About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
Senior Living Home

NON -CHALLENGER h1 from CMS10 Best Assisted Living Facilities in Spence, CA

Answer a few questions to get personalized results
Who are you searching for?

If you’re looking for assisted living in Spence, our local senior living advisors can help you find a safe, welcoming community for you or your loved one. Whether you’re searching for luxury assisted living in Spence or sticking to a budget, we’ll work with you to understand the cost of assisted living in Spence.

From there, we’ll show you the best assisted living communities in Spence for your family member’s budget, lifestyle, and personal care needs. With 60 assisted living facilities in the Spence area, A Place for Mom makes it easier to find a secure and social community for this next stage of life.

We are also serving Assisted Living facilities in surrounding neighborhoods like Monterey, Salinas and Hollister.
You may also consider nearby communities such as Monterey, Salinas and Hollister.

ShortCode tests:
top3CommunitiesWithLinks: Westmont of Morgan Hill, Ivy Park at San Jose and Brookdale San Jose
zipAveragecost: $5,140

Spence Assisted Living Facilities | 859 Reviews

Showing 60 communities
Last Updated: 12/22/25
Sort by
Filter by
Review Score
Distance
See communities with
Amenities
Providers
Photo of Oak Grove Residential Care Home
5 star
50%
4 star
50%
3 star
0%
2 star
0%
1 star
0%
See all reviews
I highly recommend the community. It was wonderful for my loved one. The staff communication with the family has been great. The caregivers were awesome! There were fruits and vegetables served with the...
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Oak Grove RCH Oak Grove RCH is a residential care home located in the clean San Jose City, California in Santa Clara County. Our community is situated in a place with many indigenous trees, a good road network and serene environment. The residence sits on a spacious land with a large backyard...
Photo of Harmonie Home
5 star
50%
4 star
50%
3 star
0%
2 star
0%
1 star
0%
See all reviews
I like the small care facility. My husband gets along better with fewer people. The meals that I have seen are great and he is eating much better. The staff and care seem very good. The only problem has...
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
BonHomie Group is a family-owned business that has been operating for 30 years, with 8 care homes in San Jose and Saratoga. All of the care homes have Administrators who are certified by Community Care Licensing; have taken extensive continuing education classes and passed the government test...
Photo of Elisa Home Care
5 star
0%
4 star
0%
3 star
100%
2 star
0%
1 star
0%
See all reviews
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Precious Moments Home #1
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Precious Moments Home #3
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Precious Moments Home #3 in San Jose, California is a wonderful assisted living facility that serves their patients well. The residents are loved and cared for by a talented and caring staff. The staff member are trained and educated, providing a wonderful experience for the people that live...
Photo of Bon Homie IV - Willowmont
5 star
0%
4 star
50%
3 star
50%
2 star
0%
1 star
0%
See all reviews
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Bon Homie IV - Willomont is an assisted living facility which provides personalized care for seniors suffering with Alzheimer's disease, dementia and other memory related issues. Located in sunny San Jose, California the home has received rave reviews for the excellent atmosphere and tender...
Photo of A Home at Shaw
5 star
0%
4 star
100%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
We often witness adult children agonize over what to do when their elderly parent's independent living style is no longer safe. Many senior citizens reach a point where they cannot live alone, but do not need traditional nursing home care. That is why a Home at Shaw, located in beautiful San...
Photo of Precious Moments Home #2
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Precious Moments Home #2 is a comfortable six bed cottage located in sunny San Jose, California. With the weather warm nearly year-round we pride ourselves in being able to keep spirits up with numerous activities and events on a day to day basis. We also strive to provide the best care possible...
Photo of Bon Homie III Lena
5 star
33%
4 star
33%
3 star
34%
2 star
0%
1 star
0%
See all reviews
A wonderful community that took excellent care for my mom. She was happy there. The staff was outstanding in all areas. Wonderful meals with a good variety. She was happy with how clean her room was and the...
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Bon Homie III Lena is an assisted living facility located at 2795 Lena Drive, San Jose, Ca. Bon Homie is assisted living which specializes in providing a safe and healthy environment for family members who suffer Alzheimer's or Memory Deficit. The large ranch style home is located on a quiet...
Photo of Kingdom Hearts Care Home
5 star
57%
4 star
29%
3 star
14%
2 star
0%
1 star
0%
See all reviews
[name removed] the director and her staff are amazing. Can always get InTouch with someone no matter what day or time. Very pleasant and friendly with all the patients.
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Kingdom Hearts Care Home is located in the beautiful and sunny San Jose, California and offers independent living for the elderly. The quiet facility provides 24-hour non-medical care, supervision and assistance with bathing and grooming to provide a comfortable and self-supporting lifestyle. The...
See details
Inline cta image

