California has a large number of assisted living facilities available to Californians – a total of more than 7000, making it the state with the most assisted living communities out of any other state in the U.S. It is no surprise, however, given that California is the most populated state in the U.S. Senior citizens living in California will find different types of accommodations when it comes to assisted living, including small assisted living homes, large assisted living communities, luxury California assisted living, as well as many pet-friendly assisted living options in California. When looking for the best assisted living in California near you, make sure you visit at least 3 facilities to choose one that will have all services and amenities that you need.

Our California assisted living guide includes:

Amenities & Services in Assisted Living Communities in California

Over 55 communities in California that offer assisted living services allow the elderly to retain the freedom of choosing meals, outings, activities, and other aspects of their lives. Older adults who choose assisted living are often free of severe physical and mental impairments that require 24/7 nursing care, requiring a helping hand with day to day responsibilities like taking a shower, grooming, dressing, transfer, and incontinence. They are similar to apartment complexes with shared spaces, centrally located and easily accessible. Some communities may be multiple storeys with elevators while others are single storey. On-site gift shops, ice cream parlors, swimming pools and high-end fitness rooms are some upscale features that aging individuals can enjoy in their new living spaces.

Some assisted living communities in California go above and beyond, offering support services to include memory care in their service packages. These mainly look after retired adults who have cognitive impairments like dementia or even Alzheimer’s disease. Caregivers provide specialized care that depends on the severity of symptoms that an aged adult exhibits. Level of assistance with daily responsibilities here increases as well. Day to day activities are usually designed to allow senior citizens to reconnect with their favorite interests and hobbies. California’s living facilities also incorporate design elements to reduce stress among inhabitants and keep them safe.

Costs of Assisted Living in California

California Senior LivingThe cost for an Assisted Living Facility in California averages about $4,000 per month ($48,000 per year), although the amount increases depending on the services required. Although this is higher than the national average of $3,293 per month, when you consider California’s high cost of living, it is comparable to the average cost. The costs may also increase for residents with Alzheimer's and dementia. Assisted living costs in California are still much lower than the price of California nursing home care, where semi-private rooms cost $91,250 and a private room is almost $113,000 per year.

Assisted Living in California costs more than Adult Day Health Care, which averages around $20,000 per year. You may be surprised to find out that California Assisted Living Facilities are cheaper than hiring a Home Health Aide. A full-time Home Health Aide in California costs on average $55,000 a year, which is for a 44-hour week. It should also be noted that Home Health Aides do not provide the scope of services available in assisted living facilities. It is predicted that by the year 2030, Assisted Living in California will cost $72,000 per year – an increase of over $24,000.

According to the Genworth study on assisted living costs across the United States, city-by-city assisted living costs in California are as follows, from lowest to highest:

  • Merced, CA - $2700 per month
  • Modesto, CA - $2750 per month
  • Madera, CA - $2800 per month
  • Stockton, CA - $2925 per month
  • Bakersfield, CA - $3324 per month
  • Riverside, CA - $3325 per month
  • El Centro, CA - $3400 per month
  • Hanford, CA - $3414 per month
  • Fresno, CA - $3500 per month
  • Sacramento, CA - $3500 per month
  • Visalia, CA - $3500 per month
  • Vallejo, CA - $3650 per month
  • Redding, CA - $3850 per month
  • East Bay, CA - $3973 per month
  • Chico, CA - $3988 per month
  • Los Angeles, CA - $4000 per month
  • Orange County, CA - $4000 per month
  • San Diego, CA - $4000 per month
  • Oxnard, CA - $4150 per month
  • Yuba City, CA - $4395 per month
  • Santa Rosa, CA - $4450 per month
  • San Jose, CA - $4500 per month
  • Santa Maria, CA - $4500 per month
  • Salinas, CA - $4750 per month
  • Santa Cruz, CA - $4800 per month
  • San Mateo, CA - $5000 per month
  • San Luis Obispo, CA - $5100 per month
  • Napa, CA - $5250 per month
  • San Francisco, CA - $5950 per month

There is an enormous difference in assisted living costs of $3250 per month between the most affordable city for assisted living in California, which is Merced, CA and the least affordable one, which is San Francisco.

Who pays for Assisted Living Care in California?

Assisted Living care in California is usually paid for privately by either the California seniors or their families. In California, Medicaid is referred to as Medi-Cal. Currently, there is a California Assisted Living Waiver Program (ALW) that should be available for at least the next 2 years. The Assisted Living Waiver program only operates in the following counties: Orange, Kern, Alameda, Contra Costa, Fresno, Los Angeles, Riverside, Sacramento, San Diego, San Bernardino, San Joaquin, San Mateo, Sonoma and Santa Clara. However, some of these counties do not have any facilities (called Residential Care Facilities for the Elderly – RCFEs) which participate in the program. California seniors are eligible for the ALW waiver if they qualify for Medi-Cal, require a nursing facility level of care, are willing to move to one of the participating counties, and will work with an enrolled care coordination agency.

California seniors who are part of the ALW program can get the following services:

  • Assisted Living Services – seniors can receive these services either in-house by a facility (RCFE) or by a licensed Home Health Agency to those in public housing;
  • Care Coordination – includes organizing, identifying, coordinating, and monitoring the services that will be needed by those who utilize the program; and
  • Nursing Facility Transition Care Coordination – includes helping transition California seniors who are enrolled in a nursing facility back to the community.

Assisted Living Services and Amenities in California

In California, assisted living facilities (ALFs) are regulated by the California Department of Social Services (CDSS) through the Community Care Licensing Division (CCLD). These regulations ensure that residents in these facilities receive appropriate care and have access to services that meet their individual needs. To operate, assisted living facilities must adhere to a set of standards outlined in Title 22 of the California Code of Regulations. These regulations govern various aspects of care, staffing, safety, and the environment in which services are delivered.

