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Assisted Living Communities in San Francisco, CA

The northern California city of San Francisco covers about 47 square miles on a peninsula between the Pacific Ocean and San Francisco Bay. The city offers numerous long-term care options for seniors who need daily support, including 250 assisted living residences within the city limits and nearby. In 2024, local seniors pay around $7,495 per month for assisted living, which exceeds the state baseline rate by about $1,250.

Based on 2313 reviews testimonials from seniors and families, we find an average quality rating of 4.2 out of 5 stars among assisted living communities in the San Francisco region.

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Reviews of Communities Nearby

Assisted Living

Adreas

I am a friend or relative of a current/past resident

Review of Aldersly

My mother is with Aldersly. They offer many activities for residents and provide services. The staff is very friendly and accommodating. It's a totally different living environment than what I'm...

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Assisted Living

Patricia

I visited this facility

Review of Sagebrook Senior Living

Sagebrook Senior Living is beautiful. I love it. It's just a bit too steep. They want $6,800 without the care, and that's kind of a bit too much for our income. The community is great. The view was...

Provider response

Thank you for taking the time to share your feedback about your recent visit to Sagebrook Senior Living. We were delighted to read your kind words about our beautiful community, fantastic views...

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Assisted Living

Ed215

I visited this facility

Review of Aldersly

We were able to visit the Aldersly. We did not like it at all. It had the amenities that the other place had, but the dining room area was very small, and there were just regular standard tables...

Provider response

Thank you for sharing your impressions following your visit to Aldersly. We truly appreciate the time you took to explore the community and provide such detailed feedback. Thank you again for your...

Read more

What you can do with Caring

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  • Read reviews and expert guidance

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  • Take a tour to decide yourself

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Key Highlights

  • Assisted Living Costs: San Francisco has 10 assisted living facilities, with a median cost of $8,500/month.
  • Nationally Ranked Medical Facilities: San Francisco has numerous medical facilities, including the nationally ranked UCSF Health Medical Center and the high-performing John Muir Health Concord Medical Center.
  • Facility Amenities: San Francisco’s assisted living facilities typically offer a diverse activity schedule to nourish social, physical, spiritual, and emotional well-being. Other common features include indoor and outdoor leisure areas, pet-friendly accommodations, and nutritious meals.
  • Nearby Excursions: In addition to strolls around Fisherman’s Wharf, boat trips, and excursions to Alcatraz, San Francisco offers beaches, wineries, and museums such as the Asian Art Museum and de Young Museum. The Japanese Tea Garden and San Francisco Botanical Garden offer more opportunities for relaxation.

Here's how Caring can support your research and decision-making process:

  • Our expert Family Advisor services are free and personalized. They can assist you with booking tours and finding assisted living within your budget. Reach them for free assistance at (800) 558-0653.
  • We'll connect you with assisted living communities and in-home care providers in San Francisco that match your unique care needs and budget.

You can explore 2313 reviews from seniors and their families about their experiences with local providers to help inform your decision.

What Is the Cost of Assisted Living in San Francisco?

San Francisco's assisted living facilities charge a median fee of $8,500/month, according to CareScout. The monthly baseline drops to $6,390 in Santa Cruz. Rates in San Francisco run over $100 higher than California's norm of $7,350 and $2,600 more than the typical national cost of $5,900.

Assisted Living Costs in San Francisco

  • San Francisco: $8,500
  • Santa Cruz: $6,390
  • California: $7,350
  • U.S.: $5,900

Assisted living v. In-home care in San Francisco

At $8,500/month, assisted living costs about $500 more each month in San Francisco than full-time in-home care and home health care, which share a median rate of $8,008. Assisted living supports seniors in a residential environment, where they also have access to varied leisure activities and amenities. In comparison, home care provides assistance from visiting aides, allowing older adults to age in their homes.


Assisted LivingIn-Home CareHome Health Care
Monthly Cost$8,500$8,008 ($42/hour)$8,008 ($42/hour)
Services Provided
  • Bed and board in a maintenance-free setting
  • Personal care support
  • Social and wellness activities and shared amenities
  • Nonmedical assistance with daily living activities and personal care
  • Help with domestic tasks and meal preparation
  • Companion services
  • Medication management and drug administration
  • Physical, speech, and occupational therapies
  • Basic clinical support from nurses and nursing assistants

How Do People Pay for Assisted Living in San Francisco?

Several payment options exist for assisted living residents in San Francisco, including private resources such as savings and financial assistance. Understanding eligibility for public funding plays a crucial role, and seniors often use several payment methods to cover their care fees.


