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
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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 to lowest based on our ranking 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.
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.
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 / 1,645
Yes
99
Facility 99
CA AVG 59
Rank #2 / 2,057
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 #156 / 1,505
100.0%
Facility 100.0%
CA AVG 75.9%
Rank #1 / 1,452
Front Porch Communities And Services1 Bed / 2 Bed
The Sequoias San Francisco
AL
HOS
MC
NH
RC
SNF
San Francisco (Japantown)
400
Facility 400
CA AVG 103
Rank #28 / 1,645
No
99
Facility 99
CA AVG 59
Rank #2 / 2,057
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 #18 / 1,505
88.0%
Facility 88.0%
CA AVG 75.9%
Rank #401 / 1,452
Sequoia Living, IncStudio / 1 Bed / 2 Bed
Coterie Cathedral Hill
AL
IL
MC
San Francisco (Cathedral Hill)
260
Facility 260
CA AVG 103
Rank #79 / 1,645
Yes
99
Facility 99
CA AVG 59
Rank #2 / 2,057
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 #452 / 1,505
78.8%
Facility 78.8%
CA AVG 75.9%
Rank #702 / 1,452
Van Ness Opco Tenant LLC And Atria Management CompanyStudio / 1 Bed / 2 Bed
Rhoda Goldman Plaza – San Francisco Assisted Living & Memory Care
AL
MC