Page 2 of Best Assisted Living in Fresno, CA

Why trust this guide? Our editorial team analyzed 17 assisted living communities in Fresno, 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 Fresno, CA our team has analyzed — not a count of every assisted living provider in Fresno, CA.
17 homes
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Avg Monthly Cost: $6,983The average monthly cost across facilities in Fresno, CA. 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: 47/ 100The average Walk Score across facilities in Fresno, 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: 131The average licensed bed capacity across facilities in Fresno, CA. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Fresno (Metro Area)

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.

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. 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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative 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 composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. See the benchmark below for the typical California score; higher is better. This is a proprietary Assisted Living Magazine score.
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.
Belmar Villa Assisted Living
AL
NH
SNF
Fresno
100
Facility 100
CA AVG 103
Rank #697 / 1,645
No 50
59
Facility 59
CA AVG 81
Rank #1,343 / 1,474
64
43
Facility 43
CA AVG 13
Rank #1,327 / 1,387
7
Facility 7
CA AVG 3
Rank #1,203 / 1,433
11
Facility 11
CA AVG 13
Rank #652 / 1,505
62.0% Belmar Villa LLCStudio / Semi-Private Rooms
Summerfield of Fresno
AL
MC
RC
Fresno
64
Facility 64
CA AVG 103
Rank #1,045 / 1,645
No 52
59
Facility 59
CA AVG 81
Rank #1,343 / 1,474
57
41
Facility 41
CA AVG 13
Rank #1,312 / 1,387
13
Facility 13
CA AVG 3
Rank #1,340 / 1,433
6
Facility 6
CA AVG 13
Rank #927 / 1,505
81.3% Snh Cal Tenant LLC And Northstar Snr Lvg Mgt LLCPrivate / Shared Rooms
Royal Gardens Senior Care
AL
HOS
PC
Fresno
6
Facility 6
CA AVG 103
Rank #1,318 / 1,645
No
75
Facility 75
CA AVG 59
Rank #562 / 2,057
95
Facility 95
CA AVG 81
Rank #124 / 1,474
5
0
Facility 0
CA AVG 13
Rank #1 / 1,387
0
Facility 0
CA AVG 3
Rank #1 / 1,433
24
Facility 24
CA AVG 13
Rank #292 / 1,505
83.3% Vr Enigma IncStudio / Semi-Private Rooms
The Windham by Cogir
AL
IL
Fresno
88
Facility 88
CA AVG 103
Rank #862 / 1,645
Yes 51
76
Facility 76
CA AVG 81
Rank #937 / 1,474
17
4
Facility 4
CA AVG 13
Rank #525 / 1,387
5
Facility 5
CA AVG 3
Rank #1,094 / 1,433
7
Facility 7
CA AVG 13
Rank #843 / 1,505
87.5% Cadence Sl Windham Frsno LLC And Cap Ix-Windham LLCStudio / Cottage / 1 Bed / 2 Bed
Cedarbrook Memory Care Community
AL
MC
Fresno
68
Facility 68
CA AVG 103
Rank #1,012 / 1,645
No 64
74
Facility 74
CA AVG 81
Rank #995 / 1,474
29
10
Facility 10
CA AVG 13
Rank #845 / 1,387
5
Facility 5
CA AVG 3
Rank #1,094 / 1,433
21
Facility 21
CA AVG 13
Rank #361 / 1,505
77.9% Fresno Memory Care, LLCSuite
Helping Hands Senior Care
AL
MC
Fresno (Roosevelt)
30
Facility 30
CA AVG 103
Rank #1,256 / 1,645
No
28
Facility 28
CA AVG 59
Rank #1,747 / 2,057
70
Facility 70
CA AVG 81
Rank #1,124 / 1,474
13
3
Facility 3
CA AVG 13
Rank #442 / 1,387
16
Facility 16
CA AVG 3
Rank #1,377 / 1,433
2
Facility 2
CA AVG 13
Rank #1,321 / 1,505
30.0% Helping Hands Senior Care LLC-
Twilight Haven
AL
NH
SNF
Fresno
166
Facility 166
CA AVG 103
Rank #269 / 1,645
No
2
Facility 2
CA AVG 59
Rank #2,042 / 2,057
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Rank badges are statewide: each community is ranked against every CA community we track that reports that metric, not just the 17 analyzed for Fresno.

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Overview of Belmar Villa Assisted Living

Surrounded by convenient local amenities in Fresno, CA, Belmar Villa Assisted Living (Formerly known as Care Meridian Fresno Weber) is a distinct community that offers assisted living and skilled nursing. Residents receive the highest quality of care from a kind and highly trained team available around the clock. The community also handles the housekeeping and other chores, ensuring residents can feel a sense of belonging during their stay.

With a thoughtfully curated calendar of engaging activities and enriching programs, residents will not run out of things to do for leisure and wellness. Delicious and healthy meals are also served to satisfy residents’ dietary needs and preferences. Residents can keep their peace of mind and thrive in retirement amidst the community’s vibrant and friendly setting.

Contact Belmar Villa Assisted Living

Overview of Summerfield of Fresno

Six years old and running at 81% occupancy, Summerfield of Fresno is a 64-bed memory care and respite community on North Marks Avenue in Fresno, California. Northstar Snr Lvg Mgt LLC operates the facility; Robert Huntley is the administrator. The single-story building houses residents in private and shared rooms, with 52 of 64 beds currently filled.