Services Provided in Assisted Living Facilities

  1. Personal Care and Activities of Daily Living (ADLs)
    Assisted living facilities in California are designed to help residents with personal care tasks, which may include bathing, dressing, grooming, toileting, and mobility assistance. Residents who need help with one or more of these activities are provided with the necessary support while maintaining their independence to the greatest extent possible.

  2. Medication Management
    Many assisted living facilities offer medication management services. This includes assistance with taking prescribed medications, reminders for medication schedules, and in some cases, staff who can administer medications. Facilities are required to ensure that all medications are stored securely, and staff must follow strict protocols to avoid medication errors.

  3. Nutritional Support
    California assisted living facilities are required to offer well-balanced meals to meet residents' dietary needs. This includes providing three nutritious meals per day, as well as snacks, with accommodations for specific dietary restrictions such as low-sodium, diabetic, or vegetarian diets. Special care is taken to ensure that the food is not only nutritious but also appetizing to the residents.

  4. Health Monitoring and Wellness Services
    Some facilities offer health monitoring services, including blood pressure checks, weight management, and general wellness assessments. These services are often tailored to meet the needs of residents with chronic conditions or those recovering from surgery or illness. In certain cases, assisted living facilities can coordinate care with external healthcare providers, such as visiting physicians, physical therapists, and podiatrists.

  5. Transportation Services
    Many California assisted living facilities provide transportation to medical appointments, social activities, and shopping trips. Some facilities have a designated vehicle and a driver available to ensure residents can easily access essential services and participate in community outings.

  6. Social and Recreational Activities
    Social engagement is an important aspect of assisted living, and California regulations require that facilities provide opportunities for residents to engage in activities that promote socialization, physical activity, and mental stimulation. Activities may include arts and crafts, music therapy, exercise classes, movie nights, book clubs, and outings to local attractions.

  7. 24-Hour Supervision and Security
    Assisted living facilities in California must provide 24-hour supervision to ensure the safety and security of residents. Staff are always available to assist with emergencies, provide supervision, and offer reassurance. Some facilities also offer emergency call systems within each resident's room, allowing for quick access to staff if needed.

  8. Housekeeping and Laundry Services
    Housekeeping services are typically included in the monthly fees of an assisted living facility in California. This includes regular cleaning of resident rooms, common areas, and bathrooms. Many facilities also offer laundry services for personal clothing and bedding, reducing the burden on residents who may struggle with these tasks.

  9. Memory Care (for residents with dementia or Alzheimer’s)
    For residents who require specialized care due to dementia or Alzheimer's disease, some assisted living facilities offer memory care units. These units are designed to create a safe and secure environment where residents receive structured care tailored to their cognitive needs. Memory care services include specialized activities, a higher level of supervision, and staff trained to manage dementia-related behaviors.

  10. End-of-Life Care and Hospice Services
    Assisted living facilities in California are also required to provide end-of-life care, which may include hospice services for residents nearing the end of their life. Many facilities partner with hospice agencies to ensure that residents receive compassionate care during this stage, with support for both physical and emotional needs.

Amenities in Assisted Living Facilities

  1. Private or Shared Accommodations
    California assisted living facilities offer a variety of living options, including private rooms, shared rooms, or suites. The size and amenities of each room can vary, but they are typically designed to create a comfortable, homelike environment. Rooms are often equipped with furniture, a private bathroom, and personal space for residents to decorate as they wish.

  2. Common Areas and Lounge Spaces
    To foster a sense of community, assisted living facilities include shared spaces such as lounges, dining rooms, and outdoor patios. These spaces encourage residents to socialize, relax, and engage in group activities. Some facilities may have specialized areas like libraries, salons, or chapel spaces to cater to residents' personal preferences.

  3. Beauty and Barber Services
    Many assisted living facilities in California provide on-site beauty salons or barber services, allowing residents to maintain personal grooming and appearance. This can include haircuts, styling, manicures, and other personal care treatments.

  4. Fitness and Wellness Centers
    Physical activity is promoted in many assisted living facilities, with some offering on-site fitness centers, walking paths, or exercise programs designed to help residents maintain mobility and health. These may include yoga classes, balance exercises, or walking groups, all tailored to meet the capabilities of older adults.

  5. Pet-Friendly Policies
    Some assisted living facilities in California allow residents to bring pets with them, provided the pet is small and manageable. Having a pet can provide comfort and companionship, which is especially beneficial for seniors. Pet policies vary by facility, so it's important to check in advance.

  6. Outdoor Spaces and Gardens
    Many facilities offer outdoor areas, such as gardens, patios, or walking paths, where residents can enjoy fresh air, relax, and engage in outdoor activities. These spaces are designed to enhance the quality of life for residents, providing them with access to nature and the outdoors.

  7. Wi-Fi and Technology Access
    Modern assisted living facilities in California may provide internet access, allowing residents to stay connected with family and friends through email, social media, or video calls. Some facilities may also offer entertainment options such as cable television, access to streaming services, or computers for resident use.

Types of California Assisted Living Communities

California offers a variety of assisted living communities to cater to the diverse needs of its senior population. These communities range from large, resort-like facilities to smaller, more intimate settings, each offering distinct levels of care, amenities, and lifestyle options. Here are some of the main types of assisted living communities found across the state:

1. Traditional Assisted Living Communities

These are the most common type of assisted living in California. Traditional assisted living facilities provide support for seniors who need assistance with activities of daily living (ADLs) such as bathing, dressing, and eating, but who do not require 24-hour skilled nursing care. Residents typically live in private or semi-private rooms or apartments within the facility, and receive assistance as needed. These communities often offer communal dining, social activities, housekeeping, and transportation services.

2. Memory Care Communities

Memory care communities are designed specifically for individuals with Alzheimer's disease, dementia, or other cognitive impairments. These facilities offer a higher level of care, including specialized therapies and programs aimed at enhancing cognitive function and maintaining independence for as long as possible. In California, memory care facilities are typically housed in separate sections of larger assisted living communities, but some facilities are dedicated solely to memory care. They feature secure environments to ensure safety and provide personalized care plans for each resident.

