Best Assisted Living in Sacramento County, CA

Why trust this guide? Our editorial team analyzed 13 assisted living communities in Sacramento 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 Sacramento County, CA our team has analyzed — not a count of every assisted living provider in Sacramento County, CA.
13 homes
Other senior care options in Sacramento County:

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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. 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. CH (Care Homes): Small licensed residential settings with personal care and supervision in a home-like environment. 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.
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.
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.
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.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
A complaint visit is an unannounced on-site visit by California's Community Care Licensing Division to investigate a complaint about the community, filed by a resident, a family member, staff or anyone else. A visit means a complaint was looked into, not that it was proven: the state may find it substantiated, inconclusive or unfounded. Fewer visits is better.
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.
Golden Moments Care Home, Inc.
AL
MC
RESC
Sacramento (Arden-Arcade)
6
Facility 6
CA AVG 74
Rank #1,133 / 2,023
A-No
80
Facility 80
CA AVG 56
Rank #288 / 1,409
8
2
Facility 2
CA AVG 6
Rank #745 / 1,965
0
Facility 0
CA AVG 3
Rank #1 / 2,011
19
Facility 19
CA AVG 11
Rank #437 / 1,980
100.0%
Facility 100.0%
CA AVG 76.5%
Rank #1 / 1,829
-Golden Moments Care Home Building 1 IncPrivate / Semi-private Rooms
Grand River Villa
AL
HOS
RC
West Sacramento (Mikon)
43
Facility 43
CA AVG 74
Rank #967 / 2,023
A-No
74
Facility 74
CA AVG 56
Rank #397 / 1,409
8
2
Facility 2
CA AVG 6
Rank #745 / 1,965
1
Facility 1
CA AVG 3
Rank #795 / 2,011
33
Facility 33
CA AVG 11
Rank #69 / 1,980
53.5%
Facility 53.5%
CA AVG 76.5%
Rank #1,592 / 1,829
-Grv A Ca Corporation And CiminocarePrivate / Semi-private Rooms
All Seasons | Residential Assisted Living
AL
HOS
MC
Orangevale
6
Facility 6
CA AVG 74
Rank #1,133 / 2,023
B-No
40
Facility 40
CA AVG 56
Rank #1,018 / 1,409
13
3
Facility 3
CA AVG 6
Rank #915 / 1,965
3
Facility 3
CA AVG 3
Rank #1,348 / 2,011
13
Facility 13
CA AVG 11
Rank #617 / 1,980
100.0%
Facility 100.0%
CA AVG 76.5%
Rank #1 / 1,829
A+All Seasons, LLCPrivate Rooms
Mercy McMahon Terrace
AL
MC
Sacramento (East Sacramento)
189
Facility 189
CA AVG 74
Rank #166 / 2,023
B+No
84
