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The 10 Best Assisted Living Facilities in San Francisco, CA for 2024

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Assisted Living Facilities in San Francisco, California

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What to Consider About Assisted Living in San Francisco

In San Francisco and the rest of California, assisted living facilities are overseen by the state Department of Social Services, which operates the California Senior Care Licensing Program. This program is designed to ensure that long-term care homes are compliant with state senior care standards.

Benefits and Drawbacks of Assisted Living in San Francisco

  • In San Francisco, there are 441 physicians per 100,000 people, which is higher than the national average of 210 per 100,000. This means that seniors have easy access to health care.
  • The city is home to some of the country’s best hospitals, including the UCSF Health Medical Center, which has especially high ratings in the neurosurgery and neurology specialties.
  • The cost of living in San Francisco is very high compared to other American cities, scoring 269.3 points on a cost of living scale compared to the national benchmark of 100. However, utility costs are slightly lower than average, at 97.5.
  • Sunny San Francisco gets warm summers and no snow in the winter, making it easy for seniors to get around. The city gets 259 sunny days per year compared to the national average of 205.
  • The violent crime rate in San Francisco is a little higher than the U.S. average, at 39.6 compared to 22.7. Fortunately, most assisted living facilities have high-quality security measures in place to protect their residents.

Paying for Assisted Living in San Francisco, CA

When trying to decide how to pay for assisted living, one of the first questions that comes up is "How much does it cost?" With the impact of inflation, it's more important than ever to have up-to-date information when making a financial plan for senior living. To help shed light on real senior living prices, Caring.com has compiled proprietary cost data from its network of more than 75,000 senior living providers to provide insight into the average cost of assisted living in San Francisco and 200 other cities in California.

Inflation's Impact on the Cost of Assisted Living in San Francisco, CA

Like many other things, the cost of assisted living care has gone up in San Francisco. Over the period 2022-24, prices for room and care in the city's assisted living communities rose from $7,099 a month to a projected $8,375 in 2024, an 18% increase in three years. During the same period, California in general saw a more modest rise in costs of just 13%. The national average hike was 18%, from $4,070 to $4,802 a month, similar to the cost of care in several California cities. Sacramento, Riverside and Bakersfield all rose by 18%.

Location2022 Cost (Historical)2023 Cost (Current)2024 Cost (Estimated)
San Francisco$7,099$7,777 $8,375
U.S. Average$4,070$4,459 $4,802
California$4,625$4,946 $5,221
Sacramento$4,995$5,472 $5,893
Riverside$4,814$5,274 $5,680
Bakersfield$4,968$5,443 $5,862

The Cost of Assisted Living in Nearby Cities

Assisted living prices in San Francisco are high, but Santa Rosa has even higher prices, at $7,048 per month. In Sacramento, seniors pay $5,225 per month for assisted living. Costs are lower in central city Madera, which averages $3,828. Finally, in Stockton, assisted living has a median cost of $3,649 per month.

San Francisco

$6,319

California

$5,240

United States

$4,500

Stockton

$3,649

Madera

$3,828

Sacramento

$5,225

Santa Rose

$7,048

The Costs of Other Types of Senior Living

Depending on a senior's care needs and budget constraints, assisted living may be the best choice for senior care, or it might be just one of several options. While assisted living averages $7,777 a month in San Francisco, memory care costs more than $800 less, or $6,924. Seniors who can thrive in independent living pay a San Francisco average of $6,110 a month.

Assisted Living

$7,777

Memory Care

$8,547

Independent Living

$6,110

Financial Assistance for Assisted Living in San Francisco

San Francisco, and California as a whole, is focused on keeping seniors in their own homes for as long as possible. Financial help in paying for assisted living facilities is extremely limited when compared to in-home or nursing home care as a result of this statewide policy. The Assisted Living Waiver (ALW) program is available in San Francisco for people with full-scope Medi-Cal eligibility, although this does not cover all aspects of assisted living.

Learn more about these programs, plus who’s eligible, on our Assisted Living in California page.

Paying for Assisted Living Facilities in California

More Ways to Pay for Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Some additional ways to finance assisted living costs include:

  • Veterans Benefits
  • Life Insurance Policy
  • Long-Term Care Insurance
  • Reverse Mortgage

For more information about different ways to finance assisted living, visit our Assisted Living in California page.

Free and Low-Cost Resources for Seniors in San Francisco,CA

There are many resources in San Francisco,CA that assist seniors in their retirement. Caring.com has compiled information on local organizations, programs and agencies and categorized them into care types for easy reference.

For information about statewide resources and those in nearby cities, go to Caring’s California state page.

