47 Assisted Living Communities in San Francisco, California

The average cost of assisted living in the city is $5,500 a month. This guide is a starting point covering the cost of assisted living care in the city, as well as financing options to pay for it. You’ll find in-depth information on 47 Assisted Living Communities in San Francisco and several in surrounding areas.

Assisted living: $5,500
Nursing home semiprivate room: $9,148
In-home care: $5,625
Adult day health services: $1,733

Assisted Living Facilities near San Francisco, California

Compare Costs, Photos, & Reviews of All Your Options Near San Francisco

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Reviews of Assisted Living Facilities in San Francisco

May 21, 2020

I visited this facilityReview of The Village at Hayes Valley - CLOSED

I wasn't that impressed with The Village at Hayes Valley. The people were nice though. I went to both assisted living and memory care facilities. The main facility was pretty nice and airy, but I only went into the atrium and up to the administrator's office. I didn't get to go around and see where the people live. Across the street was the memory care, which was a really cute Victorian from the outside, but it was a little rough on the inside. The people were nice, but it had a rundown feeling to me. Where my father had been was up to $10,000 a month, and the memory care facility at this place was even more than that. The rundown-ness of the place didn't justify the price. One of the buildings was a lot nicer, looked a lot newer and cleaner, and didn't have that funky or that diaper smell. They had basic activities like bingo, and the memory care residents were engaged in a game or playing music in the kitchen area.

Thomas

November 1, 2018

I visited this facilityReview of The Village at Hayes Valley - CLOSED

The Village at Hayes Valley was very average. They were very limited in their amenities. Most of the rooms were shared. It was a nice location. It's central city and a good neighborhood.

Lizzi

March 28, 2018

I am a current client of this providerReview of Honor - In Home Senior Care San Francisco

We got Honor for my mother because of their price and how they're easy to get started with. It's all app-driven and easy to manage. I get reports on my phone on each shift. They do light cleaning, cook, and assist mom in personal care. We are working on getting a team, and the caregivers are all wonderful. I would recommend that their care manager come and do a home visit to see how things are going.

Sisina

February 28, 2018

I am a current client of this providerReview of Honor - In Home Senior Care San Francisco

I'm using Honor In Home Senior Care for my mother. They have caregivers who come into the house. My mother doesn't really need that much but my main thing was companionship because she has dementia. She could do a lot of things, but she needs companionship and a little bit of direction. I'm extremely happy with Honor In Home Senior Care. They are very good; I'm very satisfied with them.

Isabel

February 15, 2018

I am a past client of this providerReview of Honor - In Home Senior Care San Francisco

We used Honor in Home Senior Care before for my husband. The service was for companionship when I was out. There were too many of them, they sent a different caregiver every time, and it just wasn't working. They had to have more than three days' notice to have anybody come out.

October 6, 2017

I visited this facilityReview of AlmaVia of San Francisco

Our tour at AlmaVia of San Francisco was good, but we wanted to put my mom in a place that is more agreeable with her personality. She likes being active and engaged with people; however, it didn't look like there was a lot of communication with the other clientele. They had a lot of art and craft activities, television, and music. The staff was very pleasant and engaging. From what I saw, I didn't see any problem with the food. Everything seemed to be fresh, and the dining hall was very clean.

September 7, 2017

I am a friend or relative of a current/past residentReview of Honor - In Home Senior Care San Francisco

Overall, Honor In Home Senior Care San Francisco was fine. Ee were very pleased with them. They did everything from helping my father-in-law shower to helping him with his physical therapy exercises to getting him around using a strap making sure he had his balance. They also helped a little bit with meal prep and laundry. They were really good with whatever they were asked to do. The one thing we really liked about them was that each of their caregivers will type up notes at the end of every shift about what they did, how it went, and the pain level. We could give them all of our email addresses and all of the family members get those same notes. That was a very nice feature of the company. They were able to give us more hours right away when we needed it and were willing to change caregivers if there was one that my in-laws didn’t care for. They were very accommodating.

Michelle

September 7, 2017

I am a current client of this providerReview of Honor - In Home Senior Care San Francisco

We've been getting help from Honor for about a month now. They assist with getting out of bed, toileting, delivering meals, and very light housekeeping. Their scheduling is really good. I like that every caregiver who comes looks at the specialized notes of other caregivers, which helps direct them. I think they're doing a good job.

July 17, 2017

I visited this facilityReview of Providence Place

Providence Place is a converted home and was three or four stories. They seemed so cluttered and kind of stuffy. You don't have your own room or shower. You have to share it. The staff seemed nice.

