Best Assisted Living in Fresno County, CA

Why trust this guide? Our editorial team analyzed 6 assisted living communities in Fresno County, 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 County, CA our team has analyzed — not a count of every assisted living provider in Fresno County, CA.
6 homes
Other senior care options in Fresno County:

Video Tour: Top-rated Assisted Living facilities in Fresno County, California.

Watch this Video to see Fresno County's Top-rated Senior Communities
Avg Walk Score: 54/ 100The average Walk Score across facilities in Fresno County, 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: 80The average licensed bed capacity across facilities in Fresno County, CA. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Fresno County

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. 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.
The ALM Inspection Grade — our own 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. It is not a government rating. A dash means we do not publish a grade for that facility: either its public record is too thin to be fair, or we hold nothing for it at all.
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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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.
Elim Place
AL
MC
Sanger
44
Facility 44
CA AVG 103
Rank #1,034 / 1,492
No
81
Facility 81
CA AVG 57
Rank #352 / 1,887
B+87 / 100 — 4 points above the California average for state-licensed facilities (83/100)6
1
Facility 1
CA AVG 13
Rank #210 / 1,387
3
Facility 3
CA AVG 3
Rank #898 / 1,433
35
Facility 35
CA AVG 13
Rank #52 / 1,452
70.5%
Facility 70.5%
CA AVG 74.6%
Rank #790 / 1,313
A+5Th Street 1808 LLCSemi-Private Rooms
Fairwinds Woodward Park
AL
IL
Fresno
270
Facility 270
CA AVG 103
Rank #66 / 1,492
Yes
46
Facility 46
CA AVG 57
Rank #1,305 / 1,887
C75 / 100 — 8 points below the California average for state-licensed facilities (83/100)25
11
Facility 11
CA AVG 13
Rank #885 / 1,387
5
Facility 5
CA AVG 3
Rank #1,094 / 1,433
25
Facility 25
CA AVG 13
Rank #235 / 1,452
93.7%
Facility 93.7%
CA AVG 74.6%
Rank #206 / 1,313
A+Fresn LLC And Leisure Care LLCStudio / 1 Bed / 2 Bed
The Grove Senior Living
AL
MC
Fresno
130
Facility 130
CA AVG 103
Rank #441 / 1,492
Yes
58
Facility 58
CA AVG 57
Rank #1,009 / 1,887
A+97 / 100 — 14 points above the California average for state-licensed facilities (83/100)10
5
Facility 5
CA AVG 13
Rank #589 / 1,387
0
Facility 0
CA AVG 3
Rank #1 / 1,433
3
Facility 3
CA AVG 13
Rank #1,186 / 1,452
58.5%
Facility 58.5%
CA AVG 74.6%
Rank #1,084 / 1,313
-Oakmont Of Fresno LLC And Wellquest Living LLC (Mgr)Studio / 1 Bed
Graysful Living
AL
HOS
RESC
RC
Fresno
6
Facility 6
CA AVG 103
Rank #1,166 / 1,492
Yes
65
Facility 65
CA AVG 57
Rank #796 / 1,887
A-90 / 100 — 7 points above the California average for state-licensed facilities (83/100)5
0
Facility 0
CA AVG 13
Rank #1 / 1,387
1
Facility 1
CA AVG 3
Rank #478 / 1,433
15
Facility 15
CA AVG 13
Rank #479 / 1,452
83.3%
Facility 83.3%
CA AVG 74.6%
Rank #392 / 1,313
-Graysful Living, LLCPrivate / Semi-Private Rooms
Gettysburg Christian Home
AL
MC
Fresno
18
Facility 18
CA AVG 103
Rank #1,130 / 1,492
No
57
Facility 57
CA AVG 57
Rank #1,037 / 1,887
-1
0
Facility 0
CA AVG 13
Rank #1 / 1,387
0
Facility 0
CA AVG 3
Rank #1 / 1,433
1
Facility 1
CA AVG 13
Rank #1,363 / 1,452
61.1%
Facility 61.1%
CA AVG 74.6%
Rank #1,040 / 1,313
-Gettysburg Mercy Care LLCSemi-Private Rooms
Blossom Creeks Assisted Living
AL
HOS
NH
PC
Fresno (Roosevelt)
12
Facility 12
CA AVG 103
Rank #1,147 / 1,492
No
19
Facility 19
CA AVG 57
Rank #1,690 / 1,887
C75 / 100 — 8 points below the California average for state-licensed facilities (83/100)6
1
Facility 1
CA AVG 13
Rank #210 / 1,387
4
Facility 4
CA AVG 3
Rank #1,010 / 1,433
9
Facility 9
CA AVG 13
Rank #698 / 1,452
33.3%
Facility 33.3%
CA AVG 74.6%
Rank #1,288 / 1,313
A+Rajvinder K Samra-

Rank badges are statewide: each community is ranked against every CA community we track that reports that metric, not just the 6 analyzed for Fresno County. See how we rank facilities

Overview of Elim Place

Nestled in the harmonious neighborhood of Sanger, CA, Elim Place is a distinct community that focuses on memory care. For those with memory-related needs, the community provides top-tier care with a compassionate and dementia-trained team available around the clock. Residents here also enjoy the community’s cozy and nurturing environment with its specially designed and sophisticated accommodations.