Area Agency on Aging

Retirees can find support and advice on various senior-related issues from their local Area Agency on Aging. The agency provides advice on topics such as financial assistance programs, in-home care and long-term care planning. It also connects seniors and caregivers with community-based resources.

Program NamePhone NumberDescription
San Francisco Human Services Agency Disability + Aging Services415-355-3555California's network of Area Agencies on Aging work under the umbrella of the California Department of Aging. These agencies promote healthy living for older residents through a variety of federal and state-funded programs. Some of these programs include supportive services, senior nutrition programs, care management programs, caregiving services and Medicare and insurance counseling. Low-income seniors can become productive community members through volunteer programs, such as the Senior Companion Program and the Senior Community Service Employment Program.

Financial Assistance for Senior Care

San Francisco seniors wishing to remain in their own homes can find financial assistance from several local resources. These programs and organizations help retirees cover the cost of services such as home care, property modifications and utilities.

Program NamePhone NumberDescription
In-Home Supportive Services (IHSS) - San Francisco415-355-6700The In-Home Supportive Services Program covers the cost of home-based services that can help eligible participants avoid having to move out of their homes. Covered services include meal preparation, house cleaning, personal care and grocery shopping.
IHSS Independent Provider Assistance Center (IPAC)415-355-6700The In-Home Supportive Services Program covers the cost of home-based services that can help eligible participants avoid having to move out of their homes. Covered services include meal preparation, house cleaning, personal care and grocery shopping.

Cash Assistance Programs

Cash assistance programs in San Francisco provide financial support to help low-income retirees remain in their own homes for as long as possible. Seniors and caregivers can apply for tax rebates and reductions, discounts on vital services and help covering the cost of heating and cooling their home.

Program NamePhone NumberDescription
County Adult Assistance Programs (CAAP) - San Francisco855-355-5757San Francisco's County Adult Assistance Programs are designed to assist low-income adults and elderly individuals who may not be eligible for other government assistance programs. CAAP offers financial aid, healthcare coverage and other essential support, ensuring that vulnerable residents can access basic necessities and medical care. Program benefits are issued monthly on an Electronic Benefit Transfer card, which functions like a bank card and can be used to make purchases at retail stores or to withdraw cash at ATMs.
General Assistance - San Francisco800-223-8383Older adults residing in San Mateo County, CA, may qualify for cash assistance to help pay for rent and utilities. Residents must provide documents such as pay stubs and bank statements to demonstrate they meet income and resource limits, as well as proof of residency showing they have lived in the county for at least 15 consecutive days. Applications may be submitted by mail or in person at a County of San Mateo Human Services Agency office.

Food Assistance Programs

Local organizations help ensure elderly citizens have a balanced diet and receive essential vitamins and minerals to remain healthy. Through nutrition programs, congregate meals, home-delivered meals and food pantries, these programs help San Francisco seniors afford the nutritious food they need.

Program NamePhone NumberDescription
Meals on Wheels San Francisco415-920-1111Meals on Wheels San Francisco delivers fresh and frozen meals daily, along with grocery bundles, to seniors aged 60 and over. To be considered for eligibility, a senior must be housebound, live alone or with a caregiver, have trouble shopping and preparing meals on their own or have had a recent stay in the hospital. No single factor determines eligibility or disqualifies an applicant. Meals and additional social services, such as daily check-ins, are also available at no cost.
San Francisco-Marin Food Bank415-282-1900San Francisco-Marin Food Bank provides groceries to low-income seniors. They offer free weekly grocery delivery to seniors who are homebound and unable to visit food pantry sites. Volunteers deliver a bag filled with fresh fruits, vegetables, dairy and lean proteins. These deliveries promote independence and healthy living for seniors who can still cook for themselves. Seniors who are still mobile can visit pantries operated by the organization to choose a box of groceries with the help of volunteers.

Free Used Medical Equipment

Due to the high cost of purchasing new medical equipment, several organizations in San Francisco collect lightly used medical devices such as wheelchairs, ramps and walkers and distribute them to local seniors and residents in need.

Program NamePhone NumberDescription
The ReCARES Network - San Francisco415-487-5405The ReCARES Network in San Francisco provides lightly used health care and safety equipment free of charge to those in need, including seniors. The organization accepts donations of mobility aids, bedroom and bathroom aids, incontinence supplies, adaptive equipment and breathing aids. Seniors can choose between three locations throughout the city, and there is no need for Medicare, health insurance or ID.

Senior Centers

Senior centers in San Francisco bring together residents through recreational activities and events. Many also offer advice and support on senior issues, run wellness and nutrition programs, and connect older adults with other resources in the local area.

