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Best Assisted Living in Costa Mesa, CA

Reviewed by Dr. Jordan Weiss
Updated Apr 2026

Sources: CMS Centers for Medicare and Medicaid Services, and California Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Costa Mesa, California.

Watch this Video to see Costa Mesa's Top-rated Senior Communities

Compare Assisted Living around Costa Mesa

The information below is reported by the California Department of Social Services and Department of Public Health.

Click column headers to sort
Pacifica Senior Living South Coast
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Costa Mesa (East Side Costa Mesa)
98
Facility 98
CA AVG 105
Rank #788 / 1665
Yes
61
Facility 61
CA AVG 63
Rank #1014 / 2096
4176
7
Facility 7
CA AVG
Rank #586 / 1209
59.2% A+Pacifica Orange County LLC; Costa Mesa OperationsStudio / Suite
Silverado Newport Mesa
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Costa Mesa (East Side Costa Mesa)
82
Facility 82
CA AVG 105
Rank #905 / 1665
Yes
79
Facility 79
CA AVG 63
Rank #451 / 2096
451
5
Facility 5
CA AVG
Rank #739 / 1209
68.3% -Silverado Newport Mesa LLC;Silverado Sr. Lvng MgmtPrivate Rooms
Vivante Newport Mesa
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Costa Mesa (Westside Costa Mesa)
430
Facility 430
CA AVG 105
Rank #26 / 1665
No
71
Facility 71
CA AVG 63
Rank #703 / 2096
385
12
Facility 12
CA AVG
Rank #382 / 1209
0.0% -Vivante Westside LLC; Integral Senior Living Mgt-
Newport Mesa Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Costa Mesa (Mesa Del Mar)
40
Facility 40
CA AVG 105
Rank #1214 / 1665
No
80
Facility 80
CA AVG 63
Rank #417 / 2096
444
11
Facility 11
CA AVG
Rank #419 / 1209
60.0% A+Pacifica Newport Mesa LLC; Newport Mesa Mgr LLC1 Bed / 2 Bed
Alex' Caring Hands
RC
Costa Mesa
63Alliance Senior Living, INC
Angela's Residential Care
RC
Costa Mesa
617O'connor, Angela Talpos
Ashling's Residential Villa II
RC
Costa Mesa
624Ashling's Residential Villa, INC.
Bayside Cottages I
RC
Costa Mesa
61Bayside Cottages, INC.
Bayside Cottages II
RC
Costa Mesa
61Bayside Cottages, INC.
Bayside Cottages III
RC
Costa Mesa
141Bayside Cottages INC
Beach Homes I
RC
Costa Mesa
62Ajb Investment Group INC
Beach Homes II
RC
Costa Mesa
62Ajb Investment Group INC
Beach Homes III
RC
Costa Mesa
67Ajb Investment Group INC
Cameo Homes - Eastside I
RC
Costa Mesa
623Cameo Assisted Living, LLC
Care Achilles
RC
Costa Mesa
62Care Matteo LLC
Coast New Horizon
RC
Costa Mesa
616Coast New Horizon, INC
Coastside Senior Home
RC
Costa Mesa
623Jhez Corporation
Country Gardens Terrace, INC.
RC
Costa Mesa
64Country Gardens Terrace, INC.
Cross Creek Care
RC
Costa Mesa
143Cross Creek Manor INC
Eclc - Wake Forest Villa
RC
Costa Mesa
623Eclc - Wake Forest Villa
Guardian Senior Home On Nevada
RC
Costa Mesa
62Mk Care Facility LLC
Guardian Senior Homes On Madison
RC
Costa Mesa
610Kd Care Facility, INC.
Heart To Heart Care Home For Elderly
RC
Costa Mesa
619Heart To Heart Home Care, INC.
Heyday Senior Living Of Costa Mesa
RC
Costa Mesa
65Heyday Senior Living
Hills Of Babb, The
RC
Costa Mesa
62Hills Of Babb, The
Hills Of Broadway, The
RC
Costa Mesa
62Hills Of Broadway, The
Jasmin's Care Home
RC
Costa Mesa
626Perez, Manuel G. & Vilma S.
John Villa's Home Care I
RC
Costa Mesa
621Diaz, Villa D.
John Villa's Homecare 2
RC
Costa Mesa
614Diaz, Villa D.
Johnson Senior Care
RC
Costa Mesa
66Edilin, LLC
La Costa Residence
RC
Costa Mesa
62La Costa Residence
Madison Senior Care
RC
Costa Mesa
66Edilin, LLC
Mary's Loving Care A
RC
Costa Mesa
63Mary's Loving Care INC
Mary's Loving Care B
RC
Costa Mesa
63Mary's Loving Care INC
Mesa Del Mar Elderly Care Home
RC
Costa Mesa
68Bergum Group Homes INC
Mesa Verde Residential Care Center
RC
Costa Mesa
1220Mesa Verde Convalescent Hospital, INC.
Newport Senior Living II
RC
Costa Mesa
616Newport Senior Living II, LLC
Oasis Assisted Living
RC
Costa Mesa
612 Leverage, LLC
Select Senior Care IV, LLC
RC
Costa Mesa
6Select Senior Care IV LLC
Shining Bright Care Home
RC
Costa Mesa
153Shining Bright Senior Care Home INC.
Shining Bright Care Home 2
RC
Costa Mesa
6Shining Bright Care Home INC
Sonia's Care Home
RC
Costa Mesa
635Perez, Manuel & Vilma
St. Clair Senior Care
RC
Costa Mesa
63St. Clair Senior Care LLC
Star Dust Home
RC
Costa Mesa
631Rivera, Fatima
Sterling Senior Community 10
RC
Costa Mesa
61Sterling Senior Care 2 LLC
Tranquility Senior Living
RC
Costa Mesa
66Tranquility Senior Living, LLC
Overview of Silverado Newport Mesa

