Fresno has 201 state-licensed assisted living communities: 22 larger communities and 179 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. 1 has phone-verified resident and family reviews on Lilisity.
Most communities don't publish prices. Tell us who you're looking for and a local advisor will send current rates and availability for the assisted living options that fit.
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” (199), “Rcfe-Continuing Care Retirement Community” (2).
From recorded phone interviews Senior Living Alliance conducts with residents and families. Nothing is scraped or anonymous. How reviews are verified.
“My mother lives at the community and I feel very happy with the care and atmosphere here. The management is attentive, the staff is kind, and they always make sure I am comfortable and well cared for. The food is…”
Every assisted living community California licenses in Fresno, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified reviews are listed first, then by size.
201 shown
| Community | Size | Price |
|---|---|---|
| Summerfield of Fresno20+ verified reviews6075 N. Marks | Large64 residents | from $3,595/mopublished by the community |
| The Terraces at San Joaquin Gardens5555 North Fresno Street | Large652 residents | Get pricing |
| California Armenian Home6720 E Kings Canyon Rd | Large412 residents | Get pricing |
| Fairwinds - Woodward Park9525 N Ft Washington Rd | Large270 residents | Get pricing |
| Veterans Home of California-fresno2811 W. California Avenue | Large186 residents | Get pricing |
| Vintage Gardens540 S. Peach | Large158 residents | Get pricing |
| Westmont of Fresno7442 & 7468 N Millbrook Ave | Large155 residents | Get pricing |
| The Grove7444 North Cedar Ave | Large130 residents | Get pricing |
| Kingston Bay Senior Living6161 W Spruce Ave | Large128 residents | Get pricing |
| Oakmont of North Fresno5605 N Gates Ave | Large122 residents | Get pricing |
| Stonehaven Senior Living1717 South Winery Avenue | Large116 residents | Get pricing |
| Nazareth House2121 North First Street | Large110 residents | Get pricing |
| Paintbrush Assisted Living and Memory Care4356 W Ashlan Ave | Large110 residents | Get pricing |
| Belmar Villa2020 North Weber Avenue | Large100 residents | Get pricing |
| Fresno Senior Living1715 E Alluvial Avenue | Large100 residents | Get pricing |
| The Windham1100 E Spruce Ave | Large88 residents | Get pricing |
| Rehabilitation Centre of Fresno1665 M St | Large70 residents | Get pricing |
| Cedarbrook Memory Care Community1425 E. Nees Ave | Large68 residents | Get pricing |
| Garden Manor INC.4983 E. Olive | Mid-size49 residents | Get pricing |
| River Bluffs Memory Care Community5425 W. Spruce Ave. | Mid-size36 residents | Get pricing |
| Helping Hands Senior Care825 S Willow Avenue | Mid-size30 residents | Get pricing |
| Gettysburg Mercy Care LLC4844 E Gettysburg Ave | Mid-size18 residents | Get pricing |
| Maple Avenue Guest Home3341 N Maple Ave | Small home14 residents | Get pricing |
| Blossom Creeks Assisted Living501 South Apricot Ave | Small home12 residents | Get pricing |
| Ideal Care Centers 22020 N Teilman Ave | Small home12 residents | Get pricing |
| 5 Star Retirement Group Corp9282 N Valley Green Drive | Small home6 residents | Get pricing |
| 5 Star Retirement Group Corp1651 E Jordan Ave | Small home6 residents | Get pricing |
| 5 Star Retirement Group Corp1577 E. Quincy Avenue | Small home6 residents | Get pricing |
| A Place Called Home Residential Care 88437 N Paula Ave | Small home6 residents | Get pricing |
| A Plus Assisted Living for Elderly5490 E Butler Ave | Small home6 residents | Get pricing |
| A Plus Board and Care Home6757 E. Christine Avenue | Small home6 residents | Get pricing |
