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

RankLocationMetro AreaCountyMonthly Ave. Assisted Living CostAnnual Ave. Assisted Living CostAnnual Ave. Retirement Income in CountyAnnual Income Shortfall for Assisted Living CostsTotal Assisted Living Cost (Ave. 22 month stay)Average Home ValueHome Equity Required to Cover Income Shortfall
1Pacific PalisadesLos AngelesLos Angeles County$9,079$108,951$37,517-$71,434$199,744$3,398,370$130,963
2Foster CitySan Francisco Bay AreaSan Mateo County$8,836$106,031$43,240-$62,791$194,390$1,869,616$115,116
3CalabasasLos AngelesLos Angeles County$8,620$103,442$37,517-$65,925$189,644$1,706,467$120,863
4Beverly HillsLos AngelesLos Angeles County$8,450$101,400$37,517-$63,883$185,900$3,491,047$117,119
5BerkeleySan Francisco Bay AreaAlameda County$8,377$100,520$40,116-$60,404$184,287$1,394,566$110,741
6BelmontSan Francisco Bay AreaSan Mateo County$7,917$95,006$43,240-$51,766$174,177$2,200,486$94,904
7Palo AltoSan Francisco Bay AreaSanta Clara County$7,598$91,177$41,273-$49,904$167,157$3,327,790$91,490
8Playa VistaLos AngelesLos Angeles County$7,503$90,030$37,517-$52,513$165,055$1,341,315$96,274
9Corte MaderaSan Francisco Bay AreaMarin County$7,288$87,450$52,568-$34,882$160,325$1,758,694$63,950
10AlbanySan Francisco Bay AreaAlameda County$7,109$85,303$40,116-$45,187$156,389$1,210,168$82,843
11WindsorSan Francisco Bay AreaSonoma County$6,895$82,734$41,453-$41,281$151,680$804,937$75,683
12Aliso ViejoLos AngelesOrange County$6,853$82,240$42,080-$40,160$150,773$989,559$73,627
13Rohnert ParkSan Francisco Bay AreaSonoma County$6,835$82,019$41,453-$40,566$150,368$709,263$74,370
14RosemeadLos AngelesLos Angeles County$6,807$81,678$37,517-$44,161$149,743$877,337$80,962
15Santa RosaSan Francisco Bay AreaSonoma County$6,715$80,582$41,453-$39,129$147,733$723,906$71,736
16Redwood CitySan Francisco Bay AreaSan Mateo County$6,706$80,471$43,240-$37,231$147,530$1,782,957$68,257
17BurlingameSan Francisco Bay AreaSan Mateo County$6,644$79,731$43,240-$36,491$146,174$2,580,707$66,901
18DublinSan Francisco Bay AreaAlameda County$6,559$78,704$40,116-$38,588$144,291$1,374,888$70,745
19Menlo ParkSan Francisco Bay AreaSan Mateo County$6,545$78,543$43,240-$35,303$143,996$2,597,974$64,722
20San CarlosSan Francisco Bay AreaSan Mateo County$6,543$78,511$43,240-$35,271$143,937$2,293,374$64,664
21CarpinteriaSanta BarbaraSanta Barbara County$6,427$77,121$43,109-$34,012$141,388$1,359,959$62,355
22NovatoSan Francisco Bay AreaMarin County$6,415$76,986$52,568-$24,418$141,140$1,089,438$44,765
23San LorenzoSan Francisco Bay AreaAlameda County$6,401$76,807$40,116-$36,691$140,812$849,071$67,266
