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Other senior care options in California:

Best Senior Communities in California

Reviewed by
Last updated
Jun 2026
We analyzed
2,085 homes in California

Sources: CMS Centers for Medicare and Medicaid Services, and California Department of Health, Office of Aging and Long Term Care.

Other senior care options in California:

Video Tour: Top-rated Senior Communities facilities in California.

Watch this Video to see California's Top-rated Senior Communities

Compare Senior Communities around California

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

Click column headers to sort
GlenBrook Health Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Carlsbad
95
Facility 95
CA AVG 103
Rank #811 / 1658
No
57
Facility 57
CA AVG 57
Rank #1158 / 2093
11
2
Facility 2
CA AVG 13
Rank #324 / 1397
0
Facility 0
CA AVG 3
Rank #1 / 1164
22
Facility 22
CA AVG 13
Rank #313 / 1487
64.2%
Facility 64.2%
CA AVG 74.8%
Rank #1020 / 1368
-Glenbrook Hc LLC/Life Services LLC-
The Fountains Skilled Nursing Care
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

Yuba City
80
Facility 80
CA AVG 103
Rank #917 / 1658
No
55
Facility 55
CA AVG 57
Rank #1216 / 2093
1491
27
Facility 27
CA AVG 13
Rank #182 / 1487
70.0% -United Com-Serve Fremont-Rideout Health Group-
OakView Health Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Thousand Oaks (Mountclef Village)
63
Facility 63
CA AVG 103
Rank #1063 / 1658
No
20
Facility 20
CA AVG 57
Rank #1847 / 2093
7
4
Facility 4
CA AVG 13
Rank #529 / 1397
2
Facility 2
CA AVG 3
Rank #600 / 1164
18
Facility 18
CA AVG 13
Rank #428 / 1487
79.4%
Facility 79.4%
CA AVG 74.8%
Rank #608 / 1368
A+Oakview Hc LLCPrivate / Semi-Private Rooms
Reata Glen
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Mission Viejo
840
Facility 840
CA AVG 103
Rank #2 / 1658
No
2
Facility 2
CA AVG 57
Rank #2045 / 2093
8
0
Facility 0
CA AVG 13
Rank #1 / 1397
0
Facility 0
CA AVG 3
Rank #1 / 1164
12
Facility 12
CA AVG 13
Rank #569 / 1487
80.6%
Facility 80.6%
CA AVG 74.8%
Rank #584 / 1368
B-Reat Glen Orange County Ccrc1 Bed / 2 Bed / 3 Bed
Ivy Park at La Palma
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