3. Continuing Care Retirement Communities (CCRCs)

Continuing Care Retirement Communities (CCRCs) are large, multi-level facilities that provide a continuum of care, including independent living, assisted living, skilled nursing care, and sometimes memory care, all in one location. These communities allow residents to age in place, moving between levels of care as their needs change. In California, CCRCs are often seen as a long-term solution for seniors who want the flexibility to stay in one location through different stages of aging, with the security of knowing that more intensive care is available if needed.

4. Residential Care Facilities for the Elderly (RCFEs)

Residential Care Facilities for the Elderly (RCFEs) are smaller, more homelike communities, often located in single-family homes or small apartment complexes. These facilities generally house 6 to 15 residents, and they provide assistance with activities of daily living, including medication management, meal preparation, and help with mobility. RCFEs are an excellent option for seniors who prefer a more intimate setting, but still need some level of support. In California, RCFEs are licensed by the state and must meet strict safety and care requirements.

5. Luxury Assisted Living Communities

For seniors who desire a more upscale living environment, California offers luxury assisted living communities that combine high-end amenities with personalized care. These communities feature gourmet dining options, spa services, fitness centers, and elegant living spaces. They often have concierge services, transportation, and organized social events. The level of care is typically the same as in traditional assisted living, but the overall experience is designed to feel like a resort-style lifestyle.

6. Urban Assisted Living Communities

Urban assisted living communities are located in California’s major cities, such as Los Angeles, San Francisco, and San Diego. These facilities often cater to seniors who want to remain close to cultural events, shopping, dining, and other urban conveniences. Urban communities tend to be larger, offering a wide range of services and activities, and they may provide specialized programs such as art, music, or fitness classes. Proximity to healthcare facilities, such as hospitals and specialized medical centers, is also a key feature of urban assisted living.

7. Rural Assisted Living Communities

In contrast to the bustling urban settings, rural assisted living communities in California offer a quieter, more peaceful environment. These communities often have fewer residents, allowing for a more personalized, intimate level of care. Rural assisted living communities might feature outdoor activities such as gardening, nature walks, or even farming, making them appealing to seniors who enjoy a more serene, country-style lifestyle. These facilities are ideal for seniors seeking a slower pace of life, while still receiving the necessary care and attention.

8. Veterans Assisted Living Communities

California has a large population of military veterans, and some assisted living communities are specifically designed to meet their unique needs. These communities often offer specialized programs and services, including veterans’ benefits assistance, veteran-focused social activities, and a greater understanding of the specific challenges faced by former service members. In some cases, veterans may be eligible for subsidized care, depending on their service record and health needs.

9. Respite Care Assisted Living Communities

Respite care communities provide short-term stays for seniors who need temporary care, often after hospitalization or while their family caregiver takes a break. These communities provide the same level of care as traditional assisted living facilities but focus on meeting the needs of short-term residents. Respite care is beneficial for both the senior and the caregiver, allowing for recovery time or a vacation without worrying about the senior’s well-being.

10. Specialized Assisted Living Communities

California also offers specialized assisted living options for seniors with particular needs. These may include facilities that cater to residents with Parkinson’s disease, those who are recovering from a stroke, or those with mobility challenges. Some communities are designed for seniors who require specific therapies, such as physical, occupational, or speech therapy, and provide a more structured care environment. These facilities are staffed with professionals trained to meet the specific needs of their residents.

Safety measures in California assisted living facilities

In California, assisted living facilities are required to implement a range of safety measures to ensure the well-being of their residents. These measures are designed to protect residents from physical harm, medical emergencies, and environmental hazards, while also promoting overall health and comfort.

1. Fire Safety and Emergency Preparedness

California is prone to natural disasters, including earthquakes and wildfires, which makes emergency preparedness a critical component of safety in assisted living facilities. These facilities must have well-maintained fire alarms, smoke detectors, and sprinkler systems to safeguard against fire hazards. In addition, they are required to conduct regular fire drills to ensure that staff are trained and residents are familiar with evacuation procedures. Emergency exit routes must be clearly marked and easily accessible. For earthquakes, facilities often have specific plans in place, including securing heavy furniture and conducting drills on how to protect oneself during a tremor.

2. Staff Training and Background Checks

All staff working in California assisted living facilities must undergo thorough background checks, including criminal history and clearance for working with vulnerable populations. Additionally, staff are required to complete specific training in areas such as first aid, CPR, and emergency response. Many facilities also provide ongoing training to ensure that staff members are up-to-date on best practices for handling medical emergencies, resident mobility issues, and ensuring the safety of residents with specific conditions such as dementia.

3. Resident Monitoring and Medical Support

Assisted living facilities in California must ensure that residents are regularly monitored for any changes in their health or behavior. Facilities typically have medical staff on-site or available on call to address immediate healthcare needs. They also often employ systems for tracking residents' medications, health conditions, and appointments. For residents with chronic conditions or mobility challenges, additional safety measures are in place, such as fall detection devices, call buttons, or monitored movement systems. Facilities also ensure that any necessary medical equipment, like oxygen tanks or wheelchairs, are available and properly maintained.

4. Medication Management and Safety

To prevent errors, California assisted living facilities must adhere to strict medication management protocols. This includes ensuring that medications are stored securely and that only authorized staff administer them. Many facilities use electronic medication administration records (eMARs) to track dosages, times, and instructions. Medication errors are closely monitored, and policies are in place to prevent misuse or inappropriate administration, with staff trained to identify potential interactions and side effects.

