About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2026 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2026 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2026 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in San Francisco, CA

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According to A Place for Mom’s proprietary data, the average starting cost for assisted living in San Francisco, CA, is $5,125 per month. Based on our trusted ranking methodology, top-rated assisted living communities in the area include Ivy Park at Cathedral Hill, Coterie Cathedral Hill and Sagebrook Senior Living at San Francisco, giving you a helpful starting point as you compare options for your parent or loved one.

With its mild weather, scenic waterfront, and vibrant urban neighborhoods, San Francisco offers an appealing setting for older adults who want support with daily activities while staying connected to city life. A Place for Mom partners with assisted living communities throughout the area, including neighborhoods such as Sausalito and the Marina District, which gives families a range of options close to downtown. These communities help seniors enjoy a more relaxed and comfortable lifestyle by providing personal assistance, prepared meals, and services such as housekeeping, maintenance, and laundry so residents can focus on the parts of daily life they enjoy most.

This guide features trusted assisted living communities in San Francisco and provides clear, practical information to help you confidently evaluate options for your parent. You’ll find details on typical assisted living costs in the San Francisco area, common ways families pay for care, California’s licensing and regulatory standards, local activities for seniors, and additional resources to support your family throughout the decision-making process.

San Francisco Assisted Living Facilities | 664 Reviews

Showing 74 communities
Last Updated: 4/23/26
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Photo of Ivy Park at Cathedral Hill
1616 Photos available
9.3
Review score
13 reviews
9.3
Review score
13 reviews
5 star
62%
4 star
38%
3 star
0%
2 star
0%
1 star
0%
See all reviews
There is no air conditioning in the rooms. Their bookkeeping/invoices are difficult to understand. Excellent meals, many choices. Lots of activities, both on site and bus tours. They also moved all...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Ivy Park at Cathedral Hill is a senior living community set on a beautiful campus in downtown San Francisco. The location boasts landscaped grounds and is near all of San Francisco’s popular restaurants and attractions. At Ivy Park our seniors are empowered to maximize their independence and...
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Photo of Coterie Cathedral Hill
1818 Photos available
33 Floor plans available
9.1
Review score
40 reviews
9.1
Review score
40 reviews
5 star
92%
4 star
3%
3 star
0%
2 star
0%
1 star
5%
See all reviews
The staff is excellent and provides outstanding care. The community also offers excellent amenities and a variety of things to do. I would recommend them to others who are searching for a place for their...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Coterie Cathedral HillDiscover a new vision of luxury senior living, now brought to life at Coterie Cathedral Hill.Built from the ground up, with modern interiors by March and White Design, Coterie is thoughtfully crafted for older adults who seek a lifestyle of abundant style, wellness, and...
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Photo of Sagebrook Senior Living at San Francisco
1010 Photos available
66 Floor plans available
Pricing promotion
8.5
Review score
49 reviews
8.5
Review score
49 reviews
5 star
70%
4 star
16%
3 star
8%
2 star
2%
1 star
4%
See all reviews
The facility is very nice, clean. The garden is very pretty. Rooms vary in size, comfort and access to natural light. Food is overall pretty good, but not especially healthy. There can be a lot of carbs and...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Sagebrook Senior Living at San Francisco, Assisted Living and Memory Care Community, is building on more than three decades ofexperience in transforming health and wellness programs that promotewell-being and enriched lifestyles. We’re shattering stereotypes and pushingboundaries for what senior...
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Photo of The Carlisle Ivy Signature Living
1111 Photos available
8.0
Review score
8 reviews
8.0
Review score
8 reviews
5 star
87%
4 star
0%
3 star
0%
2 star
0%
1 star
13%
See all reviews
The Carlisle itself is an inviting well-kept building. The apartments that I saw were spacious and interesting--in previous years owners made changes that worked for them so not cookie cutter. [name...
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
"The Carlisle is a vibrant senior living community nestled in a convenient walkable neighborhood tucked away from the busier streets of San Francisco. Just off of the 101 highway, The Carlisle is just minutes from several attractions such as Fisherman’s Wharf, the San Francisco Museum of Modern...
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Photo of Heritage on the Marina, a CCRC
11 Photo available
8.0
Review score
1 review
8.0
Review score
1 review
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Heritage House was a lovely place. The staff and residents were warm and friendly. I felt that my mother-in-law was safe & well cared for.
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of Cardinal Point CCRC