| Aging Gracefully Senior Living951 E Alluvial Ave. | Small home6 residents | Get pricing |
| Amata's Loving & Care Home5667 North Tracy Avenue | Small home6 residents | Get pricing |
| Angels Home3650 N Delno Avenue | Small home6 residents | Get pricing |
| Aspen Residential Care Homes INC II3107 W Gettysburg Ave | Small home6 residents | Get pricing |
| Aspiring Care Facility, INC3251 West Ellary Ave | Small home6 residents | Get pricing |
| Attentive Senior Care II, LLC6149 E Lowe Ave | Small home6 residents | Get pricing |
| Attentive Senior Care IV LLC1829 S Fariway Avenue | Small home6 residents | Get pricing |
| Attentive Senior Care, LLC36 E. Tuolumne Street | Small home6 residents | Get pricing |
| Backer Senior Carehome9127 N Backer Ave | Small home6 residents | Get pricing |
| Bell Care Home Llc-houston2660 East Houston Ave | Small home6 residents | Get pricing |
| Bella Care Home Llc-matus7947 North Matus Ave | Small home6 residents | Get pricing |
| Bk House of Grace 2 LLC5742 East Lorena Ave | Small home6 residents | Get pricing |
| Bk House of Grace LLC1463 N Archie Avenue | Small home6 residents | Get pricing |
| Blossom Creeks Assisted Living 2 INC.2770 North Burgan Avenue | Small home6 residents | Get pricing |
| Blossom Creeks Assisted Living 3 INC.6406 East Heaton Ave | Small home6 residents | Get pricing |
| Blossom Haven, INC.6618 E Harwood Ave | Small home6 residents | Get pricing |
| Blueberry Hill7447 N Riverside Drive | Small home6 residents | Get pricing |
| Bonavente Home for the Elderly #26097 Harrison | Small home6 residents | Get pricing |
| Chateau Jesadean5633 N Maroa Ave | Small home6 residents | Get pricing |
| Clear View Retirement Group2380 E. El Paso | Small home6 residents | Get pricing |
| Clear View Retirement Group - Jon2846 E Jon DR | Small home6 residents | Get pricing |
| Clear View Retirement Group El Paso2380 E El Paso Avenue | Small home6 residents | Get pricing |
| Clear View Retirement Group Skyview2657 East Skyview Avenue | Small home6 residents | Get pricing |
| Clear View Retirement Group/skyview2657 Skyview | Small home6 residents | Get pricing |
| Close To Home Residential Care5852 E Burns Ave | Small home6 residents | Get pricing |
| Copper River Retirement Group1115 E. Pinehurst | Small home6 residents | Get pricing |
| Copper River Retirement Group - Pinehurst1115 E Pinehurst Avenue | Small home6 residents | Get pricing |
| Copper River Retirement Group - Shea2617 E Shea Drive | Small home6 residents | Get pricing |
| Corazon's Care Home6369 N Cedar Ave | Small home6 residents | Get pricing |
| Cromwell Haven5787 W. Cromwell Ave. | Small home6 residents | Get pricing |
| Dial for Care1594 E. Los Altos | Small home6 residents | Get pricing |
| Dial for Care #3894 E. Fir | Small home6 residents | Get pricing |
| Dial for Care INC.6334 N. 10th St | Small home6 residents | Get pricing |
| Dial for Care INC.1472 E. Sample Ave | Small home6 residents | Get pricing |
| Dignity's Place RCFE5046 W Swift Avenue | Small home6 residents | Get pricing |
| Edwards Tender Loving Care & More6775 W Stuart Ave | Small home6 residents | Get pricing |
| Evergreen Court1415 W Scott Ave | Small home6 residents | Get pricing |
| Everspring Retirement Home5738 N. Lola Ave | Small home6 residents | Get pricing |
| Family Is Why2495 S. Rabe | Small home6 residents | Get pricing |
| Fig Garden Home Care1785 W Sierra Avenue | Small home6 residents | Get pricing |
| Fig Garden Villa Rcf774 W Stuart Ave | Small home6 residents | Get pricing |
| Five Star Assisted Living5727 N. Hazel Ave | Small home6 residents | Get pricing |
| Five Star Assisted Living Corp2573 W. Barstow Ave | Small home6 residents | Get pricing |
