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Page 3 of Best Assisted Living in Sacramento, CA

Why trust this guide? Our editorial team analyzed 25 assisted living communities in Sacramento, CA using CA Dept. of Social Services (CDSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in CA
Reviewed by
Last updated
Jul 2026
We analyzed
25 homes
Other senior care options in Sacramento:

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

Watch this Video to see Sacramento's Top-rated Senior Communities
Avg Monthly Cost: $7,962The average monthly cost across facilities in Sacramento, 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: 51/ 100The average Walk Score across facilities in Sacramento, 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: 96The average licensed bed capacity across facilities in Sacramento, CA. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Sacramento (Metro Area)

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 to lowest based on our ranking methodology.

Blossom Vale Senior Living
AL
MC
Orangevale
120
Facility 120
CA AVG 104
Rank #560 / 1646
Yes
73
Facility 73
CA AVG 59
Rank #641 / 2058
91
Facility 91
CA AVG 81
Rank #408 / 1475
10
5
Facility 5
CA AVG 13
Rank #590 / 1388
1
Facility 1
CA AVG 3
Rank #478 / 1434
2
Facility 2
CA AVG 13
Rank #1323 / 1504
90.0% Orangevale Sh LLC And Integral Senior Living Et AlStudio / 1 Bed / 2 Bed
The Villas at Stanford Ranch
AL
IL
MC
Rocklin
150
Facility 150
CA AVG 104
Rank #342 / 1646
No
37
Facility 37
CA AVG 59
Rank #1602 / 2058
95
Facility 95
CA AVG 81
Rank #123 / 1475
8
2
Facility 2
CA AVG 13
Rank #326 / 1388
0
Facility 0
CA AVG 3
Rank #1 / 1434
7
Facility 7
CA AVG 13
Rank #842 / 1504
68.0% Stanford Senior Living 110 LLC And Sequoia Sr. Lvg LLC-
Ivy Park at Sacramento
AL
MC
Sacramento (Sierra Oaks)
70
Facility 70
CA AVG 104
Rank #997 / 1646
Yes
75
Facility 75
CA AVG 59
Rank #562 / 2058
91
Facility 91
CA AVG 81
Rank #408 / 1475
8
4
Facility 4
CA AVG 13
Rank #526 / 1388
1
Facility 1
CA AVG 3
Rank #478 / 1434
1
Facility 1
CA AVG 13
Rank #1415 / 1504
84.3% Transformer Opco LLC And Oakmont Managment Group LLCStudio / 1 Bed
Revere Court of Sacramento
AL
ADC
HOS
MC
RESC
RC
Sacramento (Southwestern Sacramento)
72
Facility 72
CA AVG 104
Rank #977 / 1646
No 51
90
Facility 90
CA AVG 81
Rank #461 / 1475
16
7
Facility 7
CA AVG 13
Rank #717 / 1388
0
Facility 0
CA AVG 3
Rank #1 / 1434
9
Facility 9
CA AVG 13
Rank #739 / 1504
88.9% Chancellor Health Care Of California Viii Inc-
Spanish Vines Assisted Living and Memory Care
AL
MC
Sacramento (Southwestern Sacramento)
105
Facility 105
CA AVG 104
Rank #678 / 1646
No 51
96
Facility 96
CA AVG 81
Rank #1 / 1475
3
0
Facility 0
CA AVG 13
Rank #1 / 1388
0
Facility 0
CA AVG 3
Rank #1 / 1434
- 61.0% Tarantino Senior Living Communities LLC-
Safe Haven – Natomas
AL
HOS
IL
MC
Sacramento (North Sacramento)
6
Facility 6
CA AVG 104
Rank #1319 / 1646
Yes 43
96
Facility 96
CA AVG 81
Rank #1 / 1475
3
0
Facility 0
CA AVG 13
Rank #1 / 1388
0
Facility 0
CA AVG 3
Rank #1 / 1434
1
Facility 1
CA AVG 13
Rank #1415 / 1504
0Safe Haven Natomas LLCPrivate / Shared Rooms
Oakmont of East Sacramento
AL
IL
MC
Sacramento (East Sacramento)
214
Facility 214
CA AVG 104
Rank #130 / 1646