Silverado Newport Mesa is a highly rated memory care community in Costa Mesa, CA, offering specialized care for Alzheimer’s and other types of dementia. Dedicated to older adults’ comfort and healing, the community continuously promotes a nurturing and home-like environment. Residents also experience a maintenance-free lifestyle, with 24-hour care, nutritious meals, and household services. Through an evidence-based brain health program, the community strives to enhance residents’ cognition. 

Sensor-stimulating activities, light exercises, and social events help residents maintain holistic well-being and have fun. Specially designed rooms and accessible amenities also ensure residents’ relaxation and safety. Situated near major highways in the lively neighborhood of Costa Mesa, the community ensures residents have easy access to their necessities and leisure. This memory care community is a great choice for senior living in California, as it has high standards of care and top-notch amenities. 

What does this home offer?

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Pets Allowed

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Housing Options: Private Rooms

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Building Type: Single-story

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Fitness and Recreation

Contact Silverado Newport Mesa

Overview of Pacifica Senior Living South Coast

Pacifica Senior Living South Coast, in Costa Mesa, California, is a premier care facility that allows its residents to age gracefully. They offer independent living, assisted living, memory care, and respite care with tailored programs for seniors’ needs and preferences. The community provides a wide range of engaging activities and programs, creating a beautiful and serene environment for residents to enjoy with a comprehensive array of services and amenities, including round-the-clock staff support, housekeeping, and laundry services.

The community prioritizes the independence and well-being of its residents, ensuring that their unique care needs are met with personalized attention—the elegant and inviting atmosphere that promotes self-care and encourages residents to engage in physical activity. The beautiful outdoor courtyard offers residents a peaceful place to stroll and connect with nature. Combined with exceptional services and world-class amenities, PSL- South Coast provides peace of mind to families in the community.

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Housing options icon
Housing options icon

Housing Options: Studio / Suite

Contact Pacifica Senior Living South Coast

Overview of Vivante Newport Mesa

Vivante Newport Mesa is a luxury assisted living and memory care support community. The vibrant retirement home aims to provide safe, inclusive, and beautiful surroundings so residents feel comfortable and secure in their new homes. The expansive community offers world-class hospitality in a resort-style setting, inspiring seniors to live life fully and reach their full potential.

The environment at Vivante Newport is built on comfort and convenience, allowing residents to thrive and live fully. Committed to being the best senior living experience for seniors in Newport Beach, its community accommodations include elegant restaurant-style dining, well-lit lounge areas, a bowling alley.

Contact Vivante Newport Mesa

Newport Mesa Senior Living

2891 Bear St, Costa Mesa, CA 92626
Overview of Newport Mesa Senior Living

Located in Costa Mesa, California, Newport Mesa Senior Living is a premier senior living community. Their unique care routines are thoughtfully crafted to offer those living with memory-related conditions a secure and comfortable environment, enhancing their quality of life.

Their senior living options encompass a host of amenities, including chef-prepared dining, housekeeping services, and specialized memory care programs. Renowned for their award-winning memory care services, this community specializes in providing exceptional care to individuals living with Alzheimer’s disease and other memory-related conditions.

Contact Newport Mesa Senior Living

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
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Frequently Asked Questions about Assisted Living in Costa Mesa, CA

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 4 assisted living facilities in Costa Mesa, CA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Costa Mesa, CA?

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 Costa Mesa, CA, 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 Costa Mesa, CA?

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.