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SeniorHomeReview Cost Index

Cost of nursing home care in California.

The median nursing home in California billed $514 per day — about $15,630 per month — in its most recent federal cost report, 35% above the national median. Half of California facilities billed between $412 and $630 per day; the median facility collected $441/day across all payers, with Medicaid covering 60% of resident days.

Computed from 1,027 California facilities' own audited CMS cost reports (FY2023) — not a survey. Billed charges are the closest public proxy for private-pay prices; Medicare and Medicaid pay set rates. Methodology & all states.

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Nursing home costs by California city

Median billed charges in the cities with the most reporting facilities.

CityMedian billed / day≈ per monthReporting
Los Angeles$505$15,35071
Long Beach$474$14,41025
Sacramento$558$16,96021
San Diego$634$19,27020
San Jose$565$17,18017
Riverside$647$19,67017
Oakland$576$17,51017
Fresno$422$12,83016
Hayward$527$16,02014
Stockton$447$13,59013

Before you compare prices

Cost is only half the decision. California's nursing homes drew 81,920 inspection citations over the last three years— every facility's citations, fines, ownership, and ratings are free on its page. Browse California facilities and open any one for its full record.