Our free advisors can help

  • Compare local facilities
  • Determine care type
  • Schedule tours
  • Evaluate pricing

Cost of assisted living in Spence, CA

The average cost of senior living in Spence is $5,140 per month. Cheaper nearby regions include Santa Nella, CA with an average of $3,703 per month.

Assisted living costs in Spence, CA, vs. nearby cities

Spence, CA
$5,140/mo
$4,372/mo
$3,859/mo

Assisted living costs in Spence, CA, vs. state and national averages

Spence, CA
$5,140/mo
U.S. national average
$4,558/mo

Assisted living costs in Spence, CA, vs. other senior living options

Assisted Living
$5,140/mo
$5,682/mo

Assisted living costs in Spence, CA, by floor plan type

Semi-Private
$5,284/mo
Private
$5,000/mo
Studio
$5,974/mo
1 Bedroom
$6,379/mo
2 Bedroom
$7,368/mo
Detached Cottage/Bungalow
$5,770/mo

Senior living costs in Spence vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Spence, CA
Column state: California
Column national: U.S.
Community typeSpence, CACaliforniaU.S.
Assisted Living$5,140/mo$4,369/mo$4,558/mo
Memory Care$5,682/mo$5,269/mo$4,794/mo
Independent Living$5,166/mo$4,504/mo$4,016/mo
Assisted Living
Spence, CA:$5,140/mo
California:$4,369/mo
U.S.:$4,558/mo
Memory Care
Spence, CA:$5,682/mo
California:$5,269/mo
U.S.:$4,794/mo
Independent Living
Spence, CA:$5,166/mo
California:$4,504/mo
U.S.:$4,016/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Assisted living costs in Spence, CA, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Spence and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

Spence, CACA stateNational

Assisted living cost trends in Spence, CA

The table below shows how monthly assisted living costs in Spence have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 median costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
Spence, CA$6,473/mo$6,106/mo+6.0%
California$5,659/mo$5,368/mo+5.4%
National$5,375/mo$5,129/mo+4.8%
Spence, CA
2024 average cost:$6,473/mo
2023 average cost:$6,106/mo
Percent change:+6.0%
California
2024 average cost:$5,659/mo
2023 average cost:$5,368/mo
Percent change:+5.4%
National
2024 average cost:$5,375/mo
2023 average cost:$5,129/mo
Percent change:+4.8%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Spence, CA

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Spence.

What families are saying about assisted living in Spence

Recent reviews for assisted living in Spence

Ivy Park at Monterey

4.9
Our 98 year old mother moved into Ivy Park this past spring. She really enjoyed the lovely environment; her apartment, the facility and its’ grounds. The staff members were all warm, kind, caring, patient and respectful. Our mother’s condition did fail after a few months due to her underlying ...
Read more

Bon Homie III Lena in San Jose, CA

4.1
The staff at Bon Homie is very nice. The facility is nicer than some others I've seen, but I kind of wish it was a little more for the money we're paying.

Merrill Gardens at Monterey

5.0
I am currently a resident at Merrill Gardens at Monterey and everything has been great. I would recommend this facility to others.

