The State of Senior Care in Sacramento County
A plain-numbers snapshot of the senior-care landscape across Sacramento County, built entirely from official California and federal records — how much care exists, where, how it’s rated and inspected, who runs it, and what it costs. No estimates and no opinions; just what the public data shows, refreshed as the sources update.
At a glance
840
Licensed facilities
All care types
14,366
Licensed beds
Residential capacity
15
Cities covered
Across the county
6
Care types
From in-home to skilled nursing
59
Multi-location providers
Running 138 facilities
8
Area hospitals
For discharge & proximity
The care landscape
Licensed facilities and beds by type of care.
| Care type | Facilities | Licensed beds |
|---|---|---|
| Assisted Living | 624 | 10,579 |
| Memory Care | 24 | 3,026 |
| Skilled Nursing | 36 | 3,787 |
| Home Health | 95 | — |
| Home Care | 84 | — |
| Respite Care | 1 | — |
Source: California CDSS (RCFE/HCO) + CDPH (SNF/HHA) licensing records. Agencies (home health, home care) carry no bed count.
Where the care is
Facilities and beds by city, most first.
| City | Facilities | Licensed beds |
|---|---|---|
| Sacramento | 329 | 6,015 |
| Carmichael | 96 | 2,694 |
| Elk Grove | 117 | 1,656 |
| Citrus Heights | 89 | 923 |
| Folsom | 38 | 789 |
| Orangevale | 46 | 784 |
| Fair Oaks | 59 | 672 |
| Rancho Cordova | 27 | 337 |
| Gold River | 3 | 134 |
| Galt | 4 | 126 |
| Antelope | 18 | 106 |
| North Highlands | 8 | 96 |
| Elverta | 3 | 16 |
| Wilton | 1 | 12 |
| Rio Linda | 2 | 6 |
Oversight & quality
Of 624 assisted-living facilities with state inspection data, 407 (65%) have no citations or substantiated complaints on record, while 143 carry a serious (Type A) citation — 474 Type A and 505 Type B citations in total. See the assisted-living inspection report →
Across 36 Medicare-certified nursing homes, the average CMS rating is 3.46/5 overall and 3.74/5 for staffing. 12 carry a federal abuse flag, and 1 are on Special Focus status. See the nursing-home quality report →
95 home-health agencies serve the county, averaging 3.2/5 on Medicare’s quality measure. See the home-health report →
Who provides the care
59 providers operate more than one location in Sacramento County, together running 138 facilities — the rest are independent, single-home operators. Provider identity comes straight from the state license, so a family can see which communities share an operator.
- Assisted Care Experts · 5
- Wholesome Elderly Care Homes · 5
- All Seasons · 4
- Loving Care Senior Living · 4
- A Family Affair · 3
- Mjp Care Homes · 3
- Abounding Peace · 3
- Blessed Home For Seniors · 3
- Carmichael Estates · 3
- Emerald Elder Care · 3
- Angeline Kang · 3
- Jazba Care · 3
What it costs
There is no reliable county-only price index, so the credible reference is the regional median from the CareScout / Genworth Cost of Care Survey (2025): assisted living around $7,000/mo, a semi-private nursing-home room around $12,167/mo. See the full cost breakdown →
Dig deeper
- Browse every licensed facility by city and care type
- Sacramento County senior resources — programs that help pay and support
- Guides — choosing, paying for, and touring care
- All reports — the underlying data, broken out
How we compiled this: every figure is drawn from official public records — California CDSS Community Care Licensing (assisted living, home care), California CDPH Licensing & Certification (skilled nursing, home health), and federal CMS Care Compare (ratings, staffing, penalties) — and refreshed monthly as those sources update. We take no referral fees and rate no one; missing values are shown as unknown rather than estimated. Always confirm current status on the official record linked from each facility page.