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Senior Care in Santa Monica, California

7 min readUpdated February 21, 2026

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Introduction to Senior Care in Santa Monica

Welcome to your comprehensive guide to senior care in Santa Monica, California. Finding the right care for a loved one is a significant decision, and our goal is to provide you with the information and resources needed to navigate this process with confidence. Located in Los Angeles County, Santa Monica offers a unique setting for senior living, combining coastal living with access to extensive services.

Within the city of Santa Monica, there are 19 licensed senior care facilities, providing a range of options to meet diverse needs. The types of care available include assisted living communities, smaller board and care homes, adult residential facilities, social rehabilitation facilities, and adult day care centers. Each of these options serves a different purpose, from providing minimal assistance with daily activities to offering more intensive, specialized support.

This guide is designed to be your trusted resource. We will walk you through the types of care available in Santa Monica, offer practical advice on how to choose the right facility, explain how to approach costs in Los Angeles County, and connect you with key local resources. Our aim is to empower you to make an informed and thoughtful choice that best suits your family's circumstances.

Types of Senior Care Available in Santa Monica

Understanding the different types of licensed care is the first step in finding the right fit for your loved one. Santa Monica offers several options, each regulated by the state of California to ensure specific standards of care and safety.

Assisted Living Facilities

Assisted living communities are designed for older adults who are largely independent but need some assistance with Activities of Daily Living (ADLs) such as bathing, dressing, medication management, and meal preparation. These communities offer a social environment with organized activities, dining services, and transportation. In California, assisted living facilities are licensed as Residential Care Facilities for the Elderly (RCFEs) by the Department of Social Services (CDSS) and are specifically for residents aged 60 and over. For a deeper look into this option, explore our Complete Guide to Assisted Living.

Board and Care Homes

Also licensed as RCFEs, board and care homes offer the same services as larger assisted living communities but in a much smaller, residential setting. Typically located in a converted single-family home with just a handful of residents, they provide a more intimate, family-like atmosphere. This can be an excellent choice for seniors who would be overwhelmed by a larger facility or who require more personalized attention due to a higher staff-to-resident ratio.

Many RCFEs, both large and small, offer specialized memory care services for residents with Alzheimer's disease or other forms of dementia. These secured areas often feature specially trained staff and programming designed for cognitive support. To learn more, see our guide on Understanding Memory Care.

Adult Residential Facilities (ARFs)

While RCFEs are designated for seniors aged 60 and up, Adult Residential Facilities (ARFs) are licensed by the CDSS to serve adults between the ages of 18 and 59. These facilities provide 24-hour non-medical care and supervision for individuals with physical, mental, or developmental disabilities who need assistance with daily living. Some ARFs may be certified to care for older adults as well, but their primary licensing is for a younger population.

Social Rehabilitation Facilities

These specialized facilities are licensed by the California Department of Health Care Services (DHCS) to serve adults with mental health challenges. They provide a structured, supportive environment with programs focused on improving life skills, building independence, and promoting community reintegration. This is a therapeutic care option rather than a traditional senior living model.

Adult Day Care Centers

For families who provide care at home but need support during the day, adult day care centers are an invaluable resource. These programs offer a safe, supervised environment for seniors to socialize, participate in activities, and receive necessary assistance while their primary caregivers are at work or taking a needed break. Services often include meals, therapeutic activities, and health monitoring.

How to Choose the Right Facility in Santa Monica

Once you have identified the appropriate type of care, the next step is to evaluate individual facilities. This process requires careful research, observation, and asking the right questions.

A crucial first step in California is to verify a facility's license. You can check the status of any RCFE or ARF through the California Department of Social Services' Community Care Licensing (CCL) transparency website. This ensures the community is in good standing and meets state-mandated health and safety requirements.

Touring is the most effective way to assess a community. When you visit, go beyond the initial presentation and pay attention to the details:

  • Observe Interactions: How do staff members speak to residents? Do residents appear happy, engaged, and well-cared-for?
  • Assess the Environment: Is the facility clean, well-maintained, and free of strong odors? Are there safe, accessible outdoor spaces for residents to enjoy?
  • Review Programming: Ask to see an activity calendar. Look for a variety of programs that cater to different interests and mobility levels, including social, physical, and cognitive activities.
  • Evaluate Staffing: Inquire about staff-to-resident ratios for different shifts, staff turnover rates, and the training and qualifications of the care team.

Bringing a list of questions is essential for a productive tour. Our guide on Questions to Ask When Touring Senior Care Facilities provides a comprehensive checklist to help you cover all the important topics, from care plans to dining services.

Understanding Costs in Los Angeles County

The cost of senior care in Los Angeles County varies significantly based on the type of facility, the level of care required, the size of the room, and the specific amenities offered. Because pricing is so individualized, you should always contact facilities directly for their current rates and to understand what is included in the base monthly fee.

Families in California use several methods to pay for senior care:

  • Private Pay: This is the most common payment method, using personal savings, pensions, or retirement funds.
  • Long-Term Care Insurance: If your loved one has a policy, review its terms to understand the coverage, daily benefit amounts, and elimination periods.
  • Medi-Cal: California's Medicaid program may help cover costs for eligible low-income seniors through specific waiver programs, such as the Home and Community-Based Services (HCBS) waiver. The state's CalAIM initiative is also working to expand access to long-term services and supports.
  • SSI/SSP: Seniors who receive Supplemental Security Income and the State Supplementary Payment may be able to use these benefits to pay for their care in a licensed residential facility.
  • Veterans Benefits: The VA Aid and Attendance benefit can provide a monthly pension to eligible wartime veterans and their surviving spouses to help offset the cost of care.

Navigating the financial aspects can be complex. Discussing these options with the facility's admissions director and a qualified financial advisor is a recommended step. The transition itself involves many considerations, which are covered in our Moving a Parent to Assisted Living: A Family Guide.

Local Resources in Santa Monica and Los Angeles County

Navigating the senior care landscape is easier with support from local agencies. These organizations provide information, assistance, and advocacy for older adults and their families across the county.

Next Steps

You are now equipped with a foundational understanding of senior care in Santa Monica. The next step is to begin exploring the 19 licensed facilities in the area. We encourage you to create a shortlist of communities that seem like a good fit and schedule tours to see them in person.

Use this guide as your roadmap, and remember that this journey is a process of discovery. As you get closer to making a decision, you will likely have more detailed questions about contracts, residents' rights, and the transition itself. Be sure to review our list of Questions About Move-In Process to ensure all your concerns are addressed. By taking a thoughtful and organized approach, you can find a safe, supportive, and welcoming new home for your loved one.

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