Senior living in Sacramento
60 licensed homes in viewState record as of Aug 2, 2026
672 Licensed RCFEs in Sacramento County
Sacramento County has 672 state-licensed residential care homes for the elderly (RCFEs) on the California Department of Social Services licensing record, last refreshed August 2, 2026: 588 small board-and-care homes (licensed for 6 or fewer residents), 18 mid-size (7–15), and 66 larger assisted-living communities (16 or more). 64 participate in Medi-Cal's Assisted Living Waiver (DHCS list as of August 9, 2026). Countywide, assisted living typically runs $5,000–$7,500/mo and small board-and-care homes $4,000–$6,500/mo (market ranges compiled June 2026); California's 2026 SSI/SSP payment standard is $1,626.07/month, of which $1,444.07 is the room-and-board portion paid to the home.
Which cities in Sacramento County have licensed care homes?
As of August 2, 2026, CDSS licensing records place Sacramento County's 672 licensed residential care homes across 26 cities and communities. The 14 cities with three or more licensed homes are linked below with home counts — each city page lists every licensed home free, with capacity, care clearances, and inspection history. Every home in the smaller communities is named further down, with its address and a link to its state record.
- Antelope (25)
- Carmichael (84)
- Citrus Height (7)
- Citrus Heights (70)
- Elk Grove (100)
- Elverta (3)
- Fair Oaks (55)
- Folsom (30)
- Galt (3)
- North Highlands (8)
- Orangevale (47)
- Rancho Cordova (12)
- Roseville (4)
- Sacramento (212)
Smaller communities in Sacramento County
Auburn (1 licensed home) — Alder Grove Senior Living Ii, 637 Shockley Road
Cirtus Heights (1 licensed home) — Angel Touch Memory Care Llc, 7765 Cottingham Way
Citrus Heiths (1 licensed home) — Elim Courte, 6825 Sunrise Blvd
Citus Heights (1 licensed home) — Oakwood Meadows Assisted Living, 7241 Canelo Hills Dr
East Sacramento (1 licensed home) — Oakmont Of East Sacramento, 5301 F Street
Gold River (1 licensed home) — Eskaton Gold River Lodge, 11390 Coloma Rd
North Highlan (1 licensed home) — Gd Family Care Home, 6041 Georgia Dr
Rancho Cordov (1 licensed home) — Lotus Assisted Living, 5425 Mossy Stone Way
Rio Linda (1 licensed home) — Virginia Denise Country Home, 2305 Virginia Denise Lane
Sacramneto (1 licensed home) — A Family Affair Care Ii, 7526 21st Street
Tracy (1 licensed home) — Serenity Care Homes Llc, 2519 Neptune Court
Wilton (1 licensed home) — Sunshine Glory Care Home, 9845 Alta Mesa Road
Does Sacramento County have homes that take Medi-Cal?
Yes. Medi-Cal's Assisted Living Waiver (ALW) pays for assisted-living care services — though not room and board — at participating homes, and DHCS enrollment records as of August 9, 2026 list 64 of Sacramento County's 672 licensed homes as participants. The county Medi-Cal page linked below lists every participating home with its license number and care clearances; enrollment changes, so confirm current participation with the home.
Medi-Cal / ALW homes in Sacramento County (64)Assisted living on Medi-Cal in California
What does assisted living cost in Sacramento County?
California's state record carries no per-home prices, so we publish county-level market context only: assisted living in Sacramento County typically runs $5,000–$7,500/mo and small board-and-care homes $4,000–$6,500/mo (market ranges compiled June 2026 — planning bands, not quotes; confirm pricing with each home). For SSI recipients, California's 2026 SSI/SSP payment standard is $1,626.07 per month — $1,444.07 of it is the room-and-board portion paid to the home, and $182 stays with the resident as a personal-needs allowance.
What do state inspections show for Sacramento County care homes?
Recency, not ratings: state inspectors filed 1,371 inspection and complaint-investigation documents dated in the past 12 months, covering 525 of Sacramento County's 672 licensed homes (CDSS facility records, retrieved August 2, 2026). We publish each home's documents on its own page — dated and verbatim, never scored — so open any home in the list above to read its record.