66 Photos available
99 Floor plans available
10
Review score
36 reviews
10
Review score
36 reviews
5 star
89%
4 star
8%
3 star
3%
2 star
0%
1 star
0%
See all reviews
The staff are happy and genuinely care about the people who live here. They all have a roll and are excellent at what they do, they are able to bring joy because they’re at ease, they know what they’re...
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Cardinal Point is a Continuing Care Retirement Community (CCRC) which means that our residents move in when they are independent and active, truly being able to participate in all we have to offer! Additionally, we are also licensed for Assisted Living, so as the years go on, the resident can...
Photo of Serra Highlands Senior Living
99 Photos available
33 Floor plans available
9.3
Review score
73 reviews
9.3
Review score
73 reviews
5 star
54%
4 star
25%
3 star
15%
2 star
3%
1 star
3%
See all reviews
Dining staff made an effort to learn each persons name and food preferences today. Administrative staff was friendly and accommodating. They were good at explaining unfamiliar terms and took time to explain...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Serra Highlands Senior Living is a welcoming senior community offering both Independent Living and Assisted Living options. The community is designed to provide residents with a comfortable and engaging environment, promoting independence while ensuring access to necessary support services.The...
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Photo of Peninsula Del Rey
1313 Photos available
8.4
Review score
28 reviews
8.4
Review score
28 reviews
5 star
56%
4 star
29%
3 star
11%
2 star
0%
1 star
4%
See all reviews
Room size varies by cost. Staff overall are real good. Housekeeping staff are friendly and good help. Food is pretty good but you can't please everyone.
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Welcome to Peninsula Del Rey, a luxurious senior living community in Daly City, CA.Conveniently located in the heart of the peninsula, residents and family members enjoy easy access to shopping and entertainment as well as hospital and medical services. Whether friends and family are visiting,...
Photo of Mission Villa Senior Living
1616 Photos available
22 Floor plans available
8.0
Review score
157 reviews
8.0
Review score
157 reviews
5 star
85%
4 star
6%
3 star
4%
2 star
3%
1 star
2%
See all reviews
I appreciated they understood the need for me to place my dad in a facility that would meet his memory care needs. I would recommend Mission Villa to others
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Specialized Memory Care program uniquely designed to meet all of our residents’ cognitive, social and physical needs. Complimentary scheduled transportation, medication management, daily housekeeping and more! Mission Villa is strictly a Dementia and Alzheimer's Memory Care Residence. We...
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Photo of Oakmont of Mariner Point
88 Photos available
1010 Floor plans available
8.0
Review score
22 reviews
8.0
Review score
22 reviews
5 star
59%
4 star
18%
3 star
14%
2 star
0%
1 star
9%
See all reviews
Very caring and concerned they take the time to listen and help management technicians events coordinator all have positive attitudes
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Oakmont of Mariner Point is a lovely retirement community situated on a lush campus with gorgeous views, industry renowned dining, and endless on-site amenities. We are also very close to shopping, fine dining, the arts, and world-class entertainment. You’ll feel at home in our retirement...
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Photo of 1440 By The Bay
99 Photos available
7.3
Review score
33 reviews
7.3
Review score
33 reviews
5 star
46%
4 star
33%
3 star
12%
2 star
6%
1 star
3%
See all reviews
The layout is beautiful, clean and bright. The studio apartment is a nice size, and they provided us with a wardrobe closet, chair, lamp, end table, and a full-size bed (since there was no twin available)....
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
At 1440 By the Bay, we pride ourselves on offering the best lifestyle for seniors. That means everything from our meals to our activities, transcend the boundaries of any typical retirement community. We offer mediation areas, gardening activities, live music and so much more. At 1440 By the...
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Photo of The Ivy Golden Gate
99 Photos available
7.2
Review score
19 reviews
7.2
Review score
19 reviews
5 star
47%
4 star
37%
3 star
11%
2 star
0%
1 star
5%
See all reviews
CARING, FRIENDLY STAFF AND ADMIN. MY PARENTS SEEMED TO HAVE SETTLED IN AND THEIR HEALTH HAS IMPROVED THRU MEALS, INTERACTION WITH OTHERS, AND ACTIVITIES. I WOULD DEFINITELY RECOMMEND IF YOU CAN AFFORD. FOR...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
"The Ivy at Golden Gate is a senior living community set in a designated historical landmark. The location is just five blocks from Golden Gate Park, and close to the ocean, Fisherman’s Wharf, the Museum of Modern Art, and the Japanese Tea Gardens. At The Ivy our seniors are empowered to maximize...
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Photo of Julie's Care Home
55 Photos available
1.0
Review score
5 reviews
1.0
Review score
5 reviews
5 star
0%
4 star
40%
3 star
40%
2 star
0%
1 star
20%
See all reviews
