Page 129 of Best Assisted Living in California

Why trust this guide? Our editorial team analyzed 1,435 assisted living communities in CA using CA Dept. of Social Services (CDSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in CA
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Last updated
We analyzed These are the facilities in California our team has analyzed — not a count of every assisted living provider in California.
1,435 homes
Other senior care options in California:

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Info below is compiled from the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we do not publish a grade for that facility: either its public record is too thin to be fair, or we hold nothing for it at all.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Visits or investigations linked to complaints, as counted in the state record (may differ from routine annual surveys).
Count of California state "Type A" citations — the state's most serious citation category (immediate or serious harm to residents), from California state inspection data.
Number of years the company has been in operation.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Autumn Oaks
AL
IL
MC
RESC
RC
-
44
Facility 44
CA AVG 103
Rank #922 / 1,349
No
3
Facility 3
CA AVG 56
Rank #1,382 / 1,410
C-76
57
Facility 57
CA AVG 13
Rank #1,262 / 1,292
28
Facility 28
CA AVG 3
Rank #1,328 / 1,338
19
Facility 19
CA AVG 13
Rank #354 / 1,298
-R & O Management Services, Inc
Crestview Manor
AL
HOS
Escondido (East Canyon)
38
Facility 38
CA AVG 103
Rank #947 / 1,349
No-A2
0
Facility 0
CA AVG 13
Rank #1 / 1,292
0
Facility 0
CA AVG 3
Rank #1 / 1,338
1
Facility 1
CA AVG 13
Rank #1,220 / 1,298
-Crestview Manor Inc & Bear Lake Holdings LLC
Quality Care Assisted Living
AL
NH
SNF
-
54
Facility 54
CA AVG 103
Rank #874 / 1,349
No
32
Facility 32
CA AVG 56
Rank #1,110 / 1,410
F66
44
Facility 44
CA AVG 13
Rank #1,238 / 1,292
22
Facility 22
CA AVG 3
Rank #1,316 / 1,338
5
Facility 5
CA AVG 13
Rank #857 / 1,298
-Quality Care Systems, Inc
Villas at Saratoga Skilled Nursing & Asst
AL
NH
RC
SNF
Saratoga
74
Facility 74
CA AVG 103
Rank #782 / 1,349
No
81
Facility 81
CA AVG 56
Rank #262 / 1,410
B+23
14
Facility 14
CA AVG 13
Rank #931 / 1,292
2
Facility 2
CA AVG 3
Rank #678 / 1,338
---
Crestview Villa
AL
Escondido (East Canyon)
42
Facility 42
CA AVG 103
Rank #928 / 1,349
No---
0
Facility 0
CA AVG 13
Rank #1 / 1,292
0
Facility 0
CA AVG 3
Rank #1 / 1,338
2
Facility 2
CA AVG 13
Rank #1,134 / 1,298
-Bear Lake Holdings LLC
Santa Rosa Hills Senior Living
AL
IL
MC
RC
Santa Rosa
105
Facility 105
CA AVG 103
Rank #583 / 1,349
Yes
51
Facility 51
CA AVG 56
Rank #860 / 1,410
--
0
Facility 0
CA AVG 13
Rank #1 / 1,292
0
Facility 0
CA AVG 3
Rank #1 / 1,338
--Santa Rosa Sl Opco LLC And Brightwater Snr Lvg Grp LLC
Grace Home
AL
RESC
Orangevale
24
Facility 24
CA AVG 103
Rank #992 / 1,349
No
68
Facility 68
CA AVG 56
Rank #520 / 1,410
D-28
7
Facility 7
CA AVG 13
Rank #669 / 1,292
13
Facility 13
CA AVG 3
Rank #1,254 / 1,338
8
Facility 8
CA AVG 13
Rank #650 / 1,298
87.5%
Facility 87.5%
CA AVG 74.1%
Rank #257 / 1,200
Nelson S. Jacinto
Delta Shores Assisted Living
AL
HOS
MC
RC
Antioch
90
Facility 90
CA AVG 103
Rank #687 / 1,349
No
76
Facility 76
CA AVG 56
Rank #353 / 1,410
C33
16
Facility 16
CA AVG 13
Rank #980 / 1,292
1
Facility 1
CA AVG 3
Rank #450 / 1,338
3
Facility 3
CA AVG 13
Rank #1,056 / 1,298
94.4%
Facility 94.4%
CA AVG 74.1%
Rank #176 / 1,200
Sst Senior Care, LLC And Lake Shasta LLC
Vanessa Care Home II
AL
San Mateo (Central San Mateo)
6
Facility 6
CA AVG 103
Rank #1,035 / 1,349
No
81
Facility 81
CA AVG 56
Rank #262 / 1,410
F8
3
Facility 3
CA AVG 13
Rank #418 / 1,292
9
Facility 9
CA AVG 3
Rank #1,184 / 1,338
38
Facility 38
CA AVG 13
Rank #29 / 1,298
83.3%
Facility 83.3%
CA AVG 74.1%
Rank #335 / 1,200
Rosita Nicolas And Ida Galati
Buena Vista Manor House
AL
MC
San Francisco
87
Facility 87
CA AVG 103
Rank #709 / 1,349
No
84
Facility 84
CA AVG 56
Rank #217 / 1,410
A-18
3
Facility 3
CA AVG 13
Rank #418 / 1,292
1
Facility 1
CA AVG 3
Rank #450 / 1,338
35
Facility 35
CA AVG 13
Rank #46 / 1,298
-Buena Vista Associates(A Limited Partnership)