| Fresno Guest Home #16538 N. Chance | Small home6 residents | Get pricing |
| Fresno Guest Home #106590 N Jackson Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #112562 E Magill Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #122398 E. Los Altos Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #132076 E Fremont Ave | Small home6 residents | Get pricing |
| Fresno Guest Home #142118 E Fremont Ave. | Small home6 residents | Get pricing |
| Fresno Guest Home #152099 E. Burlingame Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #166859 N. Chance Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #172568 E Menlo Ave | Small home6 residents | Get pricing |
| Fresno Guest Home #182804 E. Palo Alto Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #192149 E Menlo Ave | Small home6 residents | Get pricing |
| Fresno Guest Home #22214 E. Warner | Small home6 residents | Get pricing |
| Fresno Guest Home #202165 E Menlo Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #216808 N. Backer Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #226659 N. Chance Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #232786 E Fremont Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #242890 E Magill Ave | Small home6 residents | Get pricing |
| Fresno Guest Home #252848 E Palo Alto Ave | Small home6 residents | Get pricing |
| Fresno Guest Home #262778 E Fremont Ave | Small home6 residents | Get pricing |
| Fresno Guest Home #276668 N Jackson Ave | Small home6 residents | Get pricing |
| Fresno Guest Home #282349 E Menlo Ave | Small home6 residents | Get pricing |
| Fresno Guest Home #292750 E. Magill Ave | Small home6 residents | Get pricing |
| Fresno Guest Home #32878 E. Magill | Small home6 residents | Get pricing |
| Fresno Guest Home #302808 E Magill Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #312815 E Millbrae Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #322853 E. Millbrae Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #332762 E. Warner Ave | Small home6 residents | Get pricing |
| Fresno Guest Home #346564 N Rowell Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #356679 N Maple Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #362650 E Fremont Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #372119 E Fremont AVE | Small home6 residents | Get pricing |
| Fresno Guest Home #386787 N. Sierra Vista Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #392107 E. Burlingame Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #46817 N. Rowell | Small home6 residents | Get pricing |
| Fresno Guest Home #402512 E. Paul Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #416613 N Meridian Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #422667 E. Palo Alto Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #52776 E. Magill | Small home6 residents | Get pricing |
| Fresno Guest Home #62267 E Palo Alto Ave | Small home6 residents | Get pricing |
| Fresno Guest Home #72228 E. Los Altos Avenue | Small home6 residents | Get pricing |
| Fresno Guest Home #86705 N. Maple Ave | Small home6 residents | Get pricing |
| Fresno Guest Home #92410 E. Los Altos Ave. | Small home6 residents | Get pricing |
| G and R Home6219 E Sussex Way | Small home6 residents | Get pricing |
| Garden Terrace Assisted Living II1743 E. Chennault | Small home6 residents | Get pricing |
| Garden Terrace Assisted Living III1760 E. Chennault | Small home6 residents | Get pricing |
| Gift of Grace Care Home1480 W. San Madele Avenue | Small home6 residents | Get pricing |
| The Golden Days Care Home8647 N Richelle Ave | Small home6 residents | Get pricing |
| The Golden Moments Care Home9247 N Winery Ave. | Small home6 residents | Get pricing |