Facility 84
CA AVG 56
Rank #219 / 1,409
20
8
Facility 8
CA AVG 6
Rank #1,331 / 1,965
3
Facility 3
CA AVG 3
Rank #1,348 / 2,011
36
Facility 36
CA AVG 11
Rank #48 / 1,980
60.8%
Facility 60.8%
CA AVG 76.5%
Rank #1,494 / 1,829
-Mercy Mcmahom TerraceStudio / 1 Bed
The Courte at Citrus Heights
AL
IL
MC
Citrus Heights
48
Facility 48
CA AVG 74
Rank #950 / 2,023
B+No
58
Facility 58
CA AVG 56
Rank #725 / 1,409
55
11
Facility 11
CA AVG 6
Rank #1,470 / 1,965
4
Facility 4
CA AVG 3
Rank #1,491 / 2,011
9
Facility 9
CA AVG 11
Rank #811 / 1,980
70.8%
Facility 70.8%
CA AVG 76.5%
Rank #1,134 / 1,829
A+Citrus Heights Memory Care Dev And Sunrise Oaks Mc PrStudio / Semi-Private
Almond Heights
AL
MC
RC
Orangevale
145
Facility 145
CA AVG 74
Rank #347 / 2,023
B-Yes
68
Facility 68
CA AVG 56
Rank #521 / 1,409
64
33
Facility 33
CA AVG 6
Rank #1,849 / 1,965
11
Facility 11
CA AVG 3
Rank #1,869 / 2,011
7
Facility 7
CA AVG 11
Rank #953 / 1,980
69.7%
Facility 69.7%
CA AVG 76.5%
Rank #1,169 / 1,829
-Almond Heights Msl LLC And Msl Community Mgmt LLCStudio / 1 Bed / 2 Bed
Sky Park Gardens
AL
MC
Sacramento (Parkway-South Sacramento)
144
Facility 144
CA AVG 74
Rank #359 / 2,023
CNo
74
Facility 74
CA AVG 56
Rank #397 / 1,409
33
12
Facility 12
CA AVG 6
Rank #1,503 / 1,965
9
Facility 9
CA AVG 3
Rank #1,819 / 2,011
42
Facility 42
CA AVG 11
Rank #17 / 1,980
51.4%
Facility 51.4%
CA AVG 76.5%
Rank #1,611 / 1,829
-Skypark Manor, LLCStudio / 1 Bed / Private / Semi-private Rooms
Almond Grove Assisted Living
AL
Orangevale
78
Facility 78
CA AVG 74
Rank #790 / 2,023
B-No
59
Facility 59
CA AVG 56
Rank #697 / 1,409
36
18
Facility 18
CA AVG 6
Rank #1,666 / 1,965
4
Facility 4
CA AVG 3
Rank #1,491 / 2,011
4
Facility 4
CA AVG 11
Rank #1,368 / 1,980
75.6%
Facility 75.6%
CA AVG 76.5%
Rank #1,007 / 1,829
-Almond House Asstd. Lvng LLC And Mt. Timpanogos HldngsStudio / Semi-Private Rooms
Madison Square Senior Living
AL
RESC
Sacramento (Fonseca Estates)
6
Facility 6
CA AVG 74
Rank #1,133 / 2,023
C-No
54
Facility 54
CA AVG 56
Rank #804 / 1,409
17
0
Facility 0
CA AVG 6
Rank #1 / 1,965
6
Facility 6
CA AVG 3
Rank #1,689 / 2,011
6
Facility 6
CA AVG 11
Rank #1,203 / 1,980
83.3%
Facility 83.3%
CA AVG 76.5%
Rank #583 / 1,829
-Madison Square Senior Living LLCPrivate Rooms
Sherry’s Senior Living
AL
CH
Sacramento (Sunrise Homes)
6
Facility 6
CA AVG 74
Rank #1,133 / 2,023
DNo
50
Facility 50
CA AVG 56
Rank #879 / 1,409
14
4
Facility 4
CA AVG 6
Rank #1,047 / 1,965
4
Facility 4
CA AVG 3
Rank #1,491 / 2,011
4
Facility 4
CA AVG 11
Rank #1,368 / 1,980
100.0%
Facility 100.0%
CA AVG 76.5%
Rank #1 / 1,829
-Sherry V AhujaPrivate / Semi-private Rooms