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Located in beautiful Jourdanton, Texas, Julie's Care Home, is proud to offer the best when it comes to real quality real quality senior care, where your senior can and will get the best in what they need. We offer the best when it comes to assisted live in home care and we have a real staff that...
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Photo of Victorian Manor
11 Photo available
5 star
0%
4 star
0%
3 star
0%
2 star
100%
1 star
0%
See all reviews
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Victorian Manor assisted living facility located in a quiet residential location. We at the Victorian Manor realize that selecting the right senior care facility is a very difficult choice that takes time and research. We would like to share an important fact with those considering our facility....
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Photo of The Village at Hayes Valley
2121 Photos available
11 Floor plan available
5 star
53%
4 star
21%
3 star
13%
2 star
8%
1 star
5%
See all reviews
Very professional and helpful staff. Attentive to people. I witnessed caring kindness and compassion.. What I experienced was not expected but it was a very eye opening experience. The personnel and staff...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
The Village at Hayes Valley is a 47-bed community offering specialized care for high-needs assisted living as well as innovative dementia dementia care. Located in San Francisco's vibrant Hayes Valley neighborhood and set in a beautifully restored Victorian, The Village at Hayes Valley imbues a...
Photo of Portola Gardens
1111 Photos available
5 star
43%
4 star
29%
3 star
14%
2 star
0%
1 star
14%
See all reviews
The medical team really gives enough individual attention to each of their client. Though it is a smaller facility compared to others. The staff specially customized their work to each individual need and...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
AgeSong University provides outstanding care to residents in the newest AgeSong community. We strive to create an environment that is culturally and economically diverse. Since 1884 the site has continually evolved to meet the changing needs of the aging population in San Francisco, and that...
Photo of Peninsula Reflections
55 Photos available
11 Floor plan available
5 star
50%
4 star
25%
3 star
0%
2 star
25%
1 star
0%
See all reviews
The staff at Peninsula Reflections is truly wonderful. We had just days to choose a memory care center and were so lucky to find Peninsula Reflections. Every member of the staff got to know my dad - they...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of The Sequoias San Francisco a CCRC
7.5
Review score
3 reviews
7.5
Review score
3 reviews
5 star
67%
4 star
0%
3 star
0%
2 star
33%
1 star
0%
See all reviews
It's welcoming, vibrant community of amazingly interesting people who are walking each other home. And staff who are competent, friendly, and clearly dedicated to making our lives easier. Yes, I would...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of Buena Vista Manor House
5 star
50%
4 star
0%
3 star
0%
2 star
0%
1 star
50%
See all reviews
I have known many residents of Buena Vista Manor House as a volunteer. The care is excellent and the atmosphere is warm. As a bonus, the food is delicious. I highly recommend Buena Vista Manor House to...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Lady of Perpetual Help
Provides: Assisted Living, Memory Care, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Autumn Glow
Provides: Assisted Living, Memory Care, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Belen's Residential Care Home
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Belen's Residential Care Home To speak with an advisor about this community call: (866) 344-4946 565 Grove St San Francisco, CA 94102 Assisted Living Independent Living About Belen's Residential Care Home Belen's Residential Care Home is an assisted living community in San Francisco, California....
Photo of Providence Place
5 star
17%
4 star
50%
3 star
33%
2 star
0%
1 star
0%
See all reviews
We found a perfect match for my uncle. His limitations are met with kind and efficient care. The staff are professional and make suggestions so that family can assist the client. [Name removed] is a huge...
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Dignified, loving care in gracious surroundings for 31 seniors with high-level care needs, psychiatric conditions, and all stages of Alzheimer's disease and related conditions. Low resident-to-caregiver ratio and high caregiver retention rate. Skill in managing difficult-to-care-for residents —...
Photo of Araville Residential Care Home
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Araville Residential Care Home is a senior care home located in the famous city of San Francisco, CA and in Santa Cruz county. San Francisco is in northern California and is on the very top of the peninsula that is surrounded by the Northern Pacific Ocean and the San Francisco Bay. The city is...
Photo of Rhoda Goldman Plaza
5 star
50%
4 star
25%
3 star
25%
2 star
0%
1 star
0%
See all reviews
Rhoda Goldman Plaza has changed my parents' lives very much for the better. The people are lovely and humorous, there are lectures, concerts and art classes. My father can do outside activities without...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Rhoda Goldman Plaza is a vibrant assisted living community located within minutes of downtown San Francisco. Residents enjoy a comfortable apartment home, a wide selection of activities, three delicious kosher meals served daily in our dining room, weekly housekeeping and linen service and...

