Assisted Living & Board and Care in Westminster, CA — 25 Licensed Homes

Families searching for assisted living in Westminster are choosing from 25 licensed senior care homes across Orange County, a county where the Medi-Cal Assisted Living Waiver operates to help eligible residents pay for services. The licensed homes in Westminster range widely in size and structure, which shapes what families will encounter during their search. The breakdown is 21 small homes serving 6 residents or fewer, alongside 4 larger communities with 7 or more residents each. This mix means families comparing options will need to weigh the differences between smaller, often residential-style homes and larger communities, and understand what each setting offers for their parent or partner's needs.

Both board and care homes and larger assisted living communities operate under the same California Department of Social Services license category for Residential Care Facilities for the Elderly, or RCFEs, with size being the primary difference between them. Both types support residents with everyday tasks including personal hygiene, meal preparation, and dressing assistance. The 25 homes in Westminster hold a combined 659 licensed beds, with individual home capacity ranging from 4 to 164 residents. This variation means families will encounter very different environments—some homes operate at a much smaller scale than others—and should think carefully about what setting feels right for their loved one.

Choosing among these homes requires visiting in person, asking direct questions about how daily life works, and understanding what costs and services are included before committing. Families should confirm in writing what a monthly fee covers—typically room, meals, and basic assistance—and what additional charges may apply. Public records showing each home's license status and inspection reports are available through the CDSS Community Care Licensing Division and should be reviewed before making a decision.

Paying for care in an RCFE typically comes from private savings or funds, long-term care insurance, or VA benefits such as Aid and Attendance for qualified veterans and surviving spouses. Orange County participates in California's Medi-Cal Assisted Living Waiver, which can help pay for care services (not room and board) at participating homes. Slots are limited and there is currently a waitlist; new applicants enroll through a Care Coordination Agency. A total of 6 homes in Westminster are marked on this directory as accepting the Assisted Living Waiver, though families should verify current participation directly with each home.

Before touring, families benefit from writing down their loved one's specific care needs and preferences, then bringing that list to each visit to ask how each home would address them.