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Page Reviewed / Updated – May 29, 2020

The 10 Best Assisted Living Facilities in Alameda, CA

Alameda, California, is a calm city located on Alameda Island. In the early 20th century, its stately homes and accessible beaches made it a summer getaway, and thanks to efforts from the Alameda Architectural Preservation Society and others, the city has maintained its historic downtown charm. 

According to an estimate by AARP, Alameda County’s senior population will expand by 60% between 2016 and 2026. Alameda is meeting the challenge of a rising senior population by making more resources available for seniors, such as its modern transportation system. In 2005, Sperling’s Best Places recognized the Alameda area as the third best place for seniors in the country. Alameda also has numerous resources for its seniors, including diabetes management classes, support groups and other senior programs. 

Keep reading for more information about the top 10 assisted living facilities in Alameda. Additionally, find out more about the cost of assisted living in Alameda and what financial assistance programs are available.

Waters Edge Lodge

Waters Edge Lodge is a senior living community that offers respite care, accident recovery, assisted living and independent living. Residents can receive assistance with activities, such as bathing and dressing. On-site activities, such as lectures and art classes, allow seniors to experience the arts and sciences without straying too far from home. The community is within walking distance to restaurants, religious services and other activities. An in-house cafe bakes snacks and serves coffee daily.

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  • Personal laundry service
  • Health monitoring, including medication management

Oakmont of Mariner Point

Oakmont of Mariner Point offers seniors personalized care and an active lifestyle. The community's independent living, assisted living and memory care services are all located on the same campus, so seniors can receive the care they need at different stages of their life without having to move to a different location. On-site workshops, a theatre, literary presentations and a game room help seniors to develop new interests and hobbies.

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  • Indoor and outdoor dining
  • Professional and caring staff available around the clock

Elders Inn

Elders Inn is a 52-suite assisted living community that works to provide functionality and a pleasant environment for seniors with various levels of mobility. Activities and dining areas are located close to one another to accommodate seniors with wheelchairs or who are unable to travel far. Residents can be escorted to and from meals and activities and receive monitoring and supervision while they perform the activities of daily living. Assistance with dressing and grooming can also be arranged in the morning and at night.

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Bay Harbour Residential Care Home

Bay Harbour Residential Care Home offers seniors 60 years of age and older dementia care and assisted living on its campus in Alameda, California. To keep seniors safe, its campus is closed and security cameras are installed inside and outside of the facility. Residents are on the receiving end of multiple check-ins and can receive assistance with managing their medications. Personalized care is available around the clock. If seniors want to enjoy some fresh ocean air, Bay Harbour's small garden is the perfect place for them to relax and spend time with other residents.

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Oakmont of Cardinal Point

Oakmont of Cardinal Point provides hotel-like senior living for seniors aged 60 and older. On-site amenities, such as a swimming pool, fitness center and wellness center encourage residents to stay active and keep their minds and bodies agile. Small pets are allowed, and Oakmont's pet park lets residents enjoy the fresh air and give their furry friends needed exercise. Residents can receive help with the activities of daily living and take advantage of a concierge medicine program. Oakmont uses a security and safety system to give residents peace of mind at all hours of the night and day.

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Sunrise of Oakland Hills

Located just over two miles from Alameda, Sunrise of Oakland Hills is located in Oakland, California, and is just minutes away from medical services, such as the Kaiser Permanente Medical Center. Its location gives residents a view of the San Francisco Bay and access to outdoor gardens and manicured grounds. Resident and family meetings can be scheduled, and an on-staff nurse performs monthly wellness visits. Sunrise's staff can communicate in English, Tagalog, Mandarin and Spanish.

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  • Tailored diets, such as low-fat and low-salt
  • Companion suites and apartments with in-room kitchenettes

Pacifica Senior Living Oakland Heights

Pacifica Senior Living Oakland Heights is an assisted living, independent living and memory care community in Oakland, California, just minutes away from the calm beaches of Alameda. Thanks to the efforts of an activities director and assistant, activities that include baking, exercise, and gardening are a part of the daily schedule. Seasonal parties and special events, such as birthday parties, are also celebrated on campus. An on-staff nurse assesses residents every 90 days, and the staff speaks numerous languages.

