Sacramento County
Assisted Living & Memory Care in Sacramento, California
Last updated October 22, 2026 · Reviewed by Roberto Hategan, CEO & Founder
Sacramento is a city of neighborhoods, and where your parent lives matters as much as the care itself. Families we work with often start in Land Park, where the tree-lined streets and small bungalow-style care homes feel familiar to someone who has lived here for decades. East Sacramento and the Fab Forties draw families who want their mother close to the church, the market, and the friends she already has. Out toward Carmichael and Arden Arcade, the lots get bigger and so do the homes, and you will find both six-bed residential care homes and larger assisted living communities within a few minutes of each other.
Hospital access matters more than most people expect, particularly after a fall or a hospital discharge. UC Davis Medical Center sits just east of downtown and handles most of the region's complex cases. Sutter Medical Center is central, near Midtown, and Mercy General is right on J Street in East Sacramento, with Mercy San Juan serving the Carmichael and Citrus Heights side. When we recommend a home, we look at which hospital your parent's doctors are affiliated with and how hard that drive would be on a bad day.
Sacramento summers are the other honest local factor. Weeks above 100 degrees are normal, so we pay close attention to whether a home has real air conditioning in every bedroom, shaded outdoor space, and a plan for keeping residents hydrated and indoors during heat advisories. It sounds small. In August it is not.
There are 219 homes in Sacramento.
Areas families ask about
- Land Park and Curtis Park
- East Sacramento and the Fab Forties
- Midtown and downtown
- Carmichael and Arden Arcade
- Natomas and North Sacramento
- Pocket and Greenhaven
Nearby hospitals
- UC Davis Medical Center
- Sutter Medical Center, Sacramento
- Mercy General Hospital
- Mercy San Juan Medical Center
- Kaiser Permanente Sacramento Medical Center
Homes near you in Sacramento
Senior care home
Mercy McMahon Terrace
3865 J Street, Sacramento, CA 95816
Licensed for 189 residents
Price on request
Senior care home
Carlton Senior Living Sacramento
1075 Fulton Avenue, Sacramento, CA 95825
Licensed for 185 residents
Price on request
Senior care home
Golden Pond Retirement Community
3415 Mayhew Road, Sacramento, CA 95827
Licensed for 175 residents
Price on request
Senior care home
Legacy Oaks Of Sacramento
1922 Morse Avenue, Sacramento, CA 95825
Licensed for 160 residents
Price on request
Senior care home
Woodlake, The
1445 Expo Parkway, Sacramento, CA 95815
Licensed for 144 residents
Price on request
Senior care home
Skypark Manor
5510 Sky Parkway, Sacramento, CA 95823
Licensed for 144 residents
Price on request
Senior care home
Chateau At River's Edge, The
641 Feature Dr, Sacramento, CA 95825
Licensed for 143 residents
Price on request
Senior care home
Acc Maple Tree Village
18 Kado Ct, Sacramento, CA 95831
Licensed for 125 residents
Price on request
Senior care home
City Creek Assisted Living
6254 66th Avenue, Sacramento, CA 95823
Licensed for 121 residents
Price on request
Senior care home
Country Club Manor
2100 Butano Drive, Sacramento, CA 95825
Licensed for 112 residents
Price on request
Senior care home
Rose Arbor Village
2001 Rose Arbor Dr, Sacramento, CA 95835
Licensed for 108 residents
Price on request
Senior care home
Spanish Vines Assisted Living And Memory Care
7548 Greenhaven Drive, Sacramento, CA 95831
Licensed for 105 residents
Price on request
What care costs in Sacramento
Every home sets its own monthly rate, based on the room and the level of care. A small board and care home is often the most affordable licensed option; memory care usually costs the most. Tell us about your loved one's needs and we'll get you real, all-in monthly numbers from homes with openings. It's free.
Get real prices for SacramentoWe ask homes for things like a waived move-in fee or a locked rate, at no cost to you.
