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Best Assisted Living in Costa Mesa, CA

Why trust this guide? Our editorial team analyzed 4 assisted living communities in Costa Mesa, CA using CA Dept. of Social Services (CDSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in CA
Reviewed by
Last updated
Apr 2026
We analyzed
4 homes
Other senior care options in Costa Mesa:

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

Watch this Video to see Costa Mesa's Top-rated Senior Communities
Avg Walk Score: 73/ 100The average Walk Score across facilities in Costa Mesa, CA. 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: 163The average licensed bed capacity across facilities in Costa Mesa, CA. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Costa Mesa

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 to lowest based on our ranking methodology.

Silverado Newport Mesa
AL
MC
RC
Costa Mesa (East Side Costa Mesa)
82
Facility 82
CA AVG 104
Rank #896 / 1644
Yes
79
Facility 79
CA AVG 57
Rank #450 / 2087
88
Facility 88
CA AVG 81
Rank #513 / 1400
18
5
Facility 5
CA AVG 13
Rank #588 / 1388
1
Facility 1
CA AVG 3
Rank #412 / 1160
5
Facility 5
CA AVG 12
Rank #952 / 1500
68.3% -Silverado Newport Mesa LLC And Silverado Sr. Lvng MgmtPrivate Rooms
Newport Mesa Senior Living
AL
MC
RC
Costa Mesa (Mesa Del Mar)
40
Facility 40
CA AVG 104
Rank #1198 / 1644
Yes
80
Facility 80
CA AVG 57
Rank #416 / 2087
76
Facility 76
CA AVG 81
Rank #946 / 1400
13
4
Facility 4
CA AVG 13
Rank #525 / 1388
4
Facility 4
CA AVG 3
Rank #829 / 1160
12
Facility 12
CA AVG 12
Rank #512 / 1500
60.0% A+Pacifica Newport Mesa LLC And Newport Mesa Mgr LLC1 Bed / 2 Bed
Pacifica Senior Living South Coast
AL
MC
Costa Mesa (East Side Costa Mesa)
98
Facility 98
CA AVG 104
Rank #786 / 1644
Yes
61
Facility 61
CA AVG 57
Rank #1011 / 2087
64
Facility 64
CA AVG 81
Rank #1247 / 1400
19
17
Facility 17
CA AVG 13
Rank #1056 / 1388
6
Facility 6
CA AVG 3
Rank #951 / 1160
10
Facility 10
CA AVG 12
Rank #757 / 1500
67.3% A+Pacifica Orange County LLC And Costa Mesa OperationsStudio / Suite
Vivante Newport Mesa
AL
HOS
MC
Costa Mesa (Westside Costa Mesa)
430
Facility 430
CA AVG 104
Rank #26 / 1644
Yes
71
Facility 71
CA AVG 57
Rank #701 / 2087
75
Facility 75
CA AVG 81
Rank #973 / 1400
19
8
Facility 8
CA AVG 13
Rank #758 / 1388
5
Facility 5
CA AVG 3
Rank #895 / 1160
12
Facility 12
CA AVG 12
Rank #512 / 1500
0-Vivante Westside LLC And Integral Senior Living Mgt-
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. 

Contact Silverado 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

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.

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

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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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.