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 who need daily assistance. As of 2024, facilities in this city see monthly rates of around $6,750, meaning seniors anticipate spending beyond the state median of $6,250 for residential care.
In the following directory, we help you compare local facilities and identify available amenities by publishing 314 reviews reviews from current and previous residents and visitors. Based on this feedback, we record an overall quality score of 4.4 out of 5 stars stars for local assisted living facilities.
7444 N Cedar Ave, Fresno, CA 93720
4.8
(21 reviews)
"We toured The Grove. It's excellent. That's a very nice place. Everybody wants their parents to go there. The rooms were nice, very clean, and large. Amber was very nice. She was informative and helped us understand the process. What I liked most was..."
$3,600
CARING STARS WINNER
5605 N. Gates Ave., Fresno, CA 93722
4.5
(54 reviews)
"Quality of living is high end, including the food! No frozen food here! The staff is all so kind, great with pets!..."
$4,395
CARING STARS WINNER
7442 N Millbrook Ave, Fresno, CA 93720
4.8
(12 reviews)
"Westmont is a beautiful and welcoming community. Eddie and the staff are awesome. They went above and beyond to make Mom feel welcome and at ease with the move. Westmont offers a variety of fun activities, which is a fantastic way to keep everyone ac..."
$3,195
4356 W Ashlan Avenue, Fresno, CA 93722
4.4
(29 reviews)
"We got my aunt settled in an assisted living facility called Paintbrush Assisted Living and Memory Care. It's a beautiful facility and she can afford it, and so it works just fine. It is physically attractive and offers wonderful services. They have ..."
$3,125
6161 W Spruce Ave, Fresno, CA 93722
4.6
(12 reviews)
"I toured Kingston Bay. It was amazing, great people. They were calling back. I mean, almost every other day, checking in, "Hey, how's your mom doing?" They were trying to work with me and the budget, but when it came to the fact that they don't accep..."
$2,995
540 S. Peach Ave., Fresno, CA 93727
4.5
(13 reviews)
"Vintage Gardens Assisted Living was a 2-story building. I did not see too many residents walking around or in the common areas while I was touring around. The place was clean and the rooms were nice. The dining area was nice, too. They had water avai..."
$3,400
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1100 E Spruce Ave, Fresno, CA 93720
4.3
(22 reviews)
"I toured The Windham. They showed me around. They don't have any openings, but it was very nice. It seems like everybody was happy. It also smelled nice, and it's clean. The tour was really great. The staff was very nice. The building was very utilit..."
$3,595
CARING STARS WINNER
1715 E. Alluvial Ave., Fresno, CA 93720
4.2
(29 reviews)
"My husband and I liked Pacifica Senior Living Fresno. The gentleman who took us around, Luke, was fabulous. He was showing us everything. The facility was very nice. The room was also very nice. They had a stove and everything, but it was very small...."
$2,795
2121 N. First, Fresno, CA 93703
4.8
(5 reviews)
"Nazareth House of Fresno met my parents' needs. My dad was a head doctor at a Catholic hospital his whole career, and this is Catholic-run by the nuns. They go all the way up to hospice care. The meals are good and they're scheduled, which is importa..."
$4,061
5425 W. Spruce, Fresno, CA 93722
4.5
(6 reviews)
"My mom has been at River Bluffs for many years. I can't speak highly enough of the quality care she gets from Donna, Alexis and the whole staff. They are caring, knowledgeable, advocate for what's best for my mom with her doctors and treat my mom w..."
$3,299
6775 West Stuart Avenue, Fresno, CA 93723
5.0
(1 reviews)
"AFTER MY HOUSE,THERE IS NOT A PLACE LIKE THIS WHERE YOU FIND SO MUCH LOVE ..."
