California Assisted Living Costs — 2024 Report

    2024 California assisted living cost analysis reveals $5,327 average monthly cost, ranging from $2,158 in Lynwood to $9,079 in Pacific Palisades.

    Last updated January 24, 202623 minute read
    California Assisted Living Costs — 2024 Report

    California, known for its diverse landscapes and vibrant cities, also presents a complex picture when it comes to assisted living costs. Our recent analysis of assisted living facilities across the Golden State reveals stark contrasts in affordability and highlights the financial challenges many seniors face in their retirement years.

    Key Summary

    • The average monthly cost of assisted living in California in 2024 is $5,327, which equates to $63,927 per year.
    • Costs vary widely throughout the state, from an average of $6,553 a month in Marin County, to $3,764 per month in San Joaquin County.
    • The most expensive location for assisted living costs is Pacific Palisades at $9,079 per month, while the cheapest is Lynwood at $2,158.
    • The average annual retirement income in the Golden State is just $38,243, which means most Californians will not have enough retirement income to cover their assisted living costs later in life.
    • To make up this shortfall, many residents will be required to cash in equity on their homes.
    • Californians whose retirement incomes won't cover assisted living costs and who don't own their own homes will most likely be reliant on Medicaid to cover these costs.

    The High End: Where Luxury Comes at a Premium

    Topping our list of the most expensive assisted living locations is Pacific Palisades, nestled in the Los Angeles metro area. With a monthly average cost of $9,079, residents here are looking at an annual expense of $108,951.

    This figure becomes even more striking when compared to the average annual retirement income in Los Angeles County, which stands at $37,517. Clearly, seniors choosing Pacific Palisades will need to be earning significantly above the average retirement income or have other assets they’re willing to cash in to fund this price tag.

    Other high-cost areas follow a similar pattern:

    • Foster City in the San Francisco Bay Area comes in second, with monthly costs of $8,836.
    • Calabasas and Beverly Hills, both in Los Angeles County, rank third and fourth with monthly costs of $8,620 and $8,450, respectively.
    • Berkeley rounds out the top five, with residents paying an average of $8,377 per month.

    Interestingly, the San Francisco Bay Area dominates the top 10, claiming six spots, while the Los Angeles metro area takes the other four. This concentration of high costs in these two major urban centers underscores the premium placed on assisted living in California's most desirable and economically vibrant regions.

    The Lower End: Seeking Affordability

    On the other end of the spectrum, we find locations that offer much more affordable options for seniors:

    • Lynwood, also in Los Angeles County, stands out as the most affordable location with an average monthly cost of just $2,158.
    • Lathrop in San Joaquin County follows with a monthly average of $3,360.
    • Pacifica in the San Francisco Bay Area ranks as the third most affordable at $3,514 per month.
    • South Pasadena and Los Banos round out the top five most affordable options with monthly costs of $3,548 and $3,570, respectively.

    It's worth noting that even among these more affordable options, costs can still outpace the average retirement income in their respective counties, leading to potential financial strain for many seniors.

    The Income Shortfall Challenge

    One of the most striking findings from our analysis is the prevalent income shortfall faced by seniors opting for assisted living. In Pacific Palisades, for instance, the average 22-month stay would cost $199,744, requiring $130,963 in home equity to cover the shortfall between average retirement income and assisted living costs.

    Even in more affordable areas, the shortfall can be significant. In Lathrop, despite its relatively low monthly cost, seniors still face an annual shortfall of $5,088, based on average retirement incomes, requiring $9,328 in home equity to cover a typical 22-month stay.

    Geographic Patterns

    Our data reveals interesting geographic patterns:

    • The San Francisco Bay Area and Los Angeles metro dominate the high-cost list, reflecting their status as economic powerhouses and desirable living destinations.
    • More affordable options are often found in the Central Valley (e.g., Stockton, Visalia, Fresno) and inland areas.
    • Some coastal areas, surprisingly, offer more moderate costs, such as Pacifica in the Bay Area.

