La Mesa has 21 state-licensed assisted living communities: 5 larger communities and 16 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.
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” (21).
Every assisted living community California licenses in La Mesa, 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.
21 shown
| Community | Size | Price |
|---|---|---|
| Grossmont Gardens Senior Living5480 Marengo AVE | Large425 residents | Get pricing |
| The Montera5740 Lake Murray Blvd | Large225 residents | Get pricing |
| Westmont of la Mesa9000 Murray Dr | Large164 residents | Get pricing |
| Grossmont Gardens Memory Care4960 Mills Street | Large64 residents | Get pricing |
| Mesaview Senior Assisted Living7971 Culowee Street | Mid-size40 residents | Get pricing |
| Reina's Caring Cottage9290 Murray Dr | Small home9 residents | Get pricing |
| Divine Light Care Home5105 Bancroft Drive | Small home7 residents | Get pricing |
| Casa de Vida Senior Living4633 Denwood Road | Small home6 residents | Get pricing |
| Compassionate Care for Seniors 18100 Binney Pl. | Small home6 residents | Get pricing |
| Hillside Haven Guest Home9141 Spice Street | Small home6 residents | Get pricing |
| Lilos Tender Senior Care INC.7949 Eastridge Rd | Small home6 residents | Get pricing |
| Loving Heart Assisted Living LLC4430 Lowell St | Small home6 residents | Get pricing |
| Maryam RCFE4930 Maiden Lane | Small home6 residents | Get pricing |
| Mount Helix Senior Care10895 Challenge Blvd | Small home6 residents | Get pricing |
| Oasis Village Care3865 Shirlene Pl | Small home6 residents | Get pricing |
| Peppertree Guest Home II8950 Johnson Drive | Small home6 residents | Get pricing |
| Renaissance Living9112 Wakarusa Street | Small home6 residents | Get pricing |
| Right Choice Senior Living LLC - la Mesa6125 Cowles Mountain Blvd | Small home6 residents | Get pricing |
| Royal Care INC4440 Lowell St | Small home6 residents | Get pricing |
| Say You're Home5971 Lake Murray Blvd. | Small home6 residents | Get pricing |
| Say You're Home Too5977 Lake Murray Blvd | Small home6 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 21 assisted living communities in La Mesa as of September 2026: 5 larger communities and 16 small residential homes of 16 or fewer residents, with about 1,018 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.
One call covers which communities have openings, what they cost and which fit your parent's needs and budget.
