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Best Assisted Living in Sacramento County, CA

Why trust this guide? Our editorial team analyzed 14 assisted living communities in Sacramento County, CA using California Department of Social Services (CDSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in CA
Reviewed by
Last updated
May 2026
We analyzed
14 homes
Other senior care options in Sacramento County:

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

Watch this Video to see Sacramento County's Top-rated Senior Communities
Avg Walk Score: 56/ 100The average Walk Score across facilities in Sacramento 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: 56The average licensed bed capacity across facilities in Sacramento County, CA. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Sacramento County

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

Gramercy Court Assisted Living and Memory Care
AL
MC
NH
SNF
A Sacramento (Arden-Arcade)
120
Facility 120
CA AVG 104
Rank #561 / 1648
No
62
Facility 62
CA AVG 57
Rank #980 / 2087
----- 82.2% -Private Rooms
Grand River Villa
AL
West Sacramento (Mikon)
43
Facility 43
CA AVG 104
Rank #1183 / 1648
No
74
Facility 74
CA AVG 57
Rank #597 / 2087
92
Facility 92
CA AVG 81
Rank #308 / 1399
6
2
Facility 2
CA AVG 13
Rank #324 / 1388
1
Facility 1
CA AVG 3
Rank #412 / 1160
33
Facility 33
CA AVG 13
Rank #92 / 1494
53.5% Grv A Ca Corporation And CiminocarePrivate / Semi-private Rooms
Mercy McMahon Terrace
AL
MC
Sacramento (East Sacramento)
189
Facility 189
CA AVG 104
Rank #187 / 1648
No
84
Facility 84
CA AVG 57
Rank #319 / 2087
82
Facility 82
CA AVG 81
Rank #792 / 1399
14
8
Facility 8
CA AVG 13
Rank #758 / 1388
3
Facility 3
CA AVG 3
Rank #753 / 1160
36
Facility 36
CA AVG 13
Rank #64 / 1494
60.8% Mercy Mcmahom TerraceStudio / 1 Bed
Sky Park Gardens
AL
MC
Sacramento (Parkway-South Sacramento)
144
Facility 144
CA AVG 104
Rank #401 / 1648
No
74
Facility 74
CA AVG 57
Rank #597 / 2087
67
Facility 67
CA AVG 81
Rank #1155 / 1399
21
12
Facility 12
CA AVG 13
Rank #918 / 1388
9
Facility 9
CA AVG 3
Rank #1029 / 1160
42
Facility 42
CA AVG 13
Rank #34 / 1494
51.4% Skypark Manor, LLCStudio / 1 Bed / Private / Semi-private Rooms
Grace Home
AL
RESC
Orangevale
24
Facility 24
CA AVG 104
Rank #1274 / 1648
No
68
Facility 68
CA AVG 57
Rank #804 / 2087
69
Facility 69
CA AVG 81
Rank #1118 / 1399
6
7
Facility 7
CA AVG 13
Rank #715 / 1388
13
Facility 13
CA AVG 3
Rank #1092 / 1160
8
Facility 8
CA AVG 13
Rank #746 / 1494
87.5% Nelson S. JacintoPrivate / Semi-Private Rooms
Almond Grove Assisted Living
AL
Orangevale
78
Facility 78
CA AVG 104
Rank #935 / 1648
No
59
Facility 59
CA AVG 57
Rank #1086 / 2087
66
Facility 66
CA AVG 81
Rank #1217 / 1399
4
18
Facility 18
CA AVG 13
Rank #1083 / 1388
4
Facility 4
CA AVG 3
Rank #829 / 1160
4
Facility 4
CA AVG 13
Rank #1108 / 1494
79.5% Almond House Asstd. Lvng LLC And Mt. Timpanogos HldngsStudio / Semi-Private Rooms
The Courte at Citrus Heights
AL
IL
MC
Citrus Heights
48
Facility 48
CA AVG 104
Rank #1160 / 1648
No
58
Facility 58
CA AVG 57
Rank #1126 / 2087
73
Facility 73
CA AVG 81
Rank #1021 / 1399
32
11
Facility 11
CA AVG 13
Rank #884 / 1388
4
Facility 4
CA AVG 3
Rank #829 / 1160
9
Facility 9
CA AVG 13
Rank #710 / 1494
70.8% Citrus Heights Memory Care Dev And Sunrise Oaks Mc PrStudio / Semi-Private
Love and Serenity III – Greenhaven Assisted Living Community
AL
MC
Sacramento (Southwestern Sacramento)
-Yes
30
Facility 30
CA AVG 57
Rank #1715 / 2087
-------Private Rooms
Sacramento Care Homes
AL
CH
Elk Grove
-No
38
Facility 38
CA AVG 57
Rank #1579 / 2087
-------Private Rooms
Overview of Gramercy Court Assisted Living and Memory Care