5. Environmental Safety

The physical environment in assisted living facilities must be safe and accessible. Hallways and common areas must be free of obstacles, and floors should have non-slip surfaces to prevent falls. Bathrooms are equipped with grab bars, and showers and tubs are designed to reduce the risk of slips. In rooms, beds and furniture are positioned to allow easy access for staff and residents, while keeping a clear path for wheelchairs or walkers. Regular inspections ensure that all electrical systems, plumbing, and heating equipment are functioning safely.

6. Resident Security

Physical security is an important consideration in California assisted living facilities, particularly in those with residents who may be prone to wandering. Many facilities are equipped with secure entryways and surveillance systems to monitor who enters and exits the building. In memory care units, where residents may have Alzheimer's or other forms of dementia, additional security measures may include locked doors and alarm systems that alert staff if a resident leaves the facility without supervision.

7. Transportation Safety

When transportation services are provided for residents, California regulations require that these services maintain high safety standards. This includes ensuring that vehicles are regularly inspected, that drivers are trained in safe driving practices, and that vehicles are equipped with features such as seat belts, lifts for mobility devices, and properly secured seating.

8. Resident Rights and Reporting Mechanisms

California law emphasizes resident rights and safety by requiring that all facilities have clear, accessible mechanisms for residents and their families to report concerns or safety issues. Facilities are required to maintain an open line of communication with residents and their families, providing them with a way to voice grievances related to safety, quality of care, or facility conditions. Facilities are also required to investigate and respond to safety complaints promptly, ensuring that any necessary corrective actions are taken.

9. Infection Control Measures

Infection prevention and control have become even more critical following the COVID-19 pandemic. California assisted living facilities must implement policies to prevent the spread of infectious diseases. This includes maintaining strict hygiene practices such as frequent handwashing, sanitizing surfaces, and enforcing mask-wearing protocols when necessary. Many facilities have increased their cleaning schedules and established quarantine protocols to isolate sick residents or prevent outbreaks from spreading.

Moving to California Assisted Living Facilities

Relocating to an assisted living facility in California offers numerous benefits, but it also requires careful consideration and planning. California is known for its diverse healthcare options, pleasant climate, and vast range of senior living communities, making it an attractive choice for those seeking long-term care or assistance with daily activities. However, before making a move, there are several key factors to consider to ensure a smooth transition.

1. Understanding Your Needs

The first step in moving to an assisted living facility is understanding your specific needs. California offers a variety of options, from communities focused on specific health conditions (such as Alzheimer’s or dementia) to facilities that offer a range of services for people with varying levels of care. Assessing whether you need assistance with activities of daily living (ADLs), such as bathing, dressing, and medication management, will help narrow down the best options. Some facilities may also provide specialized services for those who require memory care, rehabilitation, or chronic condition management.

2. Choosing the Right Location

California is vast and offers a wide range of environments, from coastal areas to mountain regions, and urban centers to more rural settings. When deciding on a location, factors such as proximity to family members, climate preferences, and local healthcare infrastructure are essential. Areas like Southern California tend to have a warmer, more consistent climate, which could be appealing for those with joint pain or respiratory issues. Meanwhile, the Bay Area or Central Coast may offer cooler temperatures but might also come with a higher cost of living.

It’s also helpful to research local transportation options, as many facilities offer shuttles or transportation services to medical appointments, shopping, and social events. Choosing a location close to friends and family may help ease the emotional transition, allowing for more regular visits and support.

3. Financial Considerations

California’s cost of living is known to be higher than many other states, and this is also reflected in the pricing of assisted living facilities. Costs can vary greatly based on the location of the facility, the level of care required, and the type of services offered. On average, California assisted living costs can range from $3,000 to $6,000 per month or more. Luxury facilities or those in prime locations may cost even more.

Understanding your financial options is crucial before making a decision. Some individuals use personal savings, while others may qualify for government programs like Medicaid (through the California Medi-Cal program) or long-term care insurance to cover part of the expenses. It’s important to research financial aid programs available in California, such as the Assisted Living Waiver Program, which helps pay for care in a residential facility for those who meet certain eligibility requirements.

4. Regulations and Licensing

California has strict regulations in place to ensure that assisted living facilities provide quality care. The California Department of Social Services (CDSS) is responsible for licensing and monitoring these facilities. Before choosing a facility, it is essential to confirm that the facility is licensed by CDSS and complies with state regulations. This ensures that the facility is regularly inspected for safety, cleanliness, and quality of care.

Families and individuals should also inquire about staffing levels, staff training, and turnover rates. The presence of qualified staff members, including licensed nurses, medical aides, and caregivers, can significantly impact the quality of care. Additionally, some facilities offer 24-hour on-site medical services, which can be important for those with more complex health conditions.

5. Community Atmosphere and Activities

When selecting an assisted living facility, consider the social and recreational activities available to residents. Many California facilities offer a variety of activities designed to enhance socialization and overall well-being. From group outings to art classes, fitness programs, and religious services, the diversity of activities can vary depending on the facility’s location and resources.

Choosing a community that aligns with the resident’s hobbies, interests, and social needs is essential for long-term happiness and comfort. Some facilities may also offer pet-friendly accommodations, which can provide comfort and companionship for residents.

6. Tour and Interview

Once you’ve narrowed down potential facilities, visiting them in person is a crucial step. During the tour, pay attention to the overall cleanliness, the friendliness of the staff, and the atmosphere of the facility. Take note of the facility’s layout, the safety measures in place (like handrails, well-lit hallways, and emergency alert systems), and whether the residents seem engaged and content.

It’s also advisable to schedule a meeting with the staff, including the facility director or manager, to ask questions about their services, staff-to-resident ratios, and how they handle medical emergencies. Discuss your specific care needs to make sure the facility can meet them.

7. Preparing for the Transition

Moving into an assisted living facility is a significant change, and preparation can help reduce the stress of the transition. It's a good idea to involve the individual moving into the facility in the process as much as possible, allowing them to pack personal items and make decisions about their new space. Many facilities offer assistance with the move-in process, and some even have “move-in coordinators” to help ease the adjustment.