24AlamoSan Francisco Bay AreaContra Costa County$6,393$76,715$44,999-$31,716$140,644$2,461,057$58,146
25Newport BeachLos AngelesOrange County$6,392$76,709$42,080-$34,629$140,633$3,289,875$63,486
26RichmondSan Francisco Bay AreaContra Costa County$6,350$76,197$44,999-$31,198$139,694$633,441$57,196
27San RamonSan Francisco Bay AreaContra Costa County$6,336$76,034$44,999-$31,035$139,396$1,630,758$56,897
28Alta LomaLos AngelesSan Bernardino County$6,327$75,929$34,417-$41,512$139,203$781,513$76,105
29PleasantonSan Francisco Bay AreaAlameda County$6,319$75,832$40,116-$35,716$139,025$1,672,014$65,479
30San Juan CapistranoLos AngelesOrange County$6,313$75,752$42,080-$33,672$138,878$1,253,390$61,731
31PetalumaSan Francisco Bay AreaSonoma County$6,307$75,689$41,453-$34,236$138,763$913,469$62,766
32OrindaSan Francisco Bay AreaContra Costa County$6,260$75,123$44,999-$30,124$137,726$2,001,852$55,227
33San FranciscoSan Francisco Bay AreaSan Francisco County$6,245$74,941$38,220-$36,721$137,391$1,258,701$67,321
34South San FranciscoSan Francisco Bay AreaSan Mateo County$6,240$74,878$43,240-$31,638$137,276$1,227,768$58,003
35El CerritoSan Francisco Bay AreaContra Costa County$6,231$74,768$44,999-$29,769$137,075$1,144,141$54,577
36Los AltosSan Francisco Bay AreaSanta Clara County$6,210$74,525$41,273-$33,252$136,629$4,209,758$60,962
37Daly CitySan Francisco Bay AreaSan Mateo County$6,209$74,504$43,240-$31,264$136,590$1,139,242$57,316
38AzusaLos AngelesLos Angeles County$6,188$74,253$37,517-$36,736$136,131$696,182$67,350
39San MateoSan Francisco Bay AreaSan Mateo County$6,184$74,209$43,240-$30,969$136,050$1,610,517$56,777
40El CentroEl CentroImperial County$6,179$74,151$27,469-$46,682$135,944$358,547$85,584
41SunnyvaleSan Francisco Bay AreaSanta Clara County$6,145$73,743$41,273-$32,470$135,196$2,014,550$59,529
42IrvineLos AngelesOrange County$6,140$73,685$42,080-$31,605$135,090$1,536,644$57,943
43OaklandSan Francisco Bay AreaAlameda County$6,137$73,649$40,116-$33,533$135,023$762,157$61,477
44AlamedaSan Francisco Bay AreaAlameda County$6,106$73,272$40,116-$33,156$134,332$1,196,730$60,786
45BreaLos AngelesOrange County$6,097$73,158$42,080-$31,078$134,123$1,085,510$56,977
46Sierra MadreLos AngelesLos Angeles County$6,090$73,085$37,517-$35,568$133,990$1,414,804$65,209
47NipomoSan Luis Obispo-Paso RoblesSan Luis Obispo County$6,083$72,994$46,390-$26,604$133,822$906,216$48,773
48San GabrielLos AngelesLos Angeles County$6,051$72,610$37,517-$35,093$133,118$1,067,448$64,337
49NapaSan Francisco Bay AreaNapa County$6,021$72,252$43,918-$28,334$132,462$900,491$51,946
50Grand TerraceRiverside-San Bernardino-OntarioSan Bernardino County$5,994$71,928$34,417-$37,511$131,868$576,039$68,770

