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Senior Living in Sacramento, CA: Verified Reviews & 2026 Costs

Senior living in Sacramento, California spans 2 verified communities and 57 Medicare-certified nursing homes across Sacramento, Placer, Yolo, and El Dorado counties in California. Published starting rates at featured communities run $3,400–$5,300 per month, 15 area nursing homes hold a 5-star CMS rating, and every community review here comes from a verified phone interview — 36+ in total. 984 state-licensed assisted living, memory care, and independent living communities are listed below by county.

Compare 2 verified communities

Every community below has been independently reviewed through recorded phone interviews with its own residents and families. Prices shown are the operators’ published starting rates — not estimates, and not gated behind a form.

CommunityLocationCare typesStarting pricePhone-verified reviewsCMS rating
Regency Place Senior LivingSacramento, CAIndependent LivingAssisted LivingMemory CareFrom $3,400/mo20+ verifiedlatest Aug 2026—
Summerfield of RosevilleRoseville, CAMemory CareFrom $5,300/mo16 verifiedlatest Aug 2026—

Starting rates published by each operator, verified June 2026. Skilled nursing is typically billed by payer (Medicare/Medicaid/private) rather than a monthly rate. CMS ratings apply to Medicare-certified skilled nursing only — assisted living is state-licensed and has no federal rating.

All senior living in Sacramento: 984 licensed communities by county

Every assisted living, memory care, and independent living community licensed by the state in Sacramento, Placer, Yolo, and El Dorado counties in California, from state licensing records. Listing here is not a rating: Lilisity publishes no score for any community that has not earned an award. Communities marked verified reviews have phone-verified resident and family interviews on file.

Sacramento County, CA 692 communities

Placer County, CA 235 communities

El Dorado County, CA 35 communities

Yolo County, CA 22 communities

How much does senior living cost in Sacramento?

Verified starting rates at featured Sacramento communities range from $3,400 per month at Regency Place Senior Living (independent living) to $5,300 at Summerfield of Roseville (memory care). Memory care generally runs $1,000–$1,500 above assisted living; skilled nursing is billed through Medicare, Medicaid, or private pay rather than monthly rent.

Care typeTypical Sacramento rangeWhat it covers
Independent living$3,000 – $4,500Private apartment or cottage, meals and services optional
Assisted living$4,500 – $6,500Daily personal care, meals, medication management
Memory care$5,500 – $8,000Secured neighborhood, dementia-trained staff
Skilled nursingPayer-based24/7 medical care; Medicare/Medicaid/private pay

Ranges reflect published rates at verified Sacramento-area communities plus operator-published market rates, September 2026. California’s Medicaid waiver programs and VA Aid & Attendance can offset costs — see the FAQ below.

What are the highest-rated nursing homes in Sacramento?

15 of the 57 Medicare-certified nursing homes in the Sacramento metro hold the highest possible 5-star overall rating from CMS — including Bruceville Terrace - D/P Snf Of Methodist Hospital in Sacramento. Every facility below links to its full inspection history, staffing hours, and deficiency record.

Facility ↕Location ↕CMS rating ↕Beds ↕Operator ↕
Bruceville Terrace - D/P Snf Of Methodist HospitalSacramento, CA★★★★★ 5/5171Commonspirit Health
Siena Skilled Nursing And Rehabilitation CenterAuburn, CA★★★★★ 5/5107Generations Healthcare
American River CenterCarmichael, CA★★★★★ 5/599Genesis Healthcare
City Creek Post AcuteSacramento, CA★★★★★ 5/599Kalesta Healthcare Group
Folsom Care CenterFolsom, CA★★★★★ 5/599Independent
Pine Creek Care CenterRoseville, CA★★★★★ 5/599Pacs Group
Sacramento Post-AcuteSacramento, CA★★★★★ 5/599Pacs Group
Western Slope Health CenterPlacerville, CA★★★★★ 5/599Pacs Group
Oak Ridge Healthcare CenterRoseville, CA★★★★★ 5/567Cypress Healthcare Group
Sherwood Healthcare CenterSacramento, CA★★★★★ 5/562Cypress Healthcare Group
Auburn Ravine Healthcare CenterAuburn, CA★★★★★ 5/559Cypress Healthcare Group
University Post-Acute RehabSacramento, CA★★★★★ 5/559Aspen Skilled Healthcare
Barton Hospital D/P SnfSouth Lake Tahoe, CA★★★★★ 5/548Independent
University Retirement Community At DavisDavis, CA★★★★★ 5/537Pacific Retirement Services
Eskaton Village Care CenterCarmichael, CA★★★★★ 5/535Independent

Source: CMS Care Compare, federal five-star quality rating system, retrieved September 2026. Lilisity republishes this government data unmodified; no facility can pay to change its rating.

