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CITY Sacramento
Get Pricing & Availability for Assisted Living in Sacramento, CA

Call (855) 481-6777 for immediate assistance and get more details


Page Reviewed / Updated – July 7, 2022

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Sacramento is the capital of California and has a senior community that accounts for over 13% of its population, promoting access to community-based services and supports that help older adults maintain a high quality of life throughout their retirement years. While its overall cost of living is about 18% higher than the national median, it’s 30% lower than the state median, which may make it a financially sound option for those seeking affordable long-term care options. On average, seniors in Sacramento pay $5,225 per month for assisted living, which is consistent with rates in the rest of the state.

This guide highlights information on assisted living in Sacramento, including details on how long-term residential care costs compare to other cities in California, as well as other care types within Sacramento. It also outlines financial assistance options and ways to pay for services, and it features contact information for the top resources for older adults in the region.

The Cost of Assisted Living in Sacramento, CA

Assisted living costs in Sacramento come in at $5,225 per month, according to data published in the 2021 Genworth Cost of Care Survey. This is several hundred dollars higher than the national rate of $4,500 but equal to the state median.

Older adults seeking affordable assisted living services in Central California may consider care in Madera, where rates are considerably lower than the state median at $3,828 per month. In Chico, care costs are higher but still lower than in Sacramento at $5,106. Fees in San Luis Obispo are a little higher at $5,300, and in Santa Rosa, rates average $7,048.

  • Sacramento: $5,225 
  • California: $5,225 
  • United States: $4,500 
  • Madera: $3,828 
  • San Luis Obispo: $5,300 
  • Santa Rosa: $7,048 
  • Chico: $5,106 

The Cost of Other Types of Care in Sacramento, CA

Adult day health care is the most affordable long-term care option in Sacramento, with facilities charging $2,167 per month for daytime weekday services. Assisted living is about $3,000 more at $5,225 per month but includes living expenses such as housing and meals. Older adults pay $6,292 for in-home care or home health care. Nursing homes charge the highest monthly care costs, with seniors in shared rooms paying $10,646 for skilled nursing services and those in private rooms paying $14,129. 

  • In-Home Care: $6,292 
  • Home Health Care: $6,292 
  • Adult Day Health Care: $2,167 
  • Assisted Living Facility: $5,225 
  • Nursing Home Facility (semiprivate room): $10,646 
  • Nursing Home Facility (private room): $14,129 

Financial Assistance for Assisted Living in Sacramento, CA

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Other Ways To Pay for Assisted Living in Sacramento, CA

Since not everyone can afford to pay for assisted living out-of-pocket, it’s important to find alternative methods to help make assisted living more affordable. Some of these options include:

  • Veterans Benefits
  • Life Insurance Policy
  • Long-Term Care Insurance
  • Reverse Mortgage

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

Free Resources for Seniors in Sacramento, CA

Numerous resources in the Sacramento region help current and prospective assisted living residents evaluate their needs and make decisions regarding current and future care. The following table highlights top agencies and programs in the community with specialized services for older adults.




Area Agency on Aging Area 4   (916) 7486-1876 Seniors in Sacramento obtain free and low-cost services through Agency on Aging Area 4, a regional nonprofit organization that administers services through funding from the Older Americans Act. This agency houses the long-term care ombudsman program for the region, which publishes information on assisted living residents’ rights and works directly with older adults to ensure they obtain high-quality care. It also provides information and referral services to help older adults access community-based services, and it has health insurance options counseling that provides free advice and information on Original Medicare and private Medicare options.
Hart Senior Center (916) 808-5462   Hart Senior Center is operated by the City of Sacramento Older Adult Services division and provides lifelong learning classes, age-friendly fitness activities, social opportunities and information and referrals for community-based services. While membership is available, it’s not required for attending the center or participating in classes and programs.  
Legal Services of Northern California  

