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.  

Directory of Nursing Homes in San Francisco, CA

2019

Pacific Heights Transitional Care Center

2707 Pine Street, San Francisco, CA, 94115

Pacific Heights Transitional Care Center is clean and the staff seems very professional. My sister moved there and it’s very close to my house, which is one of the reasons why I like it. It has its dr … (read more)
Pacific Heights Transitional Care Center is clean and the staff seems very professional. My sister moved there and it’s very close to my house, which is one of the reasons why I like it. It has its dr … (read more)


San Francisco Towers

1661 PINE STREET, San Francisco, CA, 94109


Heritage on the Marina

3400 Laguna Street, San Francisco, CA, 94123


Convalescent Center Mission St

5767 MISSION STREET, San Francisco, CA, 94112

An outstanding Nursing Center under the direction of Elsa..
An outstanding Nursing Center under the direction of Elsa..

Mission Bay Convalescent Hospital

331 PENNSYLVANIA AVENUE, San Francisco, CA, 94107

Mission Bay Convalescent Hospital is surrounded by wonderful hospitals like UCSF, Kaiser Permanente and Sutter Health. You do not need to worry if the patient needs immediate medical attention. I rate … (read more)
Mission Bay Convalescent Hospital is surrounded by wonderful hospitals like UCSF, Kaiser Permanente and Sutter Health. You do not need to worry if the patient needs immediate medical attention. I rate … (read more)

San Francisco Campus for Jewish Living

302 Silver Ave, San Francisco, CA, 94112

Jewish Home of San Francisco is so unbelievable. Every resident has a separate apartment with a bathroom. The staff is too good to be true. If the family is present, they serve the food in the room.
Jewish Home of San Francisco is so unbelievable. Every resident has a separate apartment with a bathroom. The staff is too good to be true. If the family is present, they serve the food in the room.

Laguna Honda Hospital & Rehabilitation Ctr D/p Snf

375 LAGUNA HONDA BLVD., San Francisco, CA, 94116

All of the patients here had dementia and the workers, though few, did everything in their power to care for those residents of the facility. They could have probably used more help in that area. On t … (read more)
All of the patients here had dementia and the workers, though few, did everything in their power to care for those residents of the facility. They could have probably used more help in that area. On t … (read more)

The Avenues Transitional Care Center

2043 19th Avenue, San Francisco, CA, 94116

This facility is under Kindred Healthcare, it’s a nursing and rehabilitation cneter. They have their own therapists, doctors and nurses here who are competent so if something happen to your loved ones … (read more)
This facility is under Kindred Healthcare, it’s a nursing and rehabilitation cneter. They have their own therapists, doctors and nurses here who are competent so if something happen to your loved ones … (read more)

Kindred Nursing and Healthcare – Victorian

2121 Pine Street, San Francisco, CA, 94115

Victorian Post Acute (Kindred Nursing) is small, but nice, clean, and well run, and my father is liking it. The rooms are clean, nice, and small. He’s in a two-bedroom, and he is being taken care of b … (read more)
Victorian Post Acute (Kindred Nursing) is small, but nice, clean, and well run, and my father is liking it. The rooms are clean, nice, and small. He’s in a two-bedroom, and he is being taken care of b … (read more)

Grove Street Extended Care and Living Center

1477 GROVE STREET, San Francisco, CA, 94117

Great facility. Cozy yet roomy patient rooms and attentive and competent staff.
Great facility. Cozy yet roomy patient rooms and attentive and competent staff.

Lawton Skilled Nursing

1575 7th Avenue, San Francisco, CA, 94122

My father stayed at this place for 3 months after a stroke and my family’s experience was horrible. The key to recover from a stroke is physical and speech rehab. A certain number of hours were set as … (read more)
My father stayed at this place for 3 months after a stroke and my family’s experience was horrible. The key to recover from a stroke is physical and speech rehab. A certain number of hours were set as … (read more)

Kindred Transitional Care and Rehab – Tunnell Center

1359 Pine Street, San Francisco, CA, 94109

My friend was placed here last year after having surgery.Shortly after she complained about the staff.She was given a shower once in two weeks,her food being pushed where she couldn’t reach it.Perso … (read more)
My friend was placed here last year after having surgery.Shortly after she complained about the staff.She was given a shower once in two weeks,her food being pushed where she couldn’t reach it.Perso … (read more)



Central Gardens

1355 ELLIS STREET, San Francisco, CA, 94115


Davies Campus Hospital D/p Snf

45 Castro Street, San Francisco, CA, 94114


Hayes Convalescent Hospital

1250 HAYES STREET, San Francisco, CA, 94117


San Francisco General Hospital D/p Snf

1001 POTRERO AVENUE, San Francisco, CA, 94110


Sheffield Convalescent Hospital

1133 SOUTH VAN NESS AVENUE, San Francisco, CA, 94110


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. 

$12471

San Francisco

$9247

California

$7756

The United States

$9201

Santa Cruz Area

$8623

Stockton

$12547

San Jose Area

$9429

Vallejo

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.  

$6101

Home Care

$6101

Home Health Care

$1950

Adult Day Health Care

$6100

Assisted Living

$12471

Nursing Home (Semiprivate Room)

$15208

Nursing Home (Private Room)

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.

Resource Contact Service 
Department of Disability and Aging Services (415) 355-3555 DAS 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 Area 2-1-1 2-1-1 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) 934-4200 Eligible 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) 775-1866 The 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) 434-0222 HICAP 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.