Which Sacramento areas have senior living?

Senior living in the Sacramento metro is spread across Sacramento, Placer, Yolo, and El Dorado counties in California. The cities with the most licensed communities and nursing homes are listed below; most sit within a short drive of the region’s hospital systems, which matters for families coordinating specialist care or hospital discharge.

California

  • Sacramento (243)
  • Roseville (142)
  • Elk Grove (104)
  • Carmichael (95)
  • Citrus Heights (80)
  • Fair Oaks (56)
  • Orangevale (50)
  • Rocklin (38)
  • Folsom (31)

How these reviews were collected — and how we’re paid

  1. We interview residents and family members by phone, voice to voice — never web forms, never scraped from other sites.
  2. Every review is named and dated, and verified against the community’s current resident or family list before publishing.
  3. Reviews are published as given — including critical ones. Of the 36 on this page, 25 are five-star and 11 are four-star. None were removed.

How Lilisity makes money: some communities pay us a referral fee when a family we’ve helped moves in. That fee never changes a review, a rating, or who appears on this page — CMS ratings come from the federal government, and reviews come from residents. Read the full methodology → · How we are paid →

Recent verified reviews from Sacramento families

★★★★★

“My spouse lives at the community and I’ve been very impressed with the care and environment. The smaller, quieter setting really fits her personality, and seeing the same residents and staff every day has helped her adjust quickly. The team is responsive and easy to reach, the food and dining…”

Jeannette Sorrell · Aug 2026 · Summerfield of Rosevillephone-verified
★★★★

“My mother lives at the community and I’ve been really happy with her experience so far. The place looks nice and gave us a good first impression. Management seems genuinely concerned and willing to help. She enjoys the food that’s delivered to her room and says it’s always on time. Housekeeping…”

Ellen Perry · Jun 2026 · Regency Place Senior Livingphone-verified

Assisted living and memory care by city

Sacramento senior living questions, answered

Most states, including California, offer a Medicaid waiver that covers care costs (not room and board) at participating assisted living communities for people who qualify financially and medically. Not every community accepts the waiver, so ask early. Veterans and surviving spouses may also qualify for VA Aid & Attendance, worth up to roughly $2,300 per month toward care.

Assisted living provides housing, meals, and help with daily tasks like bathing and medications in an apartment setting, state-licensed and mostly private pay. Nursing homes (skilled nursing) provide 24/7 medical care, are federally certified and CMS-rated, and are typically paid through Medicare, Medicaid, or long-term-care insurance.

Every facility in the table above links to its full record — CMS star ratings, health-inspection findings, staffing hours per resident, and any fines or penalties, sourced from Medicare's Care Compare data. 15 Sacramento-area facilities currently hold a 5-star overall rating.

Assisted living moves can happen in days when a community has availability — after a nurse assessment and paperwork. Memory care placements after a crisis often complete within one to two weeks. Calling an advisor who knows current availability is the fastest path: (833) 612-4732.

Yes. All 36 reviews on this page come from recorded, voice-to-voice phone interviews with named residents and family members, conducted and verified by Senior Living Alliance. Nothing is scraped, anonymous, or edited — including the four-star reviews.

Talk to a Sacramento senior living advisor — free

One call covers current availability, honest pricing, and which communities fit your parent’s care needs and budget. No obligation, and we never sell your information.

(833) 612-4732Fastest — answered 7 days a week

We call back the same day. Free because participating communities pay a referral fee if you move in — how we’re paid.

Explore more: All California senior livingSacramento CountyPlacer CountyYolo CountyEl Dorado CountyHow reviews are verifiedSenior living costs by state
Free Sacramento Advisor (833) 612-4732