Residents live actively with a full calendar of fun activities and enriching programs that aim to enhance their cognition while keeping them happy and socially engaged. Delightful and well-balanced meals are also served to satisfy residents’ dietary needs and preferences. The community is ideal for those looking to create meaningful moments in their later years while maintaining their dignity, accompanied by its dedicated care and purposely built amenities.

Contact Elim Place

Overview of Fairwinds Woodward Park

Fairwinds Woodward Park is an independent living and assisted living community where both options are guaranteed to be comfortable for residents to maintain their individuality and freedom. Residents in the community are cared for by ensuring that the holistic wellness of each resident is met. The community gives off an engaging and enriching environment where the professional care staff is attentive and ready to go above and beyond for the residents. Fairwinds has celebrated and understood the importance of growth by ensuring seniors get the best possible care and limitless opportunities during their stay.

The lifestyle at Fairwinds is inspired by resort-style stay– leisure is the center of senior wellness. Community features include restaurant-style dining experiences curated by an in-house chef to take PrimeFit Wellness classes, a cafe, a private dining room, a salon and barbershop, transportation, guest parking, and a courtyard with outdoor seating

Contact Fairwinds Woodward Park

Overview of The Grove Senior Living

Sitting in the peaceful neighborhood of Fresno County, Fresno, CA, The Grove Senior Living is a thriving senior living community that offers premiere assisted living and memory care services. The community encourages an independent but supervised lifestyle in a nurturing environment with an array of comfortable residences. Residents are always cared for with a kind and caring team that provides round-the-clock supervision and various assistance, including personal care, medication management, and assistance with other daily living activities.

Dedicated to providing residents with an improved quality of life and plenty of opportunities for making new learning and connections, the community features a full-time engagement director that plans a wide array of social activities. The community also features a range of convenient amenities, including a grand lobby, library, bistro, salon, wellness center, and activity room. With its intimate setting and hardworking team, The Grove Senior Living guarantees each resident with a focused and personalized care and support.

Contact The Grove Senior Living

Overview of Graysful Living

Cherish every moment of your later years with Graysful Living, a dedicated community in Fresno, CA, that offers residential care. The community strives to meet the needs of those with dementia and under hospice care to enhance their living experiences. A kind and highly trained team helps with residents’ daily living activities and household responsibilities 24/7, promising a worry-free retirement.

The community works hard to understand residents’ needs to provide better care and comfort. Three delightful and well-balanced home-cooked meals are also served to meet dietary needs and preferences. Have the finest retirement experience while receiving exceptional care for your unique needs from a trusted community.

Contact Graysful Living

Overview of Gettysburg Christian Home

Create meaningful moments with Gettysburg Christian Home, a distinguished community in Fresno, CA, that offers assisted living and memory care. Dedicated to improving residents’ well-being, the community provides top-notch care tailored to their special needs 24/7. Residents keep peace of mind with the community helping with their daily living activities and household responsibilities.

A variety of fun activities and engaging programs are also conducted, encouraging residents to meet new friends and gain meaningful experiences. Residents have the finest dining experience with delightful and healthy meals that cater to dietary needs and preferences. The community is ideal for those with memory-related needs, especially with its specially designed accommodations and stress-free setting.

Contact Gettysburg Christian Home

Overview of Blossom Creeks Assisted Living

Conveniently located in the quiet neighborhood of Fresno County, Fresno, CA, Blossom Creeks Assisted Living is a well founded senior living community that offers a wide array of compassionate assisted living services. The community helps residents maintain their independence with the help of highly trained caregivers and experienced certified nursing assistants available 24 hours a day to offer various care services. Residents benefit from added assistance and care provided by their access to physical therapy, 24/7 emergency care, and hospice care.

Planned social and recreational activities provide plenty of opportunities to forge new connections and experience a vibrant and active way of living that highly improves residents’ quality of life. A team of chefs diligently prepares nutritious and delicious meals daily to ensure residents’ cravings are always satisfied and their nutritional needs are met. A care plan is personalized for each resident based on their needs and requests, ensuring all of their needs are met and satisfied.

Contact Blossom Creeks Assisted 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
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 Fresno County, 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 6 assisted living facilities in Fresno County, CA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Fresno County, 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 Fresno County, 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 Fresno County, 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.