Page 82 of Best Assisted Living in California

Why trust this guide? Our editorial team analyzed 1,600 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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We analyzed These are the facilities in California our team has analyzed — not a count of every assisted living provider in California.
1,600 homes
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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. 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.
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 have no inspection data for that facility.
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.
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.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
San Leandro Senior Living
AL
RC
San Leandro (Old San Leandro)
90
Facility 90
CA AVG 103
Rank #688 / 1,350
C-Yes
96
Facility 96
CA AVG 56
Rank #30 / 1,411
38
20
Facility 20
CA AVG 13
Rank #1,049 / 1,292
6
Facility 6
CA AVG 3
Rank #1,085 / 1,338
17
Facility 17
CA AVG 13
Rank #403 / 1,299
71.1%
Facility 71.1%
CA AVG 74.1%
Rank #694 / 1,202
P San Leandro LP And San Leandro Mgr LLCStudio / 1 Bed / 2 Bed
Mary‘s Manor
AL
MC
Fremont (Centerville)
6
Facility 6
CA AVG 103
Rank #1,036 / 1,350
D+No
56
Facility 56
CA AVG 56
Rank #765 / 1,411
7
0
Facility 0
CA AVG 13
Rank #1 / 1,292
11
Facility 11
CA AVG 3
Rank #1,225 / 1,338
27
Facility 27
CA AVG 13
Rank #194 / 1,299
100.0%
Facility 100.0%
CA AVG 74.1%
Rank #1 / 1,202
Mary SunderrajPrivate Rooms / Semi-Private Rooms
ManorCare Health Services-Palm Desert
AL
IL
MC
NH
Palm Desert
145
Facility 145
CA AVG 103
Rank #332 / 1,350
D+Yes
19
Facility 19
CA AVG 56
Rank #1,240 / 1,411
12
6
Facility 6
CA AVG 13
Rank #610 / 1,292
0
Facility 0
CA AVG 3
Rank #1 / 1,338
21
Facility 21
CA AVG 13
Rank #297 / 1,299
76.6%
Facility 76.6%
CA AVG 74.1%
Rank #1,159 / 1,202
Blc Mirage Inn LPPrivate / Semi-Private Rooms
Valley Royale Care II
AL
HOS
MC
RESC
Modesto
6
Facility 6
CA AVG 103
Rank #1,036 / 1,350
A+No
55
Facility 55
CA AVG 56
Rank #789 / 1,411
5-
0
Facility 0
CA AVG 3
Rank #1 / 1,338
5
Facility 5
CA AVG 13
Rank #857 / 1,299
33.3%
Facility 33.3%
CA AVG 74.1%
Rank #1,177 / 1,202
Genaro R. Jr. BaisacPrivate / Semi-Private Rooms
Valley Royale Care III
AL
HOS
MC
RESC
Modesto
6
Facility 6
CA AVG 103
Rank #1,036 / 1,350
A+No
56
Facility 56
CA AVG 56
Rank #765 / 1,411
5-
0
Facility 0
CA AVG 3
Rank #1 / 1,338
2
Facility 2
CA AVG 13
Rank #1,135 / 1,299
50.0%
Facility 50.0%
CA AVG 74.1%
Rank #1,064 / 1,202
Genaro R Baisac Jr.Private / Semi-Private Rooms
The Village at Heritage Park
AL
IL
MC
Sacramento (North Sacramento)
108
Facility 108
CA AVG 103
Rank #573 / 1,350
ANo
7
Facility 7
CA AVG 56
Rank #1,349 / 1,411
2
0
Facility 0
CA AVG 13
Rank #1 / 1,292
0
Facility 0
CA AVG 3
Rank #1 / 1,338
-
57.4%
Facility 57.4%
CA AVG 74.1%
Rank #993 / 1,202
Rav Opco LLC & Alta Senior Living Inc-
Serenity Gardens
AL
HOS
MC
Redding (Grant)
30
Facility 30
CA AVG 103
Rank #980 / 1,350
A+Yes-11
2
Facility 2
CA AVG 13
Rank #310 / 1,292
1
Facility 1
CA AVG 3
Rank #451 / 1,338
12
Facility 12
CA AVG 13
Rank #509 / 1,299
70.0%
Facility 70.0%
CA AVG 74.1%
Rank #722 / 1,202
Matthew & Betty Cain-
Sierra Village
AL
IL
Visalia
15
Facility 15
CA AVG 103
Rank #1,005 / 1,350
B+Yes
6
Facility 6
CA AVG 56
Rank #1,361 / 1,411
6
1
Facility 1
CA AVG 13
Rank #199 / 1,292
3
Facility 3
CA AVG 3
Rank #840 / 1,338
29
Facility 29
CA AVG 13
Rank #109 / 1,299
66.7%
Facility 66.7%
CA AVG 74.1%
Rank #785 / 1,202
Sierra Village, Inc-
The Ivy at Wellington
AL
IL
Aliso Viejo
160
Facility 160
CA AVG 103
Rank #244 / 1,350
B+Yes
29
Facility 29
CA AVG 56
Rank #1,146 / 1,411
24
17
Facility 17
CA AVG 13
Rank #991 / 1,292
2
Facility 2
CA AVG 3
Rank #679 / 1,338
3
Facility 3
CA AVG 13
Rank #1,056 / 1,299
78.8%
Facility 78.8%
CA AVG 74.1%
Rank #517 / 1,202
Well Oak Tenant LLC And Oakmont Management Group LLC-
Living Grace Assisted Living and Memory Care
AL
MC
Tracy
88
Facility 88
CA AVG 103
Rank #703 / 1,350
B+No
63
Facility 63
CA AVG 56
Rank #606 / 1,411
12
7
Facility 7
CA AVG 13
Rank #669 / 1,292
3
Facility 3
CA AVG 3
Rank #840 / 1,338
1
Facility 1
CA AVG 13
Rank #1,224 / 1,299
77.3%
Facility 77.3%
CA AVG 74.1%
Rank #546 / 1,202
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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 1,600 on this page. See how we rank facilities

