Caring.com
Caring.com

The Free Senior Living Advisors

(800) 558-0653

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 126 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 359 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.

Filters

126 Providers

Not finding what you’re looking for?

Caring's Family Advisors are here to help you with questions about senior living and care options.

Call us at (877) 752-1885

Reviews of Communities Nearby

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...

Read more

Assisted Living

Ralph

I visited this facility

Review of Buena Vista Manor House

I toured Buena Vista Manor House. I like that it's a privately held business, that David, the owner, is part of the hands-on, day-to-day operation of the Manor House, and that he made a very strong...

Read more

Assisted Living

Mary Fossourier

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

Review of Portola Gardens

ROOMS: The rooms are quiet and clean Residents do not need to bring their own furniture. Furniture, plus bed and bedding are provided. FOOD: I have visited but have not participated in any...

Read more

What you can do with Caring

  • Search the Caring database

    Quickly search the largest online senior living and senior care directory

  • Read reviews and expert guidance

    Read our authentic consumer reviews and content by experts

  • Speak to a Family Advisor for free

    Guided, expert advice to find the best community or agency for you

  • Take a tour to decide yourself

    We’ll help you book tours or get in touch with local agencies

The Cost of Assisted Living in Nearby Cities

The 2024 Genworth Cost of Care Survey indicates that assisted living fees in San Francisco come in at around $7,495 per month, outpacing the state norm of $6,250 and exceeding rates in most nearby cities. For example, in Vallejo and Stockton, facilities charge about $4,944 and $4,363, respectively. Costs run even lower in Modesto, where seniors pay roughly $4,100.

San Francisco

$7,495

California

$6,250

United States

$5,350

San Jose

$7,150

Modesto

$4,100

Stockton

$4,363

Vallejo

$4,944

How to Pay for Assisted Living in San Francisco:

Assisted living communities in San Francisco often accept public and private payment options, offering flexibility for seniors and families. Programs such as Medicaid and Medicare reduce out-of-pocket expenses for many residents, while personal income and assets bridge funding gaps. Additionally, many local assisted living centers accept VA benefits.

  • Medicaid: Many assisted living communities in San Francisco accept reimbursement from the Assisted Living Waiver, which pays for long-term care services for those who meet functional criteria. This waiver doesn’t cover housing, but it pays for services such as meals, housekeeping, and personal care, as outlined in an individual’s care plan.
  • Medicare: While assisted living falls outside of Medicare’s scope of coverage, residents can use their Part B plan to pay for certain specialized care services they receive. This coverage applies to skilled nursing services and rehabilitative care they receive through third-party home health care providers.
  • VA Benefits: Veterans have several options for managing assisted living costs, including personal care services, meals, transportation and housing. The VA administers three programs: Aid and Attendance, Housebound benefits, and the Geriatrics and Extended Care program.
  • Private payments: Seniors use their personal income and savings to cover the costs of housing and services in assisted living. Common payment sources include monthly pension and Social Security income, 401(k) savings, and long-term care insurance.

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.

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 Other Types of Senior Care

Assisted living fees in San Francisco land near $7,495 monthly. This rate runs a little lower than in-home care costs of approximately $7,531, and it provides roughly $1,100 in savings over home health care. Nursing homes charge notably higher rates, about $12,471 for semi-private accommodations. Adult day health care fees tend to run substantially lower at around $1,842.

In-Home Care

$7,531

Home Health Care

$8,580

Adult Day Health Care

$1,842

Assisted Living Facility

$7,495

Nursing Home Facility (semiprivate room)

$12,471

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.

