164 facilities at some of the lower price points in California. Safety scores are about average for the area.
These scores are part of the FYI Safety Scorecard, California's independent safety rating for assisted living. See how Fresno compares statewide.
6 beds · $4,365/mo · Medi-Cal
Best safety record in Fresno. Small home, more personal attention. Offers memory care.
6 beds · $3,630/mo · Medi-Cal
Very clean inspection history. Small home, more personal attention. Offers memory care.
6 beds · $4,299/mo
Very clean inspection history. Small home, more personal attention. Offers memory care.
6 beds · $4,306/mo
Very clean inspection history. Small home, more personal attention. Offers memory care.
6 beds · $4,600/mo · Medi-Cal
Very clean inspection history. Small home, more personal attention. Offers memory care.
412 beds · $4,800/mo · Medi-Cal
Very clean inspection history. Large community with more amenities.
6 beds · $3,912/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. Offers memory care. On the pricier end.
6 beds · $4,234/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. Offers memory care.
Showing 164 of 164.
Mostly smaller, home-like settings. Fresno has 164 licensed assisted living facilities. The majority (141) 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 $4,246/mo. That's roughly 20% less than the statewide 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. 125 of 164 facilities publish pricing, which is better transparency than most areas.
Look at the safety scores before you visit. The average score in Fresno is 7.3 out of 10. That's about average for California. 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. 47% of facilities accept Medi-Cal through the ALW program, which is better than most areas. 50 facilities offer specialized memory care if that's what you need.
Start by comparing facilities on what actually matters: safety record, pricing, care types, and size. We list all 164 licensed assisted living facilities in Fresno with their FYI Safety Scores, drawn from California state inspection data, plus any verified pricing, so you can narrow the list before you ever pick up the phone. Many placement services are paid referral agents who only show you facilities that pay them. Here you can compare every licensed option directly.
Compared with most of California, Fresno is more affordable. The average here is $4,246/mo, about 20% less than the typical California city we track. Prices still vary a lot depending on the facility and level of care.
Safety varies a lot by facility. Of the 149 facilities in Fresno with a FYI Safety Score, 86 land in the Good or Excellent range and 40 fall into the Poor or Severe range. Across the 164 facilities with an inspection record, 71% have zero substantiated complaints. These scores come from California state inspection data, not online reviews, so they reflect what regulators actually documented.
Fresno Guest Home #12 currently has the highest safety score in Fresno at 9.5 out of 10. 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 9.5. Across all 164 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.
47% 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 #12 and Fresno Guest Home #16 and Fresno Guest Home #6 and California Armenian Home and Rose Meadow Manor and Attentive Senior Care Ii, Llc and Fresno Guest Home #22 accept it. Eligibility requirements can be strict, so it's worth calling ahead to ask about availability and waitlists.
Yes, 50 facilities in Fresno offer specialized memory care for residents with Alzheimer's or other forms of dementia. Among the top-rated: Fresno Guest Home #12 and Fresno Guest Home #16 and Dial for Care #3 and Garden Terrace Assisted Living Ii and Fresno Guest Home #6 and A Place Called Home Residential Care 8 and Fresno Guest Home #22. Memory care units typically have additional security measures and staff trained in dementia care, so expect higher pricing than standard assisted living.
Every licensed facility we track in Fresno, ranked by our recommendation. Each links to its full safety record, pricing, and details.