California Home Help

Cost of careSacramentoSacramento · Nursing home / SNF

Sacramento · Nursing home / SNF

Cost of nursing home care in Sacramento

Updated September 16, 2026. Reviewed September 16, 2026 against public CDSS, DHCS, Medicare.gov, VA, and CareScout 2025 California tables. County wages, hours, and wait times still change. Official .gov pages decide.

A downtown hospital discharge should not send SOC 295 to the wrong social services office. Roseville is Placer County. West Sacramento is Yolo County. Statewide nursing-home medians frame a long stay after a skilled slice ends. The Sacramento metro spills into Sacramento, Placer, Yolo, El Dorado, and Sutter Counties. A parent in Elk Grove, Roseville, Davis, or Folsom may not share an IHSS office. State-worker families often assume “Sacramento” is one file. It is not. Planning estimate only. Figures use CareScout 2025 California statewide medians plus labeled planning bands. They are not a quote, not a facility admission, not a Medi-Cal or IHSS eligibility result, and not an hours authorization. Agency and community prices vary by county and by acuity. IHSS hours and provider pay are county and Medi-Cal decisions. This site does not calculate an IHSS paycheck.

Planning estimate only. Figures use CareScout 2025 California statewide medians plus labeled planning bands. They are not a quote, not a facility admission, not a Medi-Cal or IHSS eligibility result, and not an hours authorization. Agency and community prices vary by county and by acuity. IHSS hours and provider pay are county and Medi-Cal decisions. This site does not calculate an IHSS paycheck. Licensed home care organizations and residential communities set their own private-pay terms. County IHSS staff authorize tasks. County Medi-Cal staff decide coverage and any share of cost. Ask those offices and providers for the number that counts.

Short answer

For nursing home care in Sacramento, plan with statewide nursing-home medians of $12,167 (semi-private) to $15,178 (private) per month. A downtown hospital discharge should not send SOC 295 to the wrong social services office. Roseville is Placer County. West Sacramento is Yolo County. Statewide nursing-home medians frame a long stay after a skilled slice ends. Low $12,167/month (semi-private median). High $15,178/month (private-room median). Mid $13,673 is the average of those two published monthly figures. Annual private-room median is $182,135.

Local framing for Sacramento

A downtown hospital discharge should not send SOC 295 to the wrong social services office. Roseville is Placer County. West Sacramento is Yolo County. Statewide nursing-home medians frame a long stay after a skilled slice ends. The city of Sacramento, Elk Grove, and the Delta towns share Sacramento County IHSS. Adult children in Roseville or Davis are in other counties. Do not let a downtown hospital discharge send the packet to the wrong social services office. Roseville looks like Sacramento. Tahoe looks like Nevada. Both can be Placer County. File where the parent lives. A Roseville agency may not staff a Tahoe house in January. Ask before you price a live-in plan. Davis, Woodland, and West Sacramento share Yolo County. West Sacramento is not Sacramento County. UC Davis families should file where the parent lives, even if every specialist appointment is in Sacramento. Placerville, South Lake Tahoe, and El Dorado Hills sit in one county with very different drive times. A Tahoe winter can isolate a house that looked fine in July. Price backup private hours for storm weeks. File IHSS with El Dorado County, not with South Lake Tahoe city hall.

IHSS and Medi-Cal path

This metro spans more than one county. Open the IHSS page for the county of the parent’s home. Sacramento County, Placer County, Yolo County, El Dorado County each run their own file. IHSS stops while someone lives in a nursing facility. If the plan is a return home, keep Medi-Cal current and ask the county how to restart or continue the in-home file. Discharge planners name a setting. They do not issue an IHSS Notice of Action.

County IHSS pages

Other settings in this metro

Statewide pages

Official sources

Official California sources

Official program pages: CDSS: In-Home Supportive Services, CDSS: IHSS for children, County IHSS offices, CDSS: IHSS providers, CDSS: county IHSS wage rates, CDSS: provider orientation, CDSS: Electronic Visit Verification, CDSS: Electronic Services Portal, DHCS: Medi-Cal, Apply for Medi-Cal, BenefitsCal, CDSS: hearing requests, CDSS: forms catalog, CDSS: IHSS overtime and workweek, DDS: regional centers.

Planning estimate only. Not a quote, not a facility admission, not a Medi-Cal or IHSS eligibility result, and not an hours authorization. Rates vary by county, agency, and facility. IHSS hours and provider pay are county and Medi-Cal decisions. We do not calculate IHSS paycheck amounts. Licensed agencies and facilities set their own private-pay terms. County IHSS staff authorize tasks. County Medi-Cal staff decide coverage and any share of cost. Ask those offices and providers for the number that counts.