(800) 434-0222

Legal Services of Northern Carolina is a regional nonprofit organization that provides free legal assistance and advice to those aged 60 and over. Through its Sacramento office, older adults obtain public benefits counseling and application assistance, which can help them find options for covering assisted living. It also helps older adults research Medicare prescription drug coverage to find the best Part D plan for their needs.
Sacramento Vet Center

(916) 566-7430 

The Sacramento Vet Center provides free, confidential assistance to older veterans and their families. Its staff can help visitors connect with community-based services such as counseling, transportation and wellness services as well as assistance with applying for veterans’ state and federal benefits that may help pay for long-term care costs. For those unable to attend the permanent office location, the center has a mobile vet center and satellite locations throughout the region. 
Senior Volunteer Service 

(916) 875-3631 

Seniors in Sacramento have access to an AmeriCorps Seniors program, the Foster Grandparent Program. Through this program, those aged 55 and over participate in volunteer opportunities that meet the needs of vulnerable residents in the community. In exchange, they may receive tax-free stipends, supplemental insurance and transportation reimbursement.  

Rules and Regulations for Assisted Living Facilities in Sacramento, CA

Assisted Living Communities in Sacramento are required to follow a set of rules and regulations that are determined by the state. For an overview of those rules and regulations, see the information below. For more specific information, talk with your local community or Area Agency on Aging.

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The 10 Best Assisted Living Facilities in Sacramento, CA

River's Edge

Nestled among 7 acres along the American River, River’s Edge offers assisted living services tailored to meet residents’ needs both now and in the future. It provides a blend of social, recreational, educational and cultural activities and programs to keep residents as busy as they want, including nearby walking paths and golf courses. Its one-bedroom and two-bedroom residences feature all-electric kitchenettes, patios or balconies and individual climate controls. Residents enjoy a fully equipped fitness center and group classes, an on-staff licensed nurse, weekly housekeeping and laundry services and fun local community events and seasonal activities. 

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  • Dine Your Way on-site restaurant with fresh daily specials for breakfast, lunch and dinner
  • Scheduled group transportation services to doctors’ appointments, shopping and entertainment

Golden Moments Care Home

Golden Moments made our top 10 list for the intimate, homelike environment it provides in its fully furnished six-bed assisted living residential care home. It offers a safe, caring alternative designed to help residents stay physically and mentally active. Staff members strive to reduce isolation by supporting the physical, emotional, social and spiritual needs of its residents and their families. It has a secure fenced yard and patio for safely enjoying the outdoors and an array of daily activities to nurture the body and mind and promote companionship and creativity. It closely monitors its residents’ well-being, providing overnight awake staff.

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  • Three delicious home-cooked meals and three nutritious snacks daily
  • Two recreational, creative and social activities daily

Gramercy Court

We recommend Gramercy Court for its staff therapists who operate a fully contained therapy unit and work with the nursing staff to help residents achieve their highest level of functional independence. Its 24-hour licensed nursing staff and trained nursing assistants provide tailored levels of service based on residents’ needs. It also offers various patient-centered activities, including individual activities from the comfort of the patient’s room and daily group social activities. Meals are always freshly made, with leftovers never served, and residents may tailor their menus to their personal preferences and choose social, in-room, outdoor and therapeutic dining experiences.

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  • Wireless internet with bedside workstations
  • Family-friendly, park-like grounds and recreational garden activities

Carlton Senior Living Sacramento

Carlton Senior Living strives to create a supportive atmosphere with a wide range of assisted living services that enhance residents’ lifestyles. It also offers diabetes management, on-site physical therapy and an on-site nurse. Residents enjoy a variety of tailored activities that extend from the backyard resident garden to local points of interest. Nearby conveniences and attractions include the UC Davis Medical Center, Pavilions Shopping Center, California State Fairgrounds and Sacramento Zoo. Residents benefit from daily nursing care, three restaurant-style meals, emergency call systems, individual comfort controls, building-wide Wi-Fi and weekly housekeeping, laundry and linen services.