La Palma
80
Facility 80
CA AVG 103
Rank #917 / 1658
Yes
61
Facility 61
CA AVG 57
Rank #1014 / 2093
3
0
Facility 0
CA AVG 13
Rank #1 / 1397
1
Facility 1
CA AVG 3
Rank #413 / 1164
1
Facility 1
CA AVG 13
Rank #1390 / 1487
87.5%
Facility 87.5%
CA AVG 74.8%
Rank #331 / 1368
-Transformer Opco LLC;Oakmont Management Group LLCStudio / 1 Bed
Ivy Park at Claremont
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Claremont
81
Facility 81
CA AVG 103
Rank #914 / 1658
Yes
14
Facility 14
CA AVG 57
Rank #1914 / 2093
7
5
Facility 5
CA AVG 13
Rank #592 / 1397
1
Facility 1
CA AVG 3
Rank #413 / 1164
1
Facility 1
CA AVG 13
Rank #1390 / 1487
72.8%
Facility 72.8%
CA AVG 74.8%
Rank #779 / 1368
-Transformer Opco LLC;Oakmont Mangement Group LLCStudio / 1 Bed
Oakmont of Brookside
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Stockton (Brookside)
81
Facility 81
CA AVG 103
Rank #914 / 1658
Yes
46
Facility 46
CA AVG 57
Rank #1446 / 2093
29
16
Facility 16
CA AVG 13
Rank #1049 / 1397
8
Facility 8
CA AVG 3
Rank #1015 / 1164
4
Facility 4
CA AVG 13
Rank #1100 / 1487
96.3%
Facility 96.3%
CA AVG 74.8%
Rank #174 / 1368
-Oakmont Senior Living Of Brookside Opco, LLC AndStudio / Suite / 1 Bed
Oakmont Gardens
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Santa Rosa (Oakmont Village Association)
79
Facility 79
CA AVG 103
Rank #937 / 1658
Yes
34
Facility 34
CA AVG 57
Rank #1664 / 2093
24
15
Facility 15
CA AVG 13
Rank #1024 / 1397
24
Facility 24
CA AVG 3
Rank #1152 / 1164
4
Facility 4
CA AVG 13
Rank #1100 / 1487
62.0%
Facility 62.0%
CA AVG 74.8%
Rank #1069 / 1368
-Ffi Oakmont Tenant LLC; Life Care Services LLC1 Bed / 2 Bed
Cogir of Sonoma
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Sonoma (Oregon Street)
82
Facility 82
CA AVG 103
Rank #902 / 1658
Yes
74
Facility 74
CA AVG 57
Rank #599 / 2093
10
3
Facility 3
CA AVG 13
Rank #441 / 1397
2
Facility 2
CA AVG 3
Rank #600 / 1164
7
Facility 7
CA AVG 13
Rank #805 / 1487
34.1%
Facility 34.1%
CA AVG 74.8%
Rank #1342 / 1368
A+Welltower Cogir Tenant; Cogir Management Usa1 Bed / 2 Bed
MorningStar Memory Care at San Tomas
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

San Jose (West Valley)
82
Facility 82
CA AVG 103
Rank #902 / 1658
Yes
59
Facility 59
CA AVG 57
Rank #1089 / 2093
11
17
Facility 17
CA AVG 13
Rank #1061 / 1397
7
Facility 7
CA AVG 3
Rank #988 / 1164
2
Facility 2
CA AVG 13
Rank #1295 / 1487
47.6%
Facility 47.6%
CA AVG 74.8%
Rank #1276 / 1368
-West Valley Mc,LLC; Oakmont Management Group LLCStudio / Shared Studio
Silverado Thousand Oaks Memory Care Community
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Thousand Oaks (Warwick Avenue)
82
Facility 82
CA AVG 103
Rank #902 / 1658
Yes
72
Facility 72
CA AVG 57
Rank #675 / 2093
29
18
Facility 18
CA AVG 13
Rank #1088 / 1397
14
Facility 14
CA AVG 3
Rank #1107 / 1164
5
Facility 5
CA AVG 13
Rank #987 / 1487
57.3%
Facility 57.3%
CA AVG 74.8%
Rank #1145 / 1368
-Silverado Thousand Oaks LLC;Silverado Sr. Lvng MgmtPrivate Rooms
Ivy Park at Alta Loma
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Rancho Cucamonga (Alta Loma)
77
Facility 77
CA AVG 103
Rank #949 / 1658
Yes
75
Facility 75
CA AVG 57
Rank #564 / 2093
3
2
Facility 2
CA AVG 13
Rank #324 / 1397
1
Facility 1
CA AVG 3
Rank #413 / 1164
8
Facility 8
CA AVG 13
Rank #738 / 1487
79.2%
Facility 79.2%
CA AVG 74.8%
Rank #614 / 1368
A+Transformer Opco LLC;Oakmont Management Group LLCStudio / 1 Bed
Villa Lorena Senior Living
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Diego (Black Mountain Ranch Village)
85
Facility 85
CA AVG 103
Rank #885 / 1658
No
32
Facility 32
CA AVG 57
Rank #1694 / 2093
14
20
Facility 20
CA AVG 13
Rank #1129 / 1397
1
Facility 1
CA AVG 3
Rank #413 / 1164
9
Facility 9
CA AVG 13
Rank #703 / 1487
72.9%
Facility 72.9%
CA AVG 74.8%
Rank #778 / 1368
-Santaluz Senior Partners,LP;Vlgp Inc(Gen. Partner)-
Town & Country
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Santa Ana (East Memory Lane)
328
Facility 328
CA AVG 103
Rank #45 / 1658
No
67
Facility 67
CA AVG 57
Rank #831 / 2093
23
28
Facility 28
CA AVG 13
Rank #1242 / 1397
4
Facility 4
CA AVG 3
Rank #828 / 1164
50
Facility 50
CA AVG 13
Rank #21 / 1487
32.9%
Facility 32.9%
CA AVG 74.8%
Rank #1355 / 1368
A+Christian And Missionary Alliance-
Sunrise of San Mateo
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