Emotional support is also important during this time. The transition may be difficult for some individuals, especially if they are leaving behind a familiar home or neighborhood. Engaging family and friends, and ensuring regular visits, can help them feel supported during the adjustment period.

8. Ongoing Monitoring and Adjustments

After moving into the assisted living facility, it’s essential to regularly monitor the care and adjust as needed. Periodic visits, as well as open communication with staff, can help ensure that the resident is receiving the best care possible. Families should stay in close contact with the facility’s management to address any concerns or changes in the resident’s health or care needs.

As California is home to a diverse population, it’s important to consider facilities that are culturally sensitive and offer a variety of services that cater to different backgrounds. This will help make the transition easier and more comfortable for everyone involved.

Assisted Living Regulations in California

In California, assisted living facilities are regulated by the California Department of Social Services (CDSS), specifically under the Community Care Licensing Division (CCL). These regulations ensure that facilities provide a safe, healthy, and supportive environment for residents who need assistance with activities of daily living, but do not require 24-hour medical care. The state's regulations are designed to protect residents' rights, ensure quality of care, and maintain standards for facility operations.

Licensing Requirements

All assisted living facilities in California must be licensed by the CDSS. Facilities are categorized under the "Residential Care Facility for the Elderly" (RCFE) license. The licensing process involves a thorough inspection of the facility to ensure compliance with health and safety standards, as well as the qualifications of staff members. The facility must also submit an application and undergo background checks for all employees, including the administrator.

Staff Qualifications and Training

Staff members working in assisted living facilities in California must meet specific training and certification requirements. Administrators must hold a valid administrator certificate, which is obtained through completing training and passing an examination. Care staff must receive training in areas such as personal care, safety protocols, and medication management. New employees are also required to complete criminal background checks and health screenings before beginning work.

Training requirements include:

  • First Aid and CPR: All staff must be certified in first aid and CPR to ensure residents’ safety in emergency situations.
  • Elder Care Training: Direct care staff must undergo specific training focused on elder care, including understanding the physical and emotional needs of elderly residents.

Resident Rights and Care Plans

California regulations emphasize protecting the rights of residents, ensuring that they live in a supportive environment that respects their dignity and autonomy. Facilities are required to develop individual care plans for each resident, which must be reviewed at least once every year. These care plans outline the services and support needed by each resident, from assistance with daily activities to managing medications.

Residents have the right to:

  • Be treated with respect and dignity
  • Have access to their personal belongings
  • Participate in activities that promote their physical, mental, and social well-being
  • Be free from abuse, neglect, and exploitation

Facilities must ensure that the care plan reflects the resident’s needs, and residents or their families must be involved in the development and review process.

Health and Safety Standards

Health and safety regulations are central to the operation of assisted living facilities in California. Facilities must comply with both physical and health-related standards, including:

  • Environmental Safety: The facility must meet fire safety codes, including having fire extinguishers, sprinkler systems, and clear evacuation routes. Facilities must also maintain a safe environment free from hazards such as tripping or slipping risks.
  • Sanitation: Cleanliness is critical, with regular inspections to ensure that kitchens, bathrooms, and living spaces are sanitary and safe.
  • Medications and Health Care: Assisted living facilities must follow strict guidelines on the management of medications. Facilities may provide assistance with medication administration, but they are generally prohibited from offering medical treatments unless licensed medical professionals are involved. Facilities must also track any changes in residents' health and adjust care plans accordingly.

Oversight and Inspections

Assisted living facilities are subject to regular inspections by the CDSS to ensure compliance with state regulations. These inspections focus on a wide range of factors, from the physical environment to the quality of care provided. Facilities are required to correct any deficiencies found during inspections and provide proof of corrective action. Complaints from residents or family members can trigger additional investigations.

The CDSS also publishes inspection reports, allowing the public to view the inspection history of a facility. This transparency ensures accountability and helps families make informed decisions when selecting an assisted living provider.

Admission and Discharge Policies

California regulations outline specific criteria for the admission and discharge of residents. Before admitting a resident, the facility must ensure that it can meet the individual’s care needs, based on the assessment of the person's physical and mental health. The facility may refuse admission if the resident's needs exceed the scope of services provided.

Regarding discharge, facilities must follow strict guidelines when asking a resident to leave, and they cannot discharge a resident arbitrarily. The facility must provide written notice, detailing the reasons for discharge, and the resident or their representative must be given a reasonable amount of time to make alternative living arrangements.

Reporting and Record-Keeping

Assisted living facilities must maintain detailed records for each resident, including medical history, care plans, and medications. These records must be kept confidential and only accessible to authorized personnel. In addition, facilities are required to report incidents such as accidents, illnesses, or abuse to the CDSS and, in some cases, local law enforcement.

Financial Regulations

California has also put in place financial safeguards to protect residents from exploitation. Facilities are required to provide residents with clear, written information about costs and fees, and they must manage residents' finances with transparency and integrity. If a facility manages a resident's personal funds, it must follow strict accounting practices and undergo audits.

Assistance Services for a senior living in California

California has a vast array of services for older adults. Many such senior services are handled by the California's Area Agency on Aging.

California’s Area Agencies on Aging (AAA) provides help to older Californians. The main goal is to advocate for seniors and older adults and to provide information on programs, options, and community support for the elderly in California. Area Agency on Aging assists all seniors in California, regardless of age or income level.

There is also the California Long-Term Care Ombudsman Program, to help seniors living in California file and resolve complains when it comes to their living facilities. This includes California Assisted Living and California Nursing Facilities as well. Below we will provide a detailed overview of all California senior services available to a senior living in California:

  • Multipurpose Senior Services Program – this program is used to arrange for and monitor the use of community services to prevent or delay placement in an assisted living institution for frail or elderly clients who are appropriate for nursing facility placement in a but chose to remain in the community. Eligibility requirements include:
    • Seniors 65 or older;
    • Live within the site’s service area;
    • Eligible to receive Medi-Cal;
    • Be appropriate for care management services; and
    • Suitable for placement in a nursing facility.

