12,490 people 65 and older live in San Marcos (Census, ACS 2019-2023). Here is every Medicare-rated and State-licensed care option in town, from the government's own data, rebuilt every morning.
What can a parent get? · Can I change my Medicare plan now? · What does this letter mean? · the care ladder · Medicare Open Enrollment help, Oct 15 to Dec 7 · the 2027 Social Security raise
San Marcos by the numbers: what's here, and what's thin
Of the 14,812 people 65 and older in San Marcos's ZIP codes, 25% live alone (North County: 21%), 13% live below the poverty line (8%) and 35% have a disability (28%). Here is what's in town for them, per 1,000 of the people who need each thing, against the rate across North County.
| What | In town | San Marcos rate | North County rate | |
|---|---|---|---|---|
| Assisted living beds per 1,000 people 75+ | 702 | 109.9 | 164.8 | a bit under (67%) |
| Nursing home beds per 1,000 people 85+ | 118 | 55.6 | 133.0 | thin (42% of the rate) |
| Adult day centers per 1,000 65+ with a disability | 8 | 1.5 | 0.6 | more than most (2.7x) |
| In-home care agency offices per 1,000 65+ living alone | 8 | 2.2 | 2.2 | about even |
| Primary care doctors who take Medicare's rate per 1,000 people 65+ | 169 | 11.4 | 5.6 | more than most (2.0x) |
| Specialists who take Medicare's rate per 1,000 people 65+ | 195 | 13.2 | 10.2 | more than most (1.3x) |
| Therapists and psychiatrists in Medicare per 1,000 people 65+ | 65 | 4.4 | 4.2 | about even |
| Medicare equipment suppliers per 1,000 65+ with a disability | 13 | 2.5 | 2.4 | about even |
| Low-cost clinic sites per 1,000 65+ below poverty | 12 | 6.3 | 8.1 | a bit under (78%) |
| Dental offices that take Medi-Cal per 1,000 65+ below poverty | 23 | 12.1 | 12.5 | about even |
| HUD senior apartment units per 1,000 65+ below poverty | 24 | 12.6 | 66.6 | thin (19% of the rate) |
| Dialysis stations per 1,000 people 65+ | 20 | 1.4 | 1.2 | about even |
Where it's thin, here's what covers it:
- Nursing home beds: When a hospital discharge is coming, PJ makes the bed calls and checks the Medicare stars.
- HUD senior apartment units: Waitlists run long: PJ can help fill out the applications and keep them current (Family Assist).
Census ACS 2019-2023 by ZIP (tables B01001, B11007, B17001, B18101); supply from CMS, the State's Community Care Licensing, DHCS, HRSA and HUD, the same data as the pages linked above. The North County rate pools the towns each dataset covers. Rebuilt every morning.
Nursing homes in San Marcos (1)
| Nursing home | Medicare stars | Beds |
|---|---|---|
| Village Square Healthcare Center 1586 W. San Marcos Blvd · (760) 471-2986 | ★★★★☆ | 118 |
CMS Care Compare. All nursing homes near Solana Beach, rated, and what the inspectors found at each.
Assisted living in San Marcos (21)
| Community | Beds |
|---|---|
| Brookdale Place Of San Marcos 1590 W San Marcos Blvd · (760) 471-9904 | 245 |
| Meridian At Lake San Marcos, The 1177 San Marino Dr Bldg 1 & 2 · (760) 510-7500 | 170 |
| Silvergate San Marcos Retirement Residence 1550/1560 Security Place · (760) 744-4484 | 160 |
| Chateau Lake San Marcos Community Care Center 1560 Circa Del Lago · (760) 471-0083 | 15 |
| Country Rose Estate Memory Care 1255 Adventure Ln · (760) 738-9391 | 15 |
| Majella Assisted Living Of San Marcos 558 Smilax Rd. · (760) 734-5786 | 11 |
Plus 15 small licensed homes for 6 or fewer residents. Every one, with State inspection reports: the North County assisted living finder (pick San Marcos).
Home health agencies in San Marcos (1)
Medicare pays for home health with $0 copay if you're homebound and a provider orders it. Every North County agency, rated.