Our methodology

How we rank order the San Francisco community options above

We developed a proprietary recommendation system that orders San Francisco community options based on factors we know are important to seniors and their families:

  • Proximity to your search location
  • Availability of recent, high-quality reviews
  • The amount of detailed community information available

Where we source our information

14,000+ communities

We collect proprietary data from our network of 14,000+ senior living communities in the U.S., with regular refreshes of data and information

350,000+ reviews

We have 387,000+ reviews from senior living residents and family members that provide first-hand accounts about senior living communities

Read our full methodology

How much does assisted living cost in San Francisco, CA?

In San Francisco, the average monthly cost of assisted living is $5,125, according to A Place for Mom’s proprietary data.[01] This typically covers housing, daily meals, and essential personal care, though total expenses can vary depending on your parent’s care needs, the community’s location, the type of apartment they choose, and the services or amenities offered. Because San Francisco’s overall cost of living is well above the national and California averages,[02] the local cost of assisted living is also more than both the statewide average of $4,554 and the national average of $4,756.

When compared with other senior living options in the city, assisted living is significantly less expensive than memory care, which averages about $6,421 per month, and slightly lower in cost than independent living, which averages $5,813 per month. Both independent living and memory care tend to be more all-inclusive, while most assisted living communities offer an a la carte model so you only pay for the services you need.

Read more: Assisted Living vs. Memory Care: 5 Key Differences

The charts below are also based on average starting costs and do not include fees for care services or any other additional expenses.

Assisted living costs in San Francisco, CA, vs. nearby cities

San Francisco, CA
$5,125/mo
$5,178/mo
$5,153/mo

Assisted living costs in San Francisco, CA, vs. state and national averages

San Francisco, CA
$5,125/mo
U.S. national average
$4,756/mo

Assisted living costs in San Francisco, CA, vs. other senior living options

Assisted Living
$5,125/mo
$6,373/mo

Assisted living costs in San Francisco, CA, by floor plan type

Semi-Private
$5,497/mo
Studio
$7,345/mo
1 Bedroom
$8,735/mo
2 Bedroom
$14,948/mo

Senior living costs in San Francisco vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: San Francisco, CA
Column state: California
Column national: U.S.
Community typeSan Francisco, CACaliforniaU.S.
Assisted Living$5,125/mo$4,554/mo$4,756/mo
Memory Care$6,373/mo$5,571/mo$5,020/mo
Independent Living$5,757/mo$4,791/mo$4,214/mo
Assisted Living
San Francisco, CA:$5,125/mo
California:$4,554/mo
U.S.:$4,756/mo
Memory Care
San Francisco, CA:$6,373/mo
California:$5,571/mo
U.S.:$5,020/mo
Independent Living
San Francisco, CA:$5,757/mo
California:$4,791/mo
U.S.:$4,214/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Assisted living costs in San Francisco, CA, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in San Francisco and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