Certain services are provided via California's MSSP funds which include:

  • Adult Day Care/Support Center – a community based program that offers non-medical care to help adults with disabilities;
  • Senior Housing Assistance – this may include the addition of adaptive devices (grab bars, railing, etc.), emergency help in situations that require location, assistance with temporary lodging in certain situations, and help restoring utility services;
  • Senior Chore and Personal Care Assistance – these services are provided to California seniors who need help from others to remain living independently. The Chore part of this program involves household tasks and not personal care of the individual, while Personal Care provides help to the individual to maintain hygiene, safety, and activities of daily assisted living;
  • Senior Protective Supervision – this service is to insure provision to California seniors in their homes who are very frail and are at a high risk to suffer a medical emergency. This supervision doesn’t require medical training and can be performed by anyone who has received appropriate training to identify a medical crisis and can get the help necessary in the case of an emergency. This is not referring to abuse or neglect; however, if you believe that someone over 65 in California is a victim of abuse or neglect you should report it immediately to your local Adult Protective Services office;
  • Senior Care Management – this service helps California seniors gain access to the needed waivers and/or other services that are available to the individual in need;
  • Senior Respite Care – a service which includes the supervision and care of California seniors while their usual caregivers take a short break;
  • Transportation – used for non-emergency situations for seniors without transportation. It gives the senior access to the community such as doctors, social service providers, or special events;
  • Meal Services – this includes both meals in a congregate setting or home-delivered meals for California seniors who are homebound and are unable to make meals for themselves;
  • Senior Social Services – this includes counseling, money management, and social reassurance or friendly visiting; and
  • Communication Services – this includes help with translation and help with emergency response systems.

Pros and Cons of Assisted Living in California

California is a diverse state geographically and it is only getting more diverse racially (it’s already a minority-majority state.) It has deserts, mountains, and the Pacific Coast to choose from when searching for a place to live in or retire. When considering where you should live and retire in California you should consider your options.

Here are some things to consider:

  • Weather – the climate in California is amazing for seniors, as is the beauty of the state. Besides the ongoing drought and the fires in the summer, you rarely hear of bad weather in California. The Mediterranean climate that is the most common in the state is characterized by dry summers and mild, moist winters. Los Angeles, for example, has mild temperatures during the winter and snow and frost is almost unheard of. San Francisco has cool summers but is prone to fog during the summer. When you travel farther inland there are colder winters and hotter summers. 45% of California’s total area is covered by forests, and it has more forestland than any other state besides Alaska. It is home to the famous giant Sequoia trees, which are the largest living organism on Earth, and Redwood National Park which is home to the world’s tallest trees. The park is an excellent destination for California seniors who are more active and enjoy the outdoors. The California White Mountains has trees that are some of the oldest in the world, with one bristlecone pine estimated at over 5,000 years of age. The California Central Valley is bordered by mountains on all sides - the Sierra Nevada to the east, the Cascade Range to the north, the Tehachapi Mountains to the south and the coastal mountain range to the west. This valley is where much of California’s produce is grown and is an integral part of agriculture in America. The climate of California varies due to its large area and the variations in elevation. It is so diverse that this state has both the highest point at Mt. Whitney, and the lowest point at Death Valley, in the contiguous United States. Most of the state has a Mediterranean climate, but due to the large size of the state, there are parts which are subarctic as well as parts that are subtropical. Due to the current off the coast of the state, even the large cities of San Francisco and Los Angeles are cooler than other areas on the same latitude. As some seniors prefer cooler weather, while others like a warmer climate, California's diverse climate in its various parts makes it an excellent choice for older adults.
  • Cost of living – the median home value in California is over $450,000 – the second in the nation and more than double that of the entire U.S.;
  • Variety – be it the college town of Berkeley, the wine country near Napa, the golfing paradise of Palm Springs or the Walk of Fame in Hollywood there is always something for the adventurous elders to do in this state; and
  • With Disneyland, cruise ships leaving from Long Beach (Los Angeles), seniors will never be short of visitors should they want them.

California Demographics

The most populated state in America is California. In fact, if it were a country, California would rank 34th in population in the world. It is the 13th fastest growing state in the nation and the U.S. Census reports the population to be close to 40 million people. This state has eight of the 50 most populous cities in the U.S. - more than any other state. Three of the 10 most populated cities in the U.S. are in California – Los Angeles, San Diego, and San Jose. California has a larger population than Australia or Canada. The senior population in California is around 13.3% - over 5 million seniors in total.

The metropolitan area of Los Angeles-Long Beach-Santa Ana is the largest in the state with over 12 million people, followed by San Francisco-Oakland (approximately 3.3 million), San Diego, (about 3 million), Riverside-San Bernardino (approximately 2 million), and Sacramento (almost 2 million). California is a great city for seniors who love large cities with many different people and lots of things to do. The top three religious majorities are: Protestant (32%); Roman Catholic (28%); and none or does not identify (27%.) However, California also has the largest Mormon population outside of Utah, a large Jewish community, and a large Muslim community. 40% of all Buddhists in America live in California and the state has the highest Hindu and Muslim population of any state in the nation.

English is the primary language in California, followed by Spanish, Chinese (Cantonese and Mandarin), Tagalong, Vietnamese, and Korean. Almost 43% of the population of California speak a language other than English at home. Over 200 languages are spoken and read in California. Even the California DMV offers the written exam for driver’s licenses in 31 languages and the audio exam in 11 languages.

The racial composition of California is vast and very diverse. It is the second state in America, after Hawaii, to be known as a minority-majority state. Hispanics, white or non-white, are the largest ethnic group in the state. The latest report from the U.S. Census Bureau estimates that the total population of California (seniors, adults and children combined) was approximately: 73% White; 6.5% Black or African-American; 15% Asian; 2% Native-American, and 0.5% Pacific Islander. Almost 40% of the population is Hispanic-Latino (any race), and 60 are non-Hispanic (any-race.)