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 13 analyzed for Sacramento County. See how we rank facilities

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Overview of Golden Moments Care Home

Golden Moments Care Home offers assisted living, memory care, and residential care in Sacramento’s Arden-Arcade neighborhood. Assisted living includes help with daily tasks such as dressing, bathing, and medication, while memory care provides a secured setting with supervision. The six bed home may suit someone who prefers a smaller community.

Private rooms accommodate one resident, while semi-private rooms are shared. Residents can take part in the Active Day Program and daily activities at the home. An 80 / 100 Walk Score means most errands are possible on foot, so a resident who no longer drives may still be able to get out independently.

Makayla Anderson-White serves as the administrator, and Golden Moments Care Home Building 1 operates the community. Residents do not have to choose only one type of support at move-in, since the home provides assisted living, memory care, and residential care.

Starting Price $4,950/Month Info Pricing updated on October 7th, 2026

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 All Seasons | Residential Assisted Living

All Seasons | Residential Assisted Living in Orangevale, CA, is a 6-bed residential community providing assisted living, secured memory care, and end-of-life hospice support. Individual living arrangements feature private bedrooms and private bathrooms, offering personal space within a small-scale setting. On-site staff deliver tailored assistance that accommodates evolving physical or cognitive health needs.

Assisted living supports residents with daily activities, while memory care offers structured oversight for individuals living with Alzheimer’s disease or dementia. Specialized care capabilities address stroke recovery, Parkinson’s disease support, limited mobility assistance, skin care, and incontinence management. Temporary respite stays are also available to support family caregivers needing short-term relief.

Featuring a walk score of 40, the surrounding Orangevale neighborhood is car-dependent, making personal vehicles or local transport necessary for off-site errands and appointments.

Prospective residents searching for small-scale residential assisted living, specialized memory care, or short-term respite stays can contact All Seasons | Residential Assisted Living to check room availability or arrange a tour.

Contact All Seasons | Residential Assisted Living

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 The Courte at Citrus Heights

The Courte at Citrus Heights offers assisted living, independent living and memory care in Citrus Heights, CA. In assisted living, residents receive help with daily tasks such as dressing, bathing and medication while keeping their own apartment. Independent living provides private living with community services and no daily care. Memory care offers a secured setting with supervision for someone who may be at risk of wandering.

All three care types are available on one campus. That arrangement suits a resident whose needs may grow over time, since care levels can change without leaving the community or starting over socially. With 48 beds, The Courte at Citrus Heights is a smaller community where staff and residents can get to know each other. Studios and semi-private accommodations give residents the choice of a single private living space or a shared arrangement with a companion.

A Walk Score of 58 places the area in the somewhat walkable band, so some errands can be completed on foot. A resident who no longer drives may still be able to get out independently for those trips. Amy Bollier serves as administrator, and the community is operated by Citrus Heights Memory Care Dev and Sunrise Oaks Mc Pr.

Contact The Courte at Citrus Heights

Overview of Almond Heights

Almond Heights is an assisted living, memory care, and respite care community in Orangevale, CA. Assisted living includes help with daily tasks such as dressing, bathing, and medication while a resident keeps a private apartment. Memory care provides a secured setting with supervision for someone at risk of wandering, while respite care offers a short stay when a family’s usual caregiver needs to travel or recover.

Offering both assisted living and memory care may make Almond Heights a good fit for someone whose care needs may change over time. The community has 145 beds, with studio, one bedroom, and two bedroom layouts. A studio provides one private space, while a two bedroom can suit a couple moving together, and pets are allowed, so a resident may be able to keep a pet while living there. A Walk Score of 68 places the area in the somewhat walkable range, meaning some errands can be done on foot and a resident who no longer drives may still be able to handle certain nearby errands independently. Danielle Peck serves as the administrator.

Contact Almond Heights

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.

$3,023/Month Info Pricing updated on May 20th, 2026

Contact Sky Park Gardens

Almond Grove Assisted Living

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

Almond Grove Assisted Living in Orangevale, CA, provides assisted living exclusively. Staff assist with tasks like getting dressed, bathing, and managing medication.

Rooms are studios or semi-private, allowing a resident to live solo or share, with a total of 78 beds available. Medicaid is accepted, allowing an eligible resident to apply that benefit to the expenses.

Almond Grove’s environment is somewhat walkable, scoring a 59 on Walk Score, and certain errands can be completed on foot when the car isn’t available. Preston Summerhays serves as the administrator, and Almond House Asstd. Lvng LLC and Mt. Timpanogos Hldngs operate the community.

Contact Almond Grove 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 Sherry’s Senior Living

Sherry’s Senior Living is a care home in Sacramento, California, in the Sunrise Homes neighborhood. Its care home setting gives residents a place to live while receiving ongoing support, with private rooms and rooms shared with a companion.

The home has six beds and is currently at 100% occupancy, so all listed beds are occupied. Its small size may suit someone who prefers a smaller community, while families seeking placement will want to ask about current availability.

A Walk Score of 50 places the area in the somewhat walkable band. Some errands can be done on foot, and a resident who no longer drives may be able to manage certain nearby errands independently. Sherry V. Ahuja serves as the administrator.

Contact Sherry’s Senior 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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Assisted Living in Sacramento County at a glance

Avg Walk Score: 62/ 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: 68The average licensed bed capacity across facilities in Sacramento County, CA. Individual facilities can vary widely from this average.
National Average: 90
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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 13 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.