170 facilities at some of the lower price points in LA County. Safety scores are about average for the area.

130 beds · $4,195/mo
Best safety record in Fresno. Large community with more amenities.

6 beds · $4,600/mo · Medi-Cal
Very clean inspection history. Small home, more personal attention.

6 beds · $5,100/mo
Very clean inspection history. Small home, more personal attention.

6 beds · $4,365/mo · Medi-Cal
Very clean inspection history. Small home, more personal attention.

6 beds · $3,630/mo · Medi-Cal
Very clean inspection history. Small home, more personal attention.

6 beds · $4,670/mo · Medi-Cal
Very clean inspection history. Small home, more personal attention.

6 beds · $4,610/mo · Medi-Cal
Very clean inspection history. Small home, more personal attention.

6 beds · $3,630/mo · Medi-Cal
Very clean inspection history. Small home, more personal attention.

4 beds · $4,177/mo
Very clean inspection history. Small home, more personal attention.

6 beds · $4,239/mo
Very clean inspection history. Small home, more personal attention.
Mostly smaller, home-like settings. Fresno has 170 licensed assisted living facilities. The majority (146) are residential care homes with 6 beds or fewer, so if you're looking for something intimate where your parent isn't one of dozens of residents, you'll have options. There are also 18 larger communities with 50+ beds if you prefer structured activities, on-site dining, and more staff on hand.
Expect to pay around $4,263/mo. That's roughly 20% less than the county average, making this one of the more affordable areas to look. Prices range from $2,285 up to $6,111 depending on the facility, room type, and level of care. 131 of 170 facilities publish pricing, which is better transparency than most areas.
Look at the safety scores before you visit. The average score in Fresno is 8.4 out of 9.9. That's about average for LA County. Some facilities here have excellent records and others don't, so check individual scores before you visit. Our scores come from real California state inspection data, not self-reported reviews.
A few things that might narrow your search. 45% of facilities accept Medi-Cal through the ALW program, which is better than most areas. 19 facilities offer specialized memory care if that's what you need.
Compared to most of LA County, Fresno is actually more affordable. The average here is $4,263/mo, about 20% less than the county average. That said, prices vary a lot depending on the facility and level of care.
The Grove currently has the highest safety score in Fresno at 9.9 out of 9.9. These scores are based on real state inspection data, not online reviews. We'd recommend checking individual scores for any facility you're considering, since they can vary a lot even within the same city.
Among our top-rated facilities, Fresno Guest Home #16 starts at $3,630/mo, and it has a safety score of 9.9. Across all 170 facilities in the area, published prices range from $2,285 to $6,111/mo. Keep in mind that the actual cost depends on the level of care needed.
45% of facilities in Fresno participate in the Assisted Living Waiver (ALW) program, which is California's way of covering assisted living costs through Medi-Cal. Among the top-rated facilities, Fresno Guest Home #6 and Fresno Guest Home #12 and Fresno Guest Home #16 and Fresno Guest Home #22 and Fresno Guest Home #25 and Fresno Guest Home #32 accept it. Eligibility requirements can be strict, so it's worth calling ahead to ask about availability and waitlists.
Yes, 19 facilities in Fresno offer specialized memory care for residents with Alzheimer's or other forms of dementia. Memory care units typically have additional security measures and staff trained in dementia care, so expect higher pricing than standard assisted living.