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  • Detached homes, apartments and companion suites have in-room kitchens
  • Laundry for linens and clothing

Carlton Senior Living San Leandro

Carlton Senior Living San Leandro is located in Alameda County, just over 11 miles from the city of Alameda. Seniors who want to visit the area's numerous attractions can take advantage of Carlton's scheduled transportation to activities and appointments. The culinary staff prepares meals that take the resident's dietary needs and restrictions into consideration. Restaurant-style dining is available at any time, and the Carlton Cafe is open 24 hours a day. Regular conferences are held with seniors' family members to update them on the needs and health of their loved ones.

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Pacifica Senior Living San Leandro

Pacifica Senior Living San Leandro is located just a short drive or bus ride from Alameda, California. A professionally trained staff is on hand at all hours, and the facility's health services include medication management and physical therapy. An activity schedule of daily programs and an arts and crafts room are available to all residents. It earned a place on our list thanks to multiple awards, including being voted Best Senior Living in the Nation in 2020.

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The Point at Rockridge

The Point at Rockridge is a senior living community that offers respite care, assisted living, independent living and memory care to seniors aged 60 and older. Residents can receive transportation and access peaceful spots on the campus, such as the coffee shop and garden. The community is equipped with an emergency call system and security gate to ensure resident safety. Small pets are permitted, and private cleaning services are available. It earned a place on our list thanks to its awards from The J and Oakland Magazine. 

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  • Studio and one-bedroom apartments and companion suites available
  • Veteran's benefits consultation

The Cost of Senior Living and Care in Alameda

All levels of care are relatively expensive in Alameda compared to California as a whole. According to the Genworth 2018 Cost of Care Survey, assisted living has an average monthly cost that is $1,000 higher than the state average, and nursing home care is higher by roughly $800.

Note: Data on the average cost of senior care wasn’t available for Alameda, so the data for the closest city, San Francisco, was used.

How much does Assisted Living Cost in Alameda?

Alameda and San Jose share the same average monthly cost for assisted living at $5,500 per month, which makes these two areas the most expensive in the state. In nearby Napa, the price is just slightly lower at $5,425, while Vallejo is relatively affordable with an average of $4,350.

The most affordable assisted living in California is in Bakersfield with an average cost of $3,150 per month, and the cheapest major cities are Sacramento and Los Angeles with prices of $4,473 and $4,500 per month, respectively.

How much does Home Care Cost in Alameda?

In-home care in Alameda is relatively expensive with an average cost of $5,625 per month compared to the state average of $4,957. The cost is roughly $300 higher in Napa — the highest in California for this level of care — and $1,100 lower in Vallejo.

Visalia has the cheapest home care in the state at an average of $4,290 per month, followed by Bakersfield at $4,385. Los Angeles and Sacramento have the lowest cost of all major cities, both with an average monthly cost of $4,767.

How much does Adult Day Care Cost in Alameda?

Adult day care in Alameda has an average monthly cost of $1,733 which is slightly more expensive than the California average of $1,679. In nearby Napa, the cost is approximately $400 higher, making it the most expensive in the state for this level of care.

Hanford has the lowest cost for adult day care at $867 per month, roughly half that of the state average, followed by Visalia with an average of $1,040.

How much does Nursing Home Care Cost in Alameda?

Nursing home care in Alameda has an average cost of $9,148 per month, which is roughly $800 higher than California as a whole. Napa has the highest cost in the state at $9,962 per month, while Vallejo is substantially cheaper at $8,167.

Visalia is the most affordable area in the state for nursing home care with a monthly average of $6,540. Los Angeles has the lowest cost of all major cities at $7,604 per month.

Financial Assistance Programs in Alameda

Medicaid Program in Alameda

The federal government partners with individual states to support low-income and other at-risk residents through the state-run Medicaid programs; in California, it’s called Medi-Cal.

Qualified residents receive essential health benefits including:

  • Hospital and emergency services
  • Prescription drugs
  • Rehabilitation and habilitation
  • Outpatient services
  • Dental and vision
  • Transportation
  • Nursing home care

Assisted living may also be covered if the individual successfully applies for the Assisted Living Waiver program, which is explained in this guide. However, even when fully qualified, assisted living isn’t an entitlement as part of Medi-Cal, so there is often a waiting period. Nursing home care is an entitlement, so all qualified applicants will be covered with no delay.

Recipients of Supplemental Security Income are entitled to full Medi-Cal coverage with no further eligibility checks.

Californians applying for Medi-Cal based on age or disability must be a legal resident of the state and 65 years of age or older, or meet the standard of disability as defined by the Social Security Administration.