Payment Option✅ Coverage🚫 No Coverage
Private Pay
  • Retirees use income, such as pensions and Social Security benefits, or savings to pay assisted living fees.
  • Family members may help financially.
  • Most long-term care insurance policies cover assisted living costs.
  • Some life insurance policies help cover assisted living costs.
  • Senior homeowners may rent out their properties or secure a reverse mortgage.
Medicaid
  • California Medicaid (Medi-Cal) covers assisted living for qualifying seniors via the Home and Community-Based Services Assisted Living Waiver.
  • Recipients must require nursing home level of care.
  • Coverage may include assistance with daily tasks, transportation, medication management, and social activities.
  • The Assisted Living Waiver doesn’t pay for bed or board in an assisted living community.
  • A waitlist applies for waiver services.
Medicare
  • Medicare pays for part-time medical services provided by external agencies.
  • Medicare may cover personal care for those who also need skilled nursing or eligible therapies.
  • Medicare doesn’t pay for nonmedical care.
  • Medicare doesn’t cover rooms or meals.
  • Medicare doesn't pay for personal care when that’s the only service required.
VA Benefits
  • VA Health Care covers some long-term care services for veterans with qualifying long-term conditions.
  • Aid and Attendance and Housebound benefits provide an enhanced pension for veterans who require daily support.
  • Veterans’ benefits may cover some assisted living costs, such as help with daily activities and transportation.
  • Varying VA programs have different rules regarding coverage of bed and board.

Low-income and financial assistance programs are also available in San Francisco.

What Are Reviews of Assisted Living in San Fransico?

Reviews of assisted living communities in San Francisco offer personal insights from seniors and their families about the quality of care, amenities, and overall experience.

Seniors and their families have shared their experiences with communities across San Francisco:

  • Average rating: 4.2 out of 5 stars
  • Total reviews: 2313 reviews
  • Providers reviewed: 250 providers

Each review is carefully vetted to ensure authenticity and integrity, helping families make confident, informed decisions.

For questions or more information about Caring reviews, reach out to reviews@caring.com.

Which San Francisco Communities Are Caring Stars?

Each year, we award Caring Stars to top-rated communities that have high average ratings, great reviews, and demonstrate review responsiveness. In the past 3 years, California has had 113 Caring Stars winners.

What Assisted Living Amenities Are Available in San Francisco?

Assisted living facilities offer diverse amenities to promote engagement, enhance comfort, and encourage independence. Blending practical support with personal freedom and balancing diverse interests, a community's amenities help cultivate a sense of well-being and appeal to varying lifestyles.

Living accommodations

San Francisco's assisted living residences provide various accommodation options, including private en-suite studios and one- or two-bedroom apartments.

Older adults benefit from wide-ranging amenities and diverse activity schedules, geared toward enhancing life enjoyment. Keeping preferred features in mind can help narrow down the search for the ideal assisted living residence.

  • Special interest clubs, such as reading and walking, connect residents who share similar interests.
  • On-site fitness centers and instructor-led exercise classes support physical wellness.
  • Multi-faith prayer rooms and chapels support diverse spiritual beliefs.
  • Communal dining lets residents bond over meals, and diverse menus cater to wide-ranging tastes and dietary needs.
  • Salon services allow seniors to enjoy a little pampering.
  • Wi-Fi and public-use computers allow residents to keep in touch with loved ones, manage their affairs, and access online resources.
  • Nurse oversight monitors residents’ overall health and well-being.
  • Gardens provide outdoor recreation, with shaded seating areas, walking pathways, and areas for yard games.

Additionally, some facilities in San Francisco feature:

Seniors can connect with an expert Family Advisor for free information and assistance in finding the best assisted living facility for their preferences and requirements. They can conveniently compare local residences and focus on the services and features that matter most to them.

What Are Senior-Friendly Amenities and Attractions in San Francisco?

With expansive outdoor areas and a rich cultural scene combined with top-class medical facilities and senior-friendly services, San Francisco offers enjoyment and convenience for its older residents. Favorable features for retirees include:

What Are the Laws & Regulations for Assisted Living in San Francisco?

Strict statewide laws apply to California’s licensed assisted living facilities, promoting resident safety and care while ensuring appropriate staff training and facility standards. Visit our Assisted Living in California page for more information.

FAQ and Answers on Assisted Living in San Francisco

Sources

Helpful Articles

Assisted Living near San Francisco, CA

San FranciscoDaly CitySouth San FranciscoSan BrunoMill ValleyCorte Madera

Other Options in San Francisco, CA

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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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