San Francisco, CACA stateNational

Assisted living cost trends in San Francisco, CA

The table below shows how monthly assisted living costs in San Francisco have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 median costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
San Francisco, CA$7,836/mo$8,532/mo-8.2%
California$5,677/mo$5,370/mo+5.7%
National$5,379/mo$5,132/mo+4.8%
San Francisco, CA
2024 average cost:$7,836/mo
2023 average cost:$8,532/mo
Percent change:-8.2%
California
2024 average cost:$5,677/mo
2023 average cost:$5,370/mo
Percent change:+5.7%
National
2024 average cost:$5,379/mo
2023 average cost:$5,132/mo
Percent change:+4.8%
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Table showing 5 of 3 items. Click to show less.

How to pay for assisted living in San Francisco

Many families in San Francisco use a combination of financial resources to help pay for assisted living for a parent. Common options include personal savings, proceeds from selling a home, long-term care insurance, veterans benefits, and California Medicaid programs. Using multiple funding sources can make monthly costs more manageable and help ensure your parent has steady access to the care, safety, and support they need.

Private pay options

Families often use a combination of personal income and assets to help pay assisted living expenses. Common sources include:

VA benefits

The U.S. Department of Veterans Affairs (VA) offers several financial programs that may help eligible veterans and surviving spouses cover part of the cost of assisted living, easing monthly expenses for families. These benefits can provide meaningful long-term support for seniors who need ongoing care. Programs commonly used for assisted living include:

Because VA benefits involve detailed applications and strict eligibility requirements, it’s important to approach the process carefully. Working with a VA-accredited benefits counselor can help ensure paperwork is accurate, reduce delays, and improve the likelihood that your loved one receives the full level of support they qualify for.

Resources for veterans in San Francisco

The following organizations offer support and services for the almost 16,000 veterans living in San Francisco.[03]

  • San Francisco VA Clinic
    401 3rd St.
    Community Resource & Referral Center (CRRC)
    San Francisco, CA 94107
    Phone: 415-281-5100

Medicaid

Medicaid is a federal–state program that helps eligible older adults receive essential health and long-term care services. In California, the program is called Medi-Cal, and it offers several options that may help qualified residents access personal care services while living in an assisted living community.

Key Medi-Cal programs that may help eligible residents cover certain assisted living-related costs include: [04,05,06]

  • Medi-Cal Assisted Living Waiver
  • Enhanced Care Management (ECM) and Community Supports
  • California’s standard Medicaid plan for aged, blind, and disabled residents

California’s standard Medicaid plan and the ECM program are entitlements, meaning eligible individuals can receive services without waiting for available slots. The Medi-Cal Assisted Living Waiver, however, has a limited number of openings and may place qualified applicants on a waitlist when capacity is reached. Depending on the program, Medi-Cal may cover services such as:

Eligibility for these Medi-Cal benefits is determined by income and asset limits, along with documented medical need.

Medicaid resources in San Francisco, California

To apply for Medi-Cal program, elderly residents in San Francisco can:

If you have questions about California’s Medicaid program, or if you need help completing, updating, or checking the status of an application, contact the County’s Department of Public Social Services mentioned above, or the organization below:

 Medicare

Medicare provides health insurance for adults age 65 and older, as well as for younger individuals with certain qualifying medical conditions.[07] While Medicare won’t cover monthly assisted living rent, it can help reduce overall medical expenses by paying for prescriptions, durable medical equipment, and other approved health services your loved one may need.

Medicare resources in San Francisco

For free and unbiased information about Medicare benefits, elderly residents in San Francisco can contact the:

What families are saying about assisted living in San Francisco

Recent reviews for assisted living in San Francisco

Goldencare 2 in Alameda, CA

5.0
I love Golden Care but having issue with A Place for Mom. Golden Care is great and I'm pleased, but I went on my own to the facility, not through A Place for Mom.

