Assisted Living in Costa Mesa, CA
Costa Mesa has 43 state-licensed assisted living communities: 4 larger communities and 39 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.
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 Costa Mesa
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” (43).
All 43 licensed assisted living communities in Costa Mesa
Every assisted living community California licenses in Costa Mesa, 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.
43 shown
| Community | Size | Price |
|---|---|---|
| Vivante on the Coast1640 & 1650 Monrovia Ave | Large430 residents | $4,350 to $7,000/moLilisity estimate |
| Pacifica Senior Living South Coast2619 Orange Ave | Large98 residents | $4,350 to $7,000/moLilisity estimate |
| Silverado Senior Living- Newport Mesa350 W Bay Street | Large82 residents | $4,350 to $7,000/moLilisity estimate |
| Newport Mesa Senior Living2891 Bear St | Mid-size40 residents | $4,350 to $7,000/moLilisity estimate |
| Shining Bright Care Home697 Plumer Street | Small home15 residents | $4,350 to $7,000/moLilisity estimate |
| Bayside Cottages III1565 Wintergreen Place | Small home14 residents | $4,350 to $7,000/moLilisity estimate |
| Cross Creek Care138 E. 18th St | Small home14 residents | $4,350 to $7,000/moLilisity estimate |
| Mesa Verde Residential Care Center673 Center Street | Small home12 residents | $4,350 to $7,000/moLilisity estimate |
| Alex' Caring Hands904 Liard Place | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Angela's Residential Care3141 Bray Lane | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Bayside Cottages I1019 Cheyenne Street | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Bayside Cottages II3129 Mckinley Way | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Beach Homes I2575 Columbia Dr. | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Beach Homes II2572 Columbia Drive | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Beach Homes III2336 College Dr | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Bright Skies of Costa Mesa 23129 Pierce Ave | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Cameo Homes - Eastside I236 East 20th Street | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Care Achilles598 Pierpont Dr | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Coast New Horizon824 Presidio Drive | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Coastside Senior Home3264 Colorado Lane | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Country Gardens Terrace1103 Salvador Street | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Guardian Senior Home on Nevada3327 Nevada Ave | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Guardian Senior Homes on Madison3080 Madison Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Heart To Heart Care Home for Elderly3101 Jefferson Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Heyday Senior Living of Costa Mesa2750 Lorenzo Ave | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Jasmin's Care Home2817 San Juan Lane | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| John Villa's Home Care I219 Hanover | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| John Villa's Homecare 2811 St. Clair | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Johnson Senior Care3088 Johnson Ave. | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| La Costa Residence3016 Buchanan Way | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Madison Senior Care3083 Madison Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Mary's Loving Care A341a 16th Place | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Mary's Loving Care B341b 16th Place | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Newport Senior Living II260 E. 16th Street | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Oasis Assisted Living355 Princeton Drive | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Select Senior Care IV2689 Canary Drive | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Shining Bright Care Home 23073 Madison Ave | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Sonia's Care Home292 Hanover Drive | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| St. Clair Senior Care830 Saint Clair St. | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Star Dust Home1825 Samar Dr. | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Sterling Senior Community 102933 Andros St | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| The Hills of Broadway354 Broadway | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Tranquility Senior Living285 E 22nd St | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
How much does assisted living cost in Costa Mesa?
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 Costa Mesa 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 Costa Mesa 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.
Costa Mesa assisted living questions
California licenses 43 assisted living communities in Costa Mesa as of November 2026: 4 larger communities and 39 small residential homes of 16 or fewer residents, with about 915 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.