Seniors should also keep in mind that California has a state income tax that ranges between 1% to 12.3% and a 1% surcharge, called the mental health services tax, is collected on taxable income of $1 million on more. California has the 13h highest per capita income, around $63,000, in the nation. The bad news for the California elderly is that there is a 2.5% tax on qualified pensions and early distributions. But the good news for seniors is that Social Security income and Railroad Retirement benefits are exempt. Property is taxed at 100% of the full cash value, and unfortunately there is no relief for California senior citizens. There is no inheritance tax in California. The purchasing power is lower than average in California. For example, $100 is worth just $88.97 in California when you consider the purchasing power and the cost of living.

Places of Interest for Seniors living in California

There are numerous things to do and see in the “Golden State,” but here are some ideas that might be of interest to seniors and those that come to visit:

  • USS Midway Museum – located in San Diego, California;
  • “Jail and Sail: Alcatraz Tour and Twilight Bay Cruise” – cruise from the Pier on the Embarcadero in San Francisco to board the ferry to Alcatraz Island;
  • “Muir Woods, Giant Redwoods and Sausalito Half-Day Trip” – leave from San Francisco and drive to Muir Woods where you can see the giant redwood and sequoia trees, then stop and browse Sausalito. This is a four-hour trip and you can be picked up from some of San Francisco’s central hotels;
  • Monterey Bay Aquarium – located in Monterey, California. This attraction
  • Whale Watching Excursion in Dana Point – a two-hour whale watching trip that leaves from Dana Point, California;
  • San Diego Zoo – located in San Diego, California.
  • La Brea Tar Pits and Museum – located in Los Angeles, California.
  • Glacier Point – located in Yosemite National Park, California.
  • Napa Valley Wine Train with Gourmet Lunch – travel aboard the Napa Valley Wine Train on a restored antique train through Napa Valley to St. Helena while you enjoy a gourmet meal and dessert; and
  • The Gondolas at Heavenly – located in Lake Tahoe, California.

Some places to consider for California assisted living:

  • Seal Beach, California – located in Orange County, California. The population of Seal Beach is estimated to be almost 25,000, of which approximately 38% of residents are age 65 or older. Last year, Seal Beach rated #1 of 688 of the “Best Places to Buy a House in California,” #1 of 668 of the “Best Places to Retire in California,” #1 of 484 of the “Best Suburbs to Buy a House in California,” and #5 of 166 of the “Best Suburbs to Live in Los Angeles Metro.”
  • A majority of the city is home to the Naval Weapons Stations Seal Beach military base. During the month of April is the “Lions Club Pancake Breakfast” and July is when the Fish Fry is held. The Summer Concert series in July and August is popular among seniors, as is the Christmas Parade every December;
  • Laguna Woods, California – located in Orange County, California. The population is estimated to be around 17,000 people of which almost 80% is 65 or older. 90% of the population of Laguna Woods lives in the retirement community of Laguna Woods Village and the median age of this town is 78 years old. Last year, Laguna Woods rated #2 of 668 of the “Best Places to Retire in California,” #14 of 419 of the “Safest Places to Live in California,” and #6 of 199 of the “Safest Suburbs in Los Angeles Metro;”
  • St. Helena, California – located in Napa County, California. The population of St. Helena is estimated to be around 6,100 of which over 19% are seniors 65 years of age or older. Last year, St. Helena rated #17 of 668 of the “Best Places to Retire in California,” and #37 of 419 of the “Safest Places to Live in California;”
  • Indian Wells, California – located in Riverside County, Indian Wells has a population estimated to be around 5,300 with 55.1% of residents age 65 or older. Last year, Indian Wells ranked #4 of 668 of the “Best Places to Retire in California.” The city hosts a world-famous tennis tournament (5th largest in the world) in the Indian Wells Tennis Garden – an enormous tennis stadium that is so large that there is only one other one in the world that is larger. If you are a senior who loves the game of tennis - Indian Wells could be a great retirement choice;
  • Calimesa, California – located in the San Gorgonio Pass in Riverside County, Calimesa has an estimated 8,600 residents of whom almost 30% are senior citizens aged 65 or older. Last year, Calimesa ranked #5 of 668 of the “Best Places to Retire in California,” #88 of 484 of the “Best Suburbs to Buy a House in California,” and #32 of 98 of the “Best Suburbs to Live in San Bernardino Metro;”
  • Belvedere, California – located in Marin County, California. Belvedere has a population of around 2,200 of which approximately 27% are seniors age 65 or older. Last year, Belvedere ranked #8 of 668 of the “Best Places to Retire in California,” #11 of 667 of the “Healthiest Places to Live in California", #8 of 105 of the “Best Suburbs to Live in San Francisco Metro,” #4 of 59 of the “Safest Suburbs in San Francisco Metro,” and #6 of 107 of the “Suburbs with the Best Public Schools in San Francisco Metro;”
  • Lake Wildwood, California – located in Nevada County, California. The population is estimated to be around 5,000 people of which almost 37% are 65 or older. The median age in Lake Wildwood is 58 years old. Last year, Lake Wildwood ranked #14 of 668 of the “Best Places to Retire in California,” and #76 of 667 of the “Healthiest Places to Live in California;”
  • Walnut Creek, California – located in Contra Costa County, California. The population of Walnut Creek is estimated to be around 70,000 with over 26% at least 65 or older. Last year, Walnut Creek ranked #20 of 668 of the “Best Places to Retire in California,” #28 of 59 of the “Safest Suburbs in San Francisco Metro,” and #42 of 107 of the “Best Suburbs to Live in San Francisco Metro;”
  • Gold River, California – located in Sacramento County, California. The population is approximately 8,000 of whom almost 20% are seniors 65 years of age or older. Last year, Gold River ranked #27 of 668 of the “Best Places to Retire in California,” #58 of 688 of the “Best Places to Live in California,” and #3 of 54 of the “Best Suburbs to Live in Sacramento Metro;” and
  • Sonoma, California – located in Sonoma County, California. The population is estimated to be 11,000 with 25% of that population age 65 or older. Last year, Sonoma ranked #31 of 668 of the best places to retire in California.

