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Cost of Assisted Living in Pleasant Hill, California

Page Reviewed / Updated - October 2019

Seniors in Pleasant Hill who are looking for comfortable and affordable care options can use this guide to better understand the options open to them. It pulls together information about each level of care and the costs seniors can expect to pay for each type of senior living. Seniors and their loved ones can use this guide to find programs in California that help pay for residential care, as well as some local resources to help them live independently at home. For more information about senior living in the state, please read our comprehensive guide to paying for senior care in California.

The Cost of Senior Living and Care in Pleasant Hill

Senior living in Pleasant Hill is generally less expensive than the average elsewhere in the state of California, according to the 2018 Genworth Cost of Care Survey. The difference is slight for some levels of care, such as assisted living, where the price seniors pay in Pleasant Hill is $150 under the average price in the state, while other areas, such as home care, are nearly $400 apart.

Note: Senior care cost data wasn’t available for Pleasant Hill, so the data for the closest city, Vallejo, was used.

How much does Assisted Living Cost in Pleasant Hill?

Assisted living in Pleasant Hill costs $4,350 a month, on average, which is somewhat less than the $4,500 a month seniors pay in the rest of the state. Seniors in Los Angeles and San Diego pay the state average, while prices for assisted living in San Francisco are much higher, at an average of $5,500 for a similar level of care.
Stockton and Bakersfield, on the other hand, report significantly lower costs than Pleasant Hill. Stockton seniors pay $3,500 a month for assisted living, while Bakersfield has some of the lowest costs in the state at $3,150, or $1,200 a month less than Pleasant Hill.

How much does Home Care Cost in Pleasant Hill?

Home care costs run to $4,576 a month in Pleasant Hill. Seniors here pay $379 a month less than the average price in California, $4,957. Stockton reports costs in line with the rest of the state, while Los Angeles and San Diego both average $4,767 a month. San Francisco has one of the highest costs in California, $5,625 a month. Seniors in Bakersfield only pay $4,385, nearly $200 a month less than in Pleasant Hill.

How much does Adult Day Care Cost in Pleasant Hill?

Adult day care costs in Pleasant Hill are near the bottom of the range of reported costs in California. Seniors in Pleasant Hill pay an average of $1,354 a month for adult day care, while the next-lowest city surveyed, Los Angeles, comes in at $1,565. The state average of $1,679 is also the average cost in Stockton. Three cities in California, Sacramento, San Francisco and San Diego, average $1,733 a month for adult day care, while Chico tops the list at $2,134 a month for this service.

How much does Nursing Home Costs in Pleasant Hill?

Nursing home care in Pleasant Hill costs seniors an average of $8,167 a month. Seniors elsewhere in California can expect to pay an average of $8,365 for a semi-private room in a nursing home. Of all surveyed California cities, Stockton comes closest to Pleasant Hill for costs, at $8,173 a month. Bakersfield reports one of the lowest costs for nursing home care, at $7,513 a month, while San Francisco's average price of $9,148 puts it among the most expensive cities.

Financial Assistance Programs in Pleasant Hill

Medicaid Program in Pleasant Hill

In California, Medicaid is known a Medi-Cal, and it covers many of the costs of basic and urgent healthcare. Medi-Cal also covers prescription drugs and some of the cost of residential care. Benefits are delivered through a network of private sector insurance carriers that offer both HMO and PPO plans seniors can browse online at the Covered California website. Seniors can choose plans when they sign up for care, or during the annual open enrollment period at the end of every year.

Seniors who apply for Medi-Cal must be citizens or legal residents of the United States and residents of the state of California. Single seniors applying for benefits for themselves are limited to earning 138% of the Federal Benefit Rate, or $16,395 a year from all sources of income together. Married couples can earn as much as $22,108. Households with more than two adults in them can add an extra $5,741 a year. Seniors who earn more than these limits can still qualify for Medi-Cal. Applicants who earn up to 300% of the Federal Benefit Rate can sign up for benefits with an annual share of cost that must be paid before coverage kicks in.

Seniors in Pleasant Hill can apply for Medi-Cal at a Contra Costa County Human Services office in person or by mail. Applications for specific plans can also be submitted online through Covered California. Some seniors can get fast-tracked to approval by showing they have prior approval for another low-income program in California. These programs use similar enrollment criteria to Medi-Cal, and many use the same application forms. Programs seniors can use to pre-qualify for Medi-Cal include:

  • CalFresh, the state's food stamp program
  • TANF, called cash aid or welfare
  • Housing Choice Vouchers, formerly called Section 8
  • WIC
  • Public Housing or residence in a homeless shelter

Medicaid Waivers in Pleasant Hill

Assisted Living Waiver Program (ALWP)

Seniors who live in Pleasant Hill have the option to apply for an Assisted Living Waiver Program (ALWP) to help with the cost of assisted living. To qualify, seniors must receive Medi-Cal and have a diagnosis that allows them to move into a nursing care home. Seniors who opt out of nursing care can apply for the ALWP waiver directly from Medi-Cal or through the benefits specialist at a participating assisted living community. The ALWP is only available in 15 California counties, including Contra Costa County.