San Mateo (Central San Mateo)
85
Facility 85
CA AVG 103
Rank #885 / 1658
Yes
88
Facility 88
CA AVG 57
Rank #218 / 2093
8
3
Facility 3
CA AVG 13
Rank #441 / 1397
2
Facility 2
CA AVG 3
Rank #600 / 1164
25
Facility 25
CA AVG 13
Rank #235 / 1487
78.8%
Facility 78.8%
CA AVG 74.8%
Rank #624 / 1368
-Szr San Mateo LLC; Sunrise Senior Living MgtStudio / 1 Bed / 2 Bed
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Overview of Telacu Villa Apartments

Live the best of your golden years at TELACU Villa, a dedicated community in Moreno Valley, CA, offering independent living. The community has 74 uniquely designed and spacious accommodations, ensuring residents’ comfort and safety. Residents experience a hassle-free living with on-site laundry areas and convenient apartment features.

For residents’ enjoyment and wellness, a cozy community room and beautifully landscaped gardens are available. Residents can easily access their necessities and various dining options with the community’s proximity to local shops, restaurants, and public transportation. The community strives to maintain affordability with an income-based rent to ensure residents can downsize with ease.

Contact Telacu Villa Apartments

Overview of Sycamore Senior Village

Sycamore Senior Village is a one-of-a-kind community in Oxnard, CA, offering independent living. Featuring purposely built and spacious studio to two-bedroom floor plans, the community ensures residents are comfortable and safe. Residents can ease their worries with 24-hour emergency maintenance and on-site laundry spaces, providing a convenient lifestyle.

Residents will not feel lonely with a jam-packed calendar of fun recreational activities and exciting events, highlighting their interests and capabilities. Pets are allowed to accompany residents to lift their moods. The community is equipped with a clubhouse, a movie theater, a business center, a fitness center, and serene courtyards, creating the ideal setting for a blissful retirement.

Contact Sycamore Senior Village

Overview of Gardens at Sierra

Gardens at Sierra is a one-of-a-kind community in Fontana, CA, offering independent living. The community features beautifully furnished and cozy one- and two-bedroom floor plans, ensuring residents’ comfort and safety. Residents also enjoy maintenance-free living in the community’s cozy and friendly environment.

A well-thought-out calendar of fun recreational activities and exciting events is conducted, encouraging residents to live actively and make new friends. Residents can rest assured of enjoying a hassle-free living with on-site maintenance and laundry. The community is ideal for those looking to live independently in retirement.

Contact Gardens at Sierra

Overview of Loma Linda Springs

Conveniently located near Loma Linda University Children’s Hospital in Loma Linda, CA, Loma Linda Springs is a sophisticated 55+ community that offers independent living. Residents can ease their worries since the community handles the maintenance and management of its specially designed and spacious one- and two-bedroom accommodations. Pets are also allowed to brighten residents’ moods.

Promoting an active and well-engaged lifestyle, group exercises and fun recreational activities are conducted. BBQ and picnic areas are available on-site, promoting social interactions during mealtimes while satisfying dietary needs and preferences. The community has many state-of-the-art amenities, including a library, a courtyard, a fitness center, a business center, spas, swimming pools, and a recreation room.

Contact Loma Linda Springs

Overview of Tower Park

Beautifully set near Kewin Park in Modesto, CA, Tower Park is an idyllic retreat that offers independent living. With specially designed and spacious one-bedroom floor plans, residents are guaranteed to find the accommodation that best suits their preferences. The community also strives to meet residents’ special needs with a service coordinator.

