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Page Reviewed / Updated – September 24, 2020

The 10 Best Assisted Living Facilities in Fresno, CA

Seniors seeking a retirement destination that offers great year-round weather, easy access to health care services and an average cost of living that’s among the lowest in the state should take a look at Fresno. Nestled between the Pacific coast and the Sierra National Forest, Fresno is home to 531,576 including 57,942 seniors aged 65 and older. 

Fresno is known for being warm, dry and sunny, thanks to the fact that the city receives just 13 inches of rainfall each year and no snow. Residents also enjoy an average of 271 sunny days annually, while the national average is 205. In terms of health care, Fresno seniors enjoy easy access to a number of hospitals and clinics including the Saint Agnes Medical Center, while veterans can access VA health care services at the Fresno VA Medical Center. 

Our list of the top 10 assisted living facilities in Fresno includes a variety of options, so check them out to see if any are right for you. Additionally, find out more about the cost of assisted living in Fresno and what financial assistance programs are available.

Kingston Bay Senior Living

Kingston Bay Senior Living is a large two-story independent living, assisted living and memory care community located close to the Riverside Golf Course. Residents enjoy plenty of fresh, healthy meal options created by the in-house chef, and the Your Way All Day dining program lets residents enjoy their meals on their own schedule. There's a sunny patio complete with an outdoor fireplace, wicker rocking chairs and palm trees, and a number of indoor seating nooks where seniors can visit with friends and neighbors. 

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Atria Fresno

Atria Fresno is a beautiful senior living community situated on a large, landscaped lot just a few blocks east of the Kaiser Permanente Fresno Medical Center. Independent and assisted living services are available, and all residents enjoy restaurant-style dining, access to the outdoor swimming pool and hot tub, and daily activities organized by the full-time activity director. There's an in-house movie theater, resident garden space and salon, and pets are welcome. 

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Features
  • Town car and shuttle service
  • Residents provided with a discrete, wearable emergency call button

Sunrise of Fresno

Conveniently located close to the Cedar Vista Hospital and the Kaiser Permanente Medical Center, Sunrise of Fresno is a friendly, vibrant assisted living community with a dedicated memory care program. The bright studio and one-bedroom suites include cozy kitchenettes and private barrier-free bathrooms along with individual climate controls. Residents can soak up the California sunshine in the landscaped courtyard, dine on the covered patio and participate in the gardening program. 

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Features
  • Emergency call system in each suite
  • Meals designed by culinary school graduate

Oakmont of Fresno

Seniors seeking a vibrant, fun-filled retirement community will appreciate the amenities and services offered at Oakmont of Fresno. This continuing care community features an orchard complete with fruit trees, indoor and outdoor dining, a movie theater and fitness center, and an off-leash dog park. The daily social calendar has something for everyone, including crafting workshops, educational programs, and outings to local concerts, restaurants and historical attractions. We featured Oakmont of Fresno on Fresno's best ALF list because of the beautiful campus and emphasis on healthy aging.  

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Features
  • Scheduled chauffeured transportation within a 10-mile radius
  • Private dining room available for family celebrations

Twilight Haven

Established in 1957, Twilight Haven is an approachable nonprofit senior living community located on a 10-acre campus in Fresno's Roosevelt neighborhood. Open to seniors aged 60 and older, this community includes independent and assisted living apartments, and skilled nursing care is available. Assisted living services include three daily meals plus snacks, recreational programming, local transportation and 24/7 emergency monitoring by on-site caregivers. We featured Twilight Haven on Fresno's top 10 ALF list because this community is known for being friendly and affordable. 

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Features
  • Occupational, physical and speech therapy available
  • Weekly religious services

Vintage Gardens Assisted Living

Vintage Gardens Assisted Living is a 78-bed assisted living community geared toward Japanese-American seniors. Owned and operated by the nonprofit Nikkei Foundation, this community provides seniors with discrete, dignified support using a team approach. Caring staff members are available 24 hours a day, and seniors can call for assistance at any time using the emergency wireless call system. 

