Cost of Senior Care in Sacramento County
A planning baseline for Sacramento County families. There is no reliable county-only cost dataset, so these are the published California (statewide median) figures from the CareScout / Genworth Cost of Care Survey — not a number we made up. Actual prices vary by community and care level; always confirm with each facility.
| Care type | Typical monthly |
|---|---|
| Assisted living | $7,000/mo |
| Memory care | Not surveyed separately — the national cost survey we cite doesn't publish a standalone memory-care median, so we won't show a number we can't source. In practice it's the assisted-living rate plus a care premium; confirm each community's price. |
| Nursing home (semi-private room) | $12,167/mo |
| Nursing home (private room) | $15,178/mo |
| In-home care (non-medical caregiver, ~44 hrs/week) | $7,627/mo |
| Adult day health care | $2,037/mo |
Basis: California (statewide median) · CareScout / Genworth Cost of Care Survey, 2025. Monthly figures are the published annual medians divided by twelve. These are regional medians, not Sacramento County-specific rates.
How California families actually pay for this
Few families pay these figures entirely out of pocket for long. Most Sacramento County families end up combining private savings with one or more of: long-term care insurance, a VA benefit, or Medi-Cal. Our overview guide to paying for senior care walks through all of these options in plain language; the sections below go deeper on the two that trip families up most. On the Medi-Cal side, one change matters more than any other right now: California reinstated a Medi-Cal asset limit effective January 1, 2026, after having eliminated it entirely for the two prior years. If you’ve read anywhere that Medi-Cal has “no asset test,” that information is now out of date.
As of 2026, the non-MAGI Medi-Cal asset limit is $130,000 for one person, plus $65,000 for each additional household member (up to 10 people) — with a Community Spouse Resource Allowance of $162,660 and a Minimum Monthly Maintenance Needs Allowance of $4,067/month when one spouse stays in the community. (Source: DHCS All County Welfare Directors Letters 25-14 and 26-02.)
Medi-Cal generally covers skilled nursing facility care for those who qualify, and can cover the care portion (not room and board) of assisted living through the Assisted Living Waiver in participating counties, including Sacramento County. It generally does not pay for long-term assisted living or memory care room-and-board directly. Families weighing whether to transfer assets before applying should also understand the look-back period and penalty rules, and what Medi-Cal can recover from an estate after death — both of which are more involved than most families expect.
- How to pay for senior care in California — private pay, LTC insurance, VA benefits, Medi-Cal, and Medicare, in one place.
- Medi-Cal Long-Term Care Eligibility in 2026 — the current asset limits, spousal allowances, and who’s exempt.
- Transferring assets before applying for Medi-Cal — the 30-month look-back, the prior no-asset-test gap, and the penalty math.
- Medi-Cal estate recovery — what the state can and can’t recover from an estate after death.
- The Assisted Living Waiver in Sacramento County — what it covers, and the honest state of the waitlist.
- VA Aid & Attendance: how to actually apply — who qualifies, the forms involved, and free local help to file.
- You have a long-term care insurance policy — now what? — benefit triggers, the elimination period, and why claims get denied or delayed.
This is general information, not financial or legal advice. Eligibility rules change and depend on your situation — confirm details with DHCS, your county eligibility worker, the VA, or a qualified elder-law attorney before you rely on them.