Sacramento assisted living communities range from smaller residential care homes to large senior living campuses offering multiple levels of care. The Sacramento area costs a median of $7,750/month according to the CareScout 2025 Cost of Care Survey, placing it above both the California statewide median of $7,000/month and the national median of $6,200/month.
Pricing, services, and amenities vary depending on location, community size, and level of care required. Communities in the Elk Grove, Roseville, and Folsom areas reflect a range of options across the greater Sacramento market.
For families comparing options across the state, see our full breakdown of assisted living costs in California for a detailed statewide analysis including regional pricing differences and long-term planning considerations.
This guide covers costs, top communities, and what families should consider when comparing assisted living options in the Sacramento area.
Sacramento Assisted Living Costs (2026)
Assisted living in the Sacramento area costs a median of $7,750/month (about $93,000 annually), according to the CareScout 2025 Cost of Care Survey. This reflects the Sacramento Metropolitan Statistical Area median based on data collected July through November 2025 and sits notably above the California statewide median of $7,000/month.
Estimated Annual Cost
At $7,750/month:
| Period | Estimated Cost |
|---|---|
| 1 Year | $93,000 |
| 3 Years | $279,000 |
| 5 Years | $465,000 |
These projections do not account for annual rate increases, which typically range between 3% and 7%.
For a deeper breakdown of regional pricing trends, cost drivers, and financial planning strategies, visit our full guide to assisted living costs in California.
For a broader perspective on pricing across the country, see our guide to the national average cost of assisted living, which outlines typical monthly costs, regional differences, and long-term financial considerations.
How Sacramento Compares to Nearby Areas
Sacramento is one of the more affordable major senior living markets in California, though pricing and availability can vary across nearby cities in the region.
Families may also consider assisted living options in:
- Roseville – growing suburban market with newer communities and strong amenities
- Elk Grove – typically more moderate pricing with expanding senior living options
- Folsom – higher-end suburban area with newer communities and strong healthcare access
- Davis – smaller market with limited but well-regarded assisted living options
Exploring multiple cities can help families find the right balance of cost, care, and availability.
Families looking for top-rated providers across the state may also want to review our guide to the best assisted living communities in California, which highlights high-performing communities based on care quality, amenities, and reputation across multiple cities.
Top Sacramento Assisted Living Communities
The communities below represent a selection of well-regarded assisted living providers located throughout the Sacramento area.
Atria El Camino Gardens
📍 Location: Carmichael, CA
💲 Estimated Monthly Cost: $7,200 – $8,600
Highlights
• Assisted living and memory care services
• Social and activity programming
• Restaurant-style dining
• Community transportation
Why Families Choose This Community
Atria El Camino Gardens offers assisted living and memory care services in the Carmichael area northeast of Sacramento. Families often appreciate the welcoming environment, active programming calendar, and convenient access to healthcare providers along the Carmichael corridor.
Oakmont of East Sacramento
📍 Location: Sacramento, CA
💲 Estimated Monthly Cost: $7,400 – $8,900
Highlights
• Assisted living and memory care services
• Resort-style senior living campus
• Wellness and fitness programming
• Chef-prepared dining
Why Families Choose This Community
Oakmont of East Sacramento offers assisted living and memory care services in a modern community environment in one of Sacramento’s most established neighborhoods. Families often value the upscale amenities, structured wellness programming, and proximity to UC Davis Medical Center.
The Terraces of Roseville
📍 Location: Roseville, CA
💲 Estimated Monthly Cost: $7,200 – $8,700
Highlights
• Assisted living and memory care services
• Modern senior living community
• Wellness and activity programming
• Restaurant-style dining
Why Families Choose This Community
The Terraces of Roseville offers assisted living and memory care services northeast of Sacramento in the Roseville area. Families often appreciate the community’s modern environment, supportive care team, and convenient proximity to to Sutter Roseville Medical Center and area shopping centers.
Cogir of Stock Ranch
📍 Location: Citrus Heights, CA
💲 Estimated Monthly Cost: $7,200 – $8,600
Highlights
• Assisted living and memory care services
• Wellness and activity programming
• Restaurant-style dining
• Outdoor courtyards and social spaces
Why Families Choose This Community
Cogir of Stock Ranch offers assisted living and memory care services in the Citrus Heights area northeast of Sacramento. Families often appreciate the welcoming community environment, structured activity programming, and convenient proximity to local healthcare providers.
