Pricing ranges from
    $6,047 – 7,861/month

    The Kensington Sierra Madre

    245 W Sierra Madre Blvd, Sierra Madre, CA, 91024
    • Independent living
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    3.0

    Beautiful facility, caring staff, concerns

    I love the beautiful, spotless facility, outstanding food, abundant activities and-above all-the warm, attentive, dementia-trained staff who made my loved one feel at home. That said, my check-in was terrible, communication from the nurses' station was often slow/unresponsive, and there were worrying lapses (a COVID incident, delayed test/results and some missed orders) plus very small rooms. Overall I'm grateful for the compassionate frontline team, but management/administrative communication and a few safety/operational issues gave me pause given the high cost.

    Pricing

    $6,047+/moSemi-privateAssisted Living
    $7,256+/mo1 BedroomAssisted Living
    $7,861+/moStudioAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • 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

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    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

    4.90 · 198 reviews

    Overall rating

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

      4.8
    • Staff

      4.8
    • Meals

      4.6
    • Amenities

      4.7
    • Value

      2.3

    Pros

    • Warm, compassionate and attentive staff
    • Highly trained memory-care staff and dementia-focused approach (Teepa Snow/PAC)
    • Personalized memory care and strong nursing attention
    • Engaging, varied daily activities and frequent outings
    • Live music, theater and special event programming
    • Beautiful, professionally designed and well-maintained facility and landscaping
    • Multiple comfortable common areas, patios and gathering options
    • On-site amenities: salon, movie theatre, gym/physical therapy, large kitchen
    • High-quality, well-presented and varied dining options
    • Clean, home-like atmosphere with 5-star cleanliness reported
    • Smooth move-ins and welcoming tours with personalized attention
    • Frequent family communication, photo updates and resident stories
    • Responsive front-line caregivers and effective emergency response
    • Multiple levels/neighborhoods for memory care (Connections, Haven)
    • Strong sense of community, resident engagement and family inclusion
    • Prime, desirable downtown Sierra Madre location near park/events
    • Staff continuity and positive workplace culture (long-tenured staff)
    • Thoughtful special events and celebrations (holidays, concerts, brunches)
    • Accessible on-site medical services and visiting physicians
    • Approachable administration and named staff with positive reputations

    Cons

    • High cost / expensive pricing and value concerns
    • Variable communication and slow responsiveness from nursing/clinical teams
    • Reported clinical lapses (delayed tests, wound care orders not followed)
    • Allegations of inappropriate medication use or overmedication in at least one case
    • Instances of residents moved out shortly after admission due to care issues
    • Small or claustrophobic private rooms / limited in-suite storage
    • Medication delivery errors reported (meds delivered to wrong person)
    • Inconsistent shift-to-shift communication among staff
    • Some reports of poor management responses or unprofessional behavior
    • Limited weekend transportation or flexibility in services for some families
    • Inconsistent infection/bed-bug protocols reported in isolated incidents
    • Occasional need to hire external caregivers due to perceived in-house staffing gaps
    • COVID-era visitation and communication frustrations for some families
    • Perception by some reviewers that care decisions can be profit-driven

    Summary review

    Overall sentiment: The Kensington Sierra Madre receives overwhelmingly positive reviews from a large number of residents and families. The most frequently praised elements are the staff — described as warm, compassionate, attentive and highly trained — and the community’s dementia-focused memory care programs. Many reviewers highlight Teepa Snow’s Positive Approach to Care (PAC) principles being used, personalized memory-care neighborhoods (Connections, Haven), and caregivers who know residents individually. The facility’s aesthetics, cleanliness, and well-maintained grounds are consistently lauded: reviewers call it beautifully landscaped, professionally designed, immaculate and home-like.

    Care quality and staff: The dominant theme is that frontline caregivers, nursing staff and life-enrichment teams do an exceptional job. Numerous comments single out nurses, care managers and specific staff members (e.g., Deseree, Debbie, Jodie, Martha, Erika, Daniel, Cynthia, Leandra) for compassionate, respectful, and timely hands-on care. Families report smooth transitions after move-in, regular photo updates and stories, coordinated emergency responses, dignity-preserving dementia care, and a team-oriented culture. Several reviewers attest to professional clinical offerings like on-site physical and occupational therapy and visiting physicians. Staff training, ongoing caregiver education and the use of PAC are called out as strengths that improve day-to-day resident engagement and reduce unnecessary medication use for behavior management.