Ways to pay for care in Sacramento
Private pay
Most families pay with income, Social Security, pensions and savings. Some sell a home to cover a few years of care.
Long-term care insurance
If there's a policy, start the claim early. Most policies have a waiting period and need a doctor to confirm care needs.
VA Aid & Attendance
A monthly benefit for some wartime veterans and surviving spouses who need help with daily care. A Veterans Service Officer can help you apply for free.
Medi-Cal Assisted Living Waiver
Offered in Sacramento County for people with full Medi-Cal who need nursing-home-level care. The waitlist is long, so apply early but plan for other options too. Some Medi-Cal health plans may also help pay for the care part of assisted living (not rent), so ask your health plan what it offers.
Medicare doesn't pay for assisted living or board and care.
Can we afford care? Take the 4-tap check → Talk it through with Roberto →
General information, not financial or legal advice. We don't decide eligibility for any program.
Local resources
- Agency on Aging Area 4 free information and referral for older adults in Placer and Sacramento counties. (916) 486-1876
- Medicare: what it covers after a hospital stay
- Medi-Cal Assisted Living Waiver (DHCS)
Which type of care is right?
- Board and care suits someone frail, at high fall risk, or easily overwhelmed by a big building. A house with about six residents and one or two caregivers means very personal attention.
- Assisted living suits someone still social and mobile who should not be cooking, driving, or handling medications alone. More activities and more people, with less one-to-one attention.
- Memory care is for dementia that has become unsafe: wandering, nighttime confusion, or needs the current home cannot meet. The setting is secured and the staff are trained for it.
Guides for Sacramento families
- Senior Care in Vineyard: A Family Guide to Care Options, Costs and Local Help
- Senior Care in Rancho Cordova: A Family Guide to Care Options, Costs and Local Help
- Mom Is Leaving the Hospital Before a Holiday. Now What?
- Traveling for the Holidays? How a Short Respite Stay Can Help Mom
- Why We Only Suggest Homes We've Seen Ourselves (and Can Come on Tours With You)
- When Siblings Disagree About Assisted Living: How to Find Common Ground
Questions from Sacramento families
It depends on the home, the room and the level of care, so we don't post one number. Board and care homes are often the most affordable option, and memory care usually costs the most. Call us and we'll get you current all-in prices from homes in Sacramento that have openings.
Both are licensed by California as Residential Care Facilities for the Elderly. A board and care home is a regular house licensed for about six residents with one or two caregivers on duty, so attention is very personal. Assisted living is a larger community with apartments, a dining room, and a full activity calendar, but a much higher resident-to-staff ratio.
Yes. There are secured memory care communities and dementia-trained residential care homes throughout East Sacramento, Carmichael, and Arden Arcade, most within a fifteen to twenty minute drive of UC Davis Medical Center, Sutter, and Mercy General. We help families weigh hospital proximity alongside care fit and cost.
Standard Medi-Cal doesn't pay for room and board in assisted living. Sacramento County is one of 15 California counties with the Medi-Cal Assisted Living Waiver, which can help pay for care in participating homes. The waitlist is long, so it's worth applying but hard to plan around. Some Medi-Cal health plans may also help pay for the care part of assisted living (not rent), so ask your health plan what it offers. Call us and we'll walk through realistic options.
Source: California Department of Health Care Services, Assisted Living Waiver
Yes. Families never pay us. A licensed home pays us a referral fee only after someone we helped moves in. We recommend the right home, even when it pays us less.
Yes. Many families we help live far away. We reply within 1 hour, 24/7, and we offer video tours.
Yes, we help families across California, with a focus on Placer and Sacramento counties.
Nearby cities we also serve
Meet your specialist
Roberto Hategan
CEO & Founder
“We only suggest homes we've seen ourselves, and we'll walk you through the pros and cons of each one (location, price, staff experience).”
Serving families across California.
We'll call you back within 1 hour, 24/7.