SideGuy · Solana Beach

Seniors · costs

What a nursing home costs in California

The State's own 2026 number, who pays it, and the options in San Diego that cost far less.

The Coast Walk above La Jolla Cove
The Coast Walk above La Jolla Cove · photo: Wikimedia Commons, public domain

$14,440 a month is the California Department of Health Care Services' 2026 statewide average private-pay rate for nursing facility care. It's an average: each facility sets its own price.

Who pays

  • Private pay: savings, income, or long-term care insurance.
  • Medi-Cal: its long-term care coverage can pay for nursing-home care for people who qualify. For people 65+, the asset limit is $130,000 for one person plus $65,000 for each additional person through June 30, 2027, then $21,000 for one person and $31,000 for two. Medi-Cal looks at assets given away in the 30 months before someone enters a facility. The asset limit, explained.

Check a facility first

Licensing and inspections: Cal Health Find (nursing homes) and the State's care facility search (assisted living). Problems inside a facility: the County's free Long-Term Care Ombudsman, 800-640-4661, or the State's 24/7 CRISISline, 1-800-231-4024.

Lower rungs first

Not every parent needs that rung. Meals, caregiver respite, IHSS, adult day health care and PACE can keep a parent at home, several at no cost with Medi-Cal. Every rung, from part-time help to a nursing home.

Do it with PJ

The calls, the forms, the logins and the errands in between: PJ does the legwork with your family in Solana Beach, Encinitas, Cardiff and Del Mar. He doesn't give medical, legal or benefits advice; the programs decide. Plans start as low as $25.

Text PJ Make a fix plan

More: the care ladder · every senior waitlist · senior benefits checkup.

Sources: DHCS, 2026 average private pay rate · DHCS, Medi-Cal asset limit · CDPH, Cal Health Find · CDA, Long-Term Care Ombudsman. Checked October 6, 2026.

Need a human?

This page is built every morning from public data by SideGuy, run by PJ, a local in Solana Beach. If something looks off, or you want a hand with your plans, text PJ at 858-461-8054. A real person answers.

Local help, free to read: make your fix plan · senior benefits checkup · lower your SDG&E bill · Medicare Extra Help · the next 90 days. Plans start as low as $25.

Questions people ask

How much does a nursing home cost per month in California?

The State's 2026 statewide average private-pay rate for nursing facility care is $14,440 a month (DHCS).

Does Medi-Cal pay for nursing homes in California?

Medi-Cal's long-term care coverage can pay for people who qualify. For 65+, the asset limit is $130,000 for one person through June 30, 2027, then $21,000.

Know someone who needs this?

Something changed here? Text PJ and we'll update this page.

More free local tools: the North County toolkit.

Text PJ