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Features
  • Studio and one-bedroom apartments
  • Meals prepared using traditional Japanese ingredients and recipes 

Carmel Village at Clovis

Carmel Village at Clovis is a resort-style senior living community located close to the Old Town Clovis Market, cinemas, pharmacies and shops. Assisted living apartment homes range in size from cozy studios to spacious two-bedroom suites. Seniors enjoy chef-prepared meals in the beautiful Point Lobos Dining Room, and snacks and beverages are available in Cypress Point Lounge and Sequoia Club Room. Pets are welcome, and there's a specially-designed outdoor area where resident dogs can enjoy some off-leash time. We featured Carmel Village at Clovis on the Fresno top 10 ALF list because this community has a friendly, vibrant atmosphere that helps seniors make the most of their retirement years. 

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Features
  • En-suite storage
  • Walk-in showers and bathrooms with emergency call buttons

Nazareth House of Fresno

Nazareth House of Fresno is a faith-based nonprofit assisted living community owned and operated by the Roman Catholic Sisters of Nazareth. Open to seniors of all religious beliefs, this community sits on a beautiful 8-acre lot close to the Fresno Art Museum and the VA Medical Center. Daily worship services are held in the on-site chapel, and caring, supportive staff members are available 24/7 to provide monitoring and supervision. 

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Paintbrush Assisted Living and Memory Care

Modern and inviting, Paintbrush Assisted Living and Memory Care provides seniors with the support they need to enjoy their retirement years. Residents can choose between studio, one-bedroom and two-bedroom apartments ranging in size from 366 square feet to 745 square feet, each with private climate controls and wheelchair-accessible bathrooms. Healthy meals are prepared in-house using fresh, locally-sourced ingredients, and special diets can be accommodated upon request. Pets are welcome, and community amenities include a private movie theater, beauty salon, fitness center and bistro

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Westmont of Fresno

Centrally located close to the Saint Agnes Medical Center and the Kaiser Permanente Fresno Medical Center, Westmont of Fresno is a friendly senior living community that offers independent and assisted living as well as memory care services. The innovative Live Your Way wellness program provides residents with stimulating activities designed to promote social, emotional and physical health, and there's a full fitness center and multiple activity rooms. Veterans are honored in the Veteran's Hall, a beautiful space that celebrates residents who have served their country. 

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The Cost of Senior Living and Care in Fresno

According to the Genworth 2018 Cost of Care Survey, senior care costs in Fresno are relatively average compared to other major metropolitan areas in California, even though the city’s monthly assisted living, home care and adult day care costs are all below the state median. Assisted living costs are especially reasonable, with prices that are $500 below the national median. 

How much does Assisted Living Cost in Fresno?

Fresno’s monthly assisted living costs are relatively inexpensive compared to the rest of the state at $1,000 less than the state median. Nearby Merced and Visalia are near Fresno’s costs for assisted living, whereas areas such as San Francisco are $2,000 more per month.

According to the Genworth study, some of the least expensive monthly assisted living costs in California are in Bakersfield, though these prices are only 11 percent less than in Fresno. 

How much does Home Care Cost in Fresno?

Home care costs in Fresno are $4,528 per month, just under the California median of $4,957. Two of the most affordable cities surveyed for home care costs outside of Fresno include Bakersfield and Visalia, while some of the most expensive monthly prices in the area are in San Francisco where costs are approximately 25 percent more than in Fresno.

How much does Adult Day Care Cost in Fresno?

At $1,653 per month, Fresno’s adult day care costs fall exactly in line with averages across the state. Nearby Merced, Bakersfield, Los Angeles and the state median all fluctuate within $100 of this price point. The most costly adult day care services near Fresno are in Santa Maria, with monthly fees accumulating to more than $2,000.

