2023
    Investigated allegations regarding feeding plan compliance and hospice instructions for a resident; found that feeding assistance was not consistently provided and care plans appeared misused or outdated. Found conflicting information about supervision, fall-risk safety measures, food disposal, and medication handling, with some records suggesting adequate response while private caregivers and others reported gaps, making some conclusions unclear due to inconsistent reports.
    • § 87555(b)(7)
    21 Apr 2023
    Identified failures to follow resident feeding plan, shortcomings in supervision, and incidents of falls. No clear evidence found for improper food disposal and missed medication administration.
    09 Mar 2023
    Identified three incidents: a resident found outside and later deceased, a second resident with a skin tear who transitioned to memory care, and a third case of suspected financial abuse involving a private caregiver, with authorities notified.
    09 Mar 2023
    Found that the allegation that staff did not provide resident's files to the authorized representative was unfounded, noting the resident resided in the independent living area outside licensing jurisdiction and no deficiencies were identified on the regulated side.
    09 Mar 2023
    Investigated incidents involving residents resulted in appropriate actions being taken by the facility, including notifications and changes in level of care for individuals involved.
    • § 87211
    07 Feb 2023
    Reviewed incident and death reports, the call-light system audit, annual expectations, updating staff and resident files, and staff training. Found no deficiencies cited during the visit.
    07 Feb 2023
    Investigated the allegation that staff did not provide enough liquids to residents; found insufficient evidence to support the allegation. Investigated the allegation that staff did not report a resident incident to the authorized representative; due to inconsistent information and inability to interview a key party, unable to determine whether reporting occurred.
    07 Feb 2023
    Investigated the allegation of neglect/lack of supervision resulting in an unexplained injury; based on reviewed records and interviews, inconsistent information and lack of corroborating observations prevented a determination on whether neglect or supervision lapse occurred.
    07 Feb 2023
    Investigated allegations that staff failed to provide enough liquids and did not report an incident to a resident's authorized representative. Both allegations were deemed unsubstantiated due to insufficient evidence.
    29 Dec 2022
    Identified a resident fall resulting in a fracture that was not reported to licensing nor documented on the required incident form, and noted no incident reports were submitted for November through December 2022. A civil penalty was issued and will continue to accrue daily.
    29 Dec 2022
    Found that staff did not respond promptly to residents' emergency call buttons and that staffing levels were inadequate to meet residents' needs. Evidence from call button logs showing long wait times, alarms that continued until cleared, and interviews with residents and staff supported these findings.
    29 Dec 2022
    Identified a Fall Incident that Resulted in a Fracture and a Failure to Report Incidents Promptly.
    • § 87411(a)
    08 Nov 2022
    Found infection control measures were in place, with staff wearing masks, hand-washing signs posted, a clean environment, and a daily cleaning/disinfecting schedule; a 30-day supply of PPE and medications was maintained. Documents to update the file were requested and due by the stated date; no deficiencies were cited.
    08 Nov 2022
    Confirmed no deficiencies during the inspection.
    • § 87211
    01 Nov 2022
    Found an unannounced case-management visit to discuss the dementia care program; no deficiencies were cited.
    01 Nov 2022
    Visited by CCL analyst to discuss dementia care program, no deficiencies found.
    03 Oct 2022
    Found no preponderance of evidence to support the three allegations: a resident fall resulting in facial injuries, lack of cleanliness, and insufficient staffing.
    03 Oct 2022
    Confirmed findings of cleanliness and staffing levels, but could not determine the validity of the allegation that a resident fell and was injured.
    13 Sept 2022
    Found that a case-management visit was conducted to follow up on change-of-administrator paperwork, with a backup administrator designated; several required administrator-related documents were requested by a deadline, a walkthrough was completed with no deficiencies, and an exit interview was held.
    13 Sept 2022
    No deficiencies cited during the visit.
    07 Jul 2022
    Identified a deficiency during an unannounced visit when a trash bag tied in a resident's closet blocked access to clothing, a personal rights issue. Management removed the bag.
    07 Jul 2022
    Identified deficiencies in resident's room, including a Personal Rights issue with access to clothing.
    05 Apr 2022
    Identified that the allegations of resident falls and minor injuries, unqualified staff providing care, and inadequate laundry and hygiene services were unsubstantiated.
    05 Apr 2022
    Found that a resident's fall went unreported to licensing and that incidents were not documented on required incident reports.
    05 Apr 2022
    Confirmed reports of resident falls and minor injuries, but found no evidence of unqualified staff or inadequate laundry/hygiene care.
    • § 87468.1
    10 Feb 2022
    Found an unannounced visit confirmed the expansion area can house 15 residents, with 5 private and 5 shared rooms (2 residents per shared room) and furnishings that meet regulations. Fire safety approval was obtained, construction was completed in 2021, and the licensee plans to increase capacity from 122 to 137 based on a new room sketch; no deficiencies were observed.
    10 Feb 2022
    Confirmed no deficiencies during capacity increase inspection, approved for additional residents.
    • § 87211
    09 Sept 2021
    Found no deficiencies during a Required-1 Year visit; safety measures, cleanliness, and resident supports were in good order, with records and PPE up to date.
    09 Sept 2021
    Confirmed cleanliness, safety, and compliance with regulations during the inspection.
    10 Aug 2021
    Investigated a complaint alleging that the responsible party was not notified about room modifications. Found this allegation unfounded. Investigated a complaint alleging that staff installed an inappropriate alarm on a resident's door. Found this allegation unsubstantiated.
    10 Aug 2021
    Validated an allegation regarding room modifications notification to the responsible party, but dismissed a claim about inappropriate alarm installation on a resident's door.
    16 Oct 2019
    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.

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