San Rafael is a Marin County community situated at the head of the San Francisco Bay. The city council recently adopted the Age-Friendly Strategic Plan, making it the largest Age-Friendly community in Marin County. The region experiences a pleasant Northern California climate: warm summers, mild winters, more sun and slightly more rain than the national average. Approximately 20.7% of San Rafael’s overall population of slightly under 61,000 residents are aged 65 and over. Along with the world-class medical facilities in nearby San Francisco, residents of San Rafael have access to Kaiser Permanente Medical Center and Marin Community Clinic

San Rafael offers a variety of senior care options, including nursing homes. According to the 2021 Genworth Cost of Care Survey, the average cost of a semiprivate room in a nursing home in San Rafael is $11,566 per month. Because nursing home care in the San Francisco Bay Area is higher than in other California communities, San Rafael residents and their families may want to consider other types of senior care options. 

This guide explores senior care in San Rafael and provides cost comparisons with other California communities and other types of care, along with a list of relevant resources.  

Directory of Nursing Homes in San Rafael, CA

Villa Marin

100 THORNDALE DRIVE, San Rafael, CA, 94903

Villa Marin is located near the Manuel T. Freitas Parkway in San Rafael, California, near the Kaiser Permanente Medical Center and the Century Northgate theater. The community offers studio apart … (read more)
Villa Marin is located near the Manuel T. Freitas Parkway in San Rafael, California, near the Kaiser Permanente Medical Center and the Century Northgate theater. The community offers studio apart … (read more)

Aldersly Retirement Community

326 Mission Avenue, San Rafael, CA, 94901

I would highly recommend living at Aldersly. The staff are all wonderfully dedicated & caring, they provide transportation & fun activities, the food is delicious, and the grounds are just gor … (read more)
I would highly recommend living at Aldersly. The staff are all wonderfully dedicated & caring, they provide transportation & fun activities, the food is delicious, and the grounds are just gor … (read more)

Country Villa San Rafael Healthcare Center

81 PROFESSIONAL CENTER PARKWAY, San Rafael, CA, 94903

Do not send a loved one here unless you want them drugged into a soporific state for the benefit of Country Villa management. We found my brother in a wheel chair slumped and drooling. His regular … (read more)
Do not send a loved one here unless you want them drugged into a soporific state for the benefit of Country Villa management. We found my brother in a wheel chair slumped and drooling. His regular … (read more)

Pine Ridge Care Center

45 Professional Center Pkwy, San Rafael, CA, 94903

Pine Ridge Care Center is a nice place, but my client didn’t do good there. The people at the front desk were helpful. They have physical therapy that she went to several times a week. Almost everyone … (read more)
Pine Ridge Care Center is a nice place, but my client didn’t do good there. The people at the front desk were helpful. They have physical therapy that she went to several times a week. Almost everyone … (read more)

Smith Ranch Skilled Nursing and Rehab

1550 Silveira Parkway, San Rafael, CA, 94903

hubby was a rehab resident for several months. long after, i needed specific copies of records. Charles is a super human being who not only obtained what I required but hand- delivered same. I am soo … (read more)
hubby was a rehab resident for several months. long after, i needed specific copies of records. Charles is a super human being who not only obtained what I required but hand- delivered same. I am soo … (read more)

San Rafael Healthcare and Wellness

1601 Fifth Avenue, San Rafael, CA, 94901

Kindred Healthcare – Hospice Care Center provide a team of healthcare professionals and volunteers for on-gong support to both patients and family members. This care is provided in the belief that by … (read more)
Kindred Healthcare – Hospice Care Center provide a team of healthcare professionals and volunteers for on-gong support to both patients and family members. This care is provided in the belief that by … (read more)

Northgate PostAcute Care

40 Professional Center Parkway, San Rafael, CA, 94903


Rafael Convalescent Hospital

234 N. SAN PEDRO RD, San Rafael, CA, 94903


Northgate Postacute Care

40 Professional Center Parkway, San Rafael, CA, 94903


The Redwoods – Retirement, Assisted Living and Skilled Nursing

40 Camino Alto, Mill Valley, CA, 94941

The Redwoods, located in Mill Valley, California, is close to Bothin Marsh Preserve, Pickleweed Inlet and shopping centers. Visitors compliment the scenic surroundings of flowers, woods and the bay. G … (read more)
The Redwoods, located in Mill Valley, California, is close to Bothin Marsh Preserve, Pickleweed Inlet and shopping centers. Visitors compliment the scenic surroundings of flowers, woods and the bay. G … (read more)