Program NamePhone NumberDescription
Institute on Aging - San Francisco415-750-4111The Institute on Aging provides and coordinates a continuum of culturally sensitive care for older adults over 65. IOA CONNECT links seniors with programs and community services, including the Program of All-Inclusive Care for the Elderly (PACE), psychology and counseling services and caregiver training. The Multipurpose Senior Services Program (MSSP) provides skilled nurses and social workers to help chronically ill seniors remain in their homes. Clients can also find legal and financial assistance, including representative payee and trustee services. A Friendship Line is open 24/7 for nonemergency emotional support and crisis intervention.
Bayview Hunters Point Adult Day Health Care Center415-826-4774The Bayview Hunters Point Adult Day Health Care Center is a community resource that provides specialized care and support for older adults who would otherwise be homebound or isolated. The center offers a safe and stimulating environment where seniors can receive personal care assistance, nutritious meals and opportunities for social interaction. Some services offered include medication management, physical therapy sessions, counseling and nursing assistance. The center also provides recreational programming, including exercises, dance parties and arts and crafts.
Bayview Senior Connections415-822-1444Located in San Francisco, Bayview Senior Connections promotes the well-being of African American seniors by providing a wide range of essential social services and health care from its friendly, engaging community centers. The organization's Adult Day Health Center offers specialist health care including physical therapy, speech therapy and psychological counseling, alongside fun recreational activities such as fitness sessions, dance parties and special celebrations. Seniors can also enjoy tasty and healthy hot meals, courtesy of Bayview Senior Connections' popular nutrition program.
OMI (Oceanview, Merced Heights, and Ingleside) Senior Center415-334-5550The San Francisco Department of Human Services supports OMI, the Oceanview, Merced Heights and Ingleside senior center. OMI offers congregate meals, senior-oriented social activities and caregiver support and education during operating hours, which run from Monday to Friday from 8:30 a.m. to 3:00 p.m. Services are open to seniors aged 60 and over who register as members. Meals are a suggested $2 for seniors, though this can be waived. Visitors must wear masks and provide proof of vaccination.
Stepping Stone Senior Centers - San Francisco415-359-9210SteppingStone provides health care and social support to seniors living with chronic conditions or disabilities. Located in San Francisco, CA, this adult day health care facility develops care plans for each participant based on their needs, promoting their independence and overall well-being. During each 4-hour visit, seniors may receive physical therapy, wellness checks, medication management, nutritious meals and social support. SteppingStone provides services in a variety of languages, including English, Cantonese, Mandarin, Spanish, Korean and Vietnamese.
Golden State Adult Day Health Care (ADHC)415-387-2750Golden State Adult Day Health Care provides a safe and caring environment to help seniors stay healthy and active. Older adults needing treatment and support for physical or mental conditions may access physical, speech and massage therapies, nutrition and psychological counseling, medication management and nursing services. Nutritious meals and organized activities are also provided. Residents of San Francisco, San Mateo, Pacifica, Daly City and parts of Oakland may register for the program.
Mission Neighborhood Centers415-206-7752Seniors living in the San Francisco area can take part in an array of engaging group activities and wellness initiatives organized by Mission Neighborhood Centers. Available at locations throughout the city, these activities include music lessons, arts and crafts workshops, karaoke, exercise classes, computer literacy classes, social outings, health screenings and nutrition counseling. Older adults and adults with disabilities can also socialize and enjoy healthy congregate meals together on weekdays from 12 to 1 p.m.
San Francisco Senior Centers415-202-7805There are two San Francisco senior centers catering to adults with disabilities and seniors aged 60 or older. One in Aquatic Park is open on weekdays, and the other in the downtown area is open daily. Buses are available to access both locations. Seniors can participate in exercise classes, share a meal with friends, meditate, learn ceramics or engage in many other activities. Assistance with sometimes challenging tasks, such as filling out applications or getting referrals, is also available.
Self Help for the Elderly - Geen Mun Senior Center415-677-7600Self-Help for the Elderly assists seniors aged 60 and above in the Chinatown community of San Francisco through the Geen Mun Senior Center on Stockton Street. They're open Monday through Saturday, serving fresh, nutritious meals each day. Activities such as tai chi, yoga and educational workshops keep seniors engaged and interacting with other senior center members. Blood pressure monitoring is also provided as part of the effort to promote continued independence and ensure wellness.
Toolworks' ADRC415-733-0990Toolworks' Aging and Disability Resource Center is a senior center in San Francisco that acts as a single point of focus for seniors and low-income San Franciscans seeking social services and community support. Seniors aged 55 and over, or adults of any age with a disability, can visit the center for help signing up for affordable housing, SNAP, vouchers for public transportation and other assistance programs. Expert case management is also available, as are ASL services for the deaf.

