180 facilities with pricing in the middle of the pack for 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 Sacramento compares statewide.
6 beds · $3,930/mo
Best safety record in Sacramento. Small home, more personal attention. Offers memory care.
72 beds · $5,400/mo
Very clean inspection history. Large community with more amenities. Offers memory care.
6 beds · $3,930/mo
Very clean inspection history. Small home, more personal attention.
38 beds · $2,800/mo
Very clean inspection history. Lower cost than most in the area.
108 beds · $4,795/mo
Very clean inspection history. Large community with more amenities. Offers memory care.
34 beds · $6,600/mo
Very clean inspection history. Offers memory care. On the pricier end.
6 beds · $5,180/mo
Very clean inspection history. Small home, more personal attention.
6 beds · $4,300/mo
Very clean inspection history. Small home, more personal attention. Offers memory care.
4 beds · $3,930/mo
Very clean inspection history. Small home, more personal attention.
48 beds · $3,600/mo · Medi-Cal
Solid inspection record. Lower cost than most in the area.
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Mostly smaller, home-like settings. Sacramento has 180 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 $4,808/mo. That's right around the statewide average of $5,296/mo. Prices range from $2,500 up to $6,600 depending on the facility, room type, and level of care. 136 of 180 facilities publish pricing, which is better transparency than most areas.
Look at the safety scores before you visit. The average score in Sacramento is 6.6 out of 10. That's below the statewide average of 7.3, so take extra time reviewing individual facility scores before visiting. Some places here have rougher inspection histories than others. Our scores come from real California state inspection data, not self-reported reviews.
A few things that might narrow your search. Only 16% of facilities here accept Medi-Cal through the Assisted Living Waiver program, so your options will be limited. 45 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 180 licensed assisted living facilities in Sacramento 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.
It's about average for California. Expect to pay around $4,808/mo, though prices vary widely depending on facility size, room type, and how much care is needed.
Safety varies a lot by facility. Of the 172 facilities in Sacramento with a FYI Safety Score, 79 land in the Good or Excellent range and 62 fall into the Poor or Severe range. Across the 180 facilities with an inspection record, 53% have zero substantiated complaints. These scores come from California state inspection data, not online reviews, so they reflect what regulators actually documented.
Golden Moments Care Home currently has the highest safety score in Sacramento 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, Acc Assisted Living at Greenhaven Terrace starts at $2,800/mo, and it has a safety score of 9.3. Across all 180 facilities in the area, published prices range from $2,500 to $6,600/mo. Keep in mind that the actual cost depends on the level of care needed.
16% of facilities in Sacramento 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, Twin Rivers at Natomas accepts it. Eligibility requirements can be strict, so it's worth calling ahead to ask about availability and waitlists.
Yes, 45 facilities in Sacramento offer specialized memory care for residents with Alzheimer's or other forms of dementia. Among the top-rated: Golden Moments Care Home and Revere Court and Rose Arbor Village and The Meadows at Country Place and Asap Care Llc. 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 Sacramento, ranked by our recommendation. Each links to its full safety record, pricing, and details.