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San Leandro Senior Living

348 W Juana Ave, San Leandro, CA 94577
Overview of San Leandro Senior Living

San Leandro Senior Living provides two care types in San Leandro, CA, assisted living and respite care. Assisted living keeps the resident in an apartment of their own, while dressing, bathing, and medication taking are taken care of by staff. Respite can be booked as a regular fixture in a family’s year rather than something a crisis forces. A family needing temporary care while the primary caregiver is away or recuperating is who this pairing answers, more than anyone.

The 90 beds here are in Old San Leandro. Pets are allowed, which lets a resident keep the animal they already have. Glenda T. Bertucci is the administrator.

P San Leandro LP and San Leandro Mgr LLC operate the community. Walk Score calls the area a walker’s paradise at 96, so a resident who no longer drives can still get around without a car.

Contact San Leandro Senior Living

Overview of Mary‘s Manor

Mary’s Manor provides assisted living and memory care in Fremont, California. Assisted living includes help with daily tasks such as dressing, bathing, and taking medication, while memory care offers a secured setting with supervision for someone at risk of wandering. There are six beds in all, so the community may suit someone who prefers a smaller setting where staff and residents can get to know each other.

Private and semi-private rooms are available, allowing a resident to choose between a single room and shared living space. The home is in Fremont’s Centerville neighborhood, where a Walk Score of 56 out of 100 means some errands can be done on foot, giving a resident who no longer drives a way to manage certain outings independently. Occupancy is currently 100 percent, with all beds occupied, and Mary Sunderraj serves as the administrator.

Contact Mary‘s Manor

Overview of ManorCare Health Services-Palm Desert

ManorCare Health Services-Palm Desert offers nursing home, assisted living, independent living, and memory care in Palm Desert, CA. Nursing home care supports residents who need ongoing nursing support, while assisted living provides help with daily tasks such as bathing, dressing, and medication. Independent living provides private living without daily care, and memory care offers a secured setting with supervision for someone at risk of wandering.

Several care levels are available here. ManorCare Health Services-Palm Desert may be a good fit for a resident whose needs may grow over time, since care can change without leaving the community. The home has 145 beds and offers private and semi-private rooms, giving residents the option of a room to themselves or shared living. Medicare, Medicaid, and private pay are accepted; Medicare generally applies to short-term skilled care after a hospital stay, while Medicaid can help cover a long-term stay for eligible residents. Total nurse staffing is 3h 29m per resident per day, representing the daily hands-on nursing time allocated to each resident. Pets are allowed, so residents may keep a pet at the community. John Spaun serves as administrator, and Blc Mirage Inn operates the community.

Contact ManorCare Health Services-Palm Desert

Overview of Valley Royale Care II

Enjoy loving care with Valley Royale Care II, a compassionate community in Modesto, CA that offers excellent assisted living services. The community offers assistance with daily living activities while helping residents maintain their freedom and independence. Residents here live a worry-free lifestyle knowing they have reliable assistance with their medication management and personal care.

The community also offers dementia care and hospice care to make sure residents are well-supported even as their needs change. Residents’ nutrition and wellness are prioritized with fresh and delicious meals carefully prepared based on their individual needs. Here, most of the residents’ responsibilities are also handled to make sure they enjoy plenty of time to live their best lives.

Contact Valley Royale Care II

Overview of Valley Royale Care III

Lead a peaceful retirement in a stress-free environment with Valley Royale Care III, a welcoming community in Modesto, CA that offers assisted living. Dedicated to supporting residents in every stage of their journey, the community also provides memory care and hospice care. Residents here receive just the right amount of support to maintain their independence, from personal care assistance to medication management and companionship.

The community works hard to make its residents’ lives easy with their compassionate team of caregivers and excellent assistance with daily living activities. Dedicated to creating a stress-free environment, the community offers meals, housekeeping, and laundry services to save residents from tiring chores. Here, residents are encouraged to lead the lifestyle they want surrounded by meaningful experiences and the warmth of new friendships.

