River City Care Home

• Private payMost residents pay from savings, a home sale or family help. Ask for the rate and what it includes in writing.
• Medi-Cal Assisted Living WaiverThis home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
• SSI/SSPCalifornia’s 2026 standard is $1,626.07 a month; $1,444.07 of it goes to the home and $182 stays with the resident. Whether this home accepts it is not on file — ask.
• VeteransVA Aid & Attendance can add to a veteran’s or surviving spouse’s pension. Ask whether residents here have used it.
• Long-term care insuranceMost policies pay for licensed care homes. Ask what paperwork the home provides for claims.
• MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.

• The care level

  Some homes charge one all-inclusive rate. Others add levels or points as needs grow. Ask how the level is set, who decides, and what the next level costs.

• What is billed separately

  Medication management, incontinence supplies, transportation and a second person in the room are often extra. Ask for the list in writing.

• Move-in costs

  A one-time community fee or deposit is common. Ask what it covers and whether any of it comes back if the stay is short.

• Increases

  California requires at least 90 days’ written notice, with reasons, before a rate rises (Health & Safety Code §1569.655). A change in the resident’s care level is the section’s own exception and can be billed sooner.

• What is the full monthly cost for the room and care we need, and what does it include?Keep +
• What would the next care level cost, and who decides when it changes?Keep +
• What is billed separately, and is there a one-time fee or deposit at move-in?Keep +
• Is any private-pay period required before another payment program can begin?Keep +

Too few nearby homes publish a rate, so this is the typical starting rate 39 small homes publish in Sacramento County, with a wider likely range. This home’s own rate is not on file.

• Only prices a home put out itself count: its own website, a listing it supplied, or a price Seniorly says the home confirmed. Prices a listing site shows without saying where they came from are left out.
• Nearby homes are the nearest of the same size that publish a rate, widening from 3 to 40 miles until at least 8 do. The estimate starts from what they charge, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices.
• Room, care-level, second-person and move-in lines come from what California homes publish on listing sites. Memory care uses Covelight’s researched premium over assisted living.
• Totals add each line’s figure and combine the lines’ ranges as separate charges, because a home is rarely at the top, or the bottom, of every line at once.
• We tested this estimate on 1,546 California homes that publish their own starting rate. It was within 10% of the real rate for 3 in 10 homes and within 25% for 7 in 10; the likely range held the real rate for 6 in 10 (September 12, 2026).
• It cannot see this home’s specials, how it assesses care, or which rooms are open.