Jd Residential-Evercare
4503 Sioux Ct, Shasta Lake, CA 96019
- Licensed for 6 residents
- Serves residents with dementia
- Hospice waiver
About Jd Residential-Evercare
Jd Residential-Evercare is a small, home-like residential care facility for the elderly in Shasta Lake, California, licensed by the California Department of Social Services to care for up to 6 residents. It has held its current license for 1 year. CDSS lists it as serving residents with dementia. It holds a hospice waiver, so residents can receive hospice care without moving.
Licensing & inspections
Official CDSS report- License status
- Licensed
- Facility number
- 455920269
- Licensed capacity
- 6
- Licensed since
- April 29, 2025
- Last state visit
- February 19, 2026
- Inspection visits
- 1
- Recent routine and required inspections
- Complaint visits
- 0
- Visits to investigate complaints
- Type A citations
- 0
- Immediate risk to health, safety, or rights
- Type B citations
- 0
- Could become a risk if not corrected
- Licensee:
- Jd Residential Services, Inc
- Administrator:
- Potter, Dominique
- CDSS office:
- SACRAMENTO NORTH ASC
- Serves:
- RCFE / Dementia
State license notes: Age range 60 and over. Approved fire clearance for six(6) of which two(2) may be non-ambulatory. Non-ambulatory cleared in bedroom #3. Waiver/granted for hospice care for (2).
Data from CDSS Community Care Licensing, last checked November 3, 2026.
Location
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