Applicants must also be at or below the limits for income and assets. As of 2019, Medi-Cal allows an income up to $1,271 per month for an individual applicant and $1,720 for a married couple if both are applying for services. The limit for countable assets is $2,000 for an individual and $3,000 for a couple if both are applying.

Apply for Medi-Cal benefits online at Covered California by submitting the appropriate forms, or use the phone service for free advice on the enrollment process. Call (800) 300-1506 to get started.

Other Financial Assistance Programs in Alameda

Assisted Living Waiver

California’s Department of Health Care Services manages the Assisted Living Waiver program. The ALW is not yet available statewide, but it’s currently available in Alameda County and much of the surrounding area, and residents are not restricted based on their home county.

The goal of this program is to prevent elderly or disabled Californians from being placed in a nursing home when an alternative such as assisted living would be more beneficial to the resident and more cost-effective for the state.

Applicants must be eligible for full Medi-Cal coverage. The application process begins with an assessment by qualified nurses, and this assessment must show that the applicant requires a level of care equal to that of a Medi-Cal-funded nursing home. The assessment must also show that the individual can safely live in assisted living or public housing as an alternative to a nursing home.

The Assisted Living Waiver isn’t an entitlement program under Medi-Cal, which means there is often a delay to receive services. Current residents of Medi-Cal-funded nursing homes are given a higher priority while waiting to receive ALW services.

Residents of Alameda County can arrange an assessment through the Norcal Care Coordinator Agency and download the pre-screening form from the website. Norcal staff will handle the application after the assessment is complete. Call (925) 519-6100 for assistance.

More details about this program can be found in our California ALW guide.

Medi-Cal HCBS Waivers

Waivers for home and community-based services are created at the state level so that some federal restrictions on Medicaid can be lifted on an individual basis. The main goal of HCBS waivers is to create alternatives for seniors and people with disabilities who wish to remain living outside of a nursing home.

Applicants are assessed to evaluate the level of care required to keep them safe and healthy, and it must be determined that the applicant requires HCBS waiver services in order to prevent nursing home placement. Medi-Cal coverage with no share of cost is also required.

Home and community-based services include:

  • Community transition (moving to or from a nursing home)
  • Private duty nursing
  • In-home care
  • Respite
  • Habilitation

HCBS waiver services aren’t entitlements under Medi-Cal, which means applicants must wait to receive services if there are no places available at the time.

Applications for home and community-based services must be submitted to the In-Home Operations division of DHCS. Alameda residents can call the Northern California IHO on (916) 552-9105 or send an email to [email protected] to request services.

In-Home Supportive Services

The IHSS program is managed locally by Alameda County Social Services. It uses federal and state funds to help seniors and other at-risk groups remain in their own home and therefore delay the need for residents to be placed in a nursing home.

Applicants qualify for individual services based on their needs and the number of activities of daily living they require assistance with.

In-Home Supportive Services may include:

  • Assistance with mobility, bathing, dressing and eating
  • Laundry and light housework
  • Food prep and clean up
  • Bowel and bladder care
  • Paramedical services
  • Supervision and escort to approved services

Services are available to Medi-Cal recipients who are at least 65 years of age, or blind or disabled by Social Security standards. Applicants are assessed by a social worker in the early stages of the application process, and it must be determined that the applicant requires IHSS in order to delay the need for nursing facility care.

Alameda County residents can apply for the IHSS program by calling (510) 577-1900 or by downloading the application form on the Social Services website.

More Senior Living Resources in Alameda


Phone Number


Housing Authority of the County of Alameda

(510) 538-8876

The local housing authority manages 415 units of public housing for low-income residents of Alameda County. Rent and utilities are subsidized by the federal government. Some units are designated for seniors, and there are options for disabled residents. HACA also manages the Section 8 rental assistance program in the county.

Shinsei Gardens Apartments

(510) 523-4521

This is an affordable housing community on Stargell Avenue in Alameda for low-income residents. It’s a participant in the Low-Income Housing Tax Credit program, which sets a limit on the maximum rent a tenant can be charged.

Breakers at Bayport Apartments

(510) 769-1496

This rental complex on Neptune Gardens Avenue in Alameda has 52 units for low-income residents. It’s a participant in the LIHTC program.

Playa del Alameda Apartments

(510) 521-6919

This is an affordable housing community on Crolls Garden Court that offers apartments with up to three bedrooms for low-income residents. Rent is subsidized by the federal government through HUD.

For additional information and planning, please read our comprehensive guide to paying for senior care in California.