Best Assisted Living in San Francisco, CA

Why trust this guide? Our editorial team analyzed 31 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.
31 homes
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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. 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.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
A complaint visit is an unannounced on-site visit by California's Community Care Licensing Division to investigate a complaint about the community, filed by a resident, a family member, staff or anyone else. A visit means a complaint was looked into, not that it was proven: the state may find it substantiated, inconclusive or unfounded. Fewer visits is better.
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 93
Rank #34 / 1,517
A+Yes
99
Facility 99
CA AVG 56
Rank #1 / 1,408
13
5
Facility 5
CA AVG 13
Rank #701 / 1,459
0
Facility 0
CA AVG 3
Rank #1 / 1,505
28
Facility 28
CA AVG 12
Rank #158 / 1,473
100.0%
Facility 100.0%
CA AVG 74.8%
Rank #1 / 1,357
-Front Porch Communities And Services1 Bed / 2 Bed
Providence Place
AL
MC
RC
San Francisco (Lower Pacific Heights)
34
Facility 34
CA AVG 93
Rank #969 / 1,517
A-No
95
Facility 95
CA AVG 56
Rank #43 / 1,408
7
3
Facility 3
CA AVG 13
Rank #542 / 1,459
0
Facility 0
CA AVG 3
Rank #1 / 1,505
26
Facility 26
CA AVG 12
Rank #205 / 1,473
100.0%
Facility 100.0%
CA AVG 74.8%
Rank #1 / 1,357
C+Knop, Roman & Knop, GalinaStudio / Semi-Private Rooms
Merced Residential Care I
AL
RESC
San Francisco (Oceanview)
14
Facility 14
CA AVG 93
Rank #1,022 / 1,517
A+No
82
Facility 82
CA AVG 56
Rank #242 / 1,408
3
0
Facility 0
CA AVG 13
Rank #1 / 1,459
0
Facility 0
CA AVG 3
Rank #1 / 1,505
23
Facility 23
CA AVG 12
Rank #274 / 1,473
100.0%
Facility 100.0%
CA AVG 74.8%
Rank #1 / 1,357
-Hafco, IncStudio
Fook Hong Sf Care Home, Inc.
AL
San Francisco
40
Facility 40
CA AVG 93
Rank #942 / 1,517
A+No
94
Facility 94
CA AVG 56
Rank #56 / 1,408
3
0
Facility 0
CA AVG 13
Rank #1 / 1,459
0
Facility 0
CA AVG 3
Rank #1 / 1,505
13
Facility 13
CA AVG 12
Rank #516 / 1,473
97.5%
Facility 97.5%
CA AVG 74.8%
Rank #206 / 1,357
-Fook Hong Sf Care Home, Inc-
Coterie Cathedral Hill
AL
IL
MC
San Francisco (Cathedral Hill)
260
Facility 260
CA AVG 93
Rank #70 / 1,517
AYes
99
Facility 99
CA AVG 56
Rank #1 / 1,408
34
19
Facility 19
CA AVG 13
Rank #1,197 / 1,459
2
Facility 2
CA AVG 3
Rank #798 / 1,505
18
Facility 18
CA AVG 12
Rank #410 / 1,473
78.8%
Facility 78.8%
CA AVG 74.8%
Rank #618 / 1,357
-Van Ness Opco Tenant LLC And Atria Management CompanyStudio / 1 Bed / 2 Bed
Merced Residential Care III
AL
RESC
San Francisco (Oceanview)
14
Facility 14
CA AVG 93
Rank #1,022 / 1,517
B+No
82
Facility 82
CA AVG 56
Rank #242 / 1,408
3
0
Facility 0
CA AVG 13
Rank #1 / 1,459
1
Facility 1
CA AVG 3
Rank #542 / 1,505
26
Facility 26
CA AVG 12
Rank #205 / 1,473
100.0%
Facility 100.0%
CA AVG 74.8%
Rank #1 / 1,357
-Hafco, IncStudio
AlmaVia of San Francisco
AL
MC
San Francisco (Lakeshore)
175
Facility 175
CA AVG 93
Rank #196 / 1,517
BYes
59
Facility 59
CA AVG 56
Rank #696 / 1,408
18
7
Facility 7
CA AVG 13
Rank #820 / 1,459
2
Facility 2
CA AVG 3
Rank #798 / 1,505
29
Facility 29
CA AVG 12
Rank #117 / 1,473
72.6%
Facility 72.6%
CA AVG 74.8%
Rank #770 / 1,357
B-Elder Care Alliance Elder Care Alliance Of Sf-
Kokoro Assisted Living
AL
IL
RC
San Francisco (Japantown)
61
Facility 61
CA AVG 93
Rank #849 / 1,517
B-Yes
98
Facility 98
CA AVG 56
Rank #11 / 1,408
11
4
Facility 4
CA AVG 13
Rank #638 / 1,459
0
Facility 0
CA AVG 3
Rank #1 / 1,505
22
Facility 22
CA AVG 12
Rank #292 / 1,473
67.2%
Facility 67.2%
CA AVG 74.8%
Rank #887 / 1,357
-Kokoro Assisted Living Inc And Northstar Snr Lvg MgtStudio / 1 Bed
Autumn Glow Alzheimer’s Care Home
AL
San Francisco (Hayes Valley)
15
Facility 15
CA AVG 93
Rank #1,013 / 1,517
CNo
98
Facility 98
CA AVG 56
Rank #11 / 1,408
4
0
Facility 0
CA AVG 13
Rank #1 / 1,459
2
Facility 2
CA AVG 3
Rank #798 / 1,505
25
Facility 25
CA AVG 12
Rank #221 / 1,473
100.0%
Facility 100.0%
CA AVG 74.8%
Rank #1 / 1,357
-Autumn Glow Alzheimer's Home, IncPrivate / Semi-Private Rooms
Sunset Gardens
AL
RESC
San Francisco (Sunset District)
13
Facility 13
CA AVG 93
Rank #1,027 / 1,517
A+Yes 91 5
0
Facility 0
CA AVG 13
Rank #1 / 1,459
0
Facility 0
CA AVG 3
Rank #1 / 1,505
12
Facility 12
CA AVG 12
Rank #554 / 1,473
76.9%
Facility 76.9%
CA AVG 74.8%
Rank #662 / 1,357
-Tredici, LLCPrivate / Shared Rooms

