Best Assisted Living in San Francisco, CA

Why trust this guide? Our editorial team analyzed 28 assisted living communities in San Francisco, CA using CA Dept. of Social Services (CDSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in CA
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Last updated
We analyzed These are the facilities in San Francisco, CA our team has analyzed — not a count of every assisted living provider in San Francisco, CA.
28 homes
Other senior care options in San Francisco:

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Avg Walk Score: 91/ 100The average Walk Score across facilities in San Francisco, CA. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 112The average licensed bed capacity across facilities in San Francisco, CA. Individual facilities can vary widely from this average.
National Average: 90

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Info below is compiled from the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Visits or investigations linked to complaints, as counted in the state record (may differ from routine annual surveys).
Count of California state "Type A" citations — the state's most serious citation category (immediate or serious harm to residents), from California state inspection data.
Number of years the company has been in operation.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
San Francisco Towers
AL
IL
MC
San Francisco (Cathedral Hill)
350
Facility 350
CA AVG 103
Rank #36 / 1,492
Yes
99
Facility 99
CA AVG 57
Rank #2 / 1,887
13
5
Facility 5
CA AVG 13
Rank #589 / 1,387
0
Facility 0
CA AVG 3
Rank #1 / 1,433
28
Facility 28
CA AVG 13
Rank #133 / 1,452
100.0%
Facility 100.0%
CA AVG 74.6%
Rank #1 / 1,313
-Front Porch Communities And Services1 Bed / 2 Bed
Providence Place
AL
MC
RC
San Francisco (Lower Pacific Heights)
34
Facility 34
CA AVG 103
Rank #1,087 / 1,492
No
95
Facility 95
CA AVG 57
Rank #61 / 1,887
7
3
Facility 3
CA AVG 13
Rank #442 / 1,387
0
Facility 0
CA AVG 3
Rank #1 / 1,433
26
Facility 26
CA AVG 13
Rank #214 / 1,452
100.0%
Facility 100.0%
CA AVG 74.6%
Rank #1 / 1,313
C+Knop, Roman & Knop, GalinaStudio / Semi-Private Rooms
The Sequoias San Francisco
AL
CCRC
HOS
MC
NH
RC
SNF
San Francisco (Japantown)
400
Facility 400
CA AVG 103
Rank #28 / 1,492
No
99
Facility 99
CA AVG 57
Rank #2 / 1,887
15
4
Facility 4
CA AVG 13
Rank #525 / 1,387
1
Facility 1
CA AVG 3
Rank #478 / 1,433
51
Facility 51
CA AVG 13
Rank #7 / 1,452
88.0%
Facility 88.0%
CA AVG 74.6%
Rank #302 / 1,313
-Sequoia Living, IncStudio / 1 Bed / 2 Bed
Autumn Glow Alzheimer’s Care Home
AL
San Francisco (Hayes Valley)