Yes
79
Facility 79
CA AVG 59
Rank #450 / 2058
69
Facility 69
CA AVG 81
Rank #1151 / 1475
43
30
Facility 30
CA AVG 13
Rank #1254 / 1388
3
Facility 3
CA AVG 3
Rank #899 / 1434
4
Facility 4
CA AVG 13
Rank #1128 / 1504
70.6% Oakmont Senior Living Of Sacramento Opco LLC And Et AStudio / Suite / 1 Bed / 2 Bed
Carlton Senior Living Sacramento
AL
IL
MC
RESC
Sacramento (Arden-Arcade)
185
Facility 185
CA AVG 104
Rank #196 / 1646
Yes
76
Facility 76
CA AVG 59
Rank #529 / 2058
75
Facility 75
CA AVG 81
Rank #964 / 1475
18
10
Facility 10
CA AVG 13
Rank #846 / 1388
6
Facility 6
CA AVG 3
Rank #1157 / 1434
3
Facility 3
CA AVG 13
Rank #1234 / 1504
77.3% Carlton Plaza Forever/Sac LP And Carlton Sr. Lvg LLC-
Sunny Beach Villa
AL
IL
MC
NH
Sacramento (New Broadmoor Estates)
6
Facility 6
CA AVG 104
Rank #1319 / 1646
Yes
76
Facility 76
CA AVG 59
Rank #529 / 2058
79
Facility 79
CA AVG 81
Rank #872 / 1475
10
2
Facility 2
CA AVG 13
Rank #326 / 1388
5
Facility 5
CA AVG 3
Rank #1095 / 1434
16
Facility 16
CA AVG 13
Rank #500 / 1504
33.3% Dimitar Dimitrov1 Bed
Greenhaven Place
AL
IL
Sacramento (Southwestern Sacramento)
48
Facility 48
CA AVG 104
Rank #1159 / 1646
Yes 69
67
Facility 67
CA AVG 81
Rank #1200 / 1475
27
13
Facility 13
CA AVG 13
Rank #951 / 1388
11
Facility 11
CA AVG 3
Rank #1310 / 1434
7
Facility 7
CA AVG 13
Rank #842 / 1504
89.6% Welltower Pegasus Tenant LLC And Psl Assocaites LLC-
Siebenthal Elder Care Home
AL
MC
RESC
Sacramento (Glen Ivy)
6
Facility 6
CA AVG 104
Rank #1319 / 1646
No
19
Facility 19
CA AVG 59
Rank #1855 / 2058
67
Facility 67
CA AVG 81
Rank #1200 / 1475
31
11
Facility 11
CA AVG 13
Rank #886 / 1388
11
Facility 11
CA AVG 3
Rank #1310 / 1434
13
Facility 13
CA AVG 13
Rank #562 / 1504
100.0% Robert & Ermelinda Siebenthal-
River‘s Edge
AL
IL
MC
Sacramento (Campus Commons)
143
Facility 143
CA AVG 104
Rank #406 / 1646
Yes
76
Facility 76
CA AVG 59
Rank #529 / 2058
59
Facility 59
CA AVG 81
Rank #1344 / 1475
51
36
Facility 36
CA AVG 13
Rank #1293 / 1388
11
Facility 11
CA AVG 3
Rank #1310 / 1434
6
Facility 6
CA AVG 13
Rank #926 / 1504
51.7% River's Edge Opco LLC And Srg Sacramento Mgt LLCStudio / 1 Bed / 2 Bed
The Village at Heritage Park
AL
IL
MC
Sacramento (North Sacramento)
108
Facility 108
CA AVG 104
Rank #666 / 1646
No
7
Facility 7
CA AVG 59
Rank #1988 / 2058
-2
0
Facility 0
CA AVG 13
Rank #1 / 1388
0
Facility 0
CA AVG 3
Rank #1 / 1434
- 57.4% Rav Opco LLC & Alta Senior Living Inc-
Golden Pond Retirement Community
AL
HOS
IL
MC
RC
Sacramento (La Riviera)
175
Facility 175
CA AVG 104
Rank #234 / 1646
Yes
38
Facility 38
CA AVG 59
Rank #1581 / 2058
59
Facility 59
CA AVG 81
Rank #1344 / 1475
67
37
Facility 37
CA AVG 13
Rank #1297 / 1388
22
Facility 22
CA AVG 3
Rank #1410 / 1434
27
Facility 27
CA AVG 13
Rank #214 / 1504
49.1% Walgenbach, Brian & Gill, DougStudio / 1 Bed / 2 Bed
Apple Ridge Assisted Living
AL
MC
Sacramento (Arden-Arcade)
94
Facility 94
CA AVG 104
Rank #823 / 1646
No 49
59
Facility 59
CA AVG 81
Rank #1344 / 1475
60
40
Facility 40
CA AVG 13
Rank #1309 / 1388
20
Facility 20
CA AVG 3
Rank #1405 / 1434
53
Facility 53
CA AVG 13
Rank #13 / 1504
83.0% Apple Ridge Assisted Living, LLC-
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Overview of Twin Rivers at Natomas