| The Golden Years II9658 N. Winery Avenue | Small home6 residents | Get pricing |
| The Golden Years III Rche7641 N. Mansionette Dr | Small home6 residents | Get pricing |
| Graysful Living1552 E. Muncie Ave | Small home6 residents | Get pricing |
| Green Villa1463 W. Sierra | Small home6 residents | Get pricing |
| Hand in Hand Care Home4361 W. Fremont Ave | Small home6 residents | Get pricing |
| Happy Living Facility5275 E. Kaviland | Small home6 residents | Get pricing |
| Heart To Heart Family Care Center LLC672 E Wrenwood Ave | Small home6 residents | Get pricing |
| Home Is Why LLC5364 E. Mckenzie | Small home6 residents | Get pricing |
| Ideal Care Centers3618 W Dayton Ave | Small home6 residents | Get pricing |
| Jade Care Homes8561 N. Calaveras Street | Small home6 residents | Get pricing |
| Jan-roy Place of Fresno4766 East Illinois Ave | Small home6 residents | Get pricing |
| Jan-roy Place of Fresno 24266 N 9th Street | Small home6 residents | Get pricing |
| Joyful Living Rche1337 W. Roberts Ave. | Small home6 residents | Get pricing |
| La Casa Della Nonna2570 W Alluvial Avenue | Small home6 residents | Get pricing |
| Laureen Home6567 N Laureen Ave | Small home6 residents | Get pricing |
| Laurite Senior Care Home5478 E Laurite Ave | Small home6 residents | Get pricing |
| Lavender Fields Care Home6152 W Scott Avenue | Small home6 residents | Get pricing |
| Leen's Care Assisted Living LLC6406 E Heaton Ave | Small home6 residents | Get pricing |
| Legacy Adult Care LLC2348 E Harvard Avenue | Small home6 residents | Get pricing |
| Livocity Homes RCFE5722 N. Flora Ave. | Small home6 residents | Get pricing |
| Loving Hands Care Home6229 W. San Carlos Ave | Small home6 residents | Get pricing |
| Loving Hands Care Home 26228 E Providence AVE | Small home6 residents | Get pricing |
| M.a. Homes Fresno, INC.3157 W Pico Ave | Small home6 residents | Get pricing |
| Maple Tree Care Home2103 E. Ryan Avenue | Small home6 residents | Get pricing |
| Maple Tree Care Home 22081 E Ryan Lane | Small home6 residents | Get pricing |
| Millbrae Care Home1626 W Millbrae | Small home6 residents | Get pricing |
| Moonlight Care Home1425 W Palo Alto Ave | Small home6 residents | Get pricing |
| Mum's Home Sweet Home 2, INC.6711 N. Sierra Vista Avenue | Small home6 residents | Get pricing |
| Mum's Home Sweet Home, INC.6723 N Sierra Vista Ave | Small home6 residents | Get pricing |
| Nan's Tlc Home6643 N. Maroa Avenue | Small home6 residents | Get pricing |
| The New Light Residential Care Home1322 W. Roberts Ave. | Small home6 residents | Get pricing |
| Noble Servant Homes4140 W. Capitola Ave | Small home6 residents | Get pricing |
| Northwest Villa542 W. Browning Ave | Small home6 residents | Get pricing |
| Norwich Elder Care, LLC.2963 E Norwich Ave | Small home6 residents | Get pricing |
| Ohana Care Home Central Valley LLC6952 E. Andrews Ave | Small home6 residents | Get pricing |
| Palo Alto Senior Care Home269 W. Palo Alto Ave | Small home6 residents | Get pricing |
| Peterson Residential455 S. Kona | Small home6 residents | Get pricing |
| Prince & Princess Home for the Elderly4686 E Cortland | Small home6 residents | Get pricing |
| Ramos Residential Care LLC5320 W Fedora | Small home6 residents | Get pricing |
| Ready for Care4129 W Princeton Ave | Small home6 residents | Get pricing |
| Riverside Senior Carehome7435 N Riverside Drive | Small home6 residents | Get pricing |
| Robabeh3267 E Los Altos Ave | Small home6 residents | Get pricing |
| Rose Meadow Manor5627 N Bond Street | Small home6 residents | Get pricing |
| Royal Board and Care for Elderly3407 N Fresno St | Small home6 residents | Get pricing |
| Royal Gardens II4238 E Alamos Ave | Small home6 residents | Get pricing |
