Assisted Living in Alamo, CA
Alamo has 13 state-licensed assisted living communities: 1 larger community and 12 small residential homes (16 or fewer residents). The median cost of assisted living in California is $7,000 a month (CareScout 2025), against $6,200 nationally.
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Tiffany Court
Walnut Creek · Senior Living Alliance member
20+ verified testimonials
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Free guide · 14 pages
Choosing Assisted Living
A practical guide for families, with checklists to take on your tours.
- What assisted living costs and the ways to pay
- Signs it may be time
- Tour checklists to print and take with you
- What residents and families told us matters most
Two kinds of assisted living in Alamo
Both are licensed by California as assisted living. Larger communities suit people who want social life and on-site services; small homes suit people who do better with quiet, familiar routines, including many people with dementia. California words these licenses as “Residential Care Elderly” (13).
All 13 licensed assisted living communities in Alamo
Every assisted living community California licenses in Alamo, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified testimonials are listed first, then by size.
13 shown
| Community | Size | Price |
|---|---|---|
| Casa Blanca Retirement Homes1055 Ina Drive | Mid-size18 residents | $4,350 to $7,000/moLilisity estimate |
| Alamo Care Home2795 Miranda Ave. | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Alamo Residence Home2978 Miranda Ave | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Castle Crest Home I113 Crest Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Eaton Place20 Eaton Court | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Gines Residential Care Home III2565 Stone Valley Road | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Megan Care Home118 Megan Ct | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Navajo Care Home3 Navajo Court | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| New Alamo Residence Home836 Stone Valley Rd | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Roundhill Care Homes3053 Roundhill Road | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Welcome Home Senior Residence (Alamo II)10 Castle Crest Road | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Welcome Home Senior Residence (Alamo)220 Bolla Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Welcome Home Senior Residence-Alamo 3110 Paseo de Sol | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
How much does assisted living cost in Alamo?
The median cost of assisted living in California is $7,000 a month ($84,000 a year), above the national median of $6,200. That’s CareScout’s 2025 survey, collected July to November 2025. If more care is needed: nursing home costs in California, with CareScout medians and the private-pay rates nursing homes publish. Small residential homes often cost less than larger communities, though care needs, room type and services move the price more than the building does.
Medicare does not pay for assisted living. People pay from savings and income, long-term care insurance, or VA Aid and Attendance (up to $29,093 a year for a veteran in 2026), and some qualify for Medicaid help with care costs at communities that accept it. Who actually pays for long-term care.
Free tools: how long will the money last? · home care or assisted living? · VA Aid and Attendance estimator
Three questions to ask on every Alamo tour
From about 23,000 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
- Can I come back and eat a meal here, unannounced?Dining was 23% of all concerns: quality that changes day to day.
- How is laundry labeled and tracked, and what happens when something goes missing?Housekeeping was 17%.
- Who is my main contact, and how often will I hear from them?Communication with management was 15%.
All 8 tour questions, with a free printable tour card (PDF).
Check a Alamo community’s license
California publishes licensing records, and in most cases inspection or complaint reports, for every community on this page. Look up any community on the state’s site: ccld.dss.ca.gov. Ask the community for its most recent inspection report too; they have to keep it.
Alamo assisted living questions
California licenses 13 assisted living communities in Alamo as of November 2026: 1 larger communities and 12 small residential homes of 16 or fewer residents, with about 90 licensed spots in all.
The median cost of assisted living in California is $7,000 a month (CareScout 2025), compared with $6,200 nationally. Prices vary with the room, the level of care and the community, so ask each one for its current rate sheet. The table on this page shows each community's published price or a Lilisity estimate where we have one, and our free guide lists the questions to ask about cost.
Medicaid doesn't pay rent or meals in assisted living. Most states offer a Medicaid waiver or program that can pay for care services at participating communities for people who qualify; not every community takes it, so ask each one. California's Medicaid agency or your local Area Agency on Aging can tell you what's available.
California publishes its licensing records at ccld.dss.ca.gov. You can also ask any community for its most recent state inspection report.