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Cost of Assisted Living in Thousand Oaks, California

Page Reviewed / Updated - May 17, 2019

This page takes an in-depth look at senior care in Thousand Oaks and greater Los Angeles. Discover how much local residents pay for assisted living and home care on average, and learn about government agencies and grassroots groups that can help with these costs. For information about statewide resources, view our guide to senior care in California.

The Cost of Senior Living and Care in Thousand Oaks

Residents of Thousand Oaks enjoy competitive rates on senior care across the board. The cost of assisted living is even with the state median. All other programs, including adult day care, skilled nursing and homemaker services, are more affordable than the state average according to Genworth's 2018 Cost of Care survey

Note: Due to the community's metropolitan location, comparisons use data from greater Los Angeles.

How much does Assisted Living Cost in Thousand Oaks?

While the cost of assisted living in Thousand Oaks is on par with the state median, other major cities are more affordable. In Riverside and Fresno, seniors pay $12,000 less per year for assisted living. On the other hand, residents of San Francisco and San Jose pay $12,000 more per year. For added perspective, the monthly cost of assisted living in Thousand Oaks is $500 higher than the national average of $4,000.

How much does Home Care Cost in Thousand Oaks?

The cost of homemaker services in Thousand Oaks hovers just below the state median of $4,957 per month. Local rates are even with San Diego and slightly higher than Riverside and Fresno. In San Francisco and San Jose, which are some of the state's most expensive areas for senior care, residents pay almost $1,000 more per month for homemaker services. Additionally, monthly rates are more than $750 higher than the national average of $4,004.

How much does Adult Day Care Cost in Thousand Oaks?

Thousand Oaks is one of the most affordable cities in California for adult day health care. Well-connected metropolitan areas like Los Angeles often have more programs and a more competitive marketplace, which can lead to lower overall costs.

Seniors in Thousand Oaks pay 20 percent less for adult day care compared to residents of San Jose and 10 percent less than folks in San Diego and San Francisco. Additionally, local rates are 5 percent lower than Fresno, which was the second most affordable metropolitan area surveyed.

How much does Nursing Home Costs in Thousand Oaks?

In Thousand Oaks, the cost of skilled nursing facilities is almost 10 percent below the state median. Riverside is one of the few areas with lower average costs by a margin of less than 1 percent. Nursing homes in Thousand Oaks are almost 20 percent more affordable than San Francisco and San Jose where the monthly cost of a semi-private room exceeds $9,100. The city is also slightly to moderately less expensive than Oxnard, San Diego and Fresno where costs are close to the state median of $8,365 per month or $100,380 per year.

Financial Assistance Programs in Thousand Oaks

Medicaid Program in Thousand Oaks

Medicaid is a state and federally funded program that provides health care to low-income adults and children. It also serves as a safety net for medically needy seniors and disabled adults. In Thousand Oaks, the state's Medi-Cal system covers the cost of medical care, hospitalization, prescription drugs and skilled nursing facilities. Medicaid long-term care may assist with the cost of adult day care, assisted living and in-home services that help members remain in the community. Eligibility is based on a variety of medical and financial criteria, and there are several ways to qualify.

  • Income-based Medi-Cal is open to adults aged 19 to 64. To qualify for comprehensive benefits without a share of cost, applicants' income must not exceed 138 percent of the federal poverty level. For 2019, annual limits are $17,236 for single individuals and $23,336 for couples.
  • Seniors aged 65 or older and disabled adults may qualify for Federal Poverty Level Medi-Cal. This program gives members access to a variety of waivers that cover in-home and community-based services. To qualify, applicants must have less than $2,000 in individual assets or $3,000 in joint assets. Monthly income limits of $1,271 and $1,720 apply for one- and two-person households.
  • Medically Needy Medi-Cal offers medical and long-term care coverage to residents who require skilled nursing but earn too much to receive aged and disabled Medi-Cal. There's no income limit, but this plan comes with a share of cost. Nursing home residents must typically use all of their monthly income for medical care, excluding a $35 monthly allowance. 

Many Californians who earn too much to qualify for Medi-Cal are still eligible due to exemptions. The following assets and expenses can be excluded or deducted.

  • A primary home and vehicle
  • Monthly health insurance premiums
  • A monthly maintenance allowance for each household member
  • Up to $126,420 in nonexempt assets controlled by a non applicant spouse
  • Reserved burial plots and funds worth up to $1,500
  • Life insurance with a face value of up to $1,500 

Qualifying for Medicaid is a complex process that can take anywhere from 45 to 90 days. Thousand Oaks residents can apply for Medi-Cal online through Covered California or by contacting the Ventura County Human Services Agency at (888) 472-4463. The Thousand Oaks Community Service Center handles in-person applications. If you'd like to learn more, you can reach your local service center by calling (805) 449-7320.

