Page 2 of Best Assisted Living in Fresno, CA

Why trust this guide? Our editorial team analyzed 21 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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Last updated
We analyzed These are the facilities in Fresno, CA our team has analyzed — not a count of every assisted living provider in Fresno, CA.
21 homes
Other senior care options in Fresno:

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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. 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 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.
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 #600 / 1,350
No
50
Facility 50
CA AVG 56
Rank #879 / 1,411
B-64
43
Facility 43
CA AVG 13
Rank #1,235 / 1,292
7
Facility 7
CA AVG 3
Rank #1,128 / 1,338
12
Facility 12
CA AVG 13
Rank #547 / 1,299
62.0%
Facility 62.0%
CA AVG 74.1%
Rank #931 / 1,202
Belmar Villa LLCStudio / Semi-Private Rooms
Paintbrush Assisted Living and Memory Support
AL
MC
Fresno (Westside)
110
Facility 110
CA AVG 103
Rank #551 / 1,350
No
50
Facility 50
CA AVG 56
Rank #879 / 1,411
D39
25
Facility 25
CA AVG 13
Rank #1,121 / 1,292
14
Facility 14
CA AVG 3
Rank #1,266 / 1,338
28
Facility 28
CA AVG 13
Rank #120 / 1,299
65.5%
Facility 65.5%
CA AVG 74.1%
Rank #874 / 1,202
Paintbrush, LLC And Northstar Senior Living, IncStudio / Suite / 1 Bed / 2 Bed
Kingston Bay Senior Living
AL
MC
RC
Fresno
128
Facility 128
CA AVG 103
Rank #437 / 1,350
No
17
Facility 17
CA AVG 56
Rank #1,264 / 1,411
D55
27
Facility 27
CA AVG 13
Rank #1,142 / 1,292
13
Facility 13
CA AVG 3
Rank #1,254 / 1,338
28
Facility 28
CA AVG 13
Rank #120 / 1,299
68.0%
Facility 68.0%
CA AVG 74.1%
Rank #768 / 1,202
Fresno Sr. Housing Ptrs And Agemark Mgmt LLCPrivate / Shared Room
Evergreen Court
AL
HOS
MC
PC
RC
Fresno
6
Facility 6
CA AVG 103
Rank #1,036 / 1,350
No
49
Facility 49
CA AVG 56
Rank #898 / 1,411
D-9
2
Facility 2
CA AVG 13
Rank #310 / 1,292
9
Facility 9
CA AVG 3
Rank #1,184 / 1,338
2
Facility 2
CA AVG 13
Rank #1,135 / 1,299
100.0%
Facility 100.0%
CA AVG 74.1%
Rank #1 / 1,202
Evergreen Life Care Homes IncPrivate Rooms
Northwest Villa
AL
HOS
MC
NH
PC
RC
Fresno
6
Facility 6
CA AVG 103
Rank #1,036 / 1,350
No
43
Facility 43
CA AVG 56
Rank #981 / 1,411
D-9
2
Facility 2
CA AVG 13
Rank #310 / 1,292
10
Facility 10
CA AVG 3
Rank #1,203 / 1,338
2
Facility 2
CA AVG 13
Rank #1,135 / 1,299
100.0%
Facility 100.0%
CA AVG 74.1%
Rank #1 / 1,202
Evergreen Life Care Homes, IncPrivate Rooms
Summerfield of Fresno
AL
MC
RC
Fresno
64
Facility 64
CA AVG 103
Rank #833 / 1,350
No
52
Facility 52
CA AVG 56
Rank #848 / 1,411
D57
41
Facility 41
CA AVG 13
Rank #1,220 / 1,292
13
Facility 13
CA AVG 3
Rank #1,254 / 1,338
6
Facility 6
CA AVG 13
Rank #777 / 1,299
81.3%
Facility 81.3%
CA AVG 74.1%
Rank #466 / 1,202
Snh Cal Tenant LLC And Northstar Snr Lvg Mgt LLCPrivate / Shared Rooms
Chateau Jesadean
AL
HOS
MC
PC
RC
Fresno
6
Facility 6
CA AVG 103
Rank #1,036 / 1,350
No
37
Facility 37
CA AVG 56
Rank #1,052 / 1,411
D-11
2
Facility 2
CA AVG 13
Rank #310 / 1,292
12
Facility 12
CA AVG 3
Rank #1,241 / 1,338
2
Facility 2
CA AVG 13
Rank #1,135 / 1,299
83.3%
Facility 83.3%
CA AVG 74.1%
Rank #335 / 1,202
Evergreen Life Care Homes IncPrivate Rooms
Helping Hands Senior Care
AL
MC
Fresno (Roosevelt)
30
Facility 30
CA AVG 103
Rank #980 / 1,350
No
28
Facility 28
CA AVG 56
Rank #1,159 / 1,411
D+13
3
Facility 3
CA AVG 13
Rank #418 / 1,292
16
Facility 16
CA AVG 3
Rank #1,288 / 1,338
2
Facility 2
CA AVG 13
Rank #1,135 / 1,299
30.0%
Facility 30.0%
CA AVG 74.1%
Rank #1,195 / 1,202
Helping Hands Senior Care LLC-
The Terraces at San Joaquin Gardens a CCRC
AL
IL
MC
NH
SNF
Fresno
652
Facility 652
CA AVG 103
Rank #8 / 1,350
Yes
57
Facility 57
CA AVG 56
Rank #746 / 1,411
?20
4
Facility 4
CA AVG 13
Rank #498 / 1,292
2
Facility 2
CA AVG 3
Rank #679 / 1,338
32
Facility 32
CA AVG 13
Rank #76 / 1,299
57.2%
Facility 57.2%
CA AVG 74.1%
Rank #997 / 1,202
Humangood & Humangood Norcal & Humangood Fresno-
Twilight Haven
AL
NH
SNF
Fresno
166
Facility 166
CA AVG 103
Rank #228 / 1,350
No
2
Facility 2
CA AVG 56
Rank #1,397 / 1,411
?-------