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other CA assisted living community we track that reports that metric, not just the 1,435 on this page. See how we rank facilities

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Overview of Sungarden Terrace

Sungarden Terrace is a premier boutique retirement community located in Lemon Grove, California. It offers assisted living and memory care services, focusing on exceptional service and a supportive environment. The community features various amenities, including a modernized movie theater, beauty salon, and tranquil outdoor spaces.

Contact Sungarden Terrace

Overview of Yannica Guest Home I

Yannica Guest Home I is a haven for older adults set in the quiet neighborhood of Diamond Oaks Street, Stockton, CA, providing assisted living. Receive the utmost care and support from a dedicated and well-trained team attending to your special needs 24/7, ensuring a blissful retirement. The community strives to provide top-tier care for up to six residents with its quaint and purposely designed amenities.

With daily activities conducted, residents are encouraged to maintain social connections and live actively. Meals, laundry, and housekeeping are handled by the community for residents’ convenience. Residents will surely thrive and live their lives to the fullest surrounded by purposely built amenities.

Contact Yannica Guest Home I

Overview of Elms Residential Home Care

Elms Residential Home Care is a 54 bed care home in Ventura, California. Its smaller size may suit someone who prefers a community where staff and residents can get to know each other. Housing options include studios, one bedroom units, and private rooms, giving residents either one private space or a layout with a separate bedroom.

The area has a Walk Score of 72 and is classified as very walkable, so most errands can be done on foot. A resident who no longer drives can still get out independently. Fe Lilia 98 Higgins serves as the administrator.

Contact Elms Residential Home Care

Overview of Autumn Oaks

Serving seniors for 18 years under administrator Antonio G. Ong’s leadership, Autumn Oaks is a 44-bed nursing home operated by R & O Management Services, Inc., in California. It takes Medicare, Medicaid, and private pay, giving families many ways to cover skilled nursing care and long-term residency. The facility specializes in memory care and respite care, making it a pragmatic choice for families exploring post-acute transitions or wanting continuous memory support. Current occupancy is at 52 percent, with residents staying an average of 100 days. The community structures its nursing care to bolster short-term rehabilitation and longer-term skilled nursing needs.

Staffing depth is a signature here. Total nursing care averages 3 hours and 46 minutes per resident day, broken down into registered nurse support (28 minutes per day), nurse aide care (2 hours and 37 minutes), and LPN/LVN time (35 minutes). This level of direct care is fundamental to a nursing home’s ability to tend to residents’ medical and daily living needs. Meanwhile, dining reflects an on-site commitment to quality: chef-prepared meals are served daily in communal dining rooms, promoting nutrition and social connection among residents. Respite care is also offered for families seeking temporary skilled nursing support, plus Senior Apartments in the program. Found in a car-dependent area (Walk Score 3), the facility is situated where almost all errands necessitate a car. For families living at a distance, this means visiting logistics needs driving, but the setting likewise tends to offer a calmer, less urban environment.

Spanning the past five years, state inspections provide a longitudinal view of the home’s compliance and operations. The latest inspection was in November 2025, with records available for review. Families evaluating the community can request details on inspection findings and interrogate how any flagged areas are addressed.

For seniors and families deciding on skilled nursing choices, Autumn Oaks is a stable, long-established community with structured nursing care, memory care specialization, and on-site meal preparation. Such core elements are what many families prioritize when making care decisions. Those examining the facility can request inspection findings details and inquire how the home addresses any flagged areas.

Contact Autumn Oaks

Overview of Quality Care Assisted Living
Quality Care Assisted Living provides a special combination of care, supportive services, and courteous neighbors. The facility aims to build a warm rapport with residents and create a family-type environment while bridging the gap between independent living and nursing homes. They are committed to fulfilling the needs of seniors with dignity and respect.

Contact Quality Care Assisted Living

Overview of Santa Rosa Hills Senior Living

Santa Rosa Hills Senior Living, situated in California, offers a warm and inviting community with a dedicated staff committed to enhancing the senior living experience. Providing unparalleled service for both assisted living and memory care, residents have access to 4 acres of beautiful grounds and gardens. The community boasts premier amenities and convenient proximity to the best Santa Rosa has to offer, including world-class medical facilities, fine dining, and renowned wineries, ensuring a classy and tranquil atmosphere while receiving attentive care.