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other CA assisted living community we track that reports that metric, not just the 31 analyzed for San Francisco. See how we rank facilities

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Overview of San Francisco Towers

San Francisco Towers offers assisted living, independent living, and memory care in San Francisco’s Cathedral Hill neighborhood. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment; Independent living provides private living with community services and no daily care; and memory care provides a secured setting with supervision for someone at risk of wandering. Multiple care levels can suit a resident whose needs grow over time without requiring a move to another community.

San Francisco Towers has 350 beds, with more residents and staff, and generally more programming, than a smaller community. Occupancy is 100%, meaning every available bed is occupied. Mark Nitsche serves as administrator, and Front Porch Communities And Services operates the community.

A Walk Score of 99 out of 100 places the area in a walker’s paradise, where daily errands do not require a car. A resident who no longer drives can still get out independently. Pets are allowed, so a resident can bring a pet to the community.

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 Merced Residential Care I

Peacefully nestled in San Francisco, CA, Merced Residential Care I is an inviting community for residents needing assisted living. Ensuring comfort and safety, the community features a team of reliable caregivers to assist residents with their daily activities and long-term care needs. With 24-hour personalized care and well-designed accommodations, residents can maintain the lifestyle they want comfortably.

Everyone’s dietary needs are met with nutritious and delicious meals prepared based on their unique preferences and needs. Household chores and transportation needs are also taken care of for more convenience. Here, residents are given all the tools and support they need to age gracefully.

Contact Merced Residential Care I

Overview of Fook Hong Sf Care Home

Thirty-nine of the 40 beds at Fook Hong Sf Care Home are occupied. One bed stands available in San Francisco, California, and it likely won’t stay available for long. Assisted living is the care level provided here, and that covers assistance with bathing, dressing, and taking meds. Other than those tasks, residents get to keep their own schedules and privacy. The community’s Walk Score of 94 lands it in the Walkers’ Paradise category; a car need not be part of the arrangement, and residents will still be able to handle any affairs outside. Daily errands can be done on foot, and that’s great news for any residents who don’t drive or have anyone to drive them places.