    Facilities, amenities and dining: The Kensington’s physical plant and amenities are a major draw. Reviewers celebrate multiple common areas, patios with mountain views, a movie theatre, on-site salon, chef-driven dining, varied menus and beautifully plated meals. Events, live music, holiday celebrations, weekly field trips and creative programming (ice sculptures, luaus, concerts) contribute to a lively community atmosphere. Many reviews describe the environment as resort-like yet homey, with strong attention to decor, scent and cleanliness. The central downtown Sierra Madre location adjacent to Memorial Park and City Hall is repeatedly noted as highly desirable for families and residents.

    Activities and community engagement: Activity programming is frequently praised for being diverse, stimulating and responsive to resident needs — from live music and theater to museum outings and educational seminars. Residents and families report a warm, family-like social environment where involvement is encouraged (resident boards, family events) and community outreach (presentations on aging, CBD alternatives, eye health) is offered. Many reviewers describe a real sense of belonging, frequent celebrations and staff who go above and beyond to create memorable moments and personalized events.

    Areas of concern and variability: Despite the many positives, a consistent minority of reviews raise important concerns that future families should investigate carefully. Communication issues are a recurrent theme: some families report slow or unresponsive nurse stations, delays in replying to messages, lack of written medical records or incomplete shift-to-shift handoffs. Clinical lapses are described in isolated but significant ways — delayed test results, wound care orders not being implemented, medication errors (meds delivered to the wrong resident), and at least one severe allegation involving overmedication and sudden weight gain. These reports are not the majority but are serious and suggest variability in clinical follow-through and documentation.

    Cost, value and management: Pricing is frequently described as high; many reviewers state the community is not inexpensive and some question value relative to cost. A few families perceived decisions as financially driven and reported dissatisfaction with charges or with flexibility (e.g., weekend transportation). There are sporadic reports of unprofessional management behavior or negative interactions after families voiced criticism. A few reviewers also indicated that, in specific cases, they needed to retain outside caregivers because they felt in-house clinical support was insufficient for a particular resident’s needs.

    Room size, infection protocol and other operational issues: Practical concerns raised by multiple reviewers include small private rooms and limited closet/storage space for some floorplans. There are isolated complaints about infection or pest protocols (COVID communication issues, a reported lack of clear bed-bug protocol) and a few negative experiences related to initial check-in, billing or COVID-era visitation restrictions. While these appear infrequent relative to the many positive posts, they point to the importance of confirming operational policies directly.

    Recommendation and due diligence: The aggregate picture is one of a high-quality, well-respected senior living community with outstanding staff, robust memory-care programming and a strong emphasis on activities, dining and resident quality of life. However, the reviews also reveal variability in clinical communication and a small number of serious clinical and management complaints. Prospective residents and families should do direct due diligence: tour multiple neighborhoods and specific floorplans to confirm room size and storage; meet nursing leadership and ask about staffing ratios, wound-care and medication management protocols; request examples of shift-to-shift communication and documentation practices; ask for references from current families with similar care needs; review infection-control, pest-control and COVID policies; and obtain clear written estimates of all fees and transportation/service availability (including weekends). That balanced approach will help maximize the community’s many strengths while minimizing the risk indicated by the minority of negative reports.

    Location

    Map showing location of The Kensington Sierra Madre

    About The Kensington Sierra Madre

    The Kensington Sierra Madre is a two-story senior living community that offers several options for older adults, whether folks want to live completely on their own in independent living, need a little help each day with assisted living, or require special memory care for dementia or Alzheimer's, and there's even a skilled nursing section for those needing more medical support. The building was designed with safety and comfort in mind, so the rooms and common spaces are all built for seniors to feel secure and relaxed, and there are floor plans and suites to fit different needs, including options for couples care. Residents get nutritious meals, and there are culinary reservations if someone prefers a different dining experience. There's reliable transportation for residents, so trips to local spots like the library, post office, church, or nearby restaurants such as Wistaria Restaurant and The Only Place In Town are easy, and the whole place is handicap accessible with Wi-Fi and high-speed internet. The staff aims to respond quickly and provide care that feels personal, and there's a focus on keeping up with activity programs, recreation, and community involvement so folks can stay active and connected, whether that's through fitness classes, The Kensington Club, seasonal events, or just taking part in the life enrichment programs. For memory care, the community uses Positive Approach to Care® methods and offers special programs and support for people with memory loss; they also help families with information, care planning, caregiver tips, and there's a newsletter and community resources to help people stay informed. There are also rehabilitation services, companion care, and couples care, so no one has to go through changes alone if their health needs shift over time, and folks can move between levels of care if necessary. The Kensington Sierra Madre has an executive director and director of community relations, and people can get in touch by phone, email, or text to learn more about becoming a resident, job openings, volunteering, or just to get their questions answered, and if someone wants a closer look, there's a virtual 360 tour online to walk through the community from anywhere. The whole place tries to provide a safe, caring, and comfortable home for seniors, with as much or as little support as each person needs.