How much does Nursing Home Costs in Fresno?

Fresno’s nursing home care costs are not the most economical in the state, with monthly prices averaging around $8,638. Many cities in the region, such as Merced, Bakersfield and Los Angeles all have more budget-friendly nursing home costs, with care in neighboring Visalia costing more than $2,000 less each month.

Despite this, there are still areas near Fresno with much higher nursing home costs. San Francisco averages $9,148 per month and Santa Maria has costs that break the $10,000 mark, equating to 23 percent more each month than Fresno.

Financial Assistance Programs in Fresno

Medicaid Program in Fresno

Throughout California and in Fresno, the Medicaid program is referred to as Medi-Cal. This program offers either free or low-cost health care coverage to seniors aged 65 and older (or otherwise legally blind or disabled) who do not live in an acute or skilled facility.   Services provided by this program include the following:

  • Comprehensive preventive care services
  • Primary and specialty medical care
  • Vision and dental care
  • Mental health services
  • Hospital visits
  • Prescription medications

Though these benefits can be provided to seniors with other health insurance, there is an income limit for free services. These income caps are listed below:

  • A monthly income below $1,012 if single (with assets not exceeding $2,000)
  • A monthly income below $1,372 if married (with assets not exceeding $3,000)

Because Medi-Cal is an entitlement program, all Fresno seniors who meet the requirements will receive these services. Fresno seniors can complete the application for Medi-Cal by visiting the local Fresno County Department of Human Services, calling (855) 832-8082 or visiting the  Covered California Website.

Medicaid Waivers in Fresno

Assisted Living Waiver (ALW) Program

The Assisted Living Waiver program exists to do two things for Fresno seniors:

  • Facilitate a safe transition for seniors who reside in a nursing facility to a home-like living situation such as an Adult Residential Care Facility (ARF), a Residential Care Facility (RCF) or public, subsidized housing
  • Allow eligible seniors who are at risk of being placed in a nursing home or other facility to continue residing in a community or home-like setting

Qualifying seniors who use the ALW Program have access to three types of services:

  • All services offered through an Assisted Living Facility, such as 24-hour staff, social services, meals, health management and housekeeping, etc
  • Care Coordination, which includes identifying, organizing, coordinating and regulating services needed by a senior
  • Nursing Facility Transition Care Coordination, which allows seniors to transition smoothly back into the community

To be eligible, applicants must be at least 21 years old and meet the financial requirements. Seniors who want to find out more about the requirements or find more information about the application process can do so by visiting our ALW page.

Community-Based Adult Services (CBAS) Waiver

The Community Based Adult Services waiver helps reduce the number of seniors who are placed in a nursing home by offering daytime care services in Fresno. These health care services include, but are not limited to, the following benefits:

  • Professional nursing services
  • Physical, occupational and speech therapies
  • Mental health services
  • Therapeutic activities
  • Social services
  • Personal care
  • Meals and nutritional counseling
  • Transportation to and from the senior’s home and the CBAS center

To qualify for these services, a senior must require a nursing facility level of care or have a severe cognitive impairment. In addition to these functional requirements, the financial requirements for this program are based on a senior’s monthly income and assets. These numbers change based on whether a senior is married and can be found by reading our guide on the CBAS waiver. If residents don’t meet financial requirements, the Share of Cost or Spend Down programs can be utilized. Fresno residents can visit the Fresno-Madera Area Agency on Aging for more information about the application process.

Home and Community-Based Alternatives (HCBA) Waiver

The Home and Community-Based Alternatives (HCBA) waiver assists physically-disabled seniors in Fresno who will need long term nursing home care within one month. The program’s services, which are listed below, are intended to help eligible participants live at home or in an assisted living facility:

  • Personal care
  • Case management
  • Various home modifications to enable greater accessibility 
  • Medical equipment maintenance
  • PERS (Personal Emergency Response service)
  • Respite care (both at home and temporary residential care)
  • Skilled nursing services
  • Training for family caregivers 

Requirements for this program are similar to other Medicaid waivers. To qualify, seniors must require a nursing home level of care and meet financial requirements. The monthly income limits are $1,242 for a single senior and $1,682 for a married couple. Interested applicants might wish to note that this waiver also requires full Medi-Cal eligibility. 