With a focus on accessibility, Santa Rosa Hills Senior Living welcomes pets, offers complimentary transportation, and features both indoor and outdoor common areas. The community is equipped with facilities like a fitness center, movie room, game room, and arts and crafts center, tailored to accommodate various interests. Specifically designed to support those with memory loss, the secure and stimulating environment allows residents to enjoy their stay. The multilingual staff, fluent in both English and Spanish, ensures a welcoming atmosphere for individuals who speak either language, fostering a sense of community and inclusivity.

Contact Santa Rosa Hills Senior Living

Grace Home

9260 Loma Ln, Orangevale, CA 95662
Overview of Grace Home

Grace Home is a dedicated assisted living community in California that provides personalized care. With its two distinct locations in Orangevale and Carmichael, the community strives to provide a home away from home for older adults to live comfortably in their later years. Meal preparation, housekeeping services, and medication management are also offered to ensure residents experience a maintenance-free living. The community is dedicated to improving older adults’ living experiences, creating care plans tailored to their unique needs.

An entertainment area and fun activities accompany older adults to encourage an active lifestyle and social engagement. Three healthy meals are also provided, so residents have a hassle-free dining experience. The community’s ideal location in California provides residents with convenient access to their necessities. As a trusted assisted living community in California, Grace Home ensures older adults are well cared for.

Contact Grace Home

Overview of Delta Shores Assisted Living

Under administrator Jared Pickard, Delta Shores Assisted Living is a 90-bed assisted living and memory care community operated by SST Senior Care, LLC in Antioch, California. 24-hour staffing exists. The community, licensed in Contra Costa County as a Residential Care Facility for the Elderly since March 2023, provides assisted living, memory care, respite stays, hospice care, and rehabilitation services.

As a California RCFE, inspections are conducted by the Department of Social Services instead of CMS. Since 2023, the facility has recorded 16 total citations against California’s average of 10, while complaints have run below average at 6 compared to a statewide norm of 14. No fines appear on record in the latest inspection in April 2026.

Fitness classes, a salon, and family-style dining with restaurant-style service are some of the amenities. Medication management and assistance with daily living are offered, along with a regular calendar of social events, religious services, and fitness activities.

Delta Shores fits Contra Costa County older adults who require assisted living, memory care, or hospice-supportive care in downtown Antioch.

Contact Delta Shores Assisted Living

Overview of Vanessa Care Home II

Vanessa Care Home II in San Mateo, CA, is a top-tier assisted living community that offers personal care. The community has an intimate and supportive environment, dedicated to residents’ comfort and healing. Home-cooked meals, 24/7 assistance, and medication management are among the dedicated services provided to maintain residents’ independence with ease. To improve residents’ quality of life, the community creates individualized care plans tailored to their unique needs.

A variety of games, fitness classes, and social events allow residents to learn and gain meaningful experiences. Residents are also guaranteed the utmost relaxation and wellness with thoughtfully furnished rooms and lively gathering areas. The United States Postal Service, San Mateo Medical Center, and public transportation are also easily accessible from the community. As one of the finest options for senior living in California, this assisted living community has top-notch services that aim to help older adults live to their potential in retirement.

Contact Vanessa Care Home II

Overview of Buena Vista Manor House

Operated by Buena Vista Associates under Angelina Guzman’s administration, Buena Vista Manor House is an 87-bed assisted living and memory care community in San Francisco. Serving the community for 35 years, it’s conveniently located in a really walkable neighborhood where almost all errands can be finished on foot.

The community caters to residents aged 60 minimum and maintains a staff-to-resident ratio of 1 to 2, ensuring residents get attentive daily support. Rehabilitation services exist, and the home offers 24-hour staffing to meet occupant needs all the time. With housekeeping and linen services included, residents can focus on daily life, not maintenance tasks. A central part of life here is dining. The kitchen prepares chef-inspired, nutritionally balanced meals served in a bright dining room with fresh linens and flowers. Three meals are served daily at regular times, and residents can join the activities manager for exercise routines in the wellness program. Between structured meals and activities, occupants enjoy Tuesday tea, bingo on Thursday, Friday entertainment, cocktail hour, and two outings monthly. A garden provides a peaceful outdoor space for quiet time or gathering with loved ones. Pets are welcome, recognizing their importance to residents’ emotional well-being.

Assisted living and memory care services make Buena Vista Manor House an option for individuals at different care levels. For prospective residents and families, it’s reasonable to discuss admission requirements, including a physician’s health report and TB test.

Contact Buena Vista Manor House

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in California at a glance

Avg Monthly Cost: $7,797The average monthly cost across facilities in California. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 56/ 100The average Walk Score across facilities in California. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 103The average licensed bed capacity across facilities in California. Individual facilities can vary widely from this average.
National Average: 90
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Frequently Asked Questions about Assisted Living in California

What's the difference between assisted living and memory care in California?

Assisted living in California supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in California?

Assisted living in California is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does California Medicaid cover assisted living?

California Medicaid does not directly pay room-and-board for assisted living, but most states (including California) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 1435 assisted living facilities in California. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in California?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in California, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in California?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.