2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities

Senior Care & Assisted Living Costs in Fresno, CA

2026 monthly care rates for Fresno (Fresno County), local Census affordability metrics, and 19 CMS-certified care facilities.

Assisted Living🏠
$5,660/mo
$67,920/yr
-9% vs U.S. avg
Memory Care🧠
$6,910/mo
$82,920/yr
-9% vs U.S. avg
In-Home Care🤝
$31.94/hr
$6,090/mo (44h/wk)
-9% vs U.S. avg
Nursing Home (Semi)🏥
$8,740/mo
Private: $9,850/mo
-9% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$5,660/mo
Memory Care$6,910/mo
Home Care$31.94/hr
Nursing Semi$8,740/mo
Nursing Priv$9,850/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $337k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Fresno, CA

40.9 hrs/wk Break-even threshold

At Fresno, CA's average caregiver rate of $31.94/hr, hiring in-home care equals the $5,660/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.9 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$2,768/mo

Saves $2,892/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$6,089 vs. $5,660/mo

Full-time home care costs $429/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$11,072/mo

Assisted Living saves $5,412/mo; Memory Care averages $6,910/mo.

Fresno vs. California & U.S. Averages

Monthly Assisted Living cost comparison adjusted for Fresno County economic indicators.

Fresno, CA$5,660/mo
California State Average$8,300/mo
U.S. National Median$6,200/mo

Fresno County Economic Context (U.S. Census)

Official ACS 5-Year benchmarks used to model local care affordability (see methodology).

Median Household Income $71,434/yr ($5,953/mo)
Median Home Value $362,600
Median Gross Rent $1,300/mo
California Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in Fresno, CA

Official Medicare provider registry showing certified bed capacity, ownership structure, and CMS 5-star quality ratings.

Veterans Home Of California - Fresno
2811 W Cesar Chavez Blvd, Fresno, CA 93706 • 5594934400
120 Certified Beds Government - State CCN: 555900
5/5 CMS Rating
California Home For The Aged
6720 E. Kings Canyon, Fresno, CA 93727 • 5592518414
120 Certified Beds Non profit - Corporation CCN: 055955
5/5 CMS Rating
Community Subacute And Transitional Care Center
3003 N Mariposa, Fresno, CA 93703 • 5594591711
106 Certified Beds Non profit - Corporation CCN: 055258
5/5 CMS Rating
North Point Healthcare & Wellness Centre Lp
668 E. Bullard, Fresno, CA 93710 • 5593202200
99 Certified Beds For profit - Partnership CCN: 555179
5/5 CMS Rating
Manning Gardens Care Center, Inc
2113 E. Manning Avenue, Fresno, CA 93725 • 5598342586
59 Certified Beds For profit - Corporation CCN: 055423
5/5 CMS Rating
The Terraces At San Joaquin Gardens Village
5551 N. Fresno St, Fresno, CA 93710 • 5594308202
54 Certified Beds Non profit - Corporation CCN: 055846
5/5 CMS Rating
Oakwood Gardens Care Center
3510 East Shields, Fresno, CA 93726 • 5592224807
103 Certified Beds For profit - Limited Liability company CCN: 055204
4/5 CMS Rating
Pacific Gardens Nursing And Rehabilitation Center
577 S. Peach Ave., Fresno, CA 93727 • 5592518463
188 Certified Beds For profit - Limited Liability company CCN: 056207
3/5 CMS Rating
Horizon Health & Subacute Center
3034 E Herndon, Fresno, CA 93720 • 5593210883
180 Certified Beds For profit - Limited Liability company CCN: 055199
3/5 CMS Rating
Covenant Post Acute
3408 East Shields Avenue, Fresno, CA 93726 • 5592274063
121 Certified Beds For profit - Limited Liability company CCN: 055996
3/5 CMS Rating
Orchard Post Acute
4840 E.Tulare Avenue, Fresno, CA 93727 • 5592517161
99 Certified Beds For profit - Limited Liability company CCN: 056225
3/5 CMS Rating
Sierra Vista Healthcare
1715 South Cedar, Fresno, CA 93702 • 5592378377
99 Certified Beds For profit - Limited Liability company CCN: 555866
3/5 CMS Rating
Fresno Postacute Care
1233 A Street, Fresno, CA 93706 • 5592686317
80 Certified Beds For profit - Corporation CCN: 555426
3/5 CMS Rating
Evergreen Care Center
5265 East Huntington Avenue, Fresno, CA 93727 • 5592518244
49 Certified Beds For profit - Limited Liability company CCN: 555920
3/5 CMS Rating
Healthcare Centre Of Fresno
1665 M Street, Fresno, CA 93721 • 5592685361
155 Certified Beds For profit - Limited Liability company CCN: 055626
2/5 CMS Rating
Keystone Post-Acute
3672 North First Street, Fresno, CA 93726 • 5592275383
65 Certified Beds For profit - Limited Liability company CCN: 056266
2/5 CMS Rating
Grace Healthcare Center
2939 S. Peach Avenue, Fresno, CA 93725 • 5592336248
101 Certified Beds For profit - Limited Liability company CCN: 555352
1/5 CMS Rating
Foundation Skilled Nursing
925 North Cornelia, Fresno, CA 93706 • 5592754785
59 Certified Beds For profit - Limited Liability company CCN: 056281
1/5 CMS Rating
Stonehaven Senior Living
1717 S Winery Avenue, Fresno, CA 93727 • 5592518417
0 Certified Beds For profit - Limited Liability company CCN: 555935
Not Yet Rated

Frequently Asked Questions About Senior Care in Fresno

The estimated median cost of assisted living in Fresno, CA is $5,660 per month ($67,920 per year), adjusted for Fresno County housing and income data.
A semi-private room in a skilled nursing facility in Fresno averages $8,740 per month, while a private room averages $9,850 per month.
In-home caregiver services in Fresno, CA average $31.94 per hour, or roughly $6,090 per month for 44 hours of weekly care.
For 2026, the standard monthly income cap for Medicaid nursing home and HCBS waiver eligibility in California is $2,901 per individual applicant.

Compare Senior Care Costs in Nearby California Cities