The focus is memory care, with short-term respite stays available alongside longer-term placements. Amenities on the ground include beauty services, housekeeping, recreational activities, and exercise programming.

Summerfield is state-licensed through California’s residential care framework, not CMS-certified. That means Medicare and Medicaid don’t apply here; the facility operates under California Department of Social Services oversight, which runs on a separate regulatory track from the federal system governing skilled nursing facilities. State inspections have covered areas such as medication management, fire-safety systems, and care planning and documentation.

Walk Score 52 puts the North Marks Avenue location in moderately walkable territory. Some errands are manageable on foot; most will still need a car.

Summerfield of Fresno is a compact, single-story memory care option in Fresno’s northwest corridor, privately operated and state-licensed, suited to families seeking dedicated memory or respite care outside the CMS-certified system.

Contact Summerfield of Fresno

Overview of Royal Gardens Senior Care

Royal Gardens Senior Care is a dependable community in Fresno, CA, offering assisted living. The community is committed to improving residents’ well-being, providing top-notch care tailored to their unique needs 24/7. Housekeeping and laundry are also provided, ensuring residents enjoy hassle-free living.

Residents will not feel lonely with a variety of fun recreational activities and exciting events that highlight their interests and capabilities. Mealtimes also foster comfort while catering to dietary needs and preferences with delicious and healthy dining options. Medication administration, wound care, continence management, and oxygen therapy are also available to meet residents’ healthcare needs. The community is ideal for those needing assistance to experience the best of their golden years, especially with its comprehensive care and welcoming environment.

Contact Royal Gardens Senior Care

Overview of The Windham by Cogir

Residing in the stunning 10 acres of land in East Spruce Avenue, Fresno, CA, The Windham by Cogir is a remarkable senior living community that offers assisted living and independent living. Live comfortably and safely with cozy and well-thought-of floor plans including, studio, one-, and two-bedroom cottages and apartments. Seniors and their loved ones may let go of their worries knowing a respectful and well-trained team attends to their needs and aspirations.

With several exclusive programs the ARIA Arts Program, IN-TUNE Fitness, Furtissimo, and the Cadence Life Enrichment Program, the community encourages residents to maintain an active lifestyle. Form meaningful connections and explore new ideas through interactions with fellow residents and the team. Committed to ensuring seniors’ well-being, the community also prepares healthy and delicious meals that satisfy their dietary needs and tastes. Spend your golden years fabulously surrounded by ethereal landscapes and peaceful walking paths in The Windham by Cogir.

Contact The Windham by Cogir

Overview of Cedarbrook Memory Care Community

Cedarbrook, located in Fresno, CA, offers a tranquil and secure setting for memory care. The community provides exceptional care and assistance to residents dealing with Alzheimer’s and memory loss with the help of a dedicated on-site team and nurses, available to support residents 24/7. Security is paramount to the community that they make sure to equip each apartment with advanced security systems, including motion and window sensors and long pull cords so residents can easily alert caregivers to their exact location and notify the team.

Fostering an active and engaging lifestyle, Cedarbrook offers a plethora of amenities and diverse activities that aims to nurture resident’s holistic wellbeing. Residents are free to participate in a variety of arts & crafts classes and exercise classes and participate in dining experiences, special celebrations, and events. With exceptional care and a variety of programs and activities, Cedarbrook offers a vibrant and supportive environment, making it an excellent choice for seniors.

Contact Cedarbrook Memory Care Community

Overview of Helping Hands Senior Care

Helping Hands Senior Care is a 30-bed assisted living and memory care community offering around-the-clock staffing for assisted living and memory care residents in Fresno, California. Licensed by the California Department of Social Services as a Residential Care Facility for the Elderly in July 2024, the community serves Fresno County.

As a California RCFE, inspections are conducted by the Department of Social Services rather than CMS, so no federal star rating applies. Since licensing, the facility has totaled 29 citations across its first two-year operation, about three times the California average of 10. On the ledger’s flip side, complaints have come in well below the norm: 2 filed compared to a statewide average of 14, with 3 complaint-triggered visits against California’s average of 13. No fines or serious citations are on record in the latest May 2026 inspection. The community earned a Fresno’s Favorite designation in 2024.

For Fresno County seniors who need assisted living or memory care in a newer, smaller setting with 24-hour staffing, the community is suitable.

Overview of Twilight Haven

Twilight Haven has been a senior living home that provides a graceful living for independent living, assisted living, memory care, and skilled nursing residents since 1957. They follow a philosophy that encourages and empowers its residents to maintain their independence and individuality. Residents of all kinds of living options receive supportive assistance for everyday living with enriching activities that contribute to a high success rate for recovery. 
Twilight Haven prioritizes wellness, comfort, and convenience for its residents. They offer 24-hour skilled nursing care services with speech, occupational, and physical therapy; ADLs, planned activities, recreational programs; and housekeeping, transportation, and religious services. 

Contact Twilight Haven

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.
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Frequently Asked Questions about Assisted Living in Fresno, CA

What is the average cost of assisted living in Fresno, CA?

The average monthly cost of assisted living in Fresno, CA is approximately $4,500. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Fresno, CA?

Assisted living in Fresno, CA typically ranges from $3,800–$6,000 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Fresno, CA?

Assisted living facilities in Fresno, CA typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

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.