    Home Values and Equity Requirements

    The relationship between assisted living costs and home values presents another layer of complexity:

    • In high-cost areas like Pacific Palisades, Beverly Hills, and Palo Alto, average home values exceed $3 million, potentially providing a financial cushion for some seniors.
    • However, in more affordable areas, lower home values (often under $500,000) may limit the equity available to cover assisted living costs.
    • The equity required to cover average income shortfalls varies widely, from none in Lynwood to over $130,000 in Pacific Palisades.

    Implications for Seniors and Families

    This data paints a complex picture for California seniors and their families:

    1. Financial Planning is Crucial: The wide range of costs and potential income shortfalls underscores the importance of early and thorough financial planning for retirement and potential assisted living needs.

    2. Geographic Flexibility Matters: Seniors open to relocating may find more affordable options, potentially easing the financial burden of assisted living.

    3. Home Equity as a Resource: For many, home equity may play a crucial role in financing assisted living, especially in high-value markets.

    4. Policy Implications: The widespread income shortfalls suggest a need for policy discussions on how to make assisted living more affordable and accessible for California's growing senior population.

    Conclusion

    California's assisted living landscape is as diverse as its geography, offering options that range from high-end luxury to more modest accommodations. However, the prevalent gap between costs and average retirement incomes highlights the financial challenges many seniors face. As the population ages, addressing these challenges will become increasingly important for families, communities, and policymakers alike.

    Whether choosing the coastal allure of Pacific Palisades or the more affordable options in the Central Valley, careful financial planning and consideration of all available resources will be key for seniors navigating this complex landscape.