Most expensive counties in California for assisted living

CountyAve. Monthly CostAve. Annual CostAve. Annual Retirement IncomeIncome 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

RankLocationMetro AreaCountyMonthly Ave. Assisted Living CostAnnual Ave. Assisted Living CostAnnual Ave. Retirement Income in CountyAnnual Income Shortfall for Assisted Living CostsTotal Assisted Living Cost (Ave. 22 month stay)Average Home ValueHome Equity Required to Cover Income Shortfall
1LynwoodLos AngelesLos Angeles County$2,158$25,896$37,517No Shortfall$47,476$654,264None required
2LathropStocktonSan Joaquin County$3,360$40,324$35,236-$5,088$73,927$657,413$9,328
3PacificaSan Francisco Bay AreaSan Mateo County$3,514$42,171$43,240No Shortfall$77,314$1,273,298None required
4South PasadenaLos AngelesLos Angeles County$3,548$42,576$37,517-$5,059$78,056$1,714,496$9,275
5Los BanosMercedMerced County$3,570$42,836$31,878-$10,958$78,533$466,110$20,090
6San FernandoLos AngelesLos Angeles County$3,705$44,463$37,517-$6,946$81,516$715,995$12,734
7StocktonStocktonSan Joaquin County$3,725$44,700$35,236-$9,464$81,951$441,009$17,351
8TehachapiBakersfieldKern County$3,747$44,964$33,040-$11,924$82,434$418,901$21,861
9SalidaModestoStanislaus County$3,788$45,451$29,010-$16,441$83,326$491,814$30,141
10TracyStocktonSan Joaquin County$3,807$45,686$35,236-$10,450$83,757$782,661$19,158
11VisaliaVisaliaTulare County$3,811$45,729$29,548-$16,181$83,837$385,163$29,665
12LodiStocktonSan Joaquin County$3,817$45,799$35,236-$10,563$83,964$514,500$19,365
13BakersfieldBakersfieldKern County$3,817$45,809$33,040-$12,769$83,983$388,567$23,410
14PattersonModestoStanislaus County$3,859$46,302$29,010-$17,292$84,887$519,749$31,702
15RiponStocktonSan Joaquin County$3,922$47,061$35,236-$11,825$86,278$677,295$21,679
16MantecaStocktonSan Joaquin County$3,954$47,448$35,236-$12,212$86,988$599,021$22,389
17FresnoFresnoFresno County$3,992$47,905$32,413-$15,492$87,826$382,370$28,402
18ModestoModestoStanislaus County$4,014$48,165$29,010-$19,155$88,302$445,500$35,117
19PortervilleVisaliaTulare County$4,031$48,375$29,548-$18,827$88,688$317,272$34,516
20OntarioRiverside-San Bernardino-OntarioSan Bernardino County$4,037$48,439$34,417-$14,022$88,804$668,110$25,706
21HollisterSan Jose-Sunnyvale-Santa ClaraSan Benito County$4,075$48,895$39,625-$9,270$89,641$763,815$16,995
22MercedMercedMerced County$4,075$48,899$31,878-$17,021$89,648$395,670$31,205
23RiversideRiverside-San Bernardino-OntarioRiverside County$4,112$49,348$36,392-$12,956$90,470$640,448$23,752
24San BernardinoRiverside-San Bernardino-OntarioSan Bernardino County$4,231$50,772$34,417-$16,355$93,082$488,102$29,984
25OakdaleModestoStanislaus County$4,351$52,207$29,010-$23,197$95,713$550,139$42,528
26TurlockModestoStanislaus County$4,360$52,323$29,010-$23,313$95,926$481,156$42,741
27FortunaEureka-Arcata-FortunaHumboldt County$4,381$52,569$34,702-$17,867$96,376$419,833$32,755
28HanfordHanford-CorcoranKings County$4,450$53,401$29,969-$23,432$97,902$366,243$42,959
29Lake BalboaLos AngelesLos Angeles County$4,469$53,630$37,517-$16,113$98,322$851,183$29,541
30ReddingReddingShasta County$4,491$53,897$34,150-$19,747$98,812$390,749$36,204
31MaderaMaderaMadera County$4,495$53,937$34,917-$19,020$98,884$403,669$34,869
32MarysvilleYuba CityYuba County$4,517$54,209$30,116-$24,093$99,383$386,421$44,170
33Santa ClaraSan Jose-Sunnyvale-Santa CruzSanta Clara County$4,543$54,511$41,273-$13,238$99,936$1,666,143$24,269
34MarinaSalinasMonterey County$4,553$54,639$43,867-$10,772$100,172$867,975$19,749
35MontroseLos AngelesLos Angeles County$4,583$54,990$37,517-$17,473$100,815$1,289,595$32,034
36CovinaLos AngelesLos Angeles County$4,592$55,109$37,517-$17,592$101,033$782,690$32,252
37LawndaleLos AngelesLos Angeles County$4,609$55,310$37,517-$17,793$101,402$765,303$32,621
38SuisunSan Francisco Bay AreaSolano County$4,627$55,521$39,787-$15,734$101,789$547,159$28,846
39Seal BeachLos AngelesOrange County$4,665$55,975$42,080-$13,895$102,621$879,884$25,474
40CupertinoSan Jose-Sunnyvale-Santa CruzSanta Clara County$4,689$56,262$41,273-$14,989$103,147$2,874,109$27,480
41PlacervilleSacramentoEl Dorado County$4,700$56,400$43,673-$12,727$103,400$530,156$23,333
42WalnutLos AngelesLos Angeles County$4,746$56,950$37,517-$19,433$104,409$1,161,160$35,628
43El Dorado HillsSacramentoEl Dorado County$4,753$57,031$43,673-$13,358$104,558$926,227$24,490
44West SacramentoSacramentoYolo County$4,768$57,221$45,306-$11,915$104,906$525,719$21,845
45FremontSan Francisco Bay AreaAlameda County$4,795$57,536$40,116-$17,420$105,483$1,552,321$31,937
46MoorparkOxnard-Thousand Oaks-VenturaVentura County$4,821$57,849$40,647-$17,202$106,057$937,466$31,537
47OakleySan Francisco Bay AreaContra Costa County$4,833$57,990$44,999-$12,991$106,315$678,103$23,817
48RiverbankModestoStanislaus County$4,835$58,025$29,010-$29,015$106,379$479,014$53,194
49InglewoodLos AngelesLos Angeles County$4,836$58,030$37,517-$20,513$106,388$743,072$37,607
50WhittierLos AngelesLos 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.

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