Sunrise of Carmichael
📍 Location: Carmichael, CA
💲 Estimated Monthly Cost: $7,200 – $8,700
Highlights
• Assisted living and memory care services
• Personalized care plans
• Wellness and activity programming
• Outdoor gardens and gathering spaces
Why Families Choose This Community
Sunrise of Carmichael offers assisted living and memory care services in a residential neighborhood near Sacramento. Families often appreciate the resident-focused care model, supportive staff, and the Sunrise Senior Living network’s established approach to personalized care.
Carlton Senior Living Elk Grove
📍 Location: Elk Grove, CA
💲 Estimated Monthly Cost: $7,100 – $8,500
Highlights
• Assisted living and memory care services
• Wellness and enrichment programming
• Restaurant-style dining
• Activity and social programs
Why Families Choose This Community
Carlton Senior Living Elk Grove serves seniors south of Sacramento in the growing Elk Grove community. Families often appreciate the community’s welcoming environment, structured activity programming, and more moderate pricing relative to central Sacramento markets.
Editorial Disclaimer
Communities listed in this guide were selected based on publicly available information and are presented for informational purposes only. Inclusion does not constitute a formal endorsement. Families should visit communities in person, review licensing information, and speak directly with staff when evaluating assisted living options.
How to Choose a Sacramento Assisted Living Community
Selecting an assisted living community requires evaluating several important factors.
Care Needs Different communities offer different levels of care. Families should ensure the facility can support both current and future care requirements.
Cost Structure Some communities offer all-inclusive pricing while others charge additional fees for care services.
Location Proximity to family members, hospitals, and familiar neighborhoods can significantly impact quality of life.
Contract Terms Families should carefully review contracts, fee structures, and policies related to care level changes.
Visit Communities in Person Whenever possible, families should tour communities and observe staff interactions, cleanliness and safety practices, dining services, activity programming, and overall resident engagement.
Nearby Cities to Consider
Families searching for assisted living near Sacramento may also want to explore communities in nearby areas:
- Assisted living in Roseville, CA
- Assisted living in Elk Grove, CA
- Assisted living in Folsom, CA
- Assisted living in Davis, CA
Comparing nearby cities can help identify differences in pricing, availability, and community types across the region.
Families comparing options beyond the Sacramento area should also review our guide to the best assisted living communities in California, which highlights top-rated providers across multiple cities.
Frequently Asked Questions
What is the average cost of assisted living in Sacramento?
Assisted living in the Sacramento area costs a median of $7,750 per month, or about $93,000 annually, according to the CareScout 2025 Cost of Care Survey. This reflects the Sacramento Metropolitan Statistical Area median and sits above both the California statewide median of $7,000/month and the national median of $6,200/month.
How many assisted living communities are in Sacramento?
The Sacramento metropolitan area has numerous assisted living communities offering different levels of support, including standard assisted living and memory care. Options range from smaller residential care homes to larger senior living campuses with multiple care levels across Sacramento, Carmichael, Roseville, Citrus Heights, and Elk Grove.
How do I compare assisted living communities in Sacramento?
Families should evaluate communities based on care services offered, resident and family reviews, staffing levels and ratios, amenities, pricing transparency, and proximity to hospitals and family members. Visiting communities in person and requesting a written breakdown of all fees is strongly recommended before making a final decision.
Are assisted living costs negotiable?
Some communities may offer move-in incentives, reduced community fees, or promotional pricing depending on occupancy levels and availability. Families should ask directly about current promotions and confirm all fee structures in writing before signing any agreements.
Is Sacramento more expensive than the California statewide average for assisted living?
Yes. Sacramento’s assisted living median of $7,750 per month exceeds the California statewide median of $7,000 per month by $750 per month. Sacramento’s higher costs reflect strong healthcare infrastructure, population growth in the greater metro area, and demand from retirees across Northern California.
Does Medicaid cover assisted living in Sacramento?
California Medicaid (Medi-Cal) may provide limited assistance through programs such as the Assisted Living Waiver (ALW) in participating counties. Coverage is service-based and does not typically include full room and board costs. Eligibility depends on income, assets, functional care needs, and county participation. Families should confirm current program details directly with the California Department of Health Care Services or consult a qualified elder law advisor.
Last reviewed: June 2026