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 21 analyzed for Fresno. See how we rank facilities

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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 Paintbrush Assisted Living and Memory Support

Paintbrush Assisted Living and Memory Support open minds in the community, ensuring everyone is treated with respect and dignity in their warm and welcoming environment. The family-owned community includes a team of dedicated and compassionate professionals to deliver high-quality care. Paintbrush is an ideal place for an elderly who seeks to find an accepting and inviting community, with programs and services that celebrate each individual.

The upscale assisted living and memory care center offers various services; residents are guaranteed to get personalized care catered to their needs in an inviting community with refined hospitality. Community features are inclusive dining and a cafe, entertainment programs, individual care plans, and long-term care plans.

Contact Paintbrush Assisted Living and Memory Support

Kingston Bay Senior Living

6161 W Spruce Ave, Fresno, CA 93722
Overview of Kingston Bay Senior Living

Located in Fresno, CA, Kingston Bay is a beautiful community known for its modernized and holistic approach to senior living. Kingston Bay offers assisted living, memory care, and respite care services. This elegant community provides a unique combination of resort-like amenities combined with a tight-knit atmosphere, allowing residents to feel a sense of belonging and luxury.

Residents at Kingston Bay have access to top-of-the-line amenities such as restaurant-style dining, pristine outdoor spaces, a theatre room, a fitness center, as well as an on-site salon. At Kingston Bay, there is a focus on 4 key parts of an individual’s wellbeing. These focuses include social, spiritual, intellectual, and physical. By nurturing these four areas, Kingston Bay ensures that its residents continue to live fulfilling lives through personal growth.

Contact Kingston Bay Senior Living

Overview of Evergreen Court

Evergreen Court is a tight-knit community in the heart of Fresno, CA that offers compassionate assisted living services. Catering to a few residents, the community guarantees personalized care and 24/7 assistance with daily activities for utmost convenience. The community’s dedicated care team is also trained to provide memory care for those living with the challenges of memory loss, allowing them to lead fulfilling lives.

