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Assisted Living Communities in Fresno, California

Located in California’s Central Valley, Fresno covers over 115 square miles. It contains 76 assisted living facilities, offering a diverse selection of long-term care options for seniors...

Directory of Assisted Living in Fresno, CA

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Reviews of Communities Nearby

Assisted Living

Elizabeth

I visited this facility

Review of The Grove

We toured The Grove. The garden is nice. It's small, so it doesn't feel too busy. We had dinner in the dining room, and the food was good. The person we talked to was very informative, interested...

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Assisted Living

Cathy

I visited this facility

Review of Nina'S Home

I toured Nina's Home. It had a little place in the backyard for the seniors. The home itself was beautiful. I met the lady herself. I met her husband, and I met the caretaker there for the day. The...

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Assisted Living

Elga7

I visited this facility

Review of The Golden Years RCHE II

I toured The Golden Years RCHE II. The rooms were small. When I say really small, what I mean is that the rooms are just big enough comfortably for a twin bed. The staff was wonderful. They were...

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The Cost of Assisted Living in Nearby Cities

In Fresno, the 2024 Genworth Cost of Care Survey reports assisted living fees of approximately $6,750 per month. This rate outpaces the state median of $6,250 and exceeds costs in nearby cities by hundreds or thousands of dollars. For example, costs in Bakersfield run substantially lower at roughly $4,595. Similarly, seniors save money by choosing care in Merced or Madera, where respective costs fall near $3,195 and $2,925

Fresno

$6,750

California

$6,250

United States

$5,350

Madera

$2,925

Merced

$3,195

Visalia

$5,089

Bakersfield

$4,595

How to Pay for Assisted Living in Fresno

Assisted living residents in Fresno use various funding sources, including their monthly income, waiver programs and veterans’ benefits, to pay for residential long-term care fees.

  • Medicaid: California Medicaid features the Assisted Living Waiver, which pays for care services for Fresno residents who live in participating assisted living facilities. This program covers services such as recreational and therapeutic activities, care coordination, personal care services and transportation.
  • Medicare: The federal health insurance program for seniors limits coverage to medically necessary services, meaning it doesn’t pay for housing or custodial services in assisted living facilities. However, it can help seniors reduce their out-of-pocket medical costs by covering skilled nursing services, medication administration and durable medical equipment.
  • VA Benefits: Two types of veterans’ benefits can help qualified seniors pay for assisted living: Aid and Attendance and Housebound benefits and VA health insurance. Aid and Attendance provides an increased monthly pension seniors can use toward care fees, while the VA health insurance program’s Geriatrics and Extended Care program pays for assisted living services directly.
  • Private Payments: Assisted living residents typically use their monthly retirement income, savings, annuities or equity from their home to pay for assisted living services. Facilities accept private payments for all services, including room and board, meals, personal care and recreation.

Financial Assistance for Assisted Living in Fresno

Eligible seniors may receive help paying for assisted living through California’s Assisted Living Waiver Program. Financial aid is also available to those with Supplemental Security Income (SSI) through California’s Optional State Supplement (OSS) program. 

Learn more about these programs, plus who’s eligible, on our Assisted Living in California page.

Inflation's Impact on the Cost of Assisted Living in Fresno, CA

Assisted living costs have risen sharply due to inflation. From 2022 to 2024, the cost of care in Fresno went up by roughly 18%, from $3,159 to $3,727. Fresno remains more affordable than the national average of $4,802, which is 13% higher for similar care services. Other California cities have seen similar inflation, with assisted living costs in Sacramento increasing from $4,995 to $5,893, San Francisco costs rising from $7,099 to $8,375, and San Diego going up from $4,088 to $4,824. These are all increases of 18% in just 2 years.

Location2022 Cost (Historical)2023 Cost (Current)2024 Cost (Estimated)
Fresno$3,159$3,461$3,727
U.S. Average$4,070$4,459 $4,802
California$4,625 $4,946 $5,221
Sacramento$4,995$5,472$5,893
San Francisco$7,099$7,777$8,375
San Diego$4,088$4,479$4,824

The Cost of Other Types of Senior Care

Fresno's assisted living residences set monthly fees near $6,750, making this one of the costlier senior care solutions in the city. In general, seniors who opt for private nonresidential care pay less on a monthly basis, anticipating costs near $6,101 for in-home care and $6,292 for home health care. On the other hand, nursing home costs run well above assisted living rates, with those in semi-private rooms paying around $10,038.

In-Home Care

$6,101

Home Health Care

$6,292

Assisted Living Facility

$6,750

Nursing Home Facility (semi-private room)

$10,038

Free and Low-Cost Resources for Seniors in Fresno,CA

There are many resources in Fresno,CA that assist seniors in their retirement. Caring.com has compiled information on local organizations, programs and agencies and categorized them into care types for easy reference.

For information about statewide resources and those in nearby cities, go to Caring's California state page.

