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Cost of Assisted Living in San Leandro, California

Page Reviewed / Updated - October 01, 2019

The purpose of this page is to provide a detailed overview of the cost of different types of senior care in San Leandro, as well as the state and local resources and cost-saving programs available to seniors and families with limited incomes. For more information about senior living in the state as a whole, visit our comprehensive guide to paying for senior care in California.

The Cost of Senior Living and Care in San Leandro

According to data gathered by the 2018 Genworth Cost of Care Survey, the average cost of senior care in San Leandro consistently exceeds that of California. Seniors pay $1,000 more for assisted living, nearly $780 more for nursing home care and over $670 more for home care in this city than in the state as a whole. The difference in adult day health care is less noticeable, costing an average of $1,733 a month in San Leandro versus the state monthly average of $1,679.

Note: Cost data for San Leandro is not available, so data for San Francisco, its nearest major city, has been used for cost comparisons.

How much does Assisted Living Cost in San Leandro?

San Leandro is among the most expensive cities in the state for assisted living, with average monthly costs at $5,500. This exceeds the statewide average by $1,000 and the nationwide average of $4,000 by $1,500.

The only city in California with more expensive care is Santa Cruz, where seniors pay nearly $100 more per month for assisted living services. The most affordable city in the state for this type of care is Bakersfield, which lies about 260 miles away. Here, the average monthly cost for assisted living is $3,150.

How much does Home Care Cost in San Leandro?

Of the major California cities surveyed, San Leandro ties with Santa Rosa for the most expensive city for home care. Here, homemaker services cost an average of $5,625 per month or $29.50 per hour. This is roughly $700 more per month than the California average of $4,957 and over $1,600 more than the nationwide average of $4,004. The most affordable major city in the state for this type of senior care is Bakersfield, where seniors pay an average of $4,385 per month or $23.00 per hour for care.

How much does Adult Day Care Cost in San Leandro?

While the cost of adult day health care in San Leandro is higher than the statewide average of $1,679 per month and the national average of $1,560 per month, it's among the more affordable options of the major cities surveyed.

The most expensive city in the state for this type of care is Santa Rosa at $2,362 per month or $109 per day, compared to San Leandro’s average monthly cost of $1,733 or daily cost of $80. Adult day health care is considerably cheaper in the Visalia area, which is about 200 miles away. Here, care costs an average of $1,040 per month or $48 per day.

How much does Nursing Home Costs in San Leandro?

On average, nursing home care in San Leandro costs roughly $800 more per month than the statewide average of $8,365 and about $1,700 more than the national average of $7,441. Seniors pay about $2,600 more for care here than those living in Visalia, which is the state's most affordable option at $6,540 per month. However, nursing home care in San Leandro is almost $1,500 less than in Santa Maria and $800 less than in Napa, the costliest cities in the state for nursing home care.

Financial Assistance Programs in San Leandro

Medicaid Program in San Leandro

San Leandro seniors with limited income and resources can receive free or low-cost health insurance through Medi-Cal, California’s Medicaid program. Medi-Cal covers a variety of medical expenses, including hospital stays, routine medical care and prescription drugs. It also covers nursing home and some personal care services.

To qualify for Medi-Cal, applicants must be at least 65 years of age, permanent residents of California and U.S. citizens or legal residents. Income and asset limits also apply. Single applicants may earn up to $1,271 per month and own up to $2,000 in countable assets, and married applicants can have a combined monthly income of up to $1,720 per month and $3,000 in countable assets. Seniors who do not meet income guidelines may still qualify for Medi-Cal through the Medically Needy Pathway, and those whose income and assets exceed guidelines may qualify through Medicaid planning.

To apply for Medi-Cal, seniors can:

Medicaid Waivers in San Leandro

Assisted Living Waiver Program

The Assisted Living Waiver Program is available to seniors residing in San Leandro. This program covers services received at home or in an assisted living facility, including assistance with the activities of daily living, social and recreational activities, prepared meals and health-related services.

To qualify for ALWP, applicants must require nursing home-level care, but not so much care that it would be prohibitively expensive to receive it in an assisted living facility. Applicants must also meet Medi-Cal's income and asset guidelines.