    Data

    Most expensive cities in California for assisted living

    Rank Location Metro Area County Monthly Ave. Assisted Living Cost Annual Ave. Assisted Living Cost Annual Ave. Retirement Income in County Annual Income Shortfall for Assisted Living Costs Total Assisted Living Cost (Ave. 22 month stay) Average Home Value Home Equity Required to Cover Income Shortfall
    1 Pacific Palisades Los Angeles Los Angeles County $9,079 $108,951 $37,517 -$71,434 $199,744 $3,398,370 $130,963
    2 Foster City San Francisco Bay Area San Mateo County $8,836 $106,031 $43,240 -$62,791 $194,390 $1,869,616 $115,116
    3 Calabasas Los Angeles Los Angeles County $8,620 $103,442 $37,517 -$65,925 $189,644 $1,706,467 $120,863
    4 Beverly Hills Los Angeles Los Angeles County $8,450 $101,400 $37,517 -$63,883 $185,900 $3,491,047 $117,119
    5 Berkeley San Francisco Bay Area Alameda County $8,377 $100,520 $40,116 -$60,404 $184,287 $1,394,566 $110,741
    6 Belmont San Francisco Bay Area San Mateo County $7,917 $95,006 $43,240 -$51,766 $174,177 $2,200,486 $94,904
    7 Palo Alto San Francisco Bay Area Santa Clara County $7,598 $91,177 $41,273 -$49,904 $167,157 $3,327,790 $91,490
    8 Playa Vista Los Angeles Los Angeles County $7,503 $90,030 $37,517 -$52,513 $165,055 $1,341,315 $96,274
    9 Corte Madera San Francisco Bay Area Marin County $7,288 $87,450 $52,568 -$34,882 $160,325 $1,758,694 $63,950
    10 Albany San Francisco Bay Area Alameda County $7,109 $85,303 $40,116 -$45,187 $156,389 $1,210,168 $82,843
    11 Windsor San Francisco Bay Area Sonoma County $6,895 $82,734 $41,453 -$41,281 $151,680 $804,937 $75,683
    12 Aliso Viejo Los Angeles Orange County $6,853 $82,240 $42,080 -$40,160 $150,773 $989,559 $73,627
    13 Rohnert Park San Francisco Bay Area Sonoma County $6,835 $82,019 $41,453 -$40,566 $150,368 $709,263 $74,370
    14 Rosemead Los Angeles Los Angeles County $6,807 $81,678 $37,517 -$44,161 $149,743 $877,337 $80,962
    15 Santa Rosa San Francisco Bay Area Sonoma County $6,715 $80,582 $41,453 -$39,129 $147,733 $723,906 $71,736
    16 Redwood City San Francisco Bay Area San Mateo County $6,706 $80,471 $43,240 -$37,231 $147,530 $1,782,957 $68,257
    17 Burlingame San Francisco Bay Area San Mateo County $6,644 $79,731 $43,240 -$36,491 $146,174 $2,580,707 $66,901
    18 Dublin San Francisco Bay Area Alameda County $6,559 $78,704 $40,116 -$38,588 $144,291 $1,374,888 $70,745
    19 Menlo Park San Francisco Bay Area San Mateo County $6,545 $78,543 $43,240 -$35,303 $143,996 $2,597,974 $64,722
    20 San Carlos San Francisco Bay Area San Mateo County $6,543 $78,511 $43,240 -$35,271 $143,937 $2,293,374 $64,664
    21 Carpinteria Santa Barbara Santa Barbara County $6,427 $77,121 $43,109 -$34,012 $141,388 $1,359,959 $62,355
    22 Novato San Francisco Bay Area Marin County $6,415 $76,986 $52,568 -$24,418 $141,140 $1,089,438 $44,765
    23 San Lorenzo San Francisco Bay Area Alameda County $6,401 $76,807 $40,116 -$36,691 $140,812 $849,071 $67,266
    24 Alamo San Francisco Bay Area Contra Costa County $6,393 $76,715 $44,999 -$31,716 $140,644 $2,461,057 $58,146
    25 Newport Beach Los Angeles Orange County $6,392 $76,709 $42,080 -$34,629 $140,633 $3,289,875 $63,486
    26 Richmond San Francisco Bay Area Contra Costa County $6,350 $76,197 $44,999 -$31,198 $139,694 $633,441 $57,196
    27 San Ramon San Francisco Bay Area Contra Costa County $6,336 $76,034 $44,999 -$31,035 $139,396 $1,630,758 $56,897
    28 Alta Loma Los Angeles San Bernardino County $6,327 $75,929 $34,417 -$41,512 $139,203 $781,513 $76,105
    29 Pleasanton San Francisco Bay Area Alameda County $6,319 $75,832 $40,116 -$35,716 $139,025 $1,672,014 $65,479
    30 San Juan Capistrano Los Angeles Orange County $6,313 $75,752 $42,080 -$33,672 $138,878 $1,253,390 $61,731
    31 Petaluma San Francisco Bay Area Sonoma County $6,307 $75,689 $41,453 -$34,236 $138,763 $913,469 $62,766
    32 Orinda San Francisco Bay Area Contra Costa County $6,260 $75,123 $44,999 -$30,124 $137,726 $2,001,852 $55,227
    33 San Francisco San Francisco Bay Area San Francisco County $6,245 $74,941 $38,220 -$36,721 $137,391 $1,258,701 $67,321
    34 South San Francisco San Francisco Bay Area San Mateo County $6,240 $74,878 $43,240 -$31,638 $137,276 $1,227,768 $58,003
    35 El Cerrito San Francisco Bay Area Contra Costa County $6,231 $74,768 $44,999 -$29,769 $137,075 $1,144,141 $54,577
    36 Los Altos San Francisco Bay Area Santa Clara County $6,210 $74,525 $41,273 -$33,252 $136,629 $4,209,758 $60,962
    37 Daly City San Francisco Bay Area San Mateo County $6,209 $74,504 $43,240 -$31,264 $136,590 $1,139,242 $57,316
    38 Azusa Los Angeles Los Angeles County $6,188 $74,253 $37,517 -$36,736 $136,131 $696,182 $67,350
    39 San Mateo San Francisco Bay Area San Mateo County $6,184 $74,209 $43,240 -$30,969 $136,050 $1,610,517 $56,777
    40 El Centro El Centro Imperial County $6,179 $74,151 $27,469 -$46,682 $135,944 $358,547 $85,584
    41 Sunnyvale San Francisco Bay Area Santa Clara County $6,145 $73,743 $41,273 -$32,470 $135,196 $2,014,550 $59,529
    42 Irvine Los Angeles Orange County $6,140 $73,685 $42,080 -$31,605 $135,090 $1,536,644 $57,943
    43 Oakland San Francisco Bay Area Alameda County $6,137 $73,649 $40,116 -$33,533 $135,023 $762,157 $61,477
    44 Alameda San Francisco Bay Area Alameda County $6,106 $73,272 $40,116 -$33,156 $134,332 $1,196,730 $60,786
    45 Brea Los Angeles Orange County $6,097 $73,158 $42,080 -$31,078 $134,123 $1,085,510 $56,977
    46 Sierra Madre Los Angeles Los Angeles County $6,090 $73,085 $37,517 -$35,568 $133,990 $1,414,804 $65,209
    47 Nipomo San Luis Obispo-Paso Robles San Luis Obispo County $6,083 $72,994 $46,390 -$26,604 $133,822 $906,216 $48,773
    48 San Gabriel Los Angeles Los Angeles County $6,051 $72,610 $37,517 -$35,093 $133,118 $1,067,448 $64,337
    49 Napa San Francisco Bay Area Napa County $6,021 $72,252 $43,918 -$28,334 $132,462 $900,491 $51,946
    50 Grand Terrace Riverside-San Bernardino-Ontario San Bernardino County $5,994 $71,928 $34,417 -$37,511 $131,868 $576,039 $68,770

