Assisted living in Sacramento County, CA

Across 695 licensed communities in Sacramento County, the average all-in cost is about $5,516 per month (median $5,500). 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.

Among cities with at least five communities, the lowest average all-in costs are in Roseville ($5,317), Orangevale ($5,472), Folsom ($5,477), and the highest are in North Highlands ($5,761), Rancho Cordova ($5,607), Elk Grove ($5,550).

611 of the county's 695 licensed communities are small board-and-care homes with six or fewer residents, averaging about $5,526 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.

Medi-Cal's Assisted Living Waiver (ALW) is available in Sacramento County, and 84 communities here are on the state's participating list. ALW pays for care services, not room and board, and there is a statewide waitlist.

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