Assisted living near San Marcos
- Map
San Marcos · 1.9 mi
Silvergate San Marcos Retirement Residence
Large community · licensed for 160
(760) 744-4484Starting rate
$4,195 a month to start
Listed by the home on its own website · October 27, 2026On the state record
- Wheelchair: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Starting rate
$3,795 a month to start
Listed by the home on A Place for Mom · September 9, 2026On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Map
Starting rate
$4,200 a month to start
Listed by the home on Seniorly · September 9, 2026On the state record
- Wheelchair: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Estimated starting rate
$5,500 a month to start
Covelight estimate · likely $4,500–$6,750On the state record
- Wheelchair: on the state record
- Hospice: on the state record
- Map
Starting rate
$6,000 a month to start
Listed by the home on Seniorly · September 9, 2026On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Starting rate
$3,595 a month to start
Listed by the home on Seniorly · September 9, 2026On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
San Marcos · 2.5 mi
Chateau Lake San Marcos Community Care Center
Mid-size home · licensed for 15
(760) 471-0083Starting rate
$8,000 a month to start
Listed by the home on its own website · October 5, 2026On the state record
- Wheelchair: on the state record
- Hospice: on the state record
- Map
Starting rate
$4,000 a month to start
Listed by the home on Seniorly · September 9, 2026On the state record
- Dementia: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Starting rate
$3,750 a month to start
Listed by the home on Seniorly · September 9, 2026On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Map
Estimated starting rate
$5,150 a month to start
Covelight estimate · likely $4,250–$6,350On the state record
- Hospice: on the state record
- Map
Starting rate
$6,500 a month to start
Listed by the home on Seniorly · September 9, 2026On the state record
- Wheelchair: on the state record
- Hospice: on the state record
- Map
Estimated starting rate
$5,200 a month to start
Covelight estimate · likely $4,100–$6,850On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Starting rate
$4,000 a month to start
Listed by the home on Seniorly · September 9, 2026On the state record
- Wheelchair: on the state record
- Map
Estimated starting rate
$5,650 a month to start
Covelight estimate · likely $4,600–$6,950On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Map
Estimated starting rate
$4,400 a month to start
Covelight estimate · likely $3,400–$5,550On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Bedridden: on the state record
- Map
Starting rate
$7,000 a month to start
Listed by the home on Seniorly · September 9, 2026On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Estimated starting rate
$5,350 a month to start
Covelight estimate · likely $4,250–$7,050On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Starting rate
$6,000 a month to start
Listed by the home on Seniorly · September 9, 2026On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Estimated starting rate
$5,450 a month to start
Covelight estimate · likely $4,450–$6,700On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Estimated starting rate
$5,700 a month to start
Covelight estimate · likely $4,650–$7,000On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Map
Estimated starting rate
$5,100 a month to start
Covelight estimate · likely $4,150–$6,250On the state record
- Wheelchair: on the state record
- Hospice: on the state record
- Map
San Marcos · 1.7 mi
Majella Assisted Living of San Marcos
Mid-size home · licensed for 11
(760) 734-5786Estimated starting rate
$5,700 a month to start
Covelight estimate · likely $4,500–$7,500On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Estimated starting rate
$5,000 a month to start
Covelight estimate · likely $4,100–$6,150On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Map
Estimated starting rate
$5,000 a month to start
Covelight estimate · likely $4,100–$6,200On the state record
- Wheelchair: on the state record
- Hospice: on the state record
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Showing 24 of 26 homes in this area
A guide to care in San Marcos.
- Licensed care homes
- 21
- Homes with 6 or fewer beds
- 15
- ALW program listings
- 1
CDSS licensing records, refreshed October 26, 2026; DHCS program list, checked October 26, 2026. Counts do not describe current openings.
Read the local overview
San Marcos has 21 state-licensed residential care homes for the elderly on the California Department of Social Services (CDSS) licensing record, last refreshed October 26, 2026: 15 small board-and-care homes (licensed for 6 or fewer residents), 3 homes licensed for 7–15, and 3 larger assisted-living communities (16 or more). 1 participate in Medi-Cal's Assisted Living Waiver (DHCS participant list, checked October 26, 2026). For county-level context, assisted living in San Diego County typically runs $5,000–$7,500/mo and small board-and-care homes $4,000–$6,500/mo (market research compiled June 2026 — ranges, not quotes); California's 2026 SSI/SSP payment standard is $1,626.07/month, of which a home may charge $1,444.07 for basic services: room, board, care and supervision.