Rosemont Gardens in San Leandro, CA

5.0
Excellent caring staff. Clean place. My Auntie [name removed] is here. I visited from Anaheim California. My auntie Husband just passed away. My auntie looked beautiful and happy. I talked with staff and they were very professional

Carlton Senior Living Pleasant Hill

5.0
I think they do a fantastic job at Carlton Senior Living! I helped find this place for a friend, and our experience has been a very good one. It's a beautiful facility, and the staff are all very kind, caring, and professional. They've got all sorts of activities, good food, and a great social ...
Read more

San Francisco review score based on 88 family reviews

7.5
Review score74 facilities88 reviewsWrite a review
This proprietary review score is based on 88 reviews of 74 San Francisco assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The San Francisco review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

San Francisco review score compared against nearby cities

7.5
San Francisco, CA74 facilities
7.4
Daly City, CA106 facilities
7.6
Brisbane, CA124 facilities

Review subcategories for San Francisco assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 88 reviews of 74 San Francisco assisted living communities. This chart helps you compare San Francisco resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
San Francisco, CA averageNational average
Cleanliness
3.8
3.8
Friendliness
3.8
3.9
Care services
3.3
3.5
Staff
3.7
3.7
Meals & dining
3.5
3.4
Activities
3.5
3.4
Value for cost*
3.4
3.5
0.01.02.03.04.05.0
*Learn more about cost details

What is assisted living like in San Francisco?

Assisted living in San Francisco offers a wide range of services and experiences that support both day-to-day needs and an engaging lifestyle. From personalized care to rich social programming and a variety of community types, older adults can find an option that fits their preferences and level of independence.

Proactive care and daily support

Assisted living communities in San Francisco often provide medication assistance and help with everyday activities such as bathing, dressing, and mobility. 40% have a doctor on call and the many coordinate visits from health care professionals, including nurses, therapists, podiatrists, or other specialty providers,[01] to support residents on-site. Communities may have nursing staff available, offer hospice coordination when needed, and maintain 24-hour awake care teams to ensure consistent support and safety.

A vibrant senior culture

Residents in San Francisco assisted living communities often enjoy a lively calendar of activities designed to promote connection, creativity, and well-being. Depending on the community, seniors may participate in local outings, hobby-based classes, group exercise, live music events, holiday and birthday celebrations, picnics and barbecues.

A variety of community types

San Francisco offers several types of assisted living environments to accommodate different preferences and needs. Options in and around the city may include smaller residential care homes with a homelike atmosphere, traditional assisted living communities with a wide range of services and amenities, and combination communities that offer multiple levels of care, such as independent living, assisted living, and memory care, within a single campus. These multilevel settings can be especially helpful for families seeking a community that can adapt to a resident’s changing needs over time.