Hospice that serves San Marcos (43)
Hospice comes to the house, so it's who serves San Marcos that counts, not where the office is. 43 hospices based in San Diego County list San Marcos ZIP codes with Medicare; the best-rated by families:
- Together Hospice Care LLC: ★★★★★ from families, 98% would definitely recommend · (760) 743-3055
- Hospice of the North Coast: ★★★★☆ from families, 90% would definitely recommend · (760) 431-4100
- Lightbridge Hospice: ★★★★☆ from families, 89% would definitely recommend · (858) 458-2992
- Silverado Hospice San Diego: ★★★★☆ from families, 86% would definitely recommend
- Radiant Hospice: ★★★★☆ from families, 86% would definitely recommend · (619) 550-3570
- Sharp HospiceCare: ★★★☆☆ from families, 88% would definitely recommend · (619) 667-1900
- Apreva Hospice: ★★★☆☆ from families, 87% would definitely recommend · (619) 450-4414
- Mission Hospice Services of San Diego LLC: ★★★☆☆ from families, 83% would definitely recommend · (855) 848-5433
CMS Care Compare, CAHPS Hospice Survey. Medicare Part A pays for hospice care. Every one, with the Care Index and a town filter.
Adult day care in San Marcos (8)
A safe, social day for a parent and a break for the caregiver. Medi-Cal's CBAS benefit pays for adult day health care for people who qualify.
- Americare Adult Day Health Care Center: adult day health care (CBAS) · (760) 682-2424
- Gary And Mary West Senior Services, Inc.: adult day health care (CBAS) · (619) 235-6572
- Arc Of San Diego-North County Training Center, The: State-licensed adult day program, ask who they serve · (760) 740-6800
- Avid Behavioral Day Program-Capalina: State-licensed adult day program, ask who they serve · (858) 442-6840
- Center For The Arts And Adult Education, The: State-licensed adult day program, ask who they serve · (760) 721-1706
- Mountain Shadows Outreach Services: State-licensed adult day program, ask who they serve · (760) 743-3714
- Mountain Shadows Therapeutic Day Program: State-licensed adult day program, ask who they serve · (760) 743-3714
- Pacific Coast Learning Center, Inc.: State-licensed adult day program, ask who they serve · (760) 740-9266
CDPH and CDSS licensing data. Every licensed option in the county, and how Medi-Cal pays.
In-home care agencies in San Marcos (7)
- A Better Solution In Home Care · (877) 585-9011
- Care Mesa, Inc. · (858) 888-9632
- Family Matters In-Home Care LLC · (760) 909-2007
- Loving Hands · (442) 237-8655
- My Little Helpers, LLC Dba Seniors Helping Seniors · (858) 774-8194
- Visiting Angels Of North County · (760) 736-9938
- Windward Life Care · (619) 450-4300
Licensed by the State (CDSS). Every North County agency, and what to ask before you hire.
Doctors who take Medicare in San Marcos
146 primary care doctors enrolled in Medicare have offices in San Marcos. The full list, with who accepts assignment and telehealth (pick your town).
PJ can make the calls: openings, prices, inspection reports and the paperwork, so you spend your time on the visits. He doesn't take referral fees from any provider. Plans start as low as $25. Text PJ.
Staying home longer: getting around without driving, rung by rung · a robot vacuum, set up safely.
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 · every 2027 Medicare plan · is my medication recalled? · the next 90 days. Plans start as low as $25. Your parent lives here and you don't? The Parent Check-In Plan, $25 a month.
Questions people ask
How many assisted living facilities are in San Marcos?
21 licensed by the State of California, 15 of them small homes for 6 or fewer residents (Community Care Licensing, 2026-09-30).
What are the best-rated nursing homes in San Marcos?
San Marcos has 1 Medicare-certified nursing home; see each one's star rating on this page.
How do I find a doctor who takes Medicare in San Marcos?
CMS lists 146 primary care doctors enrolled in Medicare with offices in San Marcos. Call to ask if they're taking new patients.
What senior services is San Marcos short on?
By the government's own counts per 1,000 people who need them, San Marcos is thin on nursing home beds, hud senior apartment units compared with the rest of North County San Diego. 25% of people 65 and older there live alone (Census).
Know someone who needs this?
Got a question about this? Ask PJ a question. A real person in Solana Beach texts you back.
Something changed here? Text PJ the fix: if it changes this page, you get $5. How it works.
Spotted something new around town? Text it in. What do you want to see here? Ask PJ for a page. No login, a real person reads it.
More free local tools: the North County toolkit.