Map of San Francisco, California

Assisted Living Costs in San Francisco

San Francisco, along with San Jose, has the highest average monthly assisted living costs in the state according to the Genworth 2018 Cost of Care Study. Assisted living costs in the city are $1,500 higher than the national average and $1,000 higher than the state average. When compared with other major cities such as Los Angeles ($4,500) and Sacramento ($4,473), assisted living in San Francisco is substantially more expensive, and the same can be said for small cities throughout California, such as Bakersfield ($3,150) and Madera ($3,323).

Cost of Assisted Living Comparison Chart

San Francisco

$5,500

National average

$4,000

State average

$4,500

Bakersfield

$3,150

Los Angeles

$4,500

Madera

$3,323

Oxnard

$4,525

Sacramento

$4,473

San Jose

$5,500

Care Cost Comparison

The type of care is the biggest factor in determining the average cost per month, and in San Francisco, this is particularly evident. The average monthly cost of nursing care in the city is nearly $4,000 higher than the cost of assisted living. Although home care services are only a little more expensive than assisted living, those who choose to continue living at home have to account for additional costs such as rent, food and utilities, all of which are usually included in the cost of assisted living. Cost of Homemaker/Home Health Aide Comparison Chart

Assisted living: $5,500

Homemaker services: $5,625

Home health aide: $5,625

Adult day health: $1,733

Nursing home care (semiprivate room): $9,148

Cost of Homemaker/Home Health Aide Comparison Chart

Assisted living

$5,500

Homemaker services

$5,625

Home health aide

$5,625

Adult day health

$1,733

Nursing home care (semiprivate room)

$9,148

Financial Assistance for Assisted Living in San Francisco

Medicaid in California

California’s Medicaid Managed Care Program is called Medi-Cal. The program provides financial assistance and services to seniors who reside in assisted living facilities under one of two waivers: The Assisted Living Waiver and the Multipurpose Senior Services Program.

To be eligible for these waiver programs, seniors must be at least 65 years of age and require daily nursing care. They must also be able to live safely within an assisted living community. Financial eligibility requirements stipulate that individuals may not earn more than $1,242 per month and may not own more than $2,000 in assets. Couples may not earn more than $1,682 per month and may not own more than $3,000 in assets.

Assisted Living Waiver

For those who reside in an assisted living facility, the Assisted Living Waiver is their best chance at receiving Medicaid assistance. This waiver helps seniors who require regular nursing care yet choose to continue living in an assisted living facility. It covers the cost of services in an assisted living facility as well as additional support services such as nonmedical transportation, nurse visits and case management.

To apply for this program, seniors can contact their nearest care coordination agency in person or by telephone.

Multipurpose Senior Services Program

California’s Multipurpose Senior Services program is a waiver program that’s managed under the Medi-Cal Managed Care Program. MSSP was created to decrease the load on the Medicaid system in the state by reducing the number of seniors who require care in nursing homes, which in California are quite expensive. Seniors who participate in this program are generally those who need a nursing level of care but prefer to continue living at home or in an assisted living facility. The program may provide a number of services in addition to assisted living or home care such as nurse visits, occupational or physical therapy, nonmedical transportation and adult companions. The MSSP only accepts 12,000 participants at one time, so there’s usually a waiting list.

To apply for the MSSP, seniors can contact the California Department of Health Care Services at (415) 206-5317.

Other Financial Assistance Programs for Assisted Living

State Supplemental Payment

Seniors who receive Supplemental Security Income have the option to apply for California’s state supplemental payment. This payment is intended to top-up SSI payments and provides seniors with additional cash to pay for necessities such as room and board in assisted living facilities. The senior’s income determines the benefit amount, which has a maximum of $160.72 a month.

The financial eligibility requirements of this benefit change often, so it’s best for seniors who are interested in applying to contact their local Social Security office in person or call (800) 772-1213.

Long-Term Care Insurance

Seniors who hold a long-term care insurance policy are covered for their annual care costs in assisted living and nursing care homes by their insurance providers. Typically, the policyholder must pay a yearly deductible.

While eligibility and policy terms vary depending on the plan and provider, most insurance companies won’t offer policies to those who are already in poor health and require daily care. The amount of coverage purchased, as well as the policyholder’s age and health history, generally determine premiums.

Elderlife Bridge Loan

Elderlife Financial Services provides seniors who are ineligible for Medicaid and other government assistance programs with access to temporary funds to pay for the cost of assisted living or nursing home care. Bridge loans are paid to the senior’s care facility directly and are repaid by the senior in monthly installments. Elderlife Financial Services offers flexible loan terms and low interest rates.