San Francisco assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in San Francisco assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in San Francisco, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in San Francisco assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in San Francisco that offer these care services compared to the percentage of partners that offer them nationally.
San Francisco, CANational
Full medication management
Full medication management
33.8%
52.8%
Doctor on call
Doctor on call
17.6%
34.1%
24-Hour awake staff
24-Hour awake staff
63.5%
96.1%
Diabetic care
Diabetic care
98.6%
97.7%
*Visiting health care professionals
*Visiting health care professionals
37.8%
57.1%
Home care agency on-site
Home care agency on-site
9.5%
30.2%
Non-ambulatory care
Non-ambulatory care
77%
96.8%
Respite or short term stays
Respite or short term stays
37.8%
47.7%
Hospice available on-site
Hospice available on-site
66.2%
52.7%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in San Francisco assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of San Francisco Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
San Francisco, CANational
Dementia behaviors care
Dementia behaviors care
41.9%
51.7%
Specialized memory care training for staff
Specialized memory care training for staff
12.2%
32.9%
Secured community and/or wander guard
Secured community and/or wander guard
32.4%
41.3%
Memory care only community
Memory care only community
9.5%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in San Francisco assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of San Francisco partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
San Francisco, CANational
Nutritionist / dietician
Nutritionist / dietician
9.5%
27.6%
Low / no sodium
Low / no sodium
23%
41.4%
No sugar
No sugar
21.6%
37.9%
Vegetarian
Vegetarian
32.4%
36.7%
Pureed meals
Pureed meals
10.8%
18.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in San Francisco assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of San Francisco communities that offer dining options to their discerning residents compared to our partners nationally.
San Francisco, CANational
Professional chef
Professional chef
20.3%
31.8%
Restaurant style dining
Restaurant style dining
20.3%
42.8%
Room service
Room service
24.3%
37.2%
Anytime dining
Anytime dining
9.5%
18.2%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in San Francisco assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in San Francisco offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
San Francisco, CANational
Activity director
Activity director
25.7%
46.8%
Pet-focused programs
Pet-focused programs
13.5%
31.3%
Community service programs
Community service programs
12.2%
30.8%
Devotional activities on-site
Devotional activities on-site
32.4%
49.9%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
28.4%
49.8%
Outings / off-site activities
Outings / off-site activities
40.5%
52.7%
Piano or organ
Piano or organ
23%
41.9%
Arts and crafts center
Arts and crafts center
20.3%
35.9%
Educational speakers / life long learning
Educational speakers / life long learning
21.6%
38.5%
Clubs / games / karaoke
Clubs / games / karaoke
28.4%
47.3%
Live performances
Live performances
28.4%
47.4%
Dances
Dances
14.9%
31%
Fitness center
Fitness center
13.5%
24.9%
Fitness classes
Fitness classes
27%
46.4%
0.0%20.0%40.0%60.0%80.0%100%

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Our free touring checklist can help you choose the right community.

Unfamiliar with San Francisco? Highlights for seniors

San Francisco offers a supportive environment for older adults, blending the comfort of a close-knit urban community with the everyday conveniences that make life easier to navigate. With nationally recognized medical centers, senior-focused programs, and a wide range of community resources nearby, the city provides reliable support that can help your family feel confident about your loved one’s well-being.

Top hospitals for seniors in San Francisco

Seniors in San Francisco have access to several hospitals and health systems.

A graphic of a capital letter H in a circle

UCSF Health Parnassus Heights Medical Center provides older adults with access to advanced geriatric care, dementia and memory disorder services, and specialized treatment programs for complex age-related conditions.

A graphic of a capital letter H in a circle

Kaiser Permanente San Francisco Medical Center supports seniors through coordinated geriatric services, chronic disease management programs, and integrated care teams experienced in treating age-related health needs.

A graphic of a capital letter H in a circle

Sutter Health California Pacific Medical Center (CPMC) supports older adults through its dedicated senior health programs, geriatric specialists, and comprehensive services for chronic conditions and age-related care needs.

Transportation for seniors in San Francisco

73% of A Place for Mom’s partner assisted living communities in San Francisco offer complimentary on-site transportation services,[01] giving residents a convenient way to reach medical appointments, run errands, or join planned outings with staff support. For seniors who prefer or need to travel independently, the city’s extensive public transportation network offers additional options.

San Francisco Municipal Transportation Agency operates Muni, a public transit system that includes cable cars, light rail, streetcars, and buses. Muni also provides several resources designed specifically for older adults and individuals with disabilities:

For residents who need more specialized transportation, San Francisco Paratransit offers additional services for eligible older adults and people with disabilities:

  • Accessible rides for essential trips, appointments, and daily needs.
  • The Van Gogh Shuttle, which provides individual and group rides to social activities.
  • The Shop-a-Round shuttle, which offers scheduled trips to grocery stores and farmers markets.

San Francisco is also a pedestrian-friendly city with many walkable neighborhoods, giving older adults easy access to parks, shops, cafés, and community spaces for short errands or enjoyable outings. Walk Score gives the city the following transportation ratings out of 100:[08]

Transportation card image
89

Walk Score

Transportation card image
77

Transit Score

Transportation card image
72

Bike Score

Things to do in San Francisco for seniors and their families

San Francisco offers a wide range of activities for older adults and their families, from world-class cultural institutions to scenic outdoor spaces and exceptional dining. Whether your loved one enjoys nature, history, art, science, or trying new foods, the city provides many opportunities for meaningful outings together.