For more information on this waiver and to learn how to apply, visit our ALWP page.

Multipurpose Senior Services Program

The Multipurpose Senior Services Program provides in-home care and case management with no share of cost for Medicaid beneficiaries residing in San Leandro. While this program does not cover medical care, it does cover services like adult day health care, home modifications and assistive technology, enabling seniors to avoid or delay nursing home placement.

To be eligible for this program, applicants must be at least 65 years old and need assistance with one or more activities of daily living or two or more life activities, such as chores. Applicants must also meet the Medicaid Home and Community Based Services income and asset guidelines. Single applicants may have a monthly income of up to $1,242 and up to $2,000 in countable assets, and married applicants may have a combined monthly income of up to $1,682 and up to $3,000 in countable assets.

More information on this program, including how to apply, visit our MSSP page.

Home and Community-Based Alternatives Waiver

The Home and Community-Based Alternatives waiver program provides care services to seniors who are eligible for nursing home placement but prefer to remain in their home. This program also provides assistance for those who currently live in a nursing home facility but wish to transition to an assisted living facility or back to their home.

To qualify for the HCBA waiver, applicants must meet the Medicaid Home and Community Based Services income and asset guidelines. This program has an enrollment cap, and eligible applicants may be placed on a waiting list until services are available.

For more information on benefits, eligibility and how to apply, visit our HCBA page.

Community Based Adult Services Program

The Community Based Adult Services Program provides assistance services to seniors in San Leandro. Some services offered by CBAS include nutritional guidance, physical and occupational therapy, transportation services and personal care during daytime hours. Care is provided in specialized care centers like adult day health care facilities.

To qualify for CBAS, applicants must have a functional need for services and meet Medi-Cal's income and asset guidelines. To learn more about CBAS, including how to apply for the program, visit our page.

Other Financial Assistance Programs in San Leandro

In-home Supportive Services (IHSS)

In-home care services in San Leandro are covered by Medi-Cal through the In-Home Supportive Services program. IHSS is an alternative to out-of-home care. Some services provided by this program include housecleaning, meal preparation, personal care services and accompaniment to medical appointments. As part of the regular state plan, this program is an entitlement, meaning that services are guaranteed for qualified applicants. More information regarding IHSS can be found here.

Paid Family Leave Act (PFL)

People who take a leave from work to care for a seriously ill relative or domestic partner can get paid to do so under the PFL. Caregivers can get up to six weeks off and receive up to 70% of their pay, and compensation is based on their earnings. For more information, read our page on PFL here.

More Senior Living Resources in San Leandro


Phone Number


Estabrook Place (510) 347-5800 Estabrook Place features 51 one-bedroom, one-bathroom units for low-income seniors. It's located near the downtown corridor and offers convenient access to public transportation.
This wheelchair-accessible community features a landscaped courtyard, on-site laundry and secure entries. Section 8 vouchers are accepted.
Eden Lodge (510) 352-7008 Eden Lodge is an apartment complex for low-income seniors. This complex is comprised of 143 one-bedroom, one-bathroom units and offers community amenities, such as an on-site beauty shop, exercise equipment, a library and a recreation room equipped with pool and ping pong tables.
Fargo Senior Center Apartments (510) 351-1135 Fargo Senior Center is a ministry of Christian Church Homes, a non-profit organization that builds and maintains affordable senior housing. Fargo Senior Center is a 62-and-over community that has 75 units, each with individual climate control, patios or balconies and complete kitchens with refrigerators and electric stoves.
Broadmoor Plaza (510) 553-9250 Broadmoor Plaza is an apartment community for low-income adults age 62 and over. It offers 60 energy-efficient and water-efficient one-bedroom units, each of which is equipped with an emergency call system.
Residents have access to a free shuttle program, an on-site library and computer lab and community-organized activities like bingo and movie nights.
Spectrum Community Services (510) 881-0300 Spectrum is a federally-funded program that offers weatherization services to low-income individuals in San Leandro. Some services provided include weather stripping installation, smoke detectors and carbon monoxide alarm installation and heater replacement.