Best memory care in Sacramento County
45 licensed facilities, ranked by state inspection records — every citation from primary CDSS data, no referral fees.
Last updated May 2026
Of the 45 licensed memory care facilities indexed in Sacramento County, 36 (80%) have a Type-A or Type-B deficiency in their state record from the past 24 months.
Source: CA CDSS Community Care Licensing · Refreshed 2026-05-04 · Type-A = immediate health/safety risk; Type-B = lesser violation
Licensed memory care facilities indexed in Sacramento County
Facilities with at least one Type-A or Type-B deficiency finding in the indexed inspection record (24 months where dated)
↑ 80% of indexed facilitiesFacilities with full CDSS profile published on StarlynnCare
Sacramento County — by the data
Derived from indexed inspections and deficiency records. Only shown when sufficient data exists.
- Most-cited issue · last 3 yrs
- 87465(a)(4)(23 citations indexed)
- Citation trend · 3-year window
- ↓ Improving87 → 56 → 66 (citations per 12-month window)
- Sacramento County vs. California avg
- 4.64citations/facility here vs.6.91statewide (36 months)
- Median beds per home
- 88beds
- Most improved · yr-over-yr
- Chateau at River's Edge, the-5 citations vs. prior year
- Most citations added · yr-over-yr
- Golden Pond Retirement Community+11 citations vs. prior year
- Last inspected (region)
- June 2026
Sources: indexed state inspection records. See methodology.
Highest-performing facilities by state inspection record.
Aegis Senior Residence
Antelope
Angel Touch Memory Care Llc
Cirtus Heights
Atria el Camino Gardens
Carmichael
Folsom Countryhouse
Folsom
Ivy Park at Sacramento
Sacramento
Oakmont of Carmichael
Carmichael
Brookdale Sylvan Ranch
Citrus Heights
Oakmont of Folsom
Folsom
Sacramento County — every licensed facility ranked by inspection record.
Memory care · 50+ beds
(34)Community-style facilities (purpose-built buildings, common in regional chains).
4 seriousAegis Assisted Living of Carmichael
4 serious citations on fileCarmichael · 90 beds · RCFE · Memory care
2 seriousAtria el Camino Gardens
2 serious citations on fileCarmichael · 325 beds · RCFE · Memory care
3 seriousBrookdale Sylvan Ranch
3 serious citations on fileCitrus Heights · 56 beds · RCFE · Memory care
Carlton Senior Living Orangevale
2 serious citations on fileOrangevale · 136 beds · RCFE · Memory care
Carlton Senior Living Sacramento
4 serious citations on fileSacramento · 185 beds · RCFE · Memory care
Carlton Senior Living Sacramento Atrium
2 serious citations on fileSacramento · 99 beds · RCFE · Memory care
Chateau at River's Edge, the
10 serious citations on fileSacramento · 143 beds · RCFE · Memory care
2 seriousCommons at Elk Grove, the
2 serious citations on fileElk Grove · 110 beds · RCFE · Memory care
15 seriousEskaton Gold River Lodge
15 serious citations on fileGold River · 134 beds · RCFE · Memory care
8 seriousGardens at Laguna Springs Memory Care, the
8 serious citations on fileElk Grove · 70 beds · RCFE · Memory care
20 seriousGolden Pond Retirement Community
20 serious citations on fileSacramento · 175 beds · RCFE · Memory care
9 seriousIvy Park at Laguna Creek
9 serious citations on fileElk Grove · 108 beds · RCFE · Memory care

Ivy Park at Sacramento
· limited historyNo citations on fileSacramento · 70 beds · RCFE · Memory care
2 seriousMeadows Senior Living, the
2 serious citations on fileElk Grove · 160 beds · RCFE · Memory care
3 seriousSunrise Assisted Living of Carmichael
3 serious citations on fileCarmichael · 66 beds · RCFE · Memory care
Memory care · 7–49 beds
(1)Small to medium freestanding RCFEs with a memory-care program.