Program NamePhone NumberDescription
San Francisco Human Services Agency415-557-5000The city’s Human Services Agency houses the Disability + Aging division, which supports seniors through nutrition services, health care initiatives, case management and veterans’ assistance. It has legal professionals who help seniors navigate civil legal issues such as benefits assistance and tenants’ rights.
Meals on Wheels San Francisco415-920-1111The local Meals on Wheels program delivers two healthy meals daily to seniors at risk of food instability. It has a team of social workers who help program participants find in-home support services, including transportation, social opportunities and free phones.
San Francisco-Marin Food Bank415-282-1900This nonprofit organization helps older adults find food banks throughout San Francisco. It also distributes monthly food boxes to seniors who meet income requirements.
The ReCARES Network5405ReCARES distributes gently used durable medical equipment and consumable supplies to seniors throughout San Francisco. Through this organization, seniors can obtain items such as toilet risers, knee scooters, wheelchairs, walkers and blood pressure machines.
Institute on Aging415-750-4111The Institute on Aging operates the Friendship Line, a friendly caller program that provides emotional support for those aged 60 and over. The program also has a caregiver support program for family caregivers, and it offers enhanced case management for older adults with special care needs.
Bayview Senior Services415-822-1444Bayview Senior Services supports older adults through social, recreational, wellness and nutrition services. It operates three senior centers, where older adults participate in daily programming, as well as an adult day health center for those who need daily support.
OMI Senior Center415-334-5550This senior center provides free social and recreational activities for those aged 60 and over, along with a low-cost daily lunch program. It hosts special events and activities throughout the year, including a monthly Library on Wheels service, health and wellness classes and technology support.
SteppingStone Senior Centers - San Francisco415-974-6784As the largest ADHC in San Francisco, SteppingStone provides individualized health and social support services for program participants. It has a multilingual staff and accepts many public and private health insurance plans.
Mission Neighborhood Centers415-206-7752This organization’s Healthy Aging and Disability Services Program features social and recreational activities, congregate meals and educational workshops. It hosts various classes, including computer literacy, chair exercises and nutrition.
San Francisco Senior Center415-202-7805This organization operates two senior centers in San Francisco, the Aquatic Park Center and the Downtown Center. These locations host recreational activities and have specialists who provide social services and information and referral assistance.
Self Help for the Elderly415-677-7600Through this nonprofit organization, older adults find affordable senior housing, chore services, home-delivered and congregate meals and information on local recreational opportunities. The organization has HICAP counselors who provide free, unbiased Medicare and Medicaid counseling.
Toolworks' ADRC415-733-0990The Aging and Adult Disability Resource Center serves those aged 55 and over through information and referral services. It helps seniors obtain the public benefits they qualify for and provides referrals for case management.
Ruth's Table415-642-1000This memory cafe operates the second and fourth Tuesdays of each month, providing social and recreational opportunities for those living with memory loss and their loved ones. It features in-gallery art exhibition tours and engaging art-based activities.
UCSF Memory and Aging Center415-353-2057The Memory and Aging Center provides diagnostic services and care for seniors living with memory loss. Individuals can get personalized support and medical care or participate in clinical studies.
Openhouse415-296-8995This organization connect seniors in the LGBTQ+ community with affordable housing, support services and community engagement opportunities. It operates as an ADRC, serving as a single point of entry into community-based services such as care coordination, case management and subsidized in-home care.
San Francisco Social Security Offices800-772-1213 or 800-325-0778 (TTY)San Francisco contains three Social Security Administration field offices, providing local seniors with in-person support and benefits assistance. At these locations, older adults apply for Medicare and Social Security benefits and obtain screening for Medicaid and Supplemental Security Income.
Low-Income Home Energy Assistance Program 415-416-6660LIHEAP helps income-qualified seniors avoid disruptions in their utility services through credits on their energy bills. Availability depends on funding, and seniors can apply to receive this credit once per calendar year.
San Francisco Vet Center415-441-5051The San Francisco Vet Center provides counseling and referral services to veterans and their families. It has trained counselors who provide one-on-one and group counseling sessions, offering support for those living with conditions such as depression or post-traumatic stress disorder.

Benefits and Drawbacks of Assisted Living in San Francisco

  • With living costs exceeding 80% above the national average, San Francisco ranks among the most expensive places to retire in the United States. Fortunately, it sits within the Assisted Living Waiver’s service area, promoting access to affordable care for many assisted living residents.
  • Top earners in California pay a state income tax rate of 13.30%, well above national norms. However, the state fully exempts Social Security benefits from income taxes and has a senior income tax exemption in addition to its personal exemption, reducing tax bills for many seniors and helping them afford assisted living in San Francisco.
  • San Francisco has mild weather throughout the year, making it an appealing option for prospective assisted living residents who are sensitive to overly hot or cold conditions. Daytime temperatures typically range from around 60 degrees Fahrenheit in winter to 70 degrees Fahrenheit in summer.
  • Ranking as safer than just 1% of U.S. cities, San Francisco has a high crime rate that deters some retirees. However, most crime occurs in the city’s north and east side neighborhoods. Seniors with safety concerns may consider assisted living communities in neighborhoods such as Parkside North, West Portal and McLaren Park North, where crime is rare.
  • San Francisco ranks among the most age-friendly cities in the United States, scoring 66 points on the AARP Livability Index. Local assisted living residents benefit from its diverse neighborhood amenities, ADA-accessible transportation services and high-quality healthcare options.

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. Assisted Living in California page for more information about these laws.

Assisted Living Services and Amenities in San Francisco

Assisted living communities provide residents with a range of thoughtful services and amenities, creating a homelike environment that fosters safety and peace of mind. From engaging recreational activities to lifelong learning opportunities, these facilities offer tailored programming to promote an active lifestyle and a sense of community. When choosing the right long-term care solution for their needs, San Francisco seniors often consider factors such as the scope of services a community provides, staff qualifications, and programs and activities. Other common features include:

  • Housekeeping Services: Regular cleaning services ensure a sanitary and comfortable environment.
  • Medication Management:  Trained staff members store medications at the correct temperatures, dispense according to doctors’ orders and order refills as necessary.
  • Outdoor Living Space: Assisted living communities in San Francisco offer plenty of opportunities to enjoy favorable weather, with our proprietary Caring.com database finding several communities that advertise private balconies and patios.
  • Guest Accommodations: Over 80 local assisted living communities offer meal services for guests, and many provide overnight accommodations or allow them to participate in recreational activities.
  • Pet-Friendly Apartments: According to our proprietary Caring.com database, the San Francisco region has over 120 pet-friendly assisted living facilities, allowing for many seniors to keep their companion animals.

To get personalized assistance with choosing an assisted living community in San Francisco, contact a Caring.com Family Advisor.

Frequently Asked Questions about Assisted Living in San Francisco:

Helpful Articles

Assisted Living near San Francisco, CA

San FranciscoDaly CitySouth San FranciscoSan BrunoMill ValleyCorte Madera

Other Options in San Francisco, CA

Business Owners

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

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

Our Services

  • Senior Living Directory

  • Senior Care Directory

  • Resources

  • Sitemap

  • Terms of Use

  • Privacy Policy

  • Do Not Sell My Personal Information


© 2025 Caring, LLC. All rights reserved.