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The 10 Best Nursing Homes in San Francisco, CA for 2024

San Francisco is among the most populous cities in California with nearly 900,000 residents, over 15% of whom are aged 65 and over. To support this population, the city has world-class healthcare amenities, such as UCSF Medical Center, a nationally ranked hospital with over a dozen adult specialties. The city also features other high-performing hospitals, such as Walnut Creek Medical Center, a 554-bed hospital, and California Pacific Medical Center.  

San Francisco also offers numerous options for those seeking nursing home level care. Nursing homes provide around-the-clock intensive care and supervision and are generally appropriate for those recovering from a surgery or injury. Because of the high level of care provided, nursing home services in San Francisco are expensive at $12,471 per month on average. More affordable options, including assisted living and home-based care, may be a better fit for seniors with less extensive care needs.

In this guide, we cover the cost of nursing home care in San Francisco and analyze how they compare to costs in nearby cities. We also summarize local services that may help seniors cover nursing home care or delay placement by receiving necessary services in the own homes. 

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Nursing Home Costs in San Francisco, California

In San Francisco, seniors pay approximately $12,471 per month for semiprivate rooms in local nursing homes. Private rooms are considerably pricier at $15,208.   

The Cost of Nursing Home Care in Nearby Cities

According to data for semiprivate rooms in the Genworth 2020 Cost of Care Survey, San Francisco is one of the costliest cities in the nation for nursing home care. It exceeds the state median of $9,247 by 35% and the national average of $7,756 by over 60%. In the Santa Cruz area, which is 70 miles south, care costs are considerably lower at $9,201, and in Stockton, a city that’s 80 miles east, fees are among the cheapest in the state at $8,623. The San Jose area is similarly costly at $12,547 monthly, and Vallejo is more cost-effective at $9,429. 

California

$9,247

The United States

$7,756

Santa Cruz Area

$9,201

Stockton

$8,623

San Jose Area

$12,547

The Cost of Other Types of Senior Care

San Francisco tends to be a pricey city for nursing home care, with semiprivate rooms coming in at $12,471 per month and private rooms at $15,208. Fortunately, relatively affordable alternatives may be available. For seniors who prefer to live at home, home care, which includes personal care and housekeeping services, and home health care, which also includes skilled nursing services, are considerably cheaper at $6,101 monthly. Assisted living costs about the same as home-based care at $6,100. Adult day health care, which features recreational and wellness services in a daytime community setting, is the cheapest option at $1,950 monthly.  

Home Care

$6,101

Home Health Care

$6,101

Adult Day Health Care

$1,950

Assisted Living

$6,100

Financial Assistance for Nursing Home Care in San Francisco, California

Many seniors and their families use some form of financial assistance to help them pay for nursing care. The main options available are Medicare, Medicaid, and veterans benefits. These programs can be complicated, especially when it comes to benefit terms. Below, we give a brief overview of how these programs may be used towards paying for skilled nursing care.

  • Medicare: Medicare will typically cover all skilled nursing costs for the first 20 days of one’s stay in a nursing home and a portion of the costs until day 100. After 100 days in a skilled nursing facility, Medicare will not cover any part of the cost of the stay. While this is adequate when short-term care is needed, those in need of long-term care will need to either pay out-of-pocket or use another source of financial assistance.
  • Medicaid: Medicaid covers most of the costs of living in a skilled nursing facility for those who qualify. Care, room, and board are covered with no time limit, but residents may be charged for extras like specially prepared food or cosmetic services. Medicaid eligibility standards are strict and complex, so not all seniors are eligible for Medicaid benefits.
  • Veterans Benefits: Veterans receiving a VA pension may also be eligible for the Aid and Attendance benefit administered by the VA. Aid and Attendance is a monthly allowance that beneficiaries may use to pay for their long-term care, including skilled nursing care.

If these options aren’t available to you, check if your loved one has long-term care insurance or contact your Area Agency on Aging to ask about any local financial assistance programs for seniors.

Free Resources for Seniors in San Francisco, California

In San Francisco, older adults have access to a variety of services and supports that may enable them to safely age in the comfort of their own homes. The city also has options counseling programs that help seniors find ways to cover nursing home care when placement is necessary.

ResourceContactService
Department of Disability and Aging Services(415) 355-3555DAS coordinates services and supports for seniors in the San Francisco region. As the designated Area Agency on Aging, this department promotes seniors’ health and independence through a variety of programs, including In-Home Supportive Services, which provides free and low-cost services, such as shopping, bathing, dressing and cooking, that may help seniors avoid or delay nursing home placement. Its Benefits and Resources Hub serves as an entry point for connecting with services, and through the Aging and Disability Resource Center, specialists help identify needs and provide referrals for relevant local agencies.  
2-1-1 United Way Bay Area2-1-12-1-1 connects seniors in San Francisco and the surrounding area with services and programs that may enable them to continue living in their own homes. Through this service, which is provided through United Way Bay Area, seniors can obtain assistance with housing payments, utility assistance, home modifications, transportation and home-delivered meals.  
County Veterans Service Office(415) 934-4200Eligible veterans are entitled to a variety of state and federal VA benefits, including those that may enable them to age in place or cover nursing home expenses. At the local Veterans Service Office, certified officers help qualifying veterans identify and apply for benefits, such as the Aid and Attendance or Housebound benefit, service-related disability compensation and pension benefits. 
San Francisco Senior Center(415) 775-1866The San Francisco Senior Center provides a variety of social and recreational activities to reduce isolation and loneliness, promote health and wellness and connect seniors with necessary services and supports. It is also an Aging and Disability Resource Center that serves as a single point of contact for those seeking personal care, transportation services or home-delivered meals.  
Medicare Counseling(800) 434-0222HICAP is a statewide health insurance options counseling program that provides free, confidential and unbiased assistance for Medicare-eligible individuals. HICAP counselors are trained to answer questions about Medicare and Medi-Cal and its waivers, which may help individuals find options for covering home-based or nursing home care. 

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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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