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ElderCareCosts
Updated August 2026

Assisted Living in Sacramento, California

Sacramento, CA has 223 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $6,906/mo. That's roughly in line with the California state median. Most assisted living in Sacramento is small: 88% of licensed providers have 16 beds or fewer, against 65% nationally.

Not sure which type of care fits? Take our 3-question care quiz →

Median monthly price, Sacramento

$6,906/mo

● Sacramento $6,906 ○ National median $6,230

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in Sacramento

2025 figures

Assisted Living cost comparison (2025)
Assisted LivingSacramentoCaliforniaNational
25th percentile—$6,682/mo$5,488/mo
Median$6,906/mo$7,000/mo$6,230/mo
75th percentile$7,049/mo$7,608/mo$7,083/mo

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A dash means the underlying source can't support that figure for this area. We leave the cell empty rather than estimate around it.

Staying home instead

Home care in Sacramento runs about $39 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$3,420
44 hrs/weekMost of every weekday$7,525
24/7 (168 hrs/week)Round-the-clock coverage~$28,732

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

Nearby cities: West Sacramento · North Highlands · Carmichael · Elverta · Elk Grove

What can you afford?

Here is what different monthly budgets cover in Sacramento.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Sacramento runs about $2,010 a month. Income-restricted affordable senior housing is the other common choice, and Sacramento has 39 such properties. The county aging agency at (916) 486-1876 can help you sort through options for free. If money is very tight, ask about Medicaid waivers.
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care usually falls here. Full-time care at 44 hours a week runs about $7,525 a month. The local assisted living median is $6,906 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Sacramento assisted living median of $6,906 a month with room to spare. It also covers close to full-time home care, about $7,525 a month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Sacramento run about $12,004 a month at the median. Around-the-clock home care usually costs more.
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Tell us how you plan to pay and we'll send licensed options that fit.
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223 assisted living communities in Sacramento

What assisted living looks like in Sacramento

Sacramento is a market of small licensed homes. 88% have 16 beds or fewer, against 65% nationally. The typical one has 6 beds.

On the most recent inspection on file, state inspectors recorded an average of 2.5 findings per provider here, above the Sacramento County average of 1.9.

Compare communities side by side
Tick Compare on the ones you like, then continue.
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In the last 365 days: 494 newly licensed · 51 closed. Counts come from our ingestion diffs, not a complete state registry dump.

Free local help worth saving

Sacramento, in Sacramento County, has about 528,706 residents. About 75,245 of them (14%) are 65 or older. The median household income is $87,321.

Source: US Census Bureau

National helplines, including the Eldercare Locator and 211, are listed on paying for care.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →

Questions families ask

Is assisted living in Sacramento more expensive than the rest of California?

Sacramento's median assisted living cost is about 1% lower than the California state median.

Find Sacramento care options

Tell us what you need and your budget, and we will email you licensed options right away.

Find care options →

Reading up first? Assisted Living across California → · Assisted Living cost across California → · Adult Day Care vs Assisted Living →

Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

Assisted Living in Sacramento: 2026 Costs & Licensed Providers · Page 3