Sacramento Assisted Living: Licensed Homes, Sizes, Waiver

License records

The state file is a snapshot from October 3, 2026. These are license records, not open beds or current availability.

City names are mailing cities from the state file; a home can carry a city's mailing address without being inside its city limits.

Where the records are filed: ZIP codes

A ZIP code can be shared by several mailing cities, so a ZIP is a place to look, not a city boundary.

Sizes of the licensed homes

166 records are for homes licensed for exactly 6 beds. In Sacramento County the share is 83%. That is a smaller share of this city's records than the county's.

How the supply has changed

Over the five years ending October 3, 2026, more homes were first licensed than closed for real. We call that growing.

60 records took over the address of an earlier closed license.

A real closure is a license that ended without a change of owner, a move or an application. Closures with no recorded reason are inferred; the table shows how many in each period. Each period is counted once, and no window is added up across periods.

The first table counts only the licenses that are still open on the date of the current file. The comparison above also counts the homes that opened during those five years and closed later.

Closures after May 25, 2025 cover only the licenses that were open on that date. A license that opened and then closed after that date is missing from the comparison and the closure table.

Pending and probation

Pending and probation are statuses on a record, not a judgment about a home. Check any home on the state search before you decide.

Assisted Living Waiver

Sacramento County is an ALW county (DHCS, as of September 23, 2026).

31 listings under this city name in the DHCS facility list downloaded October 1, 2026. This is a count of listings, not a count of licensed participants.

The county list holds 81 listings in all.

The short answer

The state file of October 3, 2026 lists 218 license records under a Sacramento mailing address. That includes 185 small homes, 9 mid-size homes and 24 large homes.

The supply of licensed homes is growing. The waiver section shows the DHCS listings under this city name and the county program status, each with its date.

What the counts mean for your search

A Sacramento address holds 9 mid-size records and 24 large records. If a small home would suit your family, search the nearby cities too.

Use the counts to decide where to look. They are not a sign of what is open today.

Check a license yourself

You can look up the current license status of any home with the state. Use the CDSS Community Care Licensing facility search.

If a record is hard to read, our guide to reading a California care home license explains each field.

When we can help

We help families find licensed residential care homes in Sacramento and Placer counties. We cannot promise a bed, a price or a placement.

If you want help narrowing the list, tell us what your family needs. Nothing here is medical, legal or benefits advice for your own situation.

Keep reading

Licensed care homes in Sacramento and Placer counties shows the county tables for every city.

How to pay for assisted living in California covers costs and the programs that can help.