Page 2 of Best Assisted Living in Sacramento County, CA

Why trust this guide? Our editorial team analyzed 14 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.
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: 59/ 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: 63The 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

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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting.
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 score. 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.
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.
Almond Grove Assisted Living
AL
Orangevale
78
Facility 78
CA AVG 103
Rank #823 / 1,492
No
59
Facility 59
CA AVG 57
Rank #974 / 1,887
C+36
18
Facility 18
CA AVG 13
Rank #1,083 / 1,387
4
Facility 4
CA AVG 3
Rank #1,010 / 1,433
4
Facility 4
CA AVG 13
Rank #1,081 / 1,452
79.5%
Facility 79.5%
CA AVG 74.6%
Rank #567 / 1,313
Almond House Asstd. Lvng LLC And Mt. Timpanogos HldngsStudio / Semi-Private Rooms
Grace Home
AL
RESC
Orangevale
24
Facility 24
CA AVG 103
Rank #1,120 / 1,492
No
68
Facility 68
CA AVG 57
Rank #723 / 1,887
D-28
7
Facility 7
CA AVG 13
Rank #716 / 1,387
13
Facility 13
CA AVG 3
Rank #1,340 / 1,433
8
Facility 8
CA AVG 13
Rank #734 / 1,452
87.5%
Facility 87.5%
CA AVG 74.6%
Rank #310 / 1,313
Nelson S. JacintoPrivate / Semi-Private Rooms
Gramercy Court Assisted Living and Memory Care
AL
MC
NH
SNF
A Sacramento (Arden-Arcade)
120
Facility 120
CA AVG 103
Rank #509 / 1,492
No
62
Facility 62
CA AVG 57
Rank #876 / 1,887
B+----
88.3%
Facility 88.3%
CA AVG 74.6%
Rank #298 / 1,313
-Private Rooms
Love and Serenity III – Greenhaven Assisted Living Community
AL
MC
Sacramento (Southwestern Sacramento)
-Yes
30
Facility 30
CA AVG 57
Rank #1,559 / 1,887
-------Private Rooms

Rank badges are statewide: each community is ranked against every CA community we track that reports that metric, not just the 14 analyzed for Sacramento County. See how we rank facilities

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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

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

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 Love and Serenity III – Greenhaven Assisted Living Community

Peacefully set near the serene parks of Pedestrian Bridge in Seymour Park and Portuguese Community Park, Love and Serenity III is a distinct community in Sacramento, CA, offering assisted living. With a kind and highly skilled team available 24/7, residents can rest their worries and receive the highest quality of care for their unique needs and preferences. The community also promotes a comfortable and nurturing environment, ensuring that residents, even those with memory loss, can live up to their potential.

There’s no dull moment with a jam-packed calendar of enriching activities and stimulating programs that promote belongingness and an active lifestyle. Here, residents have the finest dining experience, with delightful and nutritious meals that cater to dietary needs and preferences. Medication management, diabetes care, and transportation services are available for residents’ comfort and convenience. The community is ideal for those seeking assistance to live comfortably in their golden years.

Contact Love and Serenity III – Greenhaven Assisted Living Community

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.