| Senior Care Home - Fresno4673 North Barcus Ave | Small home6 residents | Get pricing |
| Sequoia Grove Assisted Living INC1567 W Magill Ave | Small home6 residents | Get pricing |
| Sequoia Grove Assisted Living, INC787 E. Minarets Ave | Small home6 residents | Get pricing |
| Serenity Garden Home 25409 E Butler Ave | Small home6 residents | Get pricing |
| Serenity Living2605 W. Barstow Avenue | Small home6 residents | Get pricing |
| Sgs Care Home I5414 E Balch Ave | Small home6 residents | Get pricing |
| The Shining Light RCFE2749 W. San Carlos Avenue | Small home6 residents | Get pricing |
| Sierra Palace for Elderly607 E. Sierra Avenue | Small home6 residents | Get pricing |
| Sierra Palace for Elderly #21492 W. Bullard | Small home6 residents | Get pricing |
| Sierra Palace for the Elderly2060 W. Menlo | Small home6 residents | Get pricing |
| Sunny Garden3033 E Los Altos Ave | Small home6 residents | Get pricing |
| T&a Home Care LLC966 S Filbert Ave | Small home6 residents | Get pricing |
| Valley Christian Home II504 W. Mesa | Small home6 residents | Get pricing |
| Vela Suites6572 North Mariposa St. | Small home6 residents | Get pricing |
| Victoria Care Home 26706 N. Mccaffrey Ave | Small home6 residents | Get pricing |
| Victoria Care Home 2 INC4770 W. Oswego Ave | Small home6 residents | Get pricing |
| Victoria Care Home 2 INC5056 W. Roberts Ave | Small home6 residents | Get pricing |
| Victoria's Care Home6722 N. Delbert Ave. | Small home6 residents | Get pricing |
| Victoria's Care Home5161 W Palo Alto | Small home6 residents | Get pricing |
| Victoria's Care Home6736 N Western Ave | Small home6 residents | Get pricing |
| Victoria's Care Home5934 W Locust Ave | Small home6 residents | Get pricing |
| Victoria's Care Home5288 N. Rosalia Ave | Small home6 residents | Get pricing |
| Vista Elderly Care Facility8893 North Sierra Vista Ave | Small home6 residents | Get pricing |
| Williams-whittle Residential Care Home #34093 W. Terrace Avenue | Small home6 residents | Get pricing |
| Zen House of Care7251 E. Harvard Ave | Small home6 residents | Get pricing |
| Connie's Ranch2116 E Floral Ave | Small home5 residents | Get pricing |
| Cherry and Michael's Home4640 E Kaviland | Small home4 residents | Get pricing |
| Huntington House3655 E Huntington Boulevard | Small home4 residents | Get pricing |
| New Horizons Fresno, LLC1693 S Helm Ave | Small home4 residents | Get pricing |
| Sierra Palace for Elderly547 W Bullard | Small home4 residents | Get pricing |
| Villa Guest Home794 N. Villa Avenue | Small home4 residents | Get pricing |
| A Welcome Home RCFE LLC6054 N Kavanagh Ave. | Small home3 residents | Get pricing |
| Morgan Valley Residence1676 E. Escalon Ave | Small home3 residents | Get pricing |
| William's Residential Care for the Elderly LLC2909 E Griffith Way | Small home3 residents | Get pricing |
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. 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
From 22,911 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
All 8 tour questions, with a free printable tour card (PDF).
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.
California licenses 201 assisted living communities in Fresno as of September 2026: 22 larger communities and 179 small residential homes of 16 or fewer residents, with about 4,246 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, or ask a Lilisity advisor for current prices.
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.
Summerfield of Fresno. Their reviews come from recorded phone interviews with residents and family members, verified by Senior Living Alliance.
One call covers which communities have openings, what they cost and which fit your parent's needs and budget.