    Most expensive counties in California for assisted living

    County Ave. Monthly Cost Ave. Annual Cost Ave. Annual Retirement Income Income Shortfall
    Alameda County $6,045 $72,536 $40,116 -$32,420
    Butte County $5,225 $62,695 $37,169 -$25,526
    Contra Costa County $5,589 $67,073 $44,999 -$22,074
    El Dorado County $4,842 $58,106 $43,673 -$14,433
    Fresno County $4,742 $56,907 $32,413 -$24,494
    Humboldt County $4,967 $59,608 $34,702 -$24,906
    Imperial County $6,179 $74,151 $27,469 -$46,682
    Kern County $4,590 $55,075 $33,040 -$22,035
    Kings County $4,450 $53,401 $29,969 -$23,432
    Lake County $5,246 $62,955 $30,077 -$32,878
    Los Angeles County $5,317 $63,801 $37,517 -$26,284
    Madera County $4,495 $53,937 $34,917 -$19,020
    Marin County $6,553 $78,632 $52,568 -$26,064
    Mendocino County $5,360 $64,320 $31,773 -$32,547
    Merced County $3,822 $45,868 $31,878 -$13,990
    Monterey County $5,418 $65,019 $43,867 -$21,152
    Napa County $5,704 $68,453 $43,918 -$24,535
    Nevada County $5,096 $61,147 $44,175 -$16,972
    Orange County $5,433 $65,196 $42,080 -$23,116
    Placer County $5,262 $63,141 $44,100 -$19,041
    Riverside County $5,177 $62,125 $36,392 -$25,733
    Sacramento County $5,119 $61,430 $40,396 -$21,034
    San Benito County $4,075 $48,895 $39,625 -$9,270
    San Bernardino County $5,330 $63,962 $34,417 -$29,545
    San Diego County $5,397 $64,763 $39,550 -$25,213
    San Francisco County $6,245 $74,941 $38,220 -$36,721
    San Joaquin County $3,764 $45,170 $35,236 -$9,934
    San Luis Obispo County $5,547 $66,570 $46,390 -$20,180
    San Mateo County $6,414 $76,967 $43,240 -$33,727
    Santa Barbara County $5,684 $68,211 $43,109 -$25,102
    Santa Clara County $5,574 $66,890 $41,273 -$25,617
    Santa Cruz County $5,241 $62,893 $37,695 -$25,198
    Shasta County $4,904 $58,854 $34,150 -$24,704
    Solano County $5,017 $60,203 $39,787 -$20,416
    Sonoma County $6,425 $77,104 $41,453 -$35,651
    Stanislaus County $4,201 $50,412 $29,010 -$21,402
    Sutter County $5,623 $67,478 $37,917 -$29,561
    Tehama County $5,154 $61,851 $33,128 -$28,723
    Tulare County $4,410 $52,915 $29,548 -$23,367
    Ventura County $5,460 $65,516 $40,647 -$24,869
    Yolo County $5,319 $63,830 $45,306 -$18,524
    Yuba County $4,739 $56,869 $30,116 -$26,753