Cherish every moment of your golden years with Gramercy Court Assisted Living & Memory Care, an astounding community set near Kaiser Permanente Sacramento Medical Center in Sacramento, CA, offering assisted living and memory care. The community is committed to improving residents’ welfare, providing top-notch care for their special needs around the clock. Residents also enjoy a worry-free retirement, with the community helping with their day-to-day activities and household chores.

Engaging activities and exciting events are conducted to enhance the cognition of those with memory-related needs. Accommodating residents’ nutritional requirements and preferences, delicious and healthy meals are provided for a satisfactory dining experience. Here, residents are prioritized with every service and amenity, ensuring comfort and safety.

Contact Gramercy Court Assisted Living and Memory Care

Overview of Golden Moments Care Home

Conveniently located near Kaiser Permanente Sacramento Medical Center in Sacramento, CA, Golden Moments Care Home, Inc. is an astounding community that offers assisted living and memory care. Here, residents enjoy the utmost care for their unique needs with a compassionate and highly trained team available around the clock. The community promotes a vibrant and welcoming environment with an all-inclusive rate for residents’ comfort and convenience.

Residents are encouraged to live actively and meet new friends with a carefully curated calendar of fun activities and engaging programs for their enjoyment and wellness. Three delicious and healthy meals are served to satisfy residents’ dietary needs and preferences. Medication management, incontinence care, and transportation services are available for residents’ comfort and convenience. Here, residents experience the highest quality of life in retirement with the community’s dedicated services and beautifully furnished amenities.

Contact Golden Moments Care Home, Inc.

Grand River Villa

509 Michigan Blvd, West Sacramento, CA 95691
Overview of Grand River Villa

Experience the highest quality of life with Grand River Villa, an esteemed community situated in the harmonious neighborhood of Michigan Boulevard, West Sacramento, CA, offering assisted living. With its intimate and nurturing environment, the community strives to accommodate up to 30 residents and provide exceptional care for their unique needs around the clock. The community ensures a worry-free lifestyle, handling the housekeeping, laundry, and other day-to-day activities.

Residents will not run out of things to do with a thoughtfully curated calendar of fun activities and enriching programs that aim to promote social interactions and an active lifestyle. Medication assistance and 24-hour non-medical care are provided to meet residents’ needs. Here, residents enjoy the finest dining experience with delicious and healthy meals that cater to dietary needs and preferences. Live a blissful retirement in the community’s stress-free setting and welcoming spaces.

Contact Grand River Villa

Overview of Mercy McMahon Terrace

Conveniently set near Sacramento, CA, Mercy McMahon Terrace is a distinguished non-profit community that offers assisted living and memory care. Residents here receive exceptional care tailored to their needs around the clock in a cozy and nurturing environment. The community also helps with daily living activities and household chores to provide more opportunities for residents to create meaningful moments.

Residents are encouraged to live actively and meet new friends with a carefully curated calendar of fun recreational activities and engaging programs for leisure and wellness. Delicious and nutritious meals are freshly prepared to meet residents’ dietary needs and preferences. With its commitment to improving residents’ well-being, the community provides top-tier services and purposely designed amenities for their comfort and safety.

Contact Mercy McMahon Terrace

Overview of All Seasons | Residential Assisted Living

Beautifully set in the harmonious neighborhood of Orangevale, CA, All Seasons Residential Assisted Living is an award-winning community that offers a wide range of care options. These include memory care, stroke care, Parkinson’s care, hospice care, and respite care. With a compassionate and highly qualified team available 24/7, residents receive the utmost care and attention for their special needs.