Eligibility is dependent on several factors, particularly, credit history and income. Seniors who don’t qualify on their own may include up to six cosigners on their loan, which may increase the likelihood of approval and reduce monthly payments. Seniors can apply for a bridge loan online or by calling (888) 228-4500.

Assisted Living Resources in San Francisco

Active Senior Programs

The city of San Francisco’s Recreation and Parks Department offers a variety of workshops, classes and social programs to entertain the city’s elderly population. San Francisco residents generally receive program discounts. San Francisco Recreation and Parks Senior Program
501 Stanyan Street, San Francisco, California 94117
(415) 518-7725

Senior Community Centers

Senior centers act as a local gathering place for individuals over 55 years of age. They usually provide a range of programming that may include congregate meals, fitness classes, day trips and social activities.

Golden Gate Park Senior Center
6101 Fulton Street, San Francisco, California 94121
(415) 666-7079

Castro Senior Center
110 Diamond Street, San Francisco, California 94114
(415) 863-3507

Self Help for the Elderly Senior Centers
(Various locations)
(415) 677-7600

Curry Senior Center
333 Turk Street, San Francisco, California 94102
(415) 885-2274

Active Senior Programs

Senior Advocacy Programs

Senior advocates provide a range of services designed to protect seniors’ best interests. Services may include benefits assistance, support groups and community resource facilitation. San Francisco Office of Aging
1650 Mission Street #5, San Francisco, California 94103
(415) 355-3555 National Council on Aging
870 Market Street #785, San Francisco, California 94102
(415) 955-8560

Veterans Affairs

Many seniors are eligible for financial assistance and medical benefits from Veterans Affairs. Eligible seniors can access health care at VA medical clinics.

San Francisco Vet Center
505 Polk Street, San Francisco, California 94102
(415) 441-5051

Nearby Assisted Living Communities

Go a bit further out to explore pricing and amenities.

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Senior Homes has an extensive directory of senior living options, with care and living providers across the United States.

47 Assisted Living Communities in San Francisco, California

Assisted Living Facilities near San Francisco, California

Coterie Cathedral Hill

The Ivy at Golden Gate

The Village at Hayes Valley - CLOSED

Ivy Park at Cathedral Hill

Portola Gardens

Aldersly

Compare Costs, Photos, & Reviews of All Your Options Near San Francisco

Heritage on the Marina

Buena Vista Manor House

The Carlisle, Ivy Signature Living

Sagebrook Senior Living

The Sequoias San Francisco

Rhoda Goldman Plaza

AlmaVia of San Francisco

San Francisco Towers

San Francisco Campus for Jewish Living

Kokoro Assisted Living

Kimochi Home

The Avenue

Janet'S Residential Facility For The Elderly

Victorian Manor

Frank Residences

Julie's Care Home

St. Francis Manor I

Sunset Care Home

Sunset Gardens

Sutro Heights Residential Care Home

Irene Swindells Center for Adult Day Services

Merced Broad

San Francisco RCFE

Aurora'S Residential Care Home

Oakmont of Montecito

Pacifica Senior Living Union City

MorningStar Senior Living of Hayward

Brookdale San Ramon

Pacifica Senior Living Oakland Heights

Atria at Foster Square

Carlton Senior Living Downtown Pleasant Hill

Atria Park of Lafayette

Carlton Senior Living Fremont

Cogir of Fremont Senior Living

Westmont of Pinole

Oakmont of Concord

Waters Edge Lodge

Pacifica Senior Living San Leandro

The Point at Rockridge

Cogir of Vallejo Hills Senior Living

Sunrise of San Mateo

Landmark Villa

The Kensington

Brookdale Redwood City

Acacia Creek

Atria Walnut Creek

Atria Valley View

Vi At Palo Alto

Carlton Senior Living San Leandro

Carlton Senior Living Pleasant Hill

Sunrise of Danville

Ivy Park at San Ramon

Mills Estate Villa

Cardinal Point

Our Family Advisors can help your family make a confident decision about senior living.

Reviews of Assisted Living Facilities in San Francisco

Map of San Francisco, California

Assisted Living Costs in San Francisco

Cost of Assisted Living Comparison Chart

Care Cost Comparison

Cost of Homemaker/Home Health Aide Comparison Chart

Financial Assistance for Assisted Living in San Francisco

Medicaid in California

Other Financial Assistance Programs for Assisted Living

Assisted Living Resources in San Francisco

Active Senior Programs

Senior Community Centers

Active Senior Programs

Senior Advocacy Programs

Veterans Affairs

Nearby Assisted Living Communities