Illustrative cost planner

Live dollar totals for private-pay settings, using CareScout 2025 California medians. IHSS is shown as a program path, not as a household paycheck.

Hours of help per week

Private home care is billed by the hour. CareScout publishes its California home-care median on a 44 hour/week basis. Facility rows stay monthly fees even if you change hours.

About 2.9 hours/day across 7 days

Days per week (optional)

Used to show hours/day and to model live-in framing as 12 billed hours times the days you choose. Facility fees do not change with this number.

Which setting are you pricing?

Estimated private-pay cost

Nursing home

$12,167 to $15,178monthly

Low
$12,167
Midpoint
$13,673
High
$15,178

Annual: $146,004 to $182,136Midpoint $164,076 per year

This setting is billed as a monthly fee. The hours slider still prices licensed private home care for the same weekly help so you can compare staying home. Private-pay home care at 20 hours/week: $3,033 to $3,900 per month.

How this number was calculated

Low $12,167 (semi-private median) to high $15,178 (private-room median). Mid $13,673 is the average of those two published monthly figures. Hours/week do not change this facility fee.

Compare settings at these hours

Private home care (licensed HCO)

$3,467/month mid

$3,033 to $3,900 monthly · $41,600 per year at midpoint · 20 hours/week

Live-in home care (hourly framing)

$14,560/month mid

$12,740 to $16,380 monthly · $174,720 per year at midpoint · 84 hours/week

Assisted living (RCFE)

$7,000/month mid

$5,600 to $8,400 monthly · $84,000 per year at midpoint

Memory care

$9,100/month mid

$8,400 to $9,800 monthly · $109,200 per year at midpoint

Nursing home

$13,673/month mid

$12,167 to $15,178 monthly · $164,076 per year at midpoint

IHSS / Medi-Cal path

Wage set by county

Private-pay alternative: $3,033 to $3,900 per month for the same hours.

Assumptions and sources

CareScout Cost of Care Survey 2025, July through November 2025. California statewide median. Published 2025 by CareScout.

  • Private home care midpoint uses the CareScout 2025 California non-medical caregiver median of $40 per hour.
  • Assisted living midpoint uses the CareScout 2025 California median of $7,000 per month for a private one-bedroom residential care facility.
  • Memory care is a 20% / 30% / 40% planning premium on that assisted living median. CareScout does not publish a separate memory-care row.
  • Nursing home low and high are the published semi-private and private-room medians.
  • Live-in framing bills 12 hours/day, not 24 times the hourly rate.
  • If a county authorizes in-home help, the program may cover those authorized services. A family member may be paid as the provider after enrollment. Hours and the hourly wage are county and Medi-Cal decisions. This planner does not calculate an IHSS paycheck and does not say anyone will receive a set amount.

Paying for care and official pages

Questions people ask

How much does nursing home care cost in Sacramento?
This page uses CareScout 2025 California statewide figures (statewide nursing-home medians of $12,167 (semi-private) to $15,178 (private) per month), not an invented Sacramento rate table. Licensed providers set their own terms. Move the calculator, then ask for a written local quote.
Does IHSS pay nursing home care rates in Sacramento?
No. IHSS authorizes listed in-home tasks and pays a county-set wage. It does not adopt a private agency hourly term or a community monthly fee. Use the CDSS county wage-rate page. This site does not estimate a household IHSS paycheck for Sacramento.
Which county files IHSS if the parent lives in Sacramento?
If you work downtown and the parent lives in Roseville, Placer County takes the IHSS application. A parent in West Sacramento uses Yolo County. A parent in the city of Sacramento uses Sacramento County. Confirm the address before you download SOC 295.
Are these Sacramento nursing home care figures from a local survey?
No. CareScout’s published California table used here is statewide. Local agencies and communities still have to quote you. The calculator is a planning estimate so you can compare settings.
How much does a nursing home cost in Sacramento?
CareScout’s 2025 California medians are $12,167 per month for a semi-private room and $15,178 per month for a private room. Those are statewide medians, not a specific facility’s bill. In Sacramento, file IHSS in the county of the home, not the county of a job or a hospital.
Does Medicare pay for a long nursing-home stay?
Medicare may cover a limited skilled stay that meets its rules. It does not pay for ongoing custodial long-term care. Read Medicare: long-term care and Medicare: skilled nursing facility care, then ask the hospital or the plan about this stay. In Sacramento, file IHSS in the county of the home, not the county of a job or a hospital.

See if IHSS may apply

A coordinator can walk through Medi-Cal, county forms, and the home visit with you. The county still decides eligibility and hours.

For example: starting an IHSS application, provider enrollment, or county forms. Keep medical records and diagnoses for the county packet.