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Greenhaven Estates Assisted Living and Memory Care

We included Greenhaven Estates in our list for providing residents with an active, engaging lifestyle that promotes wellness and independence while delivering assisted living services in a dignified manner where privacy and choice are practiced. Residents have ample opportunities to participate in various life-enriching activities designed to stimulate their bodies, minds and souls, including cocktail hours, lifelong learning programs and fitness classes. Its life enrichment coordinator creates activities that encourage personal interests and abilities. Residents also get involved with the local community through assorted fundraising, volunteering and intergenerational projects.

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  • One-bedroom and two-bedroom apartment homes
  • Executive chef prepares fresh, seasonal menus with daily specials served in restaurant settings

Greenhaven Place

Greenhaven Place offers an array of assisted living services, including assistance with activities of daily living, diabetic care, medication management, personal check-ins and a 24-hour on-site licensed nurse. Residents enjoy weekly housekeeping and laundry services, three meals daily made with local ingredients plus snacks and an assortment of life enrichment activities, including social hours, fitness activities, brain games and guest musicians and entertainers. Its large one-bedroom apartment homes include basic cable, walk-in closets, individual climate controls, kitchenettes, tub-shower combos and patios for outdoor living space.

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Sunrise of Sacramento

Located in eastern Sacramento, 8 miles from downtown, Sunrise of Sacramento makes our top 10 list for its numerous signature programs, including its eight “Live With Purpose” activities programs. It offers assisted living in a caring, homelike environment, with outdoor spaces that highlight the area’s natural beauty and care tailored to residents' individual needs and preferences. Its signature dining program features three delicious meals prepared with fresh, seasonal ingredients by highly trained chefs who create menu items based on resident requests. Sunrise has daily fitness, social, educational, creative and spiritual activities to keep residents active and engaged.

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  • Scheduled group trips and resident-sponsored clubs for varied interests
  • Monthly wellness visits by a licensed on-staff nurse

Oakmont of East Sacramento

Situated on a beautifully landscaped campus, Oakmont is included in our list because it provides five-star services and amenities, including complimentary concierge, chauffeur and valet services and a professional team available 24/7 to give individualized support that promotes continuing independence. Its executive chef makes each meal a fine dining experience with continental breakfasts and 21 flexible meals and restaurant-style and lanai dining. Oakmont also has a wellness center and full-time nurse, and it offers temporary home health care and full-time care in the privacy of the resident’s home. It has various on-site classes to help residents pursue new or old hobbies.

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  • Extra services available with an additional fee include pet care, massage therapy, room service and beauty salon/barber
  • Full social calendar with daily in-house activities and weekly scheduled excursions

Atria El Camino Gardens

Located 10 miles east of Sacramento in Carmichael, Atria El Camino Gardens made our list for its trademark events and activities program, called Engage Life. This program allows residents to express themselves creatively, stay fit and connect with others through events tailored to meet individual interests. The newly remodeled community sits on 12 park-like acres and has highly trained, 24-hour staff to provide discreet assistance as needed. It offers short-term stays to individuals wanting to see if assisted living is the right fit and private, fully furnished apartments for guests.

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  • Scheduled transportation to local appointments, errands and events
  • Private studio and one-bedroom apartments with emergency alert systems

Chateau on Capitol Avenue

Chateau on Capitol Avenue lies within midtown Sacramento, known for its tree-lined streets and vibrant atmosphere. Chateau's Dine Your Way restaurant offers evolving menus and daily specials, and its Market Café provides coffee, tea and refreshments. The facility also has a fully equipped fitness center and group classes for residents to stay active and a high-speed internet lounge to stay connected. Its assisted living services are tailored to meet individual needs, now and in the future, with a licensed nurse on staff and highly personalized care to support wellness and independence.

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  • Comfortable studio and one-bedroom residences with all-electric kitchenettes
  • Full calendar of recreational, social, educational and cultural activities