15
Facility 15
CA AVG 103
Rank #1,133 / 1,492
No
98
Facility 98
CA AVG 57
Rank #13 / 1,887
4
0
Facility 0
CA AVG 13
Rank #1 / 1,387
2
Facility 2
CA AVG 3
Rank #724 / 1,433
25
Facility 25
CA AVG 13
Rank #235 / 1,452
100.0%
Facility 100.0%
CA AVG 74.6%
Rank #1 / 1,313
-Autumn Glow Alzheimer's Home, IncPrivate / Semi-Private Rooms
Kokoro Assisted Living
AL
IL
RC
San Francisco (Japantown)
61
Facility 61
CA AVG 103
Rank #933 / 1,492
Yes
98
Facility 98
CA AVG 57
Rank #13 / 1,887
11
4
Facility 4
CA AVG 13
Rank #525 / 1,387
0
Facility 0
CA AVG 3
Rank #1 / 1,433
22
Facility 22
CA AVG 13
Rank #308 / 1,452
67.2%
Facility 67.2%
CA AVG 74.6%
Rank #860 / 1,313
-Kokoro Assisted Living Inc And Northstar Snr Lvg MgtStudio / 1 Bed
Fook Hong Sf Care Home, Inc.
AL
San Francisco
40
Facility 40
CA AVG 103
Rank #1,054 / 1,492
No
94
Facility 94
CA AVG 57
Rank #78 / 1,887
3
0
Facility 0
CA AVG 13
Rank #1 / 1,387
0
Facility 0
CA AVG 3
Rank #1 / 1,433
13
Facility 13
CA AVG 13
Rank #526 / 1,452
97.5%
Facility 97.5%
CA AVG 74.6%
Rank #156 / 1,313
-Fook Hong Sf Care Home, Inc-
Coterie Cathedral Hill
AL
IL
MC
San Francisco (Cathedral Hill)
260
Facility 260
CA AVG 103
Rank #75 / 1,492
Yes
99
Facility 99
CA AVG 57
Rank #2 / 1,887
34
19
Facility 19
CA AVG 13
Rank #1,106 / 1,387
2
Facility 2
CA AVG 3
Rank #724 / 1,433
18
Facility 18
CA AVG 13
Rank #416 / 1,452
78.8%
Facility 78.8%
CA AVG 74.6%
Rank #585 / 1,313
-Van Ness Opco Tenant LLC And Atria Management CompanyStudio / 1 Bed / 2 Bed
Victorian Manor
AL
HOS
RC
San Francisco (Western Addition)
124
Facility 124
CA AVG 103
Rank #490 / 1,492
No
95
Facility 95
CA AVG 57
Rank #61 / 1,887
17
7
Facility 7
CA AVG 13
Rank #716 / 1,387
2
Facility 2
CA AVG 3
Rank #724 / 1,433
19
Facility 19
CA AVG 13
Rank #387 / 1,452
77.4%
Facility 77.4%
CA AVG 74.6%
Rank #615 / 1,313
-Sky Blue Health IncStudio / Semi-Private Rooms
AlmaVia of San Francisco
AL
MC
San Francisco (Lakeshore)
175
Facility 175
CA AVG 103
Rank #215 / 1,492
Yes
59
Facility 59
CA AVG 57
Rank #974 / 1,887
18
7
Facility 7
CA AVG 13
Rank #716 / 1,387
2
Facility 2
CA AVG 3
Rank #724 / 1,433
28
Facility 28
CA AVG 13
Rank #133 / 1,452
72.6%
Facility 72.6%
CA AVG 74.6%
Rank #739 / 1,313
B-Elder Care Alliance Elder Care Alliance Of Sf-
Merced Girard
AL
RESC
San Francisco (Portola)
42
Facility 42
CA AVG 103
Rank #1,044 / 1,492
No
93
Facility 93
CA AVG 57
Rank #99 / 1,887
5
2
Facility 2
CA AVG 13
Rank #325 / 1,387
2
Facility 2
CA AVG 3
Rank #724 / 1,433
16
Facility 16
CA AVG 13
Rank #463 / 1,452
95.2%
Facility 95.2%
CA AVG 74.6%
Rank #185 / 1,313
-Hafco Elder Care, IncPrivate / Semi-Private Rooms