$4,000
5633 N. Maroa Ave, Fresno, CA 93704
Chateau Jesadean Discover the charm of a historic Chateau style 6 private bedroom facility located in the midst of Fig Garden residential area. The backyard boasts of a majestic view for residents and their guests to enjoy their time together. An exceptional team of caregivers will provide personalized care 24/7 with daily living activities for the elderly. It exemplifies a social model of care. Services included but not limited to are: Medication Management Incontinence Care Memory Care Alzheimer Care Well-balanced and nutritious meals and snacks Laundry services Comcast Cable Wifi Grooming including showers Coordination with Hospice agencies Medical and Medicare residents Personalized care plan Onsite Physician, physical therapist and other skilled professionals Disability assistance We provide care to the elderly, who require assistance in facing day-to-day challenges. Our care is customized to each residents needs. Our caring staff is experienced in assisting with a wide variety of individual challenges: Early Dementia Mild Dementia Late Dementia Alzheimers Memory loss Developmental disabilities Depression Osteoporosis Incontinence Wound care treatment (Stage I & II) Sundowner Syndrome Parkinsons Disease Tendency to Fall Forgetfulness Diabetic (Self-administered or administered) Diabetic -Diet Control Diabetic -Oral Medication Diabetic -Staff Injection Mild Stroke Pacemaker Care Arthritis Asthma Mild Depression Daily Needs Colostomy or Urostomy Wandering (Wanderguard alert) Catheter Management Breathing Support Oxygen Lung Disease (COPD) Heart Disease Bipap Cpap Transfer Assist Full lift Walker Wheelchair Stand By Assist Hospice -End of life Comprehensive and Compassionate Care: Our compassionate caregivers are at your service 24/7, delivering a wide range of services to ensure the well-being and comfort of our residents.To learn more about this providers license and review other available state reports, please visit: California Department of Social Services Licensed Facility Search
$4,300
1415 W Scott Ave, Fresno, CA 93711
Evergreen Court Assisted Living is a 6 private bedroom facility located in the heart of Fresno. It features spacious 6 private rooms with bathrooms, a huge central living room and a dining room situated in the Fig Garden area. Our nurturing and skilled staff provide personalized care for 24/7 with daily living activities for the elderly. Services included but not limited to are: Medication Management Incontinence Care Memory Care Well-balanced and nutritious meals and snacks Laundry Services Comcast Cable Wifi Grooming including showers Coordination with Hospice agencies Medical and Medicare patients Personalized care plan Onsite Physician, physical therapist and other skilled professionals We provide care to the elderly, who require assistance in facing day-to-day challenges. Our care is customized to each residents needs. Our caring staff is experienced in assisting with a wide variety of individual challenges: Early Dementia Mild Dementia Late Dementia Alzheimers Memory loss Developmental disabilities Depression Osteoporosis Incontinence Wound care treatment (Stage I & II) Sundowner Syndrome Parkinsons Disease Tendency to Fall Forgetfulness Diabetic (Self-administered or administered) Diabetic -Diet Control Diabetic -Oral Medication Diabetic -Staff Injection Mild Stroke Pacemaker Care Arthritis Asthma Mild Depression Daily Needs Colostomy or Urostomy Wandering (Wanderguard alert) Catheter Management Breathing Support Oxygen Lung Disease (COPD) Heart Disease Bipap Cpap Transfer Assist Full lift Walker Wheelchair Stand By Assist Hospice -End of life Spacious backyard is used by residents for gardening or simply enjoying the sunshine with their family during visits. Large oak trees surround the property with majestic views. Join us for a life filled with warmth, dignity and a peace of mind.To learn more about this providers license and review other available state reports, please visit: California Department of Social Services Licensed Facility Search
$4,200
542 W. Browning Ave., Fresno, CA 93704
Northwest Villa A spacious and sprawling 6 private bedroom facility resides in the Fig Garden area of Fresno. It is a perfect fit for your aging needs and care. Independent living, assisted living, memory care, and Alzheimer's care are provided to our senior residents to help them thrive physically, mentally and socially within our community. A huge foyer, living room and a dining room adds an elegant lifestyle to our residents. Compassionate caregivers provide 24/7 assistance with services which include but are not limited to: Medication Management Incontinence Care Memory Care Well-balanced and nutritious meals and snacks Laundry Services Comcast Cable Wifi Grooming including showers Coordination with Hospice agencies Medical and Medicare patients Personalized care plan Onsite Physician, physical therapist and other skilled professionals We provide care to the elderly, who require assistance in facing day-to-day challenges. Our care is customized to each residents needs. Our caring staff is experienced in assisting with a wide variety of individual challenges: Early Dementia Mild Dementia Late Dementia Alzheimers Memory loss Developmental disabilities Depression Osteoporosis Incontinence Wound care treatment (Stage I & II) Sundowner Syndrome Parkinsons Disease Tendency to Fall Forgetfulness Diabetic (Self-administered or administered) Diabetic -Diet Control Diabetic -Oral Medication Diabetic -Staff Injection Mild Stroke Pacemaker Care Arthritis Asthma Mild Depression Daily Needs Colostomy or Urostomy Wandering (Wanderguard alert) Catheter Management Breathing Support Oxygen Lung Disease (COPD) Heart Disease Bipap Cpap Transfer Assist Full lift Walker Wheelchair Stand By Assist Hospice - End of life To learn more about this providers license and review other available state reports, please visit: California Department of Social Services Licensed Facility Search