Medicaid Waivers in Thousand Oaks

In-Home Supportive Services (IHSS)

In-Home Supportive Services is a self-directed care waiver that allows beneficiaries who are aged, blind or disabled and living at home to hire and manage their own caregivers. Members can use funds to pay a registered home health aide who provides personal assistance or housekeeping services. Family members and spouses may also receive compensation. Four IHSS programs are available depending on the applicant's eligibility and health status, including the Community First Choice Option Program and Medi-Cal Personal Care Services waiver, which are both intended for seniors. These programs are managed by county-level IHSS Public Authorities, and there are waiting lists for most services. To apply, call the IHSS PA Provider for Ventura County at (805) 654-3416, or see our IHSS guide for additional information.

Multipurpose Senior Services Program (MSSP)

Low-income adults can receive voluntary case management services through the Multipurpose Senior Services Program. MSSP is intended to prevent or delay nursing home placement. Case managers coordinate all types of in-home and community-based services, such as adult day care, mobility aids, personal care, respite care, transportation, homemaker services and minor home repairs or modifications. To receive benefits, applicants must be 65 or older, live in Ventura County, require nursing home care and receive poverty-level Medi-Cal without a share of cost. Referrals are handled by the Ventura County Area Agency on Aging, which can be reached at (805) 477-7300. Funding is available to 160 county residents, and there is a waiting list. You can learn more about eligibility requirements in our MSSP guide.

Home and Community-Based Alternatives (HCBA)

This program is open to individuals who are at risk of long-term institutionalization or who wish to leave a healthcare facility and return to the community. The HCBA waiver provides a variety of home-based services to Medi-Cal members. To qualify, applicants must live in Ventura County and receive Medi-Cal without a share of cost. Additionally, applicants must require in-home services or monitoring and be at risk of nursing home placement if HCBA services weren't available. Referrals are handled by the Ventura County Area Agency on Aging. To learn more, call (805) 477-7300. There is a statewide enrollment cap.

Community-Based Adult Services (CBAS)

Formerly known as the Adult Day Health Care waiver, this section 1115 program covers the cost of in-home and community-based services that help seniors and disabled adults avoid institutionalization. The CBAS waiver may cover nursing care, physical therapy, mental counseling, personal services, meals and transportation to an approved adult day care facility. This program is open to current Medi-Cal members. Eligibility is determined by managed care providers. Members who do not receive managed care may contact the Department of Health Care Services Los Angeles Field Office at (866) 644-6341 to learn more. See our CBAS overview for more details.

Other Financial Assistance Programs in Thousand Oaks

Older Americans Act (OAA) Supportive Services Program

Authorized by Title III of the Older Americans Act, California's Supportive Services Program provides a comprehensive selection of community-based services to older adults. Funding from the Supportive Services Program can be used for transportation, case management, adult day care and in-home services that allow individuals to remain in the community. This needs-based program provides services at no cost. There are no income limits, but there are often waiting lists. Thousand Oaks residents who are aged 60 or older and need personal assistance may qualify. Contact the Ventura County Area Agency on Aging at (805) 477-7300 to learn more. 

The National Family Caregiver Support Program

Funded by the state and federal government, the National Family Caregiver Support Program provides training, case management and interim respite care to relieve primary caregivers. The program is open to adults who care for someone who is aged 60 or older. It also serves Alzheimer's caregivers regardless of the patient's age. There are no income requirements, but there are waiting lists in some areas. To apply or to learn more, contact the Ventura Area Agency on Aging at (805) 477-7300, or call Senior Concerns at (805) 497-0189.

More Senior Living Resources in Thousand Oaks


Phone Number


Area Housing Authority, County of Ventura

(805) 480-9991

This nonprofit issues Section 8 rental subsidies to low-income households in Thousand Oaks and Ventura County. A waiting list applies to all housing choice vouchers and public housing programs.
Many Mansions

(805) 496-4948

Seniors can access affordable housing and rental assistance through this area nonprofit. Many Mansions owns and manages over 500 housing units in Thousands Oaks and surrounding communities.

(805) 477-7300

HomeShare is a community-based cooperative housing program that matches seniors with qualifying homeowners and renters who have extra living space or need a roommate.
Catholic Charities of Los Angeles

(805) 965-7045

Serving Santa Barbara and Ventura County, this faith-based organization offers rental and utility assistance, case management services and in-home assistance to residents aged 60 and older.
California Alternate Rates for Energy

(800) 447-6620

Low-income seniors may qualify for discounted utility rates through California Alternate Rates for Energy or Family Electric Rate Assistance. These programs are managed by Southern California Edison and the Southern California Gas Company.