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Assisted living in Fresno County, CA

298 licensed assisted living, memory care, and independent living communities across 7 cities in Fresno County, with all-in monthly costs on every listing. That includes 259 small board-and-care homes and 100 homes approved for Medi-Cal's Assisted Living Waiver.

Cost of care

What senior living costs in Fresno County

All-in monthly cost (base rent plus a typical care add-on) across every licensed community in the county.

298communities
$4,675average all-in / mo
$4,700median all-in / mo
$4,200–$5,350range / mo
Level of care
Communities
Avg / mo
Median / mo
Independent living
4
$4,588
$4,500
Assisted living
298
$4,675
$4,700
Memory care
5
$4,910
$5,000

At about $4,675/mo all-in, Fresno County runs 27% below the California average of $6,401, and 18% below the national benchmark of about $5,700/mo (Genworth/CareScout Cost of Care).

Most prices are Chapter estimates based on area averages, marked on each listing, until the community verifies its own rate. See the California cost report for statewide figures.

By city

Senior living costs by city in Fresno County

Every city in the county with a licensed community, by number of communities.

City
Communities
Avg all-in / mo
Fresno
200
$4,682
Clovis
90
$4,658
Sanger
3
$4,767
Reedley
2
$4,800
Fowler
1
$4,200
Kerman
1
$5,050
Selma
1
$4,550
Small homes

Board and care homes in Fresno County

259 licensed homes with six or fewer residents, averaging about $4,683/mo all-in. Board and care homes offer the same licensed help with daily living as larger assisted living, in a regular house with more one-on-one attention.

Paying with Medi-Cal? 100 communities in Fresno County are approved for the Assisted Living Waiver (ALW), which pays for care (not room and board). See ALW homes in Fresno County · How Medi-Cal & Medicare work

Communities in Fresno County

Ranked by resident rating, then size — never by who pays us.

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California Armenian Home

Fresno, CA
Independent livingAssisted livingAccepts Medi-Cal (ALW)
New listing · no reviews yet
Est. all-in from
$4,550/mo
estimated — not yet verified
View & book

Vintage Gardens

Fresno, CA
Assisted living
New listing · no reviews yet
Est. all-in from
$4,550/mo
estimated — not yet verified
View & book

Grove, The

Fresno, CA
Assisted living
New listing · no reviews yet
Est. all-in from
$4,300/mo
estimated — not yet verified
View & book
Good to know

Senior living in Fresno County — FAQ

How much does assisted living cost in Fresno County?

Across 298 licensed communities in Fresno County, the average all-in cost is about $4,675 per month (median $4,700). All-in means base rent plus a typical care add-on; one-time move-in fees are extra. Most prices on Chapter are estimates until each community verifies its own rate.

What are the most and least expensive cities for senior living in Fresno County?

Among cities with at least five communities, the lowest average all-in costs are in Clovis ($4,658), Fresno ($4,682), and the highest are in Fresno ($4,682), Clovis ($4,658).

How many board and care homes are in Fresno County?

259 of the county's 298 licensed communities are small board-and-care homes with six or fewer residents, averaging about $4,683 per month. They're licensed as residential care facilities for the elderly (RCFEs), just like larger assisted living communities, but operate in ordinary houses with a few caregivers.

Does Medi-Cal pay for assisted living in Fresno County?

Medi-Cal's Assisted Living Waiver (ALW) is available in Fresno County, and 100 communities here are on the state's participating list. ALW pays for care services, not room and board, and there is a statewide waitlist.

Does Chapter charge families or sell my information?

No. Chapter is free for families and never sells or shares your contact information. When you book a tour, your details go only to that one community.

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Listings are sourced from public California licensing records. Pricing is estimated from regional averages until each community verifies its own.