    Most affordable cities in California for assisted living

    Rank Location Metro Area County Monthly Ave. Assisted Living Cost Annual Ave. Assisted Living Cost Annual Ave. Retirement Income in County Annual Income Shortfall for Assisted Living Costs Total Assisted Living Cost (Ave. 22 month stay) Average Home Value Home Equity Required to Cover Income Shortfall
    1 Lynwood Los Angeles Los Angeles County $2,158 $25,896 $37,517 No Shortfall $47,476 $654,264 None required
    2 Lathrop Stockton San Joaquin County $3,360 $40,324 $35,236 -$5,088 $73,927 $657,413 $9,328
    3 Pacifica San Francisco Bay Area San Mateo County $3,514 $42,171 $43,240 No Shortfall $77,314 $1,273,298 None required
    4 South Pasadena Los Angeles Los Angeles County $3,548 $42,576 $37,517 -$5,059 $78,056 $1,714,496 $9,275
    5 Los Banos Merced Merced County $3,570 $42,836 $31,878 -$10,958 $78,533 $466,110 $20,090
    6 San Fernando Los Angeles Los Angeles County $3,705 $44,463 $37,517 -$6,946 $81,516 $715,995 $12,734
    7 Stockton Stockton San Joaquin County $3,725 $44,700 $35,236 -$9,464 $81,951 $441,009 $17,351
    8 Tehachapi Bakersfield Kern County $3,747 $44,964 $33,040 -$11,924 $82,434 $418,901 $21,861
    9 Salida Modesto Stanislaus County $3,788 $45,451 $29,010 -$16,441 $83,326 $491,814 $30,141
    10 Tracy Stockton San Joaquin County $3,807 $45,686 $35,236 -$10,450 $83,757 $782,661 $19,158
    11 Visalia Visalia Tulare County $3,811 $45,729 $29,548 -$16,181 $83,837 $385,163 $29,665
    12 Lodi Stockton San Joaquin County $3,817 $45,799 $35,236 -$10,563 $83,964 $514,500 $19,365
    13 Bakersfield Bakersfield Kern County $3,817 $45,809 $33,040 -$12,769 $83,983 $388,567 $23,410
    14 Patterson Modesto Stanislaus County $3,859 $46,302 $29,010 -$17,292 $84,887 $519,749 $31,702
    15 Ripon Stockton San Joaquin County $3,922 $47,061 $35,236 -$11,825 $86,278 $677,295 $21,679
    16 Manteca Stockton San Joaquin County $3,954 $47,448 $35,236 -$12,212 $86,988 $599,021 $22,389
    17 Fresno Fresno Fresno County $3,992 $47,905 $32,413 -$15,492 $87,826 $382,370 $28,402
    18 Modesto Modesto Stanislaus County $4,014 $48,165 $29,010 -$19,155 $88,302 $445,500 $35,117
    19 Porterville Visalia Tulare County $4,031 $48,375 $29,548 -$18,827 $88,688 $317,272 $34,516
    20 Ontario Riverside-San Bernardino-Ontario San Bernardino County $4,037 $48,439 $34,417 -$14,022 $88,804 $668,110 $25,706
    21 Hollister San Jose-Sunnyvale-Santa Clara San Benito County $4,075 $48,895 $39,625 -$9,270 $89,641 $763,815 $16,995
    22 Merced Merced Merced County $4,075 $48,899 $31,878 -$17,021 $89,648 $395,670 $31,205
    23 Riverside Riverside-San Bernardino-Ontario Riverside County $4,112 $49,348 $36,392 -$12,956 $90,470 $640,448 $23,752
    24 San Bernardino Riverside-San Bernardino-Ontario San Bernardino County $4,231 $50,772 $34,417 -$16,355 $93,082 $488,102 $29,984
    25 Oakdale Modesto Stanislaus County $4,351 $52,207 $29,010 -$23,197 $95,713 $550,139 $42,528
    26 Turlock Modesto Stanislaus County $4,360 $52,323 $29,010 -$23,313 $95,926 $481,156 $42,741
    27 Fortuna Eureka-Arcata-Fortuna Humboldt County $4,381 $52,569 $34,702 -$17,867 $96,376 $419,833 $32,755
    28 Hanford Hanford-Corcoran Kings County $4,450 $53,401 $29,969 -$23,432 $97,902 $366,243 $42,959
    29 Lake Balboa Los Angeles Los Angeles County $4,469 $53,630 $37,517 -$16,113 $98,322 $851,183 $29,541