All 21 licensed care homes in San Marcos
Source: California Department of Social Services licensing record, refreshed October 26, 2026. Listed alphabetically — homes are never ranked and never pay to appear.
- Alma's Joyful Living Home CareLicensedDementiaHospiceWheelchair / non-ambulatory
- Blue Skies of San MarcosLicensedHospiceWheelchair / non-ambulatory
- Chateau Lake San Marcos Community Care CenterLicensedHospiceWheelchair / non-ambulatory
- Country Rose Estate Memory CareLicensedDementiaHospiceWheelchair / non-ambulatory
- Love & Care Residential Facility IILicensedHospiceWheelchair / non-ambulatory
- Majella Assisted Living of San MarcosLicensedDementiaHospiceWheelchair / non-ambulatoryBedridden
- Marbella San MarcosLicensedDementiaHospiceWheelchair / non-ambulatory
- Mercy VillaLicensedDementiaHospiceWheelchair / non-ambulatoryBedridden
- The Meridian at Lake San MarcosLicensedDementiaHospiceWheelchair / non-ambulatoryBedridden
- San Marcos CottageLicensedHospice
- San Marcos VillaLicensedHospiceWheelchair / non-ambulatory
- Sapphire ChardonnayLicensedDementiaHospiceWheelchair / non-ambulatoryBedriddenMedi-Cal ALW
- Sapphire Lake San MarcosLicensedDementiaHospiceWheelchair / non-ambulatoryBedridden
- Silvergate San Marcos Retirement ResidenceLicensedHospiceWheelchair / non-ambulatoryBedridden
- Twin Oaks GardenLicensedHospiceWheelchair / non-ambulatory
- Twin Oaks Garden IILicensedHospiceWheelchair / non-ambulatory
- Twin Oaks Garden IIILicensedDementiaWheelchair / non-ambulatory
- Twin Oaks ManorLicensedWheelchair / non-ambulatory
- Villa AmbrosiaLicensedDementiaHospiceWheelchair / non-ambulatoryBedridden
- Weaver's Twin Oaks VillaLicensedDementiaHospiceWheelchair / non-ambulatoryBedridden
- Woodland Borden CareLicensedDementiaHospiceWheelchair / non-ambulatory
Which care homes are licensed in San Marcos?
As of October 26, 2026, the California Department of Social Services licensing record lists 21 residential care facilities for the elderly with an active license in San Marcos (San Diego County). Each appears in the full alphabetical list above with its licensed capacity, license status, state-recorded care clearances, and a link to its complete state record on this site.
Is “board and care” different from “assisted living” in San Marcos?
The label follows licensed capacity, not a different license. Of San Marcos's 21 licensed homes, 15 are small board-and-care homes licensed for 6 or fewer residents, 3 are homes licensed for 7–15, and 3 are larger assisted-living communities licensed for 16 or more (CDSS license-capacity records, refreshed October 26, 2026). All hold the same state RCFE license.
Does Medi-Cal help pay for assisted living in San Marcos?
Yes — at participating homes, through Medi-Cal's Assisted Living Waiver (ALW), which pays for care services, not room and board. 1 of San Marcos's 21 licensed homes appear on the DHCS ALW participant list, checked October 26, 2026; San Diego County has 87 participating homes in all. Participating homes carry a “Medi-Cal ALW” marker in the list above.
Medi-Cal / ALW homes in San Diego CountyAssisted living on Medi-Cal in California
What do state records show for care homes in San Marcos?
Recency, not ratings: state inspectors filed 28 inspection and complaint-investigation documents dated in the past 12 months, covering 19 of San Marcos's 21 licensed homes (CDSS facility records, retrieved October 26, 2026). We publish each home's documents on its own page — dated and verbatim, never scored or summarized. Open any home in the list above to read its record.