Residential care homes · ≤6 beds
(10)Single-family-home conversions. Owner-operated. Receive fewer routine state inspections by design — inspect the home yourself before committing.
Abounding Peace Elderly Care
8 serious citations on fileSacramento · 6 beds · RCFE · Memory care
Abounding Peace Iii Elderly Care
2 serious citations on fileElk Grove · 6 beds · RCFE · Memory care
Friendly Care Home Ii
· limited historyNo inspection data yetOrangevale · 6 beds · RCFE · Memory care
Golden Legacy Elderly Care
· limited historyNo inspection data yetSacramento · 6 beds · RCFE · Memory care
Golden Legacy Elderly Care Ii
· limited historyNo inspection data yetSacramento · 6 beds · RCFE · Memory care
The public record behind every profile.
Paying for memory care in Sacramento County.
California's Assisted Living Waiver covers room, board, and personal-care services at enrolled memory care facilities for eligible Medi-Cal beneficiaries.
The Medi-Cal Assisted Living Waiver (ALW) is a Home and Community-Based Services (HCBS) waiver that pays for room, board, and supportive services at enrolled Residential Care Facilities for the Elderly (RCFEs). To qualify, a resident must meet nursing-facility level of care criteria, be enrolled in Medi-Cal (full-scope), and reside in an ALW-enrolled facility in a participating county. Because waiver slots are finite, a waiting list is common — families should apply early through their local Department of Social Services.
Most memory care residents in California pay privately. Private-pay rates typically range from $5,000 to $9,000 per month depending on the facility and care intensity. Long-term care insurance and Veterans' benefits (VA Aid and Attendance) can offset costs for eligible individuals. Consult a certified senior benefits counselor (HICAP) for personalized guidance.
Families researching public-pay options should confirm with each facility whether it accepts ALW patients and whether an ALW slot is currently available. StarlynnCare displays state inspection data only; we do not verify payment-program participation. Always verify directly with the facility and your county social services department.
Veterans: Veterans may be eligible for VA Aid and Attendance, which can supplement private-pay memory care costs. Contact your regional VA or an accredited VA claims agent.
Source: CA DHCS Assisted Living Waiver · Program rules change — verify eligibility requirements directly with your county agency before making care decisions
About memory care in Sacramento County.
How much does memory care cost across Sacramento County?
Memory care across Sacramento County runs from roughly $4,500/month at smaller RCFEs in lower-cost cities to $12,000+/month at premium memory-specific buildings. Median sits around $6,500–$8,000/month for a private room with standard care needs. Full bills almost always exceed the advertised base rate; most California facilities use "level of care" point systems adding $500–$2,500/month. Click into any city below for a tighter range, or read What memory care costs in California.
What makes a facility "memory care" in California?
California has no separate memory care license. The facilities here are CDSS-licensed Residential Care Facilities for the Elderly (RCFEs) under Section 1569 of the Health & Safety Code. To advertise as memory care, an RCFE files a Memory Care Disclosure with CDSS and meets additional requirements around staff training, secured perimeters, and dementia programming. Some facilities here are skilled nursing facilities (SNFs) with a dementia or secure unit — a different license entirely (Title 22, Division 5). License type appears on every StarlynnCare profile.
What's the difference between an RCFE and a nursing home?
RCFEs provide non-medical care: room, board, supervision, ADL help, medication assistance. Nursing homes (SNFs) provide medical care: licensed nurses on staff 24/7, medication administration (not just assistance), wound care, rehab. Most California memory care indexed here lives in RCFEs. If your family member needs ongoing skilled nursing — feeding tubes, IV medications, complex wound care — an RCFE memory unit may not fit.
How many Sacramento County facilities have a serious deficiency on file?
Of the 45 licensed memory care facilities indexed in Sacramento County, 36 (80%) carry a documented Type-A or Type-B deficiency from CDSS in the indexed inspection record. Specific findings appear on each profile with inspection date and source link. StarlynnCare sources all deficiency data directly from state regulator records — no facility-side surveys or paid submissions are used. See the methodology for how deficiency classes are mapped across states.
