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Buena Vista Manor House
399 Buena Vista Ave E, San Francisco, CA 94117
"I toured Buena Vista Manor House. I like that it's a privately held business, that David, the owner, is part of the...
Assisted LivingMemory Care
$7,600
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 2314 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.
250 Providers
The Village at Hayes Valley - CLOSED
624 Laguna Street, San Francisco, CA 94102
"The food is good (especially beef stroganoff). Bed making is fine, as long as I can have 3 blankets for 8 months. So...
Assisted LivingMemory Care
$4,200
The Carlisle, Ivy Signature Living
1450 Post Street, San Francisco, CA 94109
"We went to The Carlisle and got on their waiting list. They were very nice and very accommodating. When we got there...
Assisted LivingIndependent Living
$7,995
Sagebrook Senior Living
2750 Geary Blvd, San Francisco, CA 94118
"Sagebrook Senior Living is beautiful. I love it. It's just a bit too steep. They want $6,800 without the care, and...
Assisted LivingMemory Care
$6,095
Coterie Cathedral Hill
1001 Van Ness Ave, San Francisco, CA 94109
"My experience with the care and facilities at Coterie has been excellent. My mother moved to the memory care floor at...
Assisted LivingIndependent Living+1
$9,900
Ivy Park at Cathedral Hill
1550 Sutter Street, San Francisco, CA 94109
"The people at Ivy Park at Cathedral Hill seemed very nice. There's diversity of people, residents, and staff there...
Assisted LivingIndependent Living+1
$7,595
Heritage on the Marina
3400 Laguna Street, San Francisco, CA 94123
"I saw Heritage on the Marina for the fourth time now. It’s a three-tiered community with independent living, assisted...
Assisted LivingContinuing Care Communities+1
$6,415
Aldersly
326 Mission Street, San Rafael, CA 94901
"My mother is with Aldersly. They offer many activities for residents and provide services. The staff is very friendly...
Assisted LivingContinuing Care Communities+3
$8,626
Caring Stars Winner
The Ivy at Golden Gate
1601 19th Avenue, San Francisco, CA 94122
"It was wonderful. I thought it was really lovely. I would love for my mother to stay there. The person who took me on a...
Assisted LivingIndependent Living+1
$8,195
Peninsula Reflections
205 Collins Ave, Colma, CA 94014
"We chose Peninsula Reflections. I liked the place. It was very nice. The room was big and a single for my partner. I...
Assisted LivingMemory Care
Pricing unavailable
Serra Highlands Senior Living
501 King Dr, Daly City, CA 94015
"I visited and it was clean. It did not smell bad, he has a nice room that we furnished, the food is fabulous, and the...
Assisted LivingIndependent Living
$3,595
Elders Inn
1721 Webster Street, Alameda, CA 94501
"Elders Inn was small and not organized facility. It doesn’t have the newness that the other facility we visited does...
Assisted LivingMemory Care
$6,877
Cardinal Point
2431 Mariner Square Dr., Alameda, CA 94501
"Very friendly and caring staff. Excellent facility. "
Assisted LivingContinuing Care Communities+1
Pricing unavailable
Caring Stars Winner
Oakmont of Mariner Point
2400 Mariner Square Drive, Alameda, CA 94501
"My mother is in Oakmont of Mariner Point near my home. It has the right kind of room that we are looking for. They serve...
Assisted LivingMemory Care
$8,495
1440 By The Bay
1440 40th Street, Emeryville, CA 94608
"I was here for five months. It was nice. It was close to my family and close to my medical providers because I had to...
Assisted LivingIndependent Living+1
$4,155
Belmont Village Albany
1100 San Pablo Ave, Albany, CA 94706
"Belmont Village is brand new, so there were a lot of people during open house. It was kind of hectic and crazy, but my...
Assisted LivingIndependent Living+1
$7,790
Caring Stars Winner
Waters Edge Lodge
801 Island Drive, Alameda, CA 94502
"Very caring, thoughtful, and always doing extras for me. "
Assisted LivingIndependent Living
$6,300
The Ivy at Berkeley
2000 Dwight Way, Berkeley, CA 94704
The Ivy at Berkeley sets a new standard in luxury senior living, encouraging you to embrace an active, carefree...
Assisted LivingIndependent Living+1
$7,895
Golden Age Inc
624 Cypress Avenue, Millbrae, CA 94030
"My dad has been settled for several months now, so he's fine, and he is in Golden Age. I'm very happy with them. They...