Common Questions About Assisted Living in California

What is assisted living?

Assisted living is a type of senior housing that provides support and assistance with daily activities, such as bathing, dressing, medication management, and meal preparation. It offers a balance between independence and care in a residential setting. In California, cities like Los Angeles and San Francisco offer a variety of assisted living options.

How much does assisted living cost in California?

Assisted living costs in California vary depending on factors such as location, services provided, and amenities. On average, you can expect to pay between $3,000 to $7,000 per month. For instance, in cities like San Diego and Sacramento, costs might differ due to differences in the cost of living.

What services are offered in California assisted living communities?

Assisted living communities in California typically offer services such as assistance with personal care, medication management, housekeeping, transportation, and social activities. Cities like San Jose and Fresno have facilities with a range of amenities tailored to residents' needs and preferences.

Are there different types of assisted living facilities in California?

Yes, California offers various types of assisted living facilities to cater to different needs. These may include traditional assisted living residences, memory care units for those with dementia, and continuing care retirement communities that provide a range of care levels. Cities like Oakland and Long Beach have a diverse selection of these facilities.

How do I choose the right assisted living facility in California?

Choosing the right assisted living facility in California involves considering factors such as location, services offered, staff qualifications, safety measures, and cost. Research facilities in areas like Santa Monica and Palo Alto, and visit them to assess the environment, interact with staff, and see if it aligns with your or your loved one's preferences and needs.

Is assisted living covered by Medicare or Medicaid in California?

Assisted living is generally not covered by Medicare, but some states, including California, have Medicaid programs that may offer limited coverage for certain aspects of assisted living. Eligibility and coverage vary. It's advisable to check with the California Department of Health Care Services for more information about Medicaid options in cities like Riverside and Bakersfield.

Are there social and recreational activities available for residents of California assisted living communities?

Yes, California assisted living communities offer a variety of social and recreational activities to keep residents engaged and active. These can include fitness classes, arts and crafts, outings to local attractions, and cultural events. In cities like San Francisco and Anaheim, residents can enjoy a range of activities that cater to their interests and preferences.

Can I bring my own furniture and personal belongings to an assisted living apartment in California?

Yes, many assisted living facilities in California allow residents to bring their own furniture and personal belongings to make their living space feel like home. Whether you're in Los Angeles or San Diego, you can personalize your apartment with cherished items and furniture that create a familiar and comfortable environment.

Are there assisted living facilities with special amenities for California seniors?

Yes, some assisted living facilities in California offer special amenities designed for senior residents. These can include landscaped gardens, pet-friendly accommodations, on-site libraries, and wellness centers. Locations like Beverly Hills and Laguna Beach boast facilities with luxurious amenities to enhance residents' quality of life.

Are there bilingual staff members in California assisted living communities?

Yes, many California assisted living communities recognize the diversity of the state's population and have bilingual staff members who can communicate in languages such as Spanish, Chinese, and Tagalog. This ensures effective communication and personalized care for residents, especially in culturally rich cities like San Francisco and Los Angeles.

What is the process for transitioning to an assisted living community in California?

The process of transitioning to an assisted living community in California involves assessing your needs, touring facilities, discussing care plans, and finalizing paperwork. Whether you're moving from San Jose or Sacramento, facilities often work closely with families to ensure a smooth transition, which may include coordinating medical records, arranging transportation, and helping with settling in.

Can I receive medical care and assistance with medications in California assisted living facilities?

Yes, many California assisted living facilities provide assistance with medications and coordinate medical care. Licensed staff members help residents manage their medications and attend medical appointments. In cities like Fresno and Oakland, facilities often work in collaboration with healthcare providers to ensure residents' health needs are met.

Is transportation available for California assisted living residents to attend medical appointments?

Yes, many California assisted living communities offer transportation services for residents to attend medical appointments. Whether you're in San Diego or Riverside, facilities often have arrangements for scheduled trips to healthcare providers, ensuring that residents can access the medical care they need conveniently and safely.

Are there age or health requirements to live in assisted living in California?

Assisted living communities in California typically require residents to be a certain age, often around 60 or 65 years old, and have the ability to perform some activities of daily living independently. Health assessments may also be conducted to determine if the facility can meet the resident's needs. Requirements may vary in cities such as San Francisco and San Bernardino.

Can I bring my pet to an assisted living facility in California?

Some assisted living facilities in California are pet-friendly and allow residents to bring their pets, such as cats or small dogs. These facilities recognize the benefits of pet companionship for seniors' well-being. In places like Santa Barbara and Huntington Beach, you can find assisted living options that welcome both residents and their furry friends.

Is there financial assistance available for seniors seeking assisted living in California?

Seniors seeking assisted living in California may find financial assistance through programs like Supplemental Security Income (SSI) and the Assisted Living Waiver (ALW) program under Medicaid. These programs aim to provide support to eligible seniors to access necessary care and services. You can explore options in cities such as San Francisco and Los Angeles.

Cities and Counties With Assisted Living Facilities in California

Don't see your city/town/village on the list? Please use our search bar at the top of the page to search through 7382 senior living options from 577 cities, towns and villages in California. Simply enter your city name or zip code.

SeniorGuidance.org provides comprehensive resources on various senior living options, including: assisted living facilities, senior living communities, nursing homes, independent living communities, continuing care retirement communities (CCRC) and all other long term senior care options, including memory care such as Alzheimer's or Dementia.

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