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 Sacramento, CA

2026 monthly care rates for Sacramento (Sacramento County), local Census affordability metrics, and 23 CMS-certified care facilities.

Assisted Living🏠
$7,260/mo
$87,120/yr
+17% vs U.S. avg
Memory Care🧠
$8,860/mo
$106,320/yr
+17% vs U.S. avg
In-Home Care🤝
$40.99/hr
$7,810/mo (44h/wk)
+17% vs U.S. avg
Nursing Home (Semi)🏥
$11,220/mo
Private: $12,650/mo
+17% 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$7,260/mo
Memory Care$8,860/mo
Home Care$40.99/hr
Nursing Semi$11,220/mo
Nursing Priv$12,650/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/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: $464k
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 Sacramento, CA

40.9 hrs/wk Break-even threshold

At Sacramento, CA's average caregiver rate of $40.99/hr, hiring in-home care equals the $7,260/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
$3,552/mo

Saves $3,708/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$7,815 vs. $7,260/mo

Full-time home care costs $555/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$14,209/mo

Assisted Living saves $6,949/mo; Memory Care averages $8,860/mo.

Sacramento vs. California & U.S. Averages

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

Sacramento, CA$7,260/mo
California State Average$8,300/mo
U.S. National Median$6,200/mo

Sacramento County Economic Context (U.S. Census)

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

Median Household Income $88,724/yr ($7,394/mo)
Median Home Value $498,900
Median Gross Rent $1,702/mo
California Medicaid Limit (2026) $2,901/mo

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

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

Acc Care Center
7801 Rush River Drive, Sacramento, CA 95831 • 9163939020
99 Certified Beds Non profit - Corporation CCN: 555261
5/5 CMS Rating
Sherwood Healthcare Center
4700 Elvas Ave, Sacramento, CA 95819 • 9164545752
62 Certified Beds For profit - Limited Liability company CCN: 055305
5/5 CMS Rating
University Post-Acute Rehab
2120 Stockton Boulevard, Sacramento, CA 95817 • 9164526631
59 Certified Beds For profit - Corporation CCN: 555265
5/5 CMS Rating
Woodside Healthcare Center
2240 Northrop Ave, Sacramento, CA 95825 • 9169279300
58 Certified Beds For profit - Corporation CCN: 555798
5/5 CMS Rating
Advanced Health Care Of Sacramento
1411 Expo Parkway, Sacramento, CA 95815 • 9167586300
40 Certified Beds For profit - Limited Liability company CCN: 555913
5/5 CMS Rating
College Oak Nursing And Rehabilitation Center
4635 College Oak Drive, Sacramento, CA 95841 • 9164817434
120 Certified Beds For profit - Limited Liability company CCN: 056158
4/5 CMS Rating
Gramercy Court
2200 Gramercy Drive, Sacramento, CA 95825 • 9164822200
120 Certified Beds For profit - Limited Liability company CCN: 555459
4/5 CMS Rating
City Creek Post Acute
6248 66Th Avenue, Sacramento, CA 95823 • 9163924440
99 Certified Beds For profit - Corporation CCN: 555160
4/5 CMS Rating
Sacramento Post-Acute
5255 Hemlock Street, Sacramento, CA 95841 • 9163314590
99 Certified Beds For profit - Corporation CCN: 056073
4/5 CMS Rating
Cedarwood Post Acute
1090 Rio Lane, Sacramento, CA 95822 • 9164462506
51 Certified Beds For profit - Limited Liability company CCN: 055296
4/5 CMS Rating
Pioneer House
415 P Street, Sacramento, CA 95814 • 9164424906
50 Certified Beds For profit - Limited Liability company CCN: 555542
4/5 CMS Rating
Saylor Lane Healthcare Center
3500 Folsom Boulevard, Sacramento, CA 95816 • 9164573500
42 Certified Beds For profit - Limited Liability company CCN: 055417
4/5 CMS Rating
Bruceville Terrace - D/P Snf Of Methodist Hospital
8151 Bruceville Road, Sacramento, CA 95823 • 9164236000
171 Certified Beds Non profit - Corporation CCN: 555344
3/5 CMS Rating
Greenhaven Healthcare Center
455 Florin Road, Sacramento, CA 95831 • 9163932550
148 Certified Beds For profit - Limited Liability company CCN: 555098
3/5 CMS Rating
Asbury Park Nursing And Rehabilitation Center
2257 Fair Oaks Boulevard, Sacramento, CA 95825 • 9166492000
139 Certified Beds For profit - Limited Liability company CCN: 555673
3/5 CMS Rating
Double Tree Post Acute Care Center
7400 24Th Street, Sacramento, CA 95822 • 9164224825
122 Certified Beds For profit - Limited Liability company CCN: 056177
3/5 CMS Rating
Mid-Town Oaks Post-Acute
2600 L Street, Sacramento, CA 95816 • 9163219440
100 Certified Beds For profit - Limited Liability company CCN: 055493
3/5 CMS Rating
Mckinley Park Care Center
3700 H Street, Sacramento, CA 95816 • 9164523592
86 Certified Beds For profit - Limited Liability company CCN: 555122
3/5 CMS Rating
Bridgewood Post Acute
5901 Lemon Hill Avenue, Sacramento, CA 95824 • 9163832741
49 Certified Beds For profit - Individual CCN: 055956
3/5 CMS Rating
Arden Park Post Acute
3400 Alta Arden Expressway, Sacramento, CA 95825 • 9164815500
177 Certified Beds For profit - Limited Liability company CCN: 055855
2/5 CMS Rating
North Pointe Care Center
500 Jessie Avenue, Sacramento, CA 95838 • 9169227177
161 Certified Beds For profit - Limited Liability company CCN: 555400
2/5 CMS Rating
Capital Post Acute
6821 24Th Street, Sacramento, CA 95822 • 9163916011
121 Certified Beds For profit - Limited Liability company CCN: 555442
2/5 CMS Rating
Windsor Care Center Of Sacramento
501 Jessie Avenue, Sacramento, CA 95838 • 9169228855
128 Certified Beds For profit - Limited Liability company CCN: 555717
1/5 CMS Rating

Frequently Asked Questions About Senior Care in Sacramento

The estimated median cost of assisted living in Sacramento, CA is $7,260 per month ($87,120 per year), adjusted for Sacramento County housing and income data.
A semi-private room in a skilled nursing facility in Sacramento averages $11,220 per month, while a private room averages $12,650 per month.
In-home caregiver services in Sacramento, CA average $40.99 per hour, or roughly $7,810 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