Fresno seniors can apply for this program through the state’s appointed agency for the area, Libertana Home Health, by completing an online application. This program is not an entitlement program, so seniors who are eligible might be placed on a waitlist. 

Multi-Purpose Senior Services (MPSS) Waiver Program

The Multi-Purpose Senior Services waiver program, similar to the other waivers listed above, is intended to delay nursing home placement. Services are like those offered by other waivers:

  • Adult day care
  • Assistance with activities of daily living
  • Care management
  • Respite care
  • Transportation 
  • Congregate or home-delivered meals
  • Translation services
  • Minor home repair

Eligibility for this program includes the same functional and financial requirements as other waivers, as well as limits on assets. Fresno seniors who receive benefits from this program can also receive services from the In-Home Supportive Services program (discussed below). Those who are interested and qualify for Medi-Cal can learn how to apply by visiting our MPSS guide. There is an enrollment cap so applicants might be placed on a waitlist.

Other Financial Assistance Programs in Fresno

In-Home Supportive Services (IHSS)

Through the In-Home Supportive Services (IHSS) program, seniors in Fresno can select their own caregiver including their spouse or other family members to assist them as they remain in their own homes. Qualifying applicants are approved for a variety of services for a specific number of hours per month, and the chosen caregiver is then paid an hourly rate set by Medi-Cal.

Fresno residents can apply for this program by contacting the Fresno County Department of Social Services at (855) 832-8082. More information about this program, its benefits and eligibility requirements can be found by reading our IHSS guide.

Program for All Inclusive Care for the Elderly (PACE) Program

In Fresno and throughout the state of California, the Program for All Inclusive Care for the Elderly (PACE) program is a comprehensive system of health and social care offered to seniors living at home. Many services are offered at the local PACE center, including hot meals, medical check-ups, physical therapy and recreational activities. PACE workers also help seniors by creating individualized health care plans which include making appointments, filling prescriptions and providing transportation. 

Seniors need to be at least 55 years old, be deemed in need of a nursing facility level of care and need help with activities of daily living (ADL) to qualify.

If a participant is eligible for Medi-Cal without a share of cost, the PACE program benefits are free. The program may be completely funded for seniors who are eligible for Medi-Cal and Medicare, however, seniors who are not eligible for either have to pay the self-pay rate. Those in a nursing home might be required to pay a co-pay. Contact the local PACE center, listed below, for more information.

Senior residents of Fresno apply through the local PACE center, Innovative Integrated Health, by calling (559) 400-6420 or online.

More Senior Living Resources in Fresno

Resource Phone Number Description
Housing Authority – Fresno County (559) 443-8400 The Housing Authority of Fresno County offers the Housing Choice Voucher Program (formerly Section 8) which provides assistance to low-income seniors seeking to obtain affordable housing throughout Fresno County. This program does have limited enrollment, however, and cannot always accept new applicants.
Low-Income Home Energy Assistance Program (LIHEAP) (559) 263-1135 The Low-Income Home Energy Assistance program provides financial aid to seniors in Fresno County to help pay for energy bills. To qualify, seniors must meet income requirements and provide proof of current energy bills or 48-hour shut off notices.
Fresno County Home-Delivered Meals and Congregate Lunch Programs (559) 600-4405 Fresno County offers free congregate meals to seniors aged 60 and older at various locations throughout the county. Seniors must call the day before to reserve a spot. The Fresno Economic Opportunities Commission provides free transportation to four of these congregate lunch sites. Additionally, home-delivered meals can be arranged for seniors who are homebound and/or alone.


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