Rank badges are statewide: each community is ranked against every CA community we track that reports that metric, not just the 28 analyzed for San Francisco. See how we rank facilities

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Overview of San Francisco Towers

San Francisco Towers is a vibrant and trusted community in the heart of San Francisco, emphasizing the importance of togetherness and support. The community’s mission is to provide a welcoming environment where residents thrive, even during challenging times, through the care of dedicated staff and virtual events that foster connection. Rooted in values of community and resilience, San Francisco Towers is committed to creating a supportive living experience for all.

The community offers a range of amenities and facilities designed to enhance residents’ lives. Nestled in Pacific Heights, near Nob Hill and Fillmore Street, the prime location allows residents to explore the best of San Francisco. Engaging events, from classes and concerts to wellness programs, contribute to a dynamic calendar of activities. San Francisco Towers provides a variety of amenities, including an indoor swimming pool, a cozy library, and a rooftop garden, creating an environment where residents can relax and live their best lives. Additionally, the community’s comprehensive services, spanning healthcare, dining, and wellness, ensure residents have the support they need at every stage, fostering positive aging and overall well-being.

Contact San Francisco Towers

Overview of Providence Place

Surrounded by convenient local amenities in Geary Boulevard, San Francisco, CA, Providence Place is a distinguished community that offers assisted living, memory care, and respite care. Residents keep their peace of mind with a kind and highly trained team helping with their personal needs and household responsibilities 24/7. The community promotes a vibrant and welcoming environment, ensuring residents can feel at ease during their stay.

Residents are encouraged to live actively and interact with their surroundings with a robust calendar of engaging programs and exciting events. Delightful and well-balanced home-cooked meals are served to satisfy residents’ dietary needs and preferences. The community also provides feeding assistance, incontinence care, and medication management for residents’ comfort and convenience. Here, residents age comfortably, accompanied by the community’s dedicated services and specially designed amenities.

Contact Providence Place

Overview of The Sequoias San Francisco

Age gracefully with The Sequoias San Francisco, a dedicated community in San Francisco, CA, that offers assisted living, memory care, and skilled nursing. Residents here receive the highest quality of care from a compassionate and highly trained team attending to their needs 24/7. Purposely designed and spacious studio and two-bedroom floor plans are available in a cozy and nurturing environment for residents to feel a sense of belonging.

From fun games to engaging exercises, residents are encouraged to live actively and remain socially engaged with the community’s unending array of recreational activities and engaging programs. To satisfy residents’ dietary needs and preferences, delicious and healthy dining options are served for a delightful dining experience. The community is ideal for those seeking a place to spend their golden years, especially with its state-of-the-art amenities and exceptional services.

Contact The Sequoias San Francisco

Overview of Autumn Glow Alzheimer’s Care Home

Autumn Glow Alzheimer’s Care Home provides assisted living in San Francisco’s Hayes Valley neighborhood. Residents receive help with daily tasks such as bathing, dressing, and medication while living in a private or semi private room.

The 15 bed home may suit someone who prefers a smaller community, although its 100 percent occupancy means all beds are currently filled. With a Walk Score of 98 out of 100, the area is considered a walker’s paradise, so daily errands do not require a car; a resident who no longer drives may still be able to complete errands on foot and take independent outings. Kit Fong serves as administrator, and Autumn Glow Alzheimer’s Home operates the community.

Contact Autumn Glow Alzheimer’s Care Home

Kokoro Assisted Living

1881 Bush Street, San Francisco, CA 94109
Overview of Kokoro Assisted Living

Kokoro Assisted Living is a wonderful senior living community that embraces both Japanese and American heritage and culture. The community’s emphasis on cultural activities, celebrations, and cuisine is a great way to foster a sense of community and create a unique experience for its residents. Kokoro offers a variety of independent and assisted living apartment styles to fit the needs of its residents. The availability of one-bedroom apartments and some studio apartments for double occupancy is especially convenient.

The community’s peaceful sanctuary, outdoor courtyard, and library offer a relaxing and rejuvenating atmosphere. The focus on staying active through exercise, strength, and spiritual wellness programs is important for maintaining physical and mental health in older adults.

Contact Kokoro Assisted Living

Overview of Fook Hong Sf Care Home

Fook Hong Sf Care Home is an assisted living community in San Francisco, California. Assisted living includes help with daily tasks such as dressing, bathing, and medication while residents maintain their own apartments. With 40 beds, the home is small enough for staff and residents to get to know one another, and its focus on serving the Asian community makes it a good fit for someone seeking care in that cultural setting.

The home has a 98% occupancy rate, so nearly all available resident capacity is in use. A Walk Score of 94 falls within the walker’s paradise band: daily errands do not require a car, and a resident who no longer drives can still get out independently. Modern accommodations with high ceilings and natural light provide bright living spaces. Sau Ting Josephin Leewong serves as administrator.

Contact Fook Hong Sf Care Home, Inc.