    People often ask...

    State of California Inspection Reports

    18

    Inspections

    12

    Type A Citations

    0

    Type B Citations

    3

    Years of reports

    27 Jun 2025
    Found the allegation that there was no designated substitute administrator UNSUBSTANTIATED. Staff and residents said management could be reached easily, and records showed someone designated to assist in the administrator’s absence with visible contact information.
    07 Jun 2025
    Identified that the allegation of physical abuse by staff toward a resident was supported by evidence, including observed pushing into bed and rough handling during dressing, with dismissive remarks noted. The resident was unable to provide meaningful feedback due to cognitive impairment; a staff member was terminated, and police and the responsible party interviews did not corroborate the allegation.
    • § 87468.1(a)(3)
    • § 87468.1(a)(3)
    16 May 2025
    Identified that staff camouflaged a resident’s medication in pudding without the resident’s knowledge or consent and without a physician’s order, despite the resident’s ability to communicate symptoms and occasional refusal, creating an immediate risk to the resident’s health and rights.
    • § 9058
    • § 87465(a)(5)
    • § 50429162024
    15 May 2025
    Found that the front entrance had a mechanical issue but was repaired within 24 hours and monitored by a 24-hour concierge. Found there was not enough evidence to prove the allegations of disrepair or inadequate supervision.
    01 May 2025
    Found no preponderance of evidence to prove the allegation that the licensee falsely advertised and promoted special care; the allegation was unsubstantiated. Interviews with staff and residents and review of promotional materials showed consistency between what was advertised and what was provided.
    27 Jan 2025
    Found that infection control, safety, staffing, and resident care met all requirements; no deficiencies were cited.
    23 May 2024
    Found that a resident sustained unexplained injuries while in care and staff did not seek medical attention promptly; an immediate civil penalty was issued.
    23 May 2024
    Confirmed unexplained resident injuries and lack of timely medical assistance, leading to a fall risk being overlooked.
    • § 87468.2(a)(4)
    25 Apr 2024
    Found evidence supporting the allegations that a resident sustained unexplained injuries while in care, that staff did not seek medical assistance in a timely manner, and that staff did not notify the resident's authorized representative about the injury. Not established that the resident's hygiene needs were not met.
    25 Apr 2024
    Confirmed that a resident sustained unexplained injuries, and staff did not seek timely medical assistance, resulting in a $500 penalty, while the allegation regarding unmet hygiene needs was unsubstantiated.
    • § 87465(a)(1)
    • § 87468.1(a)(2)
    13 Feb 2024
    Found compliance with infection control, safety systems, staffing, and resident records; noted a medication cart left unlocked in a hallway that staff immediately secured.
    13 Feb 2024
    Confirmed deficiencies in infection control, operational requirements, physical plant and environment safety, staffing, personnel records, resident records, residents' rights, planned activities, food service, incidental medical and dental care, disaster preparedness, and residents with special health needs.
    • § 87465(h)(2)
    21 Jan 2023
    Found no deficiencies during the unannounced annual visit. Infection-control practices appeared compliant, with gloves used during meal service, cleaning supplies secured, and safety equipment like fire extinguishers and carbon monoxide detectors in place; resident rooms and bathrooms met standards, and water temperatures in tested areas were within required ranges.
    21 Jan 2023
    Confirmed no deficiencies observed during unannounced annual visit focusing on COVID-19 infection control practices at the assisted living facility.
    12 May 2022
    Investigated a 4/30/22 fall; found no evidence staff dropped the resident, who was found on the floor after the shift change, treated by a med tech and paramedics, and returned the next morning with no major injuries. Found no evidence the fall caused a knee injury or pressure injury, no head trauma, and no torn clothing linked to the incident.
    12 May 2022
    Investigated allegations of a resident falling, sustaining a pressure injury, and having damaged clothing. Found no conclusive evidence to support these claims, as the resident could not recall the incident due to dementia, and staff reported no concerns.
    03 Mar 2022
    Identified hot water temperatures in multiple areas exceeding Title 22 guidelines; cleaning products found in a resident room, and prescribed PRN medications for a resident were missing from the premises.
    03 Mar 2022
    Identified deficiencies in hot water temperatures and missing prescribed PRN medications during visit.
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