
Assisted Living Communities in San Francisco, CA
With its beautiful bay-area fog, Golden Gate bridge, and charming neighborhoods, San Francisco is a world-famous destination for older adults who enjoy culture and city living, as well as beautiful scenery. To help seniors find the assisted living community that’s right for their family, we’ve researched and compiled in-depth information about the cost of care, how to pay for care, and important local laws and regulations involving senior care and assisted living.
With an average cost of $4,638 in San Francisco, it’s often difficult to find assisted living communities that provide high-quality care at an affordable price. At Caring.com, our mission is to make this process as smooth and painless as possible, and we’ve helped many families along the way.
This guide provides everything you need to quickly compare communities and narrow your search, including 105 unique reviews from residents and our comprehensive database that gives pricing, amenity information, photos and more on the 40 facilities in San Francisco.
Top 10 Assisted Living Facilities in San Francisco, CA
Sagebrook Senior Living at San Francisco
Portola Gardens
The Village at Hayes Valley
Sutro Heights Residential Care Home
Gonzales Home I
Cypress at Golden Gate
Rhoda Goldman Plaza
Coventry Place San Francisco
Sequoias San Francisco Convalescent H...
AlmaVia of San Francisco
Kimochi Home
San Francisco Towers
Heritage on the Marina
Buena Vista Manor House
The Avenue
Janet'S Residential Facility For The ...
Kokoro Assisted Living
Autumn Glow
St. Francis Manor I
Sunset Care Home
Sunset Gardens
Merced Broad
Victorian Manor
Irene Swindells Center for Adult Day ...
San Francisco RCFE
Palarca-J.J. Oceanside Residential Ca...
Aurora'S Residential Care Home
Atria Daly City
Oakmont of Cardinal Point
Oakmont of Mariner Point
Elders Inn
Bay Harbour Residential Care Home
Delia's Retirement Home
Peninsula Del Rey
Peninsula Reflections
Lake Park Retirement Residence
The Watermark By The Bay
Westborough Royale
Home Sweet Home Senior Care
Family Affair Care Home
Social Vocational Services - Rocca Home
Precious Care Home
What to Consider About Assisted Living in San Francisco
San Francisco is an iconic destination, known for the Golden Gate Bridge, hippy culture and Alcatraz. Seniors wishing to retire to the area can enjoy a diverse city with great food and abundant arts and culture. The city has a sizable senior population with almost 15 percent of San Francisco's 885,000 people aged 65 and older. There are 61 assisted living facilities in the area catering to this population, which are licensed by the California Department of Social Services, Senior Care Licensing Program.
Benefits and Drawbacks of Assisted Living in San Francisco
- San Francisco is a member of the AARP Network of Age-Friendly Communities, meaning that its elected leadership “has made the commitment to actively work toward making their town, city or county a great place for people of all ages,” according to AARP.
- San Francisco's overall crime rate is 70 crimes per 1,000 residents, higher than 99 percent of California's other towns and cities. The property crime rate of 62.48 is more than double the California rate. Seniors may wish to inquire about security measures when touring assisted living facilities.
- The San Francisco area is home to world-class medical facilities, including Saint Francis Memorial Hospital, in the event of medical emergencies or illness.
- The SFMTA provides public transportation in San Francisco and riders aged 65 and older are eligible for discounted fares or free transport. The SFMTA also has a paratransit service for people who are unable to use public transit.
- The Sperling index rates San Francisco's cost of living at 305, which is 205 points higher than the national average. The high cost of housing has the largest impact on this ranking and seniors with health conditions can save money on healthcare which is ranked seven points lower than the U.S. average.
- While Social Security Income is exempt from state income tax in California, money from pensions and retirement funds is subject to income tax. State sales taxes are also high, which may mean less money available for assisted living budgets.
Paying for Assisted Living in San Francisco
Average Monthly Costs
Cities in California
Assisted Living costs in San Francisco start around $4,638 per month on average, while the nationwide average cost of assisted living is $4,000 per month, according to the latest figures from Genworth’s Cost of Care Survey.
It’s important to note that assisted living rates in San Francisco and the surrounding suburbs can vary widely based on factors such as location, the level of care needed, apartment size and the types of amenities offered at each community.
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.


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 Assisted Living Resources in San Francisco
San Francisco and the surrounding area are home to numerous government agencies and non-profit organizations offering help for seniors searching for or currently residing in an assisted living community. These organizations can also provide assistance in a number of other eldercare services such as geriatric care management, elder law advice, estate planning, finding home care and health and wellness programs.
To see a list of free assisted living resources in San Francisco, please visit our Assisted Living in California page.
Assisted Living Laws and Regulations in San Francisco
San Francisco-area assisted living communities must adhere to the comprehensive set of state laws and regulations that all assisted living communities in California are required to follow. Visit our Assisted Living in California page for more information about these laws.


Assisted Living near San Francisco, CA
Other Options in San Francisco, CA
Recent Reviews of Assisted Living in San Francisco
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Review of Sagebrook Senior Living at San Francisco
Great location to all the nearby shops and the park is right around the corner. Beautifully renovated with modern decors and living spaces. We were worried that it would be a hard adjustment for ... Read more
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Review of Cypress at Golden Gate
I know somebody that stays at Cypress at Golden Gate. They're pretty good. They have the standard assisted living amenities, and their activities are pretty good. They have entertainment, and they ... Read more
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Review of Coventry Place San Francisco
Coventry Place San Francisco is one of the best in the whole Coventry system. We have a gentleman named Craig D. here who initiated a 65-page document that has been approved by the company, the US ... Read more
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