Overview of Coterie Cathedral Hill

At Coterie Cathedral Hill, one will find a lifestyle built on luxury, wellness, and purpose. A luxury senior living offering independent living, assisted living, and memory care, Coterie Cathedral Hill in San Francisco is all about up-scale quality of service. The atmosphere of enhanced quality living is instantly felt when you step into community grounds. An elevated lifestyle is the goal of the senior living community, ensuring that residents can thrive and continue nurturing themselves as individuals in a warm and welcoming environment. In San Francisco, Coterie Cathedral Hill offers an unmatched level of care that redefines the luxury quality of living we know today. 

Coterie Cathedral Hills strive to nourish your well-being with its wellness programs and fitness activities. Luxury appliances fill the magnificent rooms of every room and facility in the building. Located in a wonderful location, residents can appreciate the iconic views of San Francisco through their windows or their expansive rooftop terrace. Their outdoor common area is spacious and built with outdoor heaters that allow for engaging activities all year round.

Contact Coterie Cathedral Hill

Victorian Manor

1444 Mcallister St, San Francisco, CA 94115
Overview of Victorian Manor

Ideally situated in the harmonious neighborhood of McAllister Street, San Francisco, CA, Victorian Manor is a distinguished, privately-owned and managed community that offers assisted living, respite, and hospice care. The community is committed to enhancing residents’ living experience, providing exceptional care tailored to their needs and preferences 24/7. Alongside beautifully furnished and spacious accommodations, a kind and highly skilled team helps with daily living activities and household responsibilities for their comfort and convenience.

Residents enjoy the highest quality of life with engaging recreational activities and exciting events for leisure and wellness. Delightful and healthy meals are also served for residents to enjoy a satisfactory dining experience that caters to their dietary needs and preferences. The community strives to maintain residents’ independence and dignity, promoting a nurturing and welcoming environment.

Contact Victorian Manor

Overview of AlmaVia of San Francisco

Greeting seniors with its peaceful setting, AlmaVia of San Francisco is an astounding senior living community in Thomas More Way, San Francisco, CA that offers assisted living and memory care. The community doubles its efforts to meet seniors’ needs and aspirations by providing them with top-tier care and assistance 24/7. AlmaVia of San Francisco is dedicated to improving seniors’ welfare with exceptional services.

Discover new interests and rekindle passions with a full slate of fun activities and engaging programs. With extensive amenities, residents have more opportunities to mingle with friends and maintain an active lifestyle. Moreover, diverse dining options are provided daily to meet dietary needs and preferences. AlmaVia of San Francisco strives to create a haven for seniors to make every moment of their best years memorable. The community was also recognized as Best Assisted Living by US News and World Report for its exceptional quality.

Contact AlmaVia of San Francisco

Merced Girard

129 Girard Street, San Francisco, CA 94134
Overview of Merced Girard

Live a carefree retirement life with Merced Girard Residential Care, a warm and welcoming community in San Francisco, CA for those needing assisted living. Residents here are welcomed in bright and spacious accommodations tailored to their safety and mobility needs. Friendly and reliable caregivers are available 24/7 to support residents with their personal care, medications, and other things they may need help with.

In addition to personalized care plans, the community provides a full calendar of activities for residents’ enrichment and enjoyment. Meal times are also prioritized and tailored to accommodate residents’ individual dietary needs and tastes for proper nourishment. Here, tedious and mundane chores are removed from everyone’s lives for a worry-free living experience.

Contact Merced Girard

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Assisted Living in San Francisco, CA

What is the average cost of assisted living in San Francisco, CA?

The average monthly cost of assisted living in San Francisco, CA is approximately $7,500. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in San Francisco, CA?

Assisted living in San Francisco, CA typically ranges from $6,500–$9,500 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in San Francisco, CA?

Assisted living facilities in San Francisco, CA typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

What's the difference between assisted living and memory care in California?

Assisted living in California supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in California?

Assisted living in California is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does California Medicaid cover assisted living?

California Medicaid does not directly pay room-and-board for assisted living, but most states (including California) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.