High ceilings and natural light are on the facility’s amenity list. Sau Ting Josephine Leewong is the listed administrator.

Contact Fook Hong Sf Care Home, Inc.

Overview of Coterie Cathedral Hill

Cathedral Hill, a neighborhood of San Francisco, CA, has Coterie Cathedral Hill, which offers independent living, memory care, assisted living, and respite care. Community services come with independent living, but daily care doesn’t. Assisted living layers on staff help, covering dressing, bathing, and medication along with other tasks through the day.

For a dementia-related wandering risk, memory care supervises residents in a secured space. Respite covers a family caregiver’s travel or recovery with a short-term stay. Because the levels share one community, growing needs don’t force a move elsewhere.

At 260 beds, Coterie is a large-scale community, the kind of place where residents, staff, and programs all come in greater numbers than at a small home. Units run from studio to one-bedroom to two-bedroom, the largest suiting two people sharing. Pricing starts at $9,600 a month.

Van Ness Opco Tenant LLC and Atria Management Company operate the community, and Matthew Turner is its administrator. Coterie’s Walk Score comes to 99 of 100, a walker’s paradise where daily errands happen without a car. Transportation services run as well.

Exercise, music, and films are covered by the fitness center, the piano, and the movie theater. Pets can live there too.

Starting Price $13,700/Month

Contact Coterie Cathedral Hill

Overview of Merced Residential Care III

Experience compassionate care with Merced Residential Care III, a blissful community in San Francisco, CA designed for assisted living. Reliable care professionals here are available 24/7 to assist residents with their daily activities like personal hygiene and medication management. Care plans are personalized and well-coordinated to ensure everyone receives proper care and attention.

Residents’ schedules are filled with exciting and enriching activities designed to improve their overall quality of life. The community also makes sure meals are both healthy and tasty with accommodations for specific dietary requirements. With no chores like housekeeping and laundry to worry about, residents here are bound to enjoy their golden years worry-free and conveniently.

Contact Merced Residential Care III

Overview of AlmaVia of San Francisco

AlmaVia of San Francisco provides assisted living and memory care in San Francisco, California. Assisted living includes help with daily tasks such as bathing, dressing, and medication while residents keep their own apartment. Memory care offers a secured setting with supervision for someone at risk of wandering, including a resident living with Alzheimer’s disease or another form of dementia.

There are 175 beds, with starting rates of $7,562 per month for assisted living and $10,455 for memory care. Having both care levels can suit a resident whose needs grow over time, since moving to a different level of care does not require leaving the community. The setting may be a good fit for someone who needs help with daily tasks or a secured environment with supervision because of memory loss or wandering risk.

Residents can use the salon, library, computer lab, and outdoor grounds with walking paths for grooming, computer use, reading, and time outside. A spiritual care director is available to people of all faiths and belief systems, and pets are allowed. In the Lakeshore neighborhood, a Walk Score of 59 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to complete certain nearby errands independently. Cleitus Jones serves as the administrator, and Elder Care Alliance Of Sf, Elder Care Alliance operates the community.

$7,562/Month

Contact AlmaVia of San Francisco

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 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

Overview of Sunset Gardens

Sunset Gardens Assisted Living is a residential care community in San Francisco, CA, offering personalized assistance for older adults. With a boutique-style setting, the community ensures older adults can feel at home. Nutritious home-cooked meals, wellness activities, and assistance with daily living activities are also provided to help residents maintain their independence. As a family-owned and operated community, Sunset Gardens follows a hands-on, family-first approach to care dedicated to improving residents’ quality of life.

Light exercises and various activities are conducted for residents’ social and physical well-being. The community also features comfortable rooms and award-winning gardens, providing residents with more spaces for relaxation and socialization. Situated in the quiet residential area of San Francisco, the community guarantees a laid-back lifestyle. This residential care community has been trusted by families in San Francisco since 2013, making it a great choice for senior living in California.

Contact Sunset Gardens

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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Assisted Living in San Francisco at a glance

Avg Walk Score: 90/ 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: 100The 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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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.