$4,999
1552 E Muncie Ave, Fresno, CA 93720
WELCOME TO GRAYSFUL LIVING Let us provide you with a safe and comfortable accommodation with friendly and exceptional care. Care You Can Trust: We are a residential care facility for the elderly (RCFE) in the Fresno/Clovis area, providing assistance with daily living for senior residents, those with dementia, and those under hospice services. We also offer short term respite care when we have room availability. Individualized Plan: We understand that not one care plan fits all. Daily services can include anything from meal preparation, hygiene, cleaning, and supervision. We will take the time to get to know you and develop an individualized care plan that fits your specific needs. Experienced Caregivers: We pride ourselves with highly-trained care staff who are friendly, courteous, conscientious, and compassionate who are available round the clock. Assistance for Daily Living: Assistance with bathing, showering, toileting, dressing, personal grooming, and hygiene. Medication Management: Medication storage, intake, and monitoring. We also assist with pharmacy and physician office refills and reminders. Housekeeping: We offer on-site laundry and linen services. All utilities included.To learn more about this providers license and review other available state reports, please visit: California Department of Social Services Licensed Facility Search
$5,000
5555 North Fresno Street, Fresno, CA 93710
4.7
(9 reviews)
"I had a friend that is in The Terraces at San Joaquin Gardens and that's a very upscale place. She just loved it there (they are a couple). It's very, very nice. They have three restaurants. They take their residents to different places. They enjoyed..."
Pricing not available
9525 N. Ft. Washington Rd., Fresno, CA 93730
4.2
(36 reviews)
"My mother has moved into Fairwinds - Woodward Park. It's very nice and she's enjoying it. The staff is very friendly, very nice, and helpful. She hasn't had to use the services yet because she's in the independent living, but everything seems fine. I..."
Pricing not available
6694 E Kings Canyon Rd, Fresno, CA 93727
5.0
(6 reviews)
"My brother was in hospice care at The Vineyard California Armenian Home. Everything they did was very thorough. The people were very friendly and caring, which I take to heart. Anything we needed, they were right there to help us. The whole area was ..."
Pricing not available
4851 North Harrison Avenue, Fresno, CA 93704
4.6
(9 reviews)
"This home and its staff were a blessing in such a grief stricken time in our lives. The compassion and genuine care of not only our loved ones but family and visitors was outstanding. Communication with family was exceptional. The care team is emp..."
Pricing not available
6720 E Kings Canyon Rd, Fresno, CA 93727
4.0
(6 reviews)
"The Vineyards at The California Armenian Home (Formerly California Home For The Aged) is very well lit, very well taken care of, and it's pretty much brand new. My experience has been great. The staff is great. If I ask a question, they tell me what ..."
Pricing not available
Assisted Living
Leigh
4.0
Review of Paintbrush Assisted Living and Memory Care
I toured Paintbrush Assisted Living and Memory Care. It looked like a big luxury hotel with wood beams, big dining rooms, community television rooms, and stuff, but it was very expensive. The...
Assisted Living
Katherine Davenport
5.0
Review of Westmont of Fresno
Westmont is a beautiful and welcoming community. Eddie and the staff are awesome. They went above and beyond to make Mom feel welcome and at ease with the move. Westmont offers a variety of fun...
Assisted Living
Reviewer#ET0121c
4.0
Review of Fairwinds - Woodward Park
We toured Fairwinds - Woodward Park. We got a beautiful reception from the saleslady and the other staff members, it's just the clientele seemed a little off-putting. It's a beautiful facility.
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
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.
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.
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.
| Location | 2022 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 |
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
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 Name | Phone Number | Description |
|---|---|---|
| Fresno-Madera Area Agency on Aging | 559-214-0299 | This 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 Services | 559-512-2227 | CBAS 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 Services | 800-675-8001 | CCLS 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 Program | 800-541-8614 | The 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 Center | Fax 559-227-4167 | This 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 Office | 800-772-1213 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 Program | 559-263-1320 | This 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 Center | 559-487-5660 | The 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 Center | 559-225-6100 | The 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 Center | 559-621-6727 | Fresno 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. |
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.
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.
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:
Talk to a Caring.com Family Advisor to learn more about the amenities and services available in Fresno’s assisted living communities.
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