Marin Convalescent & Rehabilitation Hospital

30 Hacienda Drive, Tiburon, CA, 94920

This is a fine facility where all staff are diligent in addressing needs that residents and families express. The individual staff members are caring and friendly; many visit with the residents even … (read more)
This is a fine facility where all staff are diligent in addressing needs that residents and families express. The individual staff members are caring and friendly; many visit with the residents even … (read more)

The Tamalpais

501 Via Casitas, Larkspur, CA, 94904


South Marin Health & Wellness Center

1220 South Eliseo Drive, Larkspur, CA, 94904

I think South Marin Health & Wellness Center had some good people, but they’re somewhat understaffed, and COVID was a major factor. They’re a decent place and one of the better places around, but … (read more)
I think South Marin Health & Wellness Center had some good people, but they’re somewhat understaffed, and COVID was a major factor. They’re a decent place and one of the better places around, but … (read more)

Country Villa Novato Healthcare Center

1565 HILL ROAD, Novato, CA, 94947

Novato Healthcare smelled like urine at times when you go in the door, but it’s clean. The staff was nice, but they should give us more calls and update us on our love ones. They don’t call us enough, … (read more)
Novato Healthcare smelled like urine at times when you go in the door, but it’s clean. The staff was nice, but they should give us more calls and update us on our love ones. They don’t call us enough, … (read more)

The Tamalpais Marin

501 Vía Casitas, Larkspur, CA, 94904


Nursing Home Costs in San Rafael, CA

Semiprivate rooms in nursing homes in San Rafael come with an average monthly cost of $11,566. Private accommodations cost as much as $14,068.

The Cost of Nursing Home Care in Nearby Cities

Residents of semiprivate nursing homes in San Rafael pay an average of $3,658 more than the national average of $7,908. Nursing home costs in San Rafael are also more expensive than the California state average of $9,794. Within California, nursing home residents in Madera pay a monthly average of $7,559, while their counterparts in San Diego pay $9,384. At the northern end of the state, residents of nursing homes in Redding pay an average of $10,768 for a semiprivate room. 

$11566

San Rafael

$9794

California

$7908

The United States

$7559

Madera

$9384

San Diego

$10768

Redding

The Cost of Other Types of Senior Care

Family members still exploring possibilities for senior care in San Rafael for a loved one might want to compare nursing home costs to the costs of other options. The least expensive alternative is adult day health care, which carries an average price tag of $1,950. Home care and home health care cost $6,864 and $7,150, respectively, while the average monthly cost of an assisted living facility in San Rafael is $6,319.

$6864

Home Care

$7150

Home Health Care

$1950

Adult Day Health Care

$6319

Assisted Living

$11566

Nursing Home (semiprivate room)

$14068

Nursing Home (private room)

Note: Data for San Rafael was unavailable, so data for the nearest city, San Francisco, was used instead.

Financial Assistance for Nursing Home Care in San Rafael, CA

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 Rafael, CA

San Rafael seniors and their families often find the following resources helpful. They may provide case management assistance to help decide which type of care is best for individual seniors, connect isolated seniors with families and individuals for weekly visits and advocate for seniors who have experienced abuse or exploitation. 

Service 

Contact 

Description 

(415) 473-4636

Seniors can access services and programs from Marin County Area Agency on Aging, including long-term care counseling and case management, caregiver support groups, balance workshops and group sessions as well as Medicare plan or application help. There is also an online community resource guide and a telephone helpline. 

(415) 473-5050

Marin County's Elder Abuse Prevention Program is designed to provide senior citizens who have been the victims of financial abuse with forensic investigations. The program is composed of local law enforcement agencies, public agencies and prosecutors. 

(415) 473-7446

This program provides advocacy and investigative services to those in long-term care facilities with the objective of safeguarding their legal rights. Seniors and those speaking on their behalf, such as family members or other loved ones, can contact the ombudsman's office for free, confidential assistance. 

(415) 473-3220

Seniors who love to read but are unable to access their local Marin County library because of temporary or permanent disabilities are eligible for library materials deliveries from Library Beyond Walls. Seniors can access applications online and return them to the closest Marin County Free Library branch. 

(415) 472-5482

LITA connects volunteers with Marin County seniors at risk of experiencing isolation and loneliness. The program arranges for weekly long-term care facility visits. Volunteers are matched with seniors depending on individual needs and preferences. Visits can be one-on-one or involve entire families — even their pets.