Services from a physician, physical therapist, and other skilled professionals are also available on-site for residents’ well-being and convenience. Nutritionally-balanced meals are provided to ensure everyone receives proper nourishment and nutrition. The community also coordinates with dependable hospice agencies to ensure residents are well-cared for even in the final stages of their lives.

Contact Evergreen Court

Overview of Northwest Villa

Peacefully located in Fresno, CA, Northwest Villa is a close-knit community designed to accommodate those looking for assisted living. Residents’ well-being is prioritized with dependable caregivers available to offer daily living assistance, memory care, and other care services. The community also provides the convenience of having access to other skilled professionals like a physician and physical therapist on-site.

Housekeeping and linen services are also offered, giving residents more free time to enjoy the things they love to do. Everyone is always properly nourished and energized with healthy and delicious meals served daily. With its commitment to comfort and well-being, Northwest Villa ensures its residents lead fulfilling lives filled with warmth and assurance.

Contact Northwest Villa

Overview of Summerfield of Fresno

Rooms at Summerfield of Fresno come private or shared, across 64 beds. A shared room suits a couple moving in together or somebody who would rather have company. Assisted living is the baseline level of care in this Fresno, California community, and it covers dressing, medication management, and bathing.

Memo care adds security to the setting and the supervision that comes with it. There’s a point in the progression of dementia and other neurodegenerative diseases where explaining why supervision is even necessary stops landing. That’s when no amount of reasoning can get someone to stay put, and that’s where memory care comes in.

Respite care covers short stays, which are often for those who need someone in the building at hand rather than a nurse at the bedside.

Here, as a resident’s needs change, their family won’t need to start looking for a new place that can accommodate them.

Robert Huntley is the administrator. A Walk Score of 52 means the area is somewhat walkable.

Contact Summerfield of Fresno

Overview of Chateau Jesadean

Overlooking the charming area of Fresno, CA, Chateau Jesadean is a peaceful haven for those looking to enjoy assisted living amidst an intimate setting. The community features a team of reliable caregivers trained to provide an array of care services, including memory care and assistance with daily activities. A physician, physical therapist, and other care professionals are also available to guarantee residents’ overall well-being.

Countless activities cater to residents’ unique capabilities and interests, allowing them to enjoy the things they love to do or discover new hobbies to indulge in. Mealtimes are enjoyable with delicious meals and snacks served daily for residents’ nourishment. With cozy accommodations and personalized care, residents here are bound to enjoy their well-deserved retirement years.

Contact Chateau Jesadean

Overview of Helping Hands Senior Care

Helping Hands Senior Care provides assisted living and memory care in Fresno, CA. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident maintains their own living space. Memory care offers a secured setting with supervision, which can suit someone at risk of wandering. With both care levels available, Helping Hands Senior Care may be a good fit for a resident whose needs may grow over time and who may be able to move to a different level of care without leaving the community.

Located in the Roosevelt neighborhood, the community has 30 beds, making it a smaller setting where staff and residents can get to know each other. Elsa Nguyen serves as the administrator. Starting prices are $3,500 for assisted living and $4,700 for memory care, giving families a separate expected starting cost for each care level.

Overview of The Terraces at San Joaquin Gardens a CCRC

The Terraces at San Joaquin Gardens has been a pioneer in making residents feel welcomed and comfortable for its independent living, assisted living, memory care, and skilled nursing residents. Seniors live a vibrant lifestyle where they can pursue individual goals and needs with additional support. The Terraces is a safe and secure continuing retirement community that ensures seniors and their families the best senior care.

The Terraces at San Joaquin Gardens maintain an active lifestyle for its residents to take advantage of– a dining experience that provides delicious meals created by an executive chef, wellness programs planned for those who want to stay active with social, intellectual, and cultural opportunities found in their yoga and dance classes. 

Contact The Terraces at San Joaquin Gardens a CCRC

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.
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 Fresno at a glance

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: 46/ 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: 112The average licensed bed capacity across facilities in Fresno, CA. Individual facilities can vary widely from this average.
National Average: 90
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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.