Contact Valley Royale Care III

Overview of The Village at Heritage Park

The Village at Heritage Park is a distinguished member of the Frontier Management network, encompassing over 100 retirement communities in nearly 20 states across the U.S. This exceptional assisted living community in Sacramento, California, offers both assisted living services and specialized memory care for individuals diagnosed with Alzheimer’s and other forms of dementia.
At the heart of their approach lies Frontier’s acclaimed Spark™ Lifestyle Program, drawing inspiration from Montessori principles to enhance the lives of individuals with memory impairment. Residents at The Village at Heritage Park enjoy a comprehensive array of amenities, including delectable restaurant-style dining, spacious living accommodations, invigorating wellness classes, and a diverse range of engaging activities.

Starting Price $4,000/Month

Contact The Village at Heritage Park

Overview of Serenity Gardens

Serenity Gardens provides assisted living, hospice care, and memory care in Redding, CA. Assisted living supports residents with daily tasks such as bathing, dressing, and medication while they maintain their own living space; memory care provides supervision in a secured setting for someone at risk of wandering; and hospice care focuses on comfort for someone with a serious illness. Respite care is also available for short stays, which can suit a family caregiver who needs time to travel or recover.

With 30 beds, Serenity Gardens is a smaller community where residents and staff may get to know each other more closely. The community can suit someone whose needs may change over time because several care levels are available in one setting. Medicaid is accepted, giving families another way to pay when personal savings may not cover a long stay, and the starting price is $1,240.

Residents may relax on the wraparound porch, while rehabilitation services provide therapy at the community rather than requiring separate transportation. Pets are allowed, so a resident may be able to continue living with a companion animal. Betty Cain serves as administrator, and Cain, Matthew & Betty operates the community.

Starting Price $1,240/Month

Contact Serenity Gardens

Overview of Sierra Village

Operated by Sierra Village, Inc., Sierra Village is a Christian-affiliated senior living community in Visalia, California. It offers assisted living and independent living. The community is in the Sierra Village Christian Retirement Community neighborhood of Tulare County, about 3.4 miles from the city center. Renata Puckett serves as administrator, while company leadership records also list Leonard DeRuiter as president.

The single-story community has 15 beds and has been operating for 29 years. It currently has an occupancy rate of 67%, with 10 of its 15 beds filled. Its faith-based approach shapes daily life. It focuses on compassionate, values-driven care and practical support for residents’ everyday needs.

Assisted living residents receive 24-hour personal care and assistance, along with supervised medication management. Emergency call systems are available throughout the community so staff can respond quickly. Three meals are served daily. Housekeeping and laundry are also handled by the community, which can make the move easier for residents leaving independent routines.

The community offers transportation services and fitness and recreation programming. These services give residents ways to stay active and reach appointments or errands without solely depending on family. Pets are welcome, which can matter for residents who don’t want to give up an animal companion when they move. The car-dependent area has a Walk Score of 6, so most errands and outings will require driving.

State inspections have periodically noted gaps in documentation, including medication records that were not fully logged. Reviews have also found isolated maintenance issues involving water-system upkeep and staff clearance paperwork. These findings were treated as areas needing correction rather than signs of a broader pattern involving resident care.

Contact Sierra Village

Overview of The Ivy at Wellington

The Ivy at Wellington offers assisted living and independent living in Aliso Viejo, CA. In assisted living, residents can receive help with daily tasks such as dressing, bathing, and medication while keeping their own apartment. Independent living provides private living with community services and no daily care.

Having both care levels may suit a resident whose needs could grow from independent living to assisted living without requiring a move to another community. The community has 160 beds. David Alvarado serves as the administrator, and Well Oak Tenant and Oakmont Management Group operate the community. Pets are allowed, so a resident can keep a pet while living there, and a spa is available for residents to use on site.

Contact The Ivy at Wellington

Overview of Living Grace Assisted Living and Memory Care

Living Grace Assisted Living and Memory Care provides assisted living and memory care in Tracy, CA. Assisted living offers help with daily tasks such as dressing, bathing, and medication while a resident maintains a private living space. Memory care provides a secured setting with supervision for someone who may be at risk of wandering.

Having both care levels in one community may suit a resident whose needs could grow over time, because a move to a different level of care may not require leaving the community. The community opened in 2025 and has 88 beds. Studio, one-bedroom, and two-bedroom residences are available, with a studio providing one private living space and a two-bedroom layout potentially suiting a couple moving together.

Dining includes three daily meals prepared fresh by professional chefs, along with alternate menu choices and snacks, giving residents options when their preferred meal changes. A salon, movie theater, arts and crafts, group games, social events, rehabilitation services, and religious services are also available, so residents can receive grooming services, participate in organized activities, watch films, access rehabilitation, or attend worship without leaving the community. Marlene Bremer serves as the administrator.

A Walk Score of 63 is described as somewhat walkable, meaning some errands can be done on foot; a resident who no longer drives may be able to handle certain nearby errands independently.

Contact Living Grace Assisted Living and Memory Care

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 1600 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.