Program NamePhone NumberDescription
Fresno-Madera Area Agency on Aging559-214-0299This organization serves seniors through information and referral services, home-delivered and congregate meals and transportation for nonemergency medical appointments and errands. It also publishes information on recognizing and preventing elder abuse and provides health insurance options counseling.
Community-Based Adult Services559-512-2227CBAS promotes independence and autonomy through access to supportive services such as social services, dietician consultations and daily activities, including healthy living classes, current event discussions and music therapy. Its health care managers help older adults determine which services they'd benefit from.
Central California Legal Services800-675-8001CCLS provides civil legal services to older adults, helping them work through issues such as drafting wills and assigning powers of attorney. The organization’s Senior Consumer Benefits team helps older adults appeal denied applications for public benefits such as Social Security and disability benefits.
Fresno-Madera Long-Term Care Ombudsman Program800-541-8614The long-term care ombudsman visits local assisted living communities to ensure they’re following state and federal guidelines and complying with residents’ rights. The ombudsman also helps residents resolve issues related to long-term care, including inaccurate service plans and billing problems.
UCSF Fresno Alzheimer and Memory CenterFax 559-227-4167This center provides resources for seniors and families facing a dementia diagnosis, including treatment and management plans and referrals for community providers. It also screens individuals for memory loss.
Fresno Social Security Office800-772-1213 TTY 800-325-0778 At the local Social Security office, seniors can apply for public benefits that may help them pay for assisted living services, including Supplemental Security Income, Social Security retirement and disability benefits and survivor benefits. This location also provides health insurance options counseling and Medicaid screening services.
Low-Income Home Energy Assistance Program559-263-1320This financial assistance program helps older adults with past-due utility bills avoid disruptions in service by providing direct payments to utility companies. Additionally, it publishes information on improving a home’s energy efficiency and eliminating hazards such as lead pipes and paint.
Fresno Vet Center559-487-5660The Fresno Vet Center has trained officers who direct veterans to community support services, including financial assistance programs, transportation services and prescription drug assistance. The center also offers free mental health counseling.
Fresno VA Medical Center559-225-6100The local VA medical center provides primary care services with a specialization in geriatrics, offering treatment for weight loss, bone loss, sleep difficulties and memory problems. It also provides rehabilitative services and hosts community events throughout the year.
Senior Center559-621-6727Fresno operates a senior activity center that hosts informational workshops, arts and crafts classes, table games and fitness classes. The center operates from 9 a.m. to 3 p.m. Monday-Saturday, and it has free noontime meals for visitors aged 60 and over.

What to Consider About Assisted Living in Fresno

In California, the California Senior Care Licensing Program oversees assisted living communities. The facilities must obey rules that uphold seniors’ quality of life and safety, and to that end, the licensing program undertakes monitoring and enforcement actions.

Benefits and Drawbacks of Assisted Living in Fresno

  • Fresno’s cost of living aligns closely with the national norm, and food, health care and housing expenses trend below nationwide benchmarks. This promotes competitive assisted living costs and benefits seniors seeking affordable care.
  • Fresno has one of the highest crime rates in America, with the city reporting around 44 incidents per 1,000 people annually. Assisted living facilities, which typically have security cameras, monitored entrances and alarm systems, provide peace of mind for vulnerable seniors.
  • Fresno’s Transportation Department operates 18 fixed-route bus lines throughout the Fresno region, along with the Handy Ride Paratransit Service. Seniors aged 65 and over ride public buses for free, making it easy to keep appointments and complete errands.
  • Daytime temperatures in Fresno range from 55 to 99 degrees Fahrenheit throughout the year, and the city rarely experiences noticeable humidity. To give residents opportunities to enjoy the warm weather, many local assisted living communities have amenities such as outdoor living spaces, and the proprietary Caring.com database shows that several residences have swimming pools.
  • California’s income tax rate, which ranges from 1.00% to 13.30%, exceeds national norms. However, the state fully exempts Social Security benefits and offers a senior income tax exemption, promoting seniors’ financial stability and helping them afford long-term care.

Assisted Living Laws and Regulations in Fresno

Fresno Assisted Living Communities must adhere to the comprehensive set of state laws and regulations that all Assisted Living facilities in California are required to follow. Visit our Assisted Living in California page for more information about these laws.

Assisted Living Services and Amenities in Fresno

Fresno’s assisted living communities provide comfort and promote a high quality of life for residents through an array of services and amenities. These features help residents build social connections, preserve their independence and gain new skills. They also help older adults remain connected to friends and family. Some popular amenities include:

  • Life Enrichment Programs: Health and wellness activities, fall prevention training, volunteer opportunities and educational workshops and seminars enhance residents’ experience and support lifelong learning.
  • Accessibility Modifications: Grab bars, raised toilet seats, ample lighting and hard flooring promote residents’ independence and safety.
  • Scheduled Outings and Trips: Community-organized outings give residents new opportunities as well as the ability to visit favorite city amenities, including museums, performing arts centers, botanical gardens, shopping destinations and restaurants.
  • Movie Nights: Whether they’re showing the latest action movie or a beloved classic, many assisted living residences build a sense of community through regular movie nights.
  • Private Dining Rooms: Private dining rooms with full kitchens let residents continue hosting holiday gatherings and special family events.  
  • Family Visit Accommodations: Visitor parking, mealtime accommodations for guests and rentable rooms and suites make it easy for residents to entertain out-of-town guests.

Talk to a Caring.com Family Advisor to learn more about the amenities and services available in Fresno’s assisted living communities.

Frequently Asked Questions about Assisted Living in Fresno

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Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

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