Senior Engagement

Senior engagement resources and programs in San Francisco help older adults remain active and ensure they contribute to the community. Resources include wellness programs, volunteer opportunities, support groups and organizations that help residents connect with the community to live fulfilling lives.

Program NamePhone NumberDescription
Memory Cafe Ruth's Table415-642-1000Dementia-friendly programs offered by this charity include the Crossroads Cafe. It provides a safe place for seniors affected by memory loss to enjoy a meal, socialize and take part in leisure activities. Cafe offerings include guided tours of different museums and friendly bocce ball games in a supervised environment that's safe for people experiencing cognitive challenges.
UCSF Memory and Aging Center415-353-2057The UCSF Memory and Aging Center is a leading research hospital that can help Emeryville families from the diagnosis of dementia through treatment and long-term care. In addition, the center empowers family caregivers by providing information, training and resources, including a 10-step planning process. UCSF operates a Community Outreach program to improve access to clinical services in Emeryville and throughout the Bay Area.
Openhouse - San Francisco415-347-8509Openhouse - San Francisco is a senior engagement center with an emphasis on LGBTQ+ seniors and adults with disabilities. The center organizes community programs to help keep seniors engaged with their community through daily social gatherings, intergenerational lunch discussions, senior-led groups, film screenings, movement classes, cultural events and community advocacy groups. This is a project of the San Francisco Department of Human Services Department of Aging and Disability Services, so participation is free. Seniors can sign up for events online.

Social Security Offices

Social Security offices in San Francisco help seniors and disabled people access the benefits they're entitled to. Older adults can contact their local office for information about receiving retirement benefits, disability allowance and Supplemental Security Income.

Program NamePhone NumberDescription
San Francisco Social Security Offices800-772-1213Social Security is a source of income available to retirees and people who can no longer work because of a disability. The money for Social Security comes from a payroll tax levied on employers, employees and self-employed individuals. When you retire, you'll receive monthly payments based on how much you earned when you were working.

Utility & Energy Bill Assistance

Low-income seniors who are struggling to meet the costs of maintaining their homes can find support from organizations that offer assistance with utility and energy bills. San Francisco retirees could also qualify for emergency funding programs if they're in danger of losing utility services due to unpaid invoices.

Program NamePhone NumberDescription
Low-Income Home Energy Assistance Program - San Franscisco866-675-6623The Low Income Home Energy Assistance Program helps eligible households balance their utility bills, while the LIHEAP Energy Crisis Prevention Program provides financial assistance to low-income households facing energy-related crises. For example, the ECPP may offer assistance to a homeowner who's in danger of having their power shut off.

Veteran's Services

San Francisco retirees who have served in the U.S. military can find support from local veteran services. These offices and organizations help vets access the benefits they're eligible for and provide advice and information on a variety of issues.

Program NamePhone NumberDescription
San Francisco Vet Center415-441-5051At the San Francisco Vet Center, veterans and their loved ones can receive confidential counseling and support services without cost. Telehealth appointments make care accessible to all, with counseling sessions available for individuals, groups, families and couples. The center supports those suffering from PTSD, depression, anxiety and trauma, and it offers grief counseling for those who have lost a loved one or who are undergoing a major change. It also partners with Project Homeless Connect to support homeless veterans.

Assisted Living Laws and Regulations in San Francisco

San Francisco Assisted Living Communities must adhere to the comprehensive set of state laws and regulations that all Assisted Living Facilities in CA are required to follow. Visit our Assisted Living in CA page for more information about these laws.

Assisted Living Laws and Regulations in California

Reviews of Communities Nearby

Assisted Living

Irene

I visited this facility

Review of The Ivy at Golden Gate

I toured the Ivy at Golden Gate. They had bingo and arts and crafts. It was a guided tour, and the staff was excellent. He was very good, nice, and thorough. He offered for us to eat there if we...

Provider response

Irene, we are so pleased you enjoyed your visit to The Ivy at Golden Gate! We sincerely thank you for the positive review, and hope to see you again soon!

Read more

Assisted Living

Alan

I visited this facility

Review of Ivy Park at Cathedral Hill

Ivy Park at Cathedral Hill was nice. All the people there were nice. They explained what it would involve getting my mom in, all the all the legal work and paperwork. They then gave me a tour of...

Provider response

Hi Alan, thank you so much for taking the time to leave us this wonderful review! We're so pleased that you enjoyed your visit to Ivy Park at Cathedral Hill.

Read more

Assisted Living

Alan

I visited this facility

Review of Portola Gardens

The tour at Portola Gardens was good. The people were nice. The facility is really old. It's probably 1918 designed, so it's like a dormitory or institution. My dad was there for like two weeks for...

Read more

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Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

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