    30 Redding Redding Shasta County $4,491 $53,897 $34,150 -$19,747 $98,812 $390,749 $36,204
    31 Madera Madera Madera County $4,495 $53,937 $34,917 -$19,020 $98,884 $403,669 $34,869
    32 Marysville Yuba City Yuba County $4,517 $54,209 $30,116 -$24,093 $99,383 $386,421 $44,170
    33 Santa Clara San Jose-Sunnyvale-Santa Cruz Santa Clara County $4,543 $54,511 $41,273 -$13,238 $99,936 $1,666,143 $24,269
    34 Marina Salinas Monterey County $4,553 $54,639 $43,867 -$10,772 $100,172 $867,975 $19,749
    35 Montrose Los Angeles Los Angeles County $4,583 $54,990 $37,517 -$17,473 $100,815 $1,289,595 $32,034
    36 Covina Los Angeles Los Angeles County $4,592 $55,109 $37,517 -$17,592 $101,033 $782,690 $32,252
    37 Lawndale Los Angeles Los Angeles County $4,609 $55,310 $37,517 -$17,793 $101,402 $765,303 $32,621
    38 Suisun San Francisco Bay Area Solano County $4,627 $55,521 $39,787 -$15,734 $101,789 $547,159 $28,846
    39 Seal Beach Los Angeles Orange County $4,665 $55,975 $42,080 -$13,895 $102,621 $879,884 $25,474
    40 Cupertino San Jose-Sunnyvale-Santa Cruz Santa Clara County $4,689 $56,262 $41,273 -$14,989 $103,147 $2,874,109 $27,480
    41 Placerville Sacramento El Dorado County $4,700 $56,400 $43,673 -$12,727 $103,400 $530,156 $23,333
    42 Walnut Los Angeles Los Angeles County $4,746 $56,950 $37,517 -$19,433 $104,409 $1,161,160 $35,628
    43 El Dorado Hills Sacramento El Dorado County $4,753 $57,031 $43,673 -$13,358 $104,558 $926,227 $24,490
    44 West Sacramento Sacramento Yolo County $4,768 $57,221 $45,306 -$11,915 $104,906 $525,719 $21,845
    45 Fremont San Francisco Bay Area Alameda County $4,795 $57,536 $40,116 -$17,420 $105,483 $1,552,321 $31,937
    46 Moorpark Oxnard-Thousand Oaks-Ventura Ventura County $4,821 $57,849 $40,647 -$17,202 $106,057 $937,466 $31,537
    47 Oakley San Francisco Bay Area Contra Costa County $4,833 $57,990 $44,999 -$12,991 $106,315 $678,103 $23,817
    48 Riverbank Modesto Stanislaus County $4,835 $58,025 $29,010 -$29,015 $106,379 $479,014 $53,194
    49 Inglewood Los Angeles Los Angeles County $4,836 $58,030 $37,517 -$20,513 $106,388 $743,072 $37,607
    50 Whittier Los Angeles Los Angeles County $4,853 $58,232 $37,517 -$20,715 $106,759 $799,561 $37,978

    Report Methodology

    Assisted living facility prices were collected from the Mirador database and are correct as of September 2024. Locations with 3 or less facilities were removed from the analysis to avoid low sample sizes from skewing averages, while locations with populations of less than 10,000 were also removed, in order for the study to focus on more populated areas.

    Average retirement incomes data was collected from the data.census.gov website and are correct as of September 2024. Average home values were collected from Zillow.com and are correct as of September 2024.

    Dharam Khalsa
    Written by

    Dharam Khalsa

    Dee Khalsa is a Certified Senior Advisor serving the needs of Bay Area families. He is passionate about working with aging adults and embarked upon this calling after witnessing the difficulties his own grandmother faced in locating suitable care. He has an undergraduate degree from Oberlin College and an MBA from the Kellogg School of Management, Northwestern University.

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