Assisted Living
$8,000
Cadence Millbrae
1201 Broadway, Millbrae, CA 94030
"Cadence Millbrae was beautiful. The person who accommodated me was exceptional. The apartment was very nice. It was a...
Assisted LivingIndependent Living+1
$4,175
Reviews of Communities Nearby
Assisted Living
Adreas
5.0
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...
Assisted Living
Patricia
5.0
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...
Assisted Living
Ed215
3.0
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...
What you can do with Caring
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 2314 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 Living | In-Home Care | Home Health Care | |
|---|---|---|---|
| Monthly Cost | $8,500 | $8,008 ($42/hour) | $8,008 ($42/hour) |
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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 |
|---|---|---|
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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: 2314 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.
- Studio apartments: Present in 143 communities
- One-bedroom apartments: Available in 133 communities
- Two-bedroom apartments: Offered by 72 communities
- Three-bedroom apartments: Found in 3 communities
- Respite/short-term stays: Available at 66 communities
Popular amenities and lifestyle features
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:
- Pet friendly: In 156 communities
- Active lifestyle: In 77 communities
- Swimming pool: In 17 communities
- Entertainment venues: In 62 communities
- Laundry/Linen services: In 108 communities
- Bilingual Spanish support: In 90 communities
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:
- Extensive Public Transport: San Francisco Municipal Transportation Agency operates the county’s first publicly-owned transit system, Muni, which includes buses, trains, streetcars, and cable cars. Wide coverage connects most neighborhoods, and low-income seniors 65 and older can ride for free.
- High-Performing Medical Facilities: UCSF Health Medical Center ranks nationally for overall services and comes in second nationwide for geriatric care. Among San Francisco’s other top-quality facilities, John Muir Health’s Concord Medical Center and Walnut Creek Medical Center provide high-performing geriatric services.
- Comfortable Climate: The coastal city experiences moderate temperature changes throughout the year, with mild winters and warm summers.
- Specialized Senior Activities: San Francisco Human Services Agency operates several senior centers where older adults can mingle with their peers and join a variety of activities such as fitness classes, games, and computer workshops. Centers also offer excursions and lifelong learning classes, and some provide low-cost meals.
- Creative and Cultural Appeal: The vibrant creative scene in San Francisco ranges from citywide public art and contemporary displays at the San Francisco Museum of Modern Art to organized fine art collections at the de Young Museum and Legion of Honor. Performing arts fans can visit the San Francisco War Memorial and Performing Arts Center, as well as the San Francisco Opera, Ballet, and Symphony.
- Outdoor Leisure: San Francisco has over 200 outdoor spaces managed by San Francisco Recreation and Parks. The largest, Golden Gate Park, boasts gardens, lakes, meadows, and memorials, and offers a huge selection of activities. Baker Beach and Ocean Beach offer scenic vistas and oceanside strolls, and active seniors can take guided tours to explore historic attractions and nature at the nearby Angel Island State Park.
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
- Calculate the cost of long-term care near you. (2025). CareScout.
- Medi-Cal resources. (2025). HCS.
- HCBS provider minimum wage increase. (2025). HCS.
- Muni routes and stops. (2025). San Francisco Municipal Transportation Agency.
- Free Muni for seniors (ages 65+). (2025). San Francisco Municipal Transportation Agency.
- UCSF Health. (2025). University of California San Francisco.
- Concord Medical Center. (2025). John Muir Health.
- Walnut Creek Medical Center. (2025). John Muir Health.
- Climate and average weather year round in San Francisco. (n.d.). Weather Spark.
- Adult learning and activities. (2025). San Francisco Human Services Agency.
- Higher learning classes for older adults. (2025). San Francisco Human Services Agency.
- SFMOMA. (2025). San Francisco Museum of Modern Art.
- Visit de Young. (2025). Fine Arts Museums of San Francisco.
- Visit the Legion of Honor. (2025). Fine Arts Museums of San Francisco.
- San Francisco War Memorial and Performing Arts Center. (2024.). San Francisco War Memorial and Performing Arts Center.
- San Francisco Opera. (n.d.). San Francisco Opera.
- San Francisco Ballet. (n.d.). San Francisco Ballet.
- San Francisco Symphony. (n.d.). San Francisco Symphony.
- Explore our parks. (n.d.). San Francisco Recreation and Parks.
- Discover Golden Gate Park. (n.d.). San Francisco Recreation and Parks.
- Angel Island State Park. (2025). California State Parks.