A natural wonderland

Golden Gate Park is one of the city’s most beloved outdoor destinations, offering expansive green space, peaceful walking paths, vibrant gardens, picnic areas, and several museums and attractions within its grounds.

The California Academy of Sciences, located in Golden Gate Park, offers seniors an enriching experience with its aquarium, four-story rainforest, planetarium, and natural history exhibits.

Lights, culture, and entertainment

San Francisco hosts a variety of festivals, concerts, and cultural events throughout the year, giving seniors many ways to stay engaged with the arts.

Performance venues such as the San Francisco Symphony, the San Francisco Opera, and numerous local theaters offer concerts, plays, and other live shows suited to a wide range of interests.

Foodie heaven

San Francisco is known for its exceptional dining scene, offering an array of restaurants that draw on global cuisines and local ingredients. Seniors and their visitors can enjoy everything from fresh seafood and innovative fine dining to classic neighborhood cafés and bakeries.

Root for your favorite team

Sports fans can enjoy cheering for local collegiate teams at the University of San Francisco or attending games hosted by nearby professional franchises, including the San Francisco Giants (MLB), Golden State Warriors (NBA), and San Francisco 49ers (NFL).

Golf enthusiasts can also enjoy time outdoors at one of the city’s public golf courses, which offer scenic views and accessible layouts for players of varying skill levels.

Assisted living laws and regulations in California

Assisted living communities are generally regulated by state governments. This means that rules and operation requirements vary by state and by the type of care a community provides. Learning about how assisted living is regulated can help you make informed care decisions.

Read more: Assisted living regulations in California

Why do licensure and inspection reports matter to families?

State regulations — and a community’s track record with inspections and licensing — offer important insights into safety and quality of care in senior living communities.

Download the Guide to Senior Living Licensure and Inspection Reports to learn what to look for in an inspection report and what questions to ask when touring communities. This resource explains how to use state licensure and inspection information to evaluate a community’s compliance, care standards, and responsiveness to issues.

Frequently Asked Questions

The average cost of assisted living in San Francisco is $5,125 per month.
No, Medicare won’t pay for assisted living in San Francisco.
Yes, seniors in San Francisco can use their Social Security benefits however they see fit, including paying for assisted living.
Yes, California’s Medicaid program will cover some costs of assisted living for eligible residents. Medicaid won’t cover the cost of room and board, though.
Yes. Of A Place for Mom’s partner communities in San Francisco: 20% offer kosher meals 40% provide vegan options 67% accommodate vegetarian diets
Yes. More than 73% transport residents to local activities, and 53% offer onsite services.

References

  1. A Place for Mom. (2026). A Place for Mom proprietary data.

  2. Economic Research Institute. (2026, March 26). Cost of living data in San Francisco, California, United States.

     

     

     

     

     

     

  3. Census Reporter. (2024). San Francisco, CA.

  4. California Department of Health Care Services. Assisted living waiver.

  5. California Department of Health Care Services. Enhanced care management and community supports.

  6. California Department of Health Care Services. Essential health benefits.

  7. U.S. Centers for Medicare and Medicaid Services. Get started with Medicare. Medicare.gov.

  8. Walk Score. (2026). Living in San Francisco.

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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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1.

A Place for Mom. (2026). A Place for Mom proprietary data.

2.

Economic Research Institute. (2026, March 26). Cost of living data in San Francisco, California, United States.

 

 

 

 

 

 

3.

Census Reporter. (2024). San Francisco, CA.

4.

California Department of Health Care Services. Assisted living waiver.

5.

California Department of Health Care Services. Enhanced care management and community supports.

6.

California Department of Health Care Services. Essential health benefits.

7.

U.S. Centers for Medicare and Medicaid Services. Get started with Medicare. Medicare.gov.

8.

Walk Score. (2026). Living in San Francisco.