Multipurpose Senior Services Waiver

Seniors in California who opt out of assisted living may qualify for a Multipurpose Senior Services Program (MSSP) to help them remain at home in Pleasant Hill. This program pays the direct costs of several services seniors need to live independently. Seniors who apply for and receive an MSSP waiver through their Medi-Cal case worker gain access to several related services, such as:

  • Support from an assigned caseworker who can help identify and apply for benefits seniors may not have known about on their own
  • Chore assistance and homemaker services
  • Caregiver assistance, protective supervision and adult day care, which may be delivered in the senior' home or at a local facility
  • Respite care at home or in a local facility
  • Meal service delivered to the senior' home
  • Certified translation and interpreter services
  • Help booking non-emergency medical transportation and vouchers for public transportation, including on BART
  • Personal Emergency Response System (PERS) installation and continuing service
  • Home improvements, including weatherization and several accessibility modifications
  • Home and Community-Based Alternatives (HCBA) Waiver

Seniors who are moving out of their residential care facilities and back home to a private residence in Pleasant Hill may also find assistance via the Home and Community-Based Alternatives (HCBA) waiver program. HCBA waivers cover reasonable costs associated with moving and can be applied for by the discharge planner at the residential care facility.

Home and Community-Based Alternatives (HCBA) Waiver

Seniors who are moving out of their residential care facilities and back home to a private residence in Pleasant Hill can get some of their costs covered under the Home and Community-Based Alternatives (HCBA) waiver program. HCBA waivers cover reasonable costs associated with moving and can be applied for by the discharge planner at the residential care facility the senior is leaving to return home.

Community-Based Adult Services (CBAS)Independent seniors in Pleasant Hill can stay safe and remain active in the community with a Community Based Adult Services (CBAS) waiver. The CBAS waiver is intended to maximize seniors' independence by bringing needed services to the neighborhoods where they live. Covered benefits include physical and mental therapy, adult day care and monthly social events for CBAS participants that are put on at no cost to seniors.

Other Financial Assistance Programs in Pleasant Hill

In-Home Support Services (IHSS)

Pleasant Hill seniors can hire a caregiver of their own by signing up for California' In-Home Support Services (IHSS) program. This program pays caregivers an hourly rate for providing needed help inside the home for seniors who qualify for Medi-Cal and who have a demonstrated medical need for such assistance. Caregivers can be anyone the senior names, including a spouse, family member or friend.

To sign up, seniors on Medi-Cal can talk to their caseworker or apply to the IHS office for Contra Costa County in Martinez. Once approved, seniors in Pleasant Hill get a home visit from a program worker who can evaluate the senior' needs and assign a set number of hours the program will pay out. Caregivers can also sign up through the IHS office. Approval comes after the prospective caregiver passes a background check and attends a one-day training session at IHS offices.

Paid Family Leave

Seniors in Pleasant Hill can get personal care from an immediate family member under California's Paid Family Leave Act (PFL). Under PFL rules, working Californians can take up to six weeks off from work with a state-paid stipend that's based on their average wages over the previous three years. These funds are paid through a payroll withholding program, and money must be deposited to the account before a claim to the benefit can be made. Once approved, payments are made every two weeks and can be spent like a paycheck.

To apply, working loved ones must call the Employment Development Department (EDD) and ask for family leave. The office often schedules a phone interview with an intake worker and reviews documentation of the senior's needs and their relationship to the worker. Only immediate family members can use PFLA. Employers are required to hold open a vacated job for at least six weeks until the employee can return to work.

More Senior Living Resources in Pleasant Hill


Phone Number


Contra Costa County Housing Authority (888) 746-8731 Seniors in Pleasant Hill can find low-income and affordable housing listed through the Contra Costa County Housing Authority's website and apply for a place on the waiting list by phone. The Authority also takes applications for the Housing Choice Voucher program, though there is usually a waiting list.
Care Services (925) 313-6771 HIV-positive seniors in Pleasant Hill may be able to get a range of helpful resources through Care Services, a local non-profit agency that works with the county. Seniors with HIV/AIDS can call or visit a Care Services office for help finding affordable housing, medical care, nutritional services and several other local programs to improve their quality of life.
Weatherization Program (925) 674-7214 Contra Costa County's Weatherization Program can help seniors in Pleasant Hill who own their own homes get ready for the summer heat or wintry weather with new insulation and lowered energy bills. To sign up for a free inspection, seniors can call the office and schedule a visit.
Home Energy Assistance Program (925) 229-6784 Seniors who meet the county's low-income guidelines can apply for help with their home heating and cooling bills through the Low-Income Home Energy Assistance Program (LIHEAP), which can lower bills by up to 30%. Seniors in Pleasant Hill can apply through the county by phone or by mail.