Twin Rivers at Natomas operates a 48-bed residential assisted living community along San Juan Road in Sacramento, California. Administered by Sita Vadarevu under Twin Rivers at Natomas Inc., the facility offers long-term accommodations for older adults aged 55 and up. The local neighborhood features a walk score of 69, providing a semi-walkable layout where families can reach a few local retail spots or parks on foot, though most medical appointments and regional trips will require a short drive.

The residential routine balances group social events with direct assistance for daily tasks like bathing, dressing, and regular medication distribution. Staff members take care of everyday household maintenance, managing laundry, linen rotations, and on-site housekeeping duties so residents do not have to handle chores independently. The property features a communal garden and shared relaxation lounges, complemented by an open dining hall that serves daily meals restaurant-style.

The California Department of Social Services evaluates residential elder care settings through regular on-site audits to verify that safety setups, kitchen cleanliness, and staffing ratios meet licensing guidelines. Past state review logs show a history of reliable compliance, maintaining overall citation metrics that reflect strong performance compared to regional averages. You can request to view their formal regulatory binder and historical inspection records when speaking with the building staff.

Prospective families can call the main office desk at (916) 216-3058 to inquire about current bed vacancies or to schedule an introductory tour. The onboarding staff can break down how individual care tiers affect monthly fees, explain private payment channels, and show you how the team coordinates appointment transportation with local medical and dental clinics.

Contact Twin Rivers at Natomas

Overview of The Waterleaf at Land Park

A 78-bed residential community in Sacramento operated by Valine Court Senior Care, Inc., is The Waterleaf at Land Park. With 23 years of experience, the facility provides wide services designed to support residents who need assistance with daily living activities. It accepts residents seeking rehabilitation services and respite care in a family-oriented setting focused on comfort and support.

The facility spotlights flexibility in dining, with a large dining room for residents who want communal meals alongside the choice to eat meals in private rooms. Daily recreational activities, games, and exercise programs engage residents, complemented by professional entertainment several times weekly. Such programs reflect the community’s commitment to maintaining an active, supportive lifestyle for its residents. Practical support services include transportation, housekeeping, and laundry assistance, helping residents stay independent while lessening the burden of daily tasks. The community’s location in Sacramento offers a walk score of 43, meaning some nearby services are walkable, though most errands and appointments will need transportation. This setting charms residents and families who value a quieter, more residential neighborhood environment.

At $500 monthly, The Waterleaf at Land Park sets itself as an accessible choice for families exploring residential care in the area. The mix of long-term operation, supportive services, and daily activities builds an environment that fits occupants transitioning through recovery or those requiring active assistance with daily living activities.

Contact The Waterleaf at Land Park

Overview of City Creek Assisted Living

Administered by Caleb Summerhays, City Creek Assisted Living is a nursing home in Sacramento at 6254 66th Avenue. It’s operated by T Street LLC under Avenues Healthcare’s ownership. Accepted are Medicare, Medicaid, and private pay, offering families multiple pathways to cover nursing care and support. The 121-bed community has been operating for four years and accepts residents on a relatively short-term basis, with an average stay duration of 59 days. This pattern reflects a focus on post-acute rehabilitation and transitional care instead of exclusively long-term placement. The surrounding neighborhood is car-dependent, with Walk Score of 13, so visitors and residents will want transportation access for errands and outings.

Staffing support is built into the daily routine, with total nursing care averaging 3 hours and 49 minutes per resident day and nursing aides providing 3 hours and 51 minutes of hands-on care per resident daily. This support level ensures consistent attention to personal care needs spanning bathing, dressing, and grooming assistance, along with scheduled medication management. The home offers family-style dining with snacks throughout the day and coordinates meal services part of the daily routine. Residents have access to laundry, housekeeping, and medication reminder services, and the facility arranges local shopping trips and transportation to help residents stay in tune with the community. The facility also coordinates with home health services to bridge any post-discharge care needs and offers a calendar of activities to keep residents informed of upcoming events.

Shared residential rooms exist, and the community highlights support with activities of daily living and care coordination across different service providers, making it a practical option for families needing coordinated nursing care and rehabilitation amid a stay.

Contact City Creek Assisted Living

Overview of Carlton Senior Living Sacramento
Carlton Senior Living Sacramento is a community offering Independent Living, Assisted Living, and Memory Care. It provides convenient access to local services and entertainment options, along with a vibrant calendar of events. The community emphasizes person-centered care and a fulfilling lifestyle for its residents.

Contact Carlton Senior Living Sacramento

Overview of Rose Arbor Village

Rose Arbor Village is a newly established 108-bed nursing home operated by Station III, LLC and Alta Senior Living, Inc., in Sacramento, California, under administrator Greg Klick’s leadership. The facility opened recently and is designed to serve residents needing skilled nursing care alongside specialized memory care and respite services. Medicare, Medicaid, and private pay are accepted, offering multiple pathways for family financing.

The home has 108 beds distributed across various housing options: private cottages, studios, and one- to two-bedroom apartments, giving residents and families some choice in living arrangements. With 24-hour staffing, the facility supports care needs all the time. Available to residents are on-site physicians, housekeeping services, and private patios. The dining program highlights chef-prepared meals served in a restaurant-style setting, prioritizing quality and presentation. Daily life here includes access to a wellness center, fitness facilities, a movie theater, a bar and lounge, a chapel, walking paths, and a beauty and barber shop. Such amenities bolster recreation and personal care routines. The location in Sacramento is car-dependent, with a Walk Score of 4, so visiting family will want to plan for driving.

As a recently opened community still establishing its reputation, prospective residents and families may benefit from visiting. This helps to see in person how operations develop and to understand the facility’s approach to memory care and respite services.

Contact Rose Arbor Village

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.
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Frequently Asked Questions about Assisted Living in Sacramento, CA

What is the average cost of assisted living in Sacramento, CA?

The average monthly cost of assisted living in Sacramento, CA is approximately $5,500. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Sacramento, CA?

Assisted living in Sacramento, CA typically ranges from $4,500–$7,500 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Sacramento, CA?

Assisted living facilities in Sacramento, 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.