Enriching social activities and exciting events are conducted to keep residents active and socially connected. Several restaurants are set nearby, providing residents with plenty of dining options to satisfy their dietary needs and preferences. Residents are guaranteed the finest retirement experience with the community’s cozy amenities and friendly setting.

Contact Tower Park

Overview of Base Line Plaza Co-Op Apartments

Nestled near Encanto Park in San Bernardino, CA, Base Line Plaza Co-Op Apartments is an idyllic retreat that offers independent living. The community strives to maintain residents’ independence, handling the maintenance of its specially designed and cozy one-bedroom apartments. Alongside its gated and secure campus, emergency pull cords are also available in each residence to ensure comfort and safety.

Residents have quick access to natural spaces and recreation sites, providing endless leisure and wellness opportunities. With full kitchens available, residents can prepare meals according to their dietary needs and preferences. The community is equipped with a community room, a laundry room, a pool table, raised garden beds, and lobby lounges, creating the perfect setting for a blissful retirement.

Contact Base Line Plaza Co-op Apartments

Overview of Metro East Senior Park

Make the most of your independence at Metro East Senior Park, a distinguished 62+ community in Santa Ana, CA, offering independent living. The community has purposely built and well-maintained studio to two-bedroom floor plans, ensuring residents are comfortable and safe. Residents can feel a sense of belonging in the community’s vibrant and friendly environment.

With its proximity to serene recreation sites and delightful restaurants, residents have easy access to leisure and necessities. The community also features a gourmet kitchen to prepare meals that satisfy residents’ nutritional needs and preferences. Residents are guaranteed the finest retirement experience with the community’s state-of-the-art amenities and inviting setting.

Contact Metro East Senior Park

Overview of Canterbury Court Senior Apartments

Spend your golden years at Canterbury Court Senior Apartments, a one-of-a-kind 55+ community that offers independent living. The community features beautifully designed and cozy one-bedroom floor plans, ensuring residents find the accommodation that best matches their preferences. Residents can keep their peace of mind with the community’s maintenance and on-site services.

With a flexible calendar of fun recreational activities and exciting events, residents can spend their days as they please and make new friends. Delightful restaurants are available nearby, providing residents with a variety of dining options to satisfy their dietary needs and preferences. The community’s bright and friendly environment is ideal for those looking to downsize in retirement.

Contact Canterbury Court Senior Apartments

Overview of Village Park Senior Apartments

Surrounded by thriving amenities in Bakersfield, CA, Village Park Senior Apartments is a distinguished community that offers independent living. The community features cozy and well-thought-out one- and two-bedroom floor plans that aim to keep residents comfortable and safe. Residents can rest their worries with the community’s convenient amenities, allowing them to enjoy maintenance-free living.

With the community’s proximity to recreation sites, residents can easily access activities for leisure and wellness. Several restaurants are also set nearby, providing residents with a variety of dining options that cater to their dietary needs and preferences. The community’s purposely built amenities, including a game room, a fitness center, and a courtyard, create the ideal setting for residents to spend their golden years without worries.

Contact Village Park Senior Apartments

Overview of The Lake Merritt Apartments

Beautifully nestled near Lake Merritt in Oakland, CA, the Lake Merritt Apartments is a blissful retreat that offers independent living. The community has purposely built and spacious one-bedroom floor plans, ensuring residents are comfortable and safe. Utilities are also taken care of, easing residents’ financial burdens.

Here, residents can spend their days as they please with the community’s proximity to recreation sites and natural spaces. Many restaurants are also set nearby, providing residents with a variety of dining options that cater to their dietary needs and preferences. The community is great for those looking to live independently in their golden years.

Contact The Lake Merritt Apartments

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

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Frequently Asked Questions about Senior Communities in California

What is senior living?

Senior communities are residential settings designed for adults aged 55 or older, with options ranging from active independent living to assisted living and memory care.

How many senior communities are listed on this page?

This page features 2085 senior communities in California. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right senior community in California?

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 California, 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 senior communities in California?

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.