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Before you schedule a tour, families often need help completing California's LIC 602 physician's report — the form required before any RCFE admission. Doctor2me's care coordinators can help you prepare it quickly so you're not delayed at move-in.

Choosing the right community for an aging parent is one of the most emotional decisions a family can make. Foothills at The Alta, tucked into the quiet agricultural town of Dinuba in California's Central Valley, is one of the newer options in Tulare County — and one that deserves a thoughtful look. This guide walks you through what the community actually offers, from floor plans and dining to memory care and on-site elderly home nurse support.

Quick Facts About Foothills at The Alta

Here's the essential information every family asks about first:

Address: 550 N Lillie Ave, Dinuba, CA 93618
License Number: 547208963 (Residential Care Facility for the Elderly)
Licensed Capacity: 49 residents
Operator: Ever Well Health Systems, LLC
Administrator: Lillian Jones
Licensed Since: September 27, 2019
Care Types: Assisted Living, Memory Care, and Respite Care

Location & Community Setting in Dinuba

Dinuba is a small, tight-knit city of roughly 25,000 residents sitting between Fresno and Visalia, with citrus groves on one side and the foothills of the Sierra Nevada on the other. Seniors here appreciate the slower pace, clean air, flat streets for walking, and a strong cultural identity shaped by local agriculture and long-standing family traditions.

Foothills at The Alta sits on North Lillie Avenue, a residential corridor with easy access to:

Adventist Health Community Care – Dinuba West (just about 0.2 miles away)
Downtown Dinuba shops and restaurants
Local parks and senior center activities
Highway 99 for family visits from Fresno and Bakersfield

This is a significant plus for families who live in the Valley and want a loved one close enough for frequent visits — something that's often underestimated until after a move.

Living Arrangements & Floor Plans

Foothills at The Alta offers both private suites and shared rooms, all of which come fully furnished so families don't have to worry about outfitting an apartment. Each room includes:

A private bathroom
Kitchenette
Air conditioning (essential in Central Valley summers)
Cable TV
Telephone line
Internet access

Housekeeping and linen services are handled by staff, so residents can focus on the things that matter — rest, meals, company, and activities — rather than chores.

Levels of Care: Assisted Living, Memory Care & Respite

Foothills at The Alta is licensed as a Residential Care Facility for the Elderly (RCFE), with both an assisted living wing and a dedicated memory care program for residents living with Alzheimer's, dementia, or related cognitive conditions.

Core care services include:

24/7 staffing with caregivers on site around the clock
Medication management and administration
Help with activities of daily living (bathing, dressing, grooming, toileting)
Meal preparation and dietary support
Housekeeping and laundry
Transportation coordination to medical appointments
Respite care for short-term stays

The staff mix typically includes CNAs, LVNs, and RNs — which means higher-acuity residents can often be supported without having to relocate. That continuity matters enormously for people with memory loss, where a move can cause serious setbacks.

Who Is This Community Best Suited For?

Foothills at The Alta tends to be a good fit for:

Seniors needing daily help but not requiring a skilled nursing facility
Families looking for memory care in a smaller, quieter setting (under 50 residents vs. 100+ at big-city communities)
Central Valley families who want a loved one close to home
Situations requiring respite care while a primary family caregiver travels or recovers

Dining Experience

Meals are served in a central dining room, and the facility emphasizes organic ingredients whenever possible — an approach that's increasingly uncommon at this price tier. Three meals a day are provided, along with snacks, and staff accommodate common senior dietary needs such as low-sodium, diabetic-friendly, and soft or puréed textures.

Shared dining also does something that's easy to overlook on a tour: it creates structure to the day, encourages social connection, and helps combat the isolation that often accelerates cognitive decline in older adults.

Amenities & Daily Life

Everyday living at Foothills at The Alta is built around comfort and accessibility. Features residents benefit from include:

Fully furnished suites ready for move-in
Housekeeping and linen services included
On-site laundry
Central dining with organic options
Common areas for visiting family and friends
Secure entry for memory care residents
Scheduled transportation to medical appointments and errands

Activities & Social Engagement

Small communities like Foothills at The Alta often shine in the quality, not quantity, of their activities — residents get to know the activity coordinator by name, and programming tends to flex around who's actually living there. Typical offerings at RCFEs of this size include:

Morning exercise and gentle stretching classes
Art, crafts, and sensory activities (especially important in memory care)
Music therapy and sing-alongs
Movie afternoons and game nights
Birthday and holiday celebrations
Outings to nearby parks and community events

For families who value spiritual life, Dinuba has an active faith community, and staff typically help coordinate chaplain visits or transportation to local services on request.

On-Site Medical Support & Visiting Health Services

While Foothills at The Alta maintains 24/7 caregiving, routine physician care usually happens through visiting providers — which is where families often run into friction (appointments, transport, wait times). This is where visiting seniors caregivers and on-site medical support make daily life easier.

Residents don't need to travel for routine medical care. A Doctor2me physician can come directly to Foothills at The Alta for same-day assessments, medication reviews, and follow-ups — meaning less stress, no transportation logistics, and no waiting rooms.

Families who want to choose their own physician rather than rely on whichever doctor is assigned can browse the Doctor2me provider network and match a resident to a specific doctor based on language, specialty, or personality fit. This kind of in-home health services model is particularly helpful for residents with limited mobility or advanced dementia, who often do poorly with unfamiliar clinic environments.

For end-of-life support, Foothills at The Alta is also compatible with outside hospice partners. Westlake Village Hospice, for example, is Joint Commission Accredited and provides in-person hospice services inside RCFEs with same-day admission — an important backup for families planning ahead. For those still weighing community options in Southern California, placement advisors such as Assisted Living Solutions California personally tour each partner community and accompany families on visits at no cost, which some families use as a model for how to evaluate Foothills at The Alta during their own walkthrough.

How Families Can Move In — and What to Expect

The admission process at any California RCFE follows a similar path:

Initial tour and conversation with the administrator (Lillian Jones)
Pre-admission assessment to determine care needs and appropriateness
LIC 602 physician's report (medical clearance) — required by California
Admission agreement and deposit
Move-in coordination, including medication lists and personal items

The LIC 602 is often the step that slows families down, because it requires a recent physician visit and specific documentation. If that's a roadblock, Doctor2me can send a physician to complete the form on-site rather than making a senior travel for a clinic visit.

Final Thoughts

Foothills at The Alta offers something the big metropolitan senior living chains rarely match: a small, 49-resident community in a quiet Central Valley town, with 24/7 staff, dedicated memory care, furnished suites, and organic dining. For Tulare County families, its biggest advantages are proximity, continuity of care, and scale — it's large enough to offer real programming but small enough that staff actually know each resident.

As with any community, the right answer depends on the individual. Visit in person, ask about current staffing ratios, observe a meal, and talk to a resident's family if possible. Pair that with strong visiting medical support — whether that's an elderly home nurse for ongoing care or a physician who comes to the community directly — and a family can build a care plan that genuinely supports the person at the center of it.