Celebrate milestones and create meaningful moments with a thoughtfully curated calendar of fun recreational activities and engaging programs for their enjoyment and wellness. Healthy meals are also important for residents’ well-being, so delightful and well-balanced dining options are served to meet their nutritional needs and preferences. Residents feel at ease with the community’s cozy amenities in a nurturing and welcoming environment.

Contact All Seasons | Residential Assisted Living

Overview of Madison Square Senior Living

Ideally located in the thriving residential area of Sacramento, CA, Madison Square Living is a distinguished community that offers assisted living. The community is committed to improving residents’ well-being, providing top-notch care tailored to their special needs around the clock. Residents will surely enjoy a maintenance-free lifestyle, with the community handling their daily living activities and household responsibilities.

A carefully curated calendar of fun activities and enriching programs is also conducted for residents to live actively and remain socially engaged. Delightful and healthy meals are served to meet residents’ nutritional needs and preferences. The community also provides medication management and transfer assistance for residents’ comfort and convenience. Live your golden years with the community’s dedicated care and specially designed amenities.

Contact Madison Square Senior Living

Overview of Sky Park Gardens

Age comfortably with Sky Park Gardens, a distinguished community conveniently located near local amenities in Sky Parkway, Sacramento, CA, offering assisted living. Residents keep peace of mind with a kind and highly qualified team helping with their personal needs 24/7. Conveniently furnished rooms in a bright and friendly environment are available, optimizing residents’ comfort and safety.

There’s no dull moment with a jam-packed calendar of fun activities and engaging programs conducted for leisure and wellness. Three delicious and healthy meals, alongside two satisfying snacks, are served daily to meet residents’ nutritional needs and preferences. Medication monitoring, escort assistance, and transportation services are also provided for residents’ comfort and convenience. The community is equipped with a library, beautifully manicured gardens, and serene paths, ideal for those seeking a relaxing setting for retirement.

Contact Sky Park Gardens

Overview of Siebenthal Elder Care Home

Receive the utmost care you deserve from Siebenthal Elder Care Home, a dedicated community in the quiet neighborhood of Sacramento, CA, offering assisted living and memory care. Residents enjoy a maintenance-free lifestyle with a kind and well-trained team helping with their personal needs and household responsibilities around the clock. Purposely designed and spacious accommodations in a cozy and nurturing environment are provided to optimize residents’ comfort and safety.

There’s no dull moment with a jam-packed calendar of fun activities and enriching programs that aim to keep residents active and socially engaged. Three delicious and healthy meals are served to accommodate residents’ dietary needs and preferences. The community can rest assured of taking their medication in time with its supervision. Here, residents enjoy the highest quality of life amidst the community’s clean setting.

Contact Siebenthal Elder Care Home

Grace Home

9260 Loma Ln, Orangevale, CA 95662
Overview of Grace Home

Grace Home is a dedicated assisted living community in California that provides personalized care. With its two distinct locations in Orangevale and Carmichael, the community strives to provide a home away from home for older adults to live comfortably in their later years. Meal preparation, housekeeping services, and medication management are also offered to ensure residents experience a maintenance-free living. The community is dedicated to improving older adults’ living experiences, creating care plans tailored to their unique needs.

An entertainment area and fun activities accompany older adults to encourage an active lifestyle and social engagement. Three healthy meals are also provided, so residents have a hassle-free dining experience. The community’s ideal location in California provides residents with convenient access to their necessities. As a trusted assisted living community in California, Grace Home ensures older adults are well cared for.

Contact Grace Home

Almond Grove Assisted Living

6135 Almond Ave, Orangevale, CA 95662
Overview of Almond Grove Assisted Living

Live a blissful retirement at Almond Grove Assisted Living, an esteemed community in Orangevale, CA, offering assisted living. Residents receive the highest quality of care tailored to their unique needs from a compassionate and well-trained team available around the clock. Residents can ease their worries in the community’s vibrant and nurturing environment.

Residents will not feel lonely with a carefully curated calendar of fun recreational activities and enriching programs tailored to their interests and capabilities. Mealtimes promote social interactions and satisfy dietary needs with delicious and well-balanced dining options. Medication management is also provided for residents’ convenience and safety. The community is ideal for those looking to spend their golden years comfortably.

Contact Almond Grove 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 Sacramento 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 14 assisted living facilities in Sacramento 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 Sacramento 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 Sacramento 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 Sacramento 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.