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 San Diego, CA

2026 monthly care rates for San Diego (San Diego County), local Census affordability metrics, and 21 CMS-certified care facilities.

Assisted Living🏠
$8,890/mo
$106,680/yr
+43% vs U.S. avg
Memory Care🧠
$10,850/mo
$130,200/yr
+44% vs U.S. avg
In-Home Care🤝
$50.18/hr
$9,570/mo (44h/wk)
+43% vs U.S. avg
Nursing Home (Semi)🏥
$13,740/mo
Private: $15,480/mo
+43% 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$8,890/mo
Memory Care$10,850/mo
Home Care$50.18/hr
Nursing Semi$13,740/mo
Nursing Priv$15,480/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/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: $736k
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 San Diego, CA

40.9 hrs/wk Break-even threshold

At San Diego, CA's average caregiver rate of $50.18/hr, hiring in-home care equals the $8,890/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
$4,349/mo

Saves $4,541/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$9,567 vs. $8,890/mo

Full-time home care costs $677/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$17,394/mo

Assisted Living saves $8,504/mo; Memory Care averages $10,850/mo.

San Diego vs. California & U.S. Averages

Monthly Assisted Living cost comparison adjusted for San Diego County economic indicators.

San Diego, CA$8,890/mo
California State Average$8,300/mo
U.S. National Median$6,200/mo

San Diego County Economic Context (U.S. Census)

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

Median Household Income $102,285/yr ($8,524/mo)
Median Home Value $791,600
Median Gross Rent $2,154/mo
California Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in San Diego, CA

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

Villa Rancho Bernardo Care Center
15720 Bernardo Center Drive, San Diego, CA 92127 • 8586723900
299 Certified Beds For profit - Limited Liability company CCN: 555318
5/5 CMS Rating
Kearny Mesa Convalescent And Nursing Home
7675 Family Circle Drive, San Diego, CA 92111 • 8582788121
98 Certified Beds For profit - Limited Liability company CCN: 055286
5/5 CMS Rating
Hillcrest Heights Healthcare Center
4033 Sixth Avenue Ext, San Diego, CA 92103 • 6192974086
96 Certified Beds For profit - Limited Liability company CCN: 555630
5/5 CMS Rating
University Care Center
5602 University Ave, San Diego, CA 92105 • 6195831993
87 Certified Beds For profit - Corporation CCN: 055328
5/5 CMS Rating
Vi At La Jolla Village
4171 Las Palmas Square, San Diego, CA 92122 • 8586463400
60 Certified Beds For profit - Limited Liability company CCN: 555793
5/5 CMS Rating
The Springs At Pacific Regent
3884 Nobel Drive, San Diego, CA 92122 • 8586258700
59 Certified Beds For profit - Limited Liability company CCN: 555739
5/5 CMS Rating
Arroyo Vista Nursing Center
3022 45Th Street, San Diego, CA 92105 • 6192835855
53 Certified Beds For profit - Limited Liability company CCN: 055505
5/5 CMS Rating
Bayshire Torrey Pines Post-Acute
13101 Hartfield Ave, San Diego, CA 92130 • 8582592222
45 Certified Beds For profit - Limited Liability company CCN: 555746
5/5 CMS Rating
Ridgeview Skilled Nursing Facility
9825 Glen Center Drive, San Diego, CA 92131 • 8582933900
45 Certified Beds For profit - Individual CCN: 555928
5/5 CMS Rating
Helen Bernardy Center D/P Snf
8060 Frost St, San Diego, CA 92123 • 8589665833
43 Certified Beds Government - Hospital district CCN: 05A292
5/5 CMS Rating
The Shores Post-Acute
2828 Meadowlark Drive, San Diego, CA 92123 • 8582776460
305 Certified Beds For profit - Corporation CCN: 555585
4/5 CMS Rating
Balboa Nursing & Rehabilitation Center
3520 Fourth Avenue, San Diego, CA 92103 • 6192915270
194 Certified Beds For profit - Limited Liability company CCN: 056105
4/5 CMS Rating
Jacob Healthcare Center
4075 54Th St., San Diego, CA 92105 • 6195825168
128 Certified Beds For profit - Limited Liability company CCN: 055508
4/5 CMS Rating
Mission Hills Post Acute Care
3680 Reynard Way, San Diego, CA 92103 • 6192974484
75 Certified Beds For profit - Corporation CCN: 056401
4/5 CMS Rating
Carmel Mountain Rehabilitation & Healthcare Center
11895 Avenue Of Industry, San Diego, CA 92128 • 8586730101
120 Certified Beds For profit - Limited Liability company CCN: 555326
3/5 CMS Rating
Golden Hill Post Acute
1201 34Th St., San Diego, CA 92102 • 6192322946
99 Certified Beds For profit - Corporation CCN: 056182
3/5 CMS Rating
Casa De Las Campanas
18655 W. Bernardo Drive, San Diego, CA 92127 • 8584519152
99 Certified Beds Non profit - Corporation CCN: 555362
3/5 CMS Rating
Brighton Place San Diego
1350 N. Euclid Avenue, San Diego, CA 92105 • 6192632166
99 Certified Beds For profit - Limited Liability company CCN: 055795
3/5 CMS Rating
Reo Vista Healthcare Center
6061 Banbury St., San Diego, CA 92139 • 6194752211
162 Certified Beds For profit - Corporation CCN: 056330
2/5 CMS Rating
The Pavilion At Ocean Point
3202 Duke Street, San Diego, CA 92110 • 6192244141
133 Certified Beds For profit - Limited Liability company CCN: 055322
2/5 CMS Rating
St. Pauls Health Care Center
235 Nutmeg Street, San Diego, CA 92103 • 6192398687
59 Certified Beds Non profit - Corporation CCN: 555144
2/5 CMS Rating

Frequently Asked Questions About Senior Care in San Diego

The estimated median cost of assisted living in San Diego, CA is $8,890 per month ($106,680 per year), adjusted for San Diego County housing and income data.
A semi-private room in a skilled nursing facility in San Diego averages $13,740 per month, while a private room averages $15,480 per month.
In-home caregiver services in San Diego, CA average $50.18 per hour, or roughly $9,570 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