Spence review score based on 172 family reviews

8.4
Review score60 facilities172 reviewsWrite a review
This proprietary review score is based on 172 reviews of 60 Spence assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Spence review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Spence review score compared against nearby cities

8.4
Spence, CA60 facilities
9.0
Salinas, CA12 facilities
9.0
Gonzales, CA11 facilities

Review subcategories for Spence assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 172 reviews of 60 Spence assisted living communities. This chart helps you compare Spence resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Spence, CA averageNational average
Cleanliness
4.0
4.0
Friendliness
4.0
4.1
Care services
3.5
3.8
Staff
3.9
4.0
Meals & dining
3.5
3.6
Activities
3.5
3.7
Value for cost*
3.6
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Spence assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Spence assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Spence, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Spence assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Spence that offer these care services compared to the percentage of partners that offer them nationally.
Spence, CANational
Full medication management
Full medication management
61.7%
53.2%
Doctor on call
Doctor on call
33.3%
34.1%
24-Hour awake staff
24-Hour awake staff
80%
98.9%
Diabetic care
Diabetic care
100%
99.4%
*Visiting health care professionals
*Visiting health care professionals
61.7%
57.9%
Home care agency on-site
Home care agency on-site
21.7%
30.8%
Non-ambulatory care
Non-ambulatory care
93.3%
99.1%
Respite or short term stays
Respite or short term stays
43.3%
49.1%
Hospice available on-site
Hospice available on-site
76.7%
54.5%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Spence assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Spence Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Spence, CANational
Dementia behaviors care
Dementia behaviors care
61.7%
52%
Specialized memory care training for staff
Specialized memory care training for staff
26.7%
32.8%
Secured community and/or wander guard
Secured community and/or wander guard
63.3%
42.1%
Memory care only community
Memory care only community
28.3%
14%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Spence assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Spence partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Spence, CANational
Nutritionist / dietician
Nutritionist / dietician
10%
27.4%
Low / no sodium
Low / no sodium
30%
40.6%
No sugar
No sugar
26.7%
37.5%
Vegetarian
Vegetarian
50%
36%
Pureed meals
Pureed meals
10%
13.4%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Spence assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Spence communities that offer dining options to their discerning residents compared to our partners nationally.
Spence, CANational
Professional chef
Professional chef
28.3%
31.5%
Restaurant style dining
Restaurant style dining
30%
42.6%
Room service
Room service
21.7%
36.3%
Anytime dining
Anytime dining
18.3%
18.1%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Spence assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Spence offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Spence, CANational
Activity director
Activity director
35%
46.8%
Pet-focused programs
Pet-focused programs
20%
31.5%
Community service programs
Community service programs
13.3%
30.4%
Devotional activities on-site
Devotional activities on-site
45%
50.7%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
36.7%
49.6%
Outings / off-site activities
Outings / off-site activities
46.7%
53.5%
Piano or organ
Piano or organ
26.7%
41.7%
Arts and crafts center
Arts and crafts center
25%
34.6%
Educational speakers / life long learning
Educational speakers / life long learning
30%
38%
Clubs / games / karaoke
Clubs / games / karaoke
30%
47.1%
Live performances
Live performances
35%
47.4%
Dances
Dances
18.3%
29.9%
Fitness center
Fitness center
18.3%
24.4%
Fitness classes
Fitness classes
35%
46.3%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Spence

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about California assisted living regulations will help you understand how assisted living communities in Spence protect seniors.
Learn about California assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Westmont of Morgan Hill, Ivy Park at San Jose and Brookdale San Jose are the top-rated assisted living facilities near Spence, California. See full list of communities.
There are 60 assisted living facilities near Spence, California. See the full list.
The best assisted living facility near you in Spence, California is Westmont of Morgan Hill. This assisted living community received the highest ranking based on verified family reviews.
Photo cta image

More questions?

Ask an A Place for Mom local advisor at no cost.

The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
Back to top