How does StarlynnCare rank memory care facilities in Sacramento County?
StarlynnCare does not assign a single letter grade. Instead, each profile shows four independent signals derived from state inspection records: deficiency severity (Type-A vs. Type-B in California, equivalent classes in other states), repeat citation rate, inspection frequency relative to peers, and trajectory over time. Facilities with too few inspections on record show a "limited history" notice rather than a misleading score. All underlying data is sourced from mandatory public records — CDSS for California, HHSC LTCR for Texas, DHS for Oregon, and equivalent agencies for other states. Full methodology is at starlynncare.com/methodology.
What should I look for on a memory care tour in Sacramento County?
What predicts safety usually isn't what admissions directors highlight. From clinician and family interviews, the most under-asked items: staff-to-resident ratio at night and on weekends, skin-check and wound-prevention protocol, medication management and error reporting, shower frequency, and how the facility handles behavioral escalation. We publish a free 37-question tour checklist you can print.
Where can I find inspection reports for memory care facilities in Sacramento County?
Every facility profile on StarlynnCare links directly to its state inspection records — the same documents regulators use to evaluate compliance. For California facilities, reports come from the CDSS Community Care Licensing portal; for Texas, from HHSC LTCR; for Oregon, DHS Long-Term Care Licensing; for Washington, DSHS. On each facility profile, navigate to the "Inspection record" section to see full verbatim citations with dates and regulatory citations. You can also access the underlying raw data (open dataset).
What are the ratings for memory care facilities in Sacramento County?
StarlynnCare uses state inspection data — not self-reported surveys or paid placements — to evaluate facilities. Each profile surfaces four signals: citation severity (e.g. Type-A vs. Type-B in California), citation frequency relative to peers, repeat-finding rate, and inspection recency. Facilities with too few inspections receive a "limited history" label rather than a misleading composite score. You can sort the list of Sacramento County facilities by inspection record using the "By record" sort toggle to see the cleanest inspection histories first. No referral commissions influence how facilities appear.
Does Medi-Cal cover memory care in Sacramento County?
Traditional Medi-Cal does not cover room and board in an RCFE memory care setting. The Assisted Living Waiver (ALW) can cover services in participating RCFEs for income-qualified residents, but waitlists are long and the program runs in a limited set of counties — whether Sacramento County is in an ALW service area depends on county (see CDSS ALW portal). Medi-Cal does cover skilled nursing care in a Medi-Cal-certified SNF, including SNF dementia units, for residents meeting medical eligibility. Each facility profile documents payment acceptance when known.
Type-A citations in the last 12 months
In the last 12 months, 16 facilities in Sacramento County had at least one Type-A citation — the most serious deficiency class under California Health & Safety Code §1569. The full record for each facility is published on CDSS Community Care Licensing.
Facilities below had at least one Type-A (or immediate jeopardy) deficiency tied to an inspection dated in the rolling year — sourced from published CDSS deficiency records.
- Golden Pond Retirement Community11 Type-A findings (indexed window)
- Abounding Peace Elderly Care Ii7 Type-A findings (indexed window)
- Brookdale Folsom3 Type-A findings (indexed window)
- Cogir of Folsom3 Type-A findings (indexed window)
- Ivy Park at Laguna Creek3 Type-A findings (indexed window)
- Sun City Gardens3 Type-A findings (indexed window)
- Abounding Peace Elderly Care2 Type-A findings (indexed window)
- Carlton Senior Living Orangevale2 Type-A findings (indexed window)
- Carlton Senior Living Sacramento2 Type-A findings (indexed window)
- Commons at Elk Grove, the2 Type-A findings (indexed window)
- Eskaton Gold River Lodge2 Type-A findings (indexed window)
- Almond Heights1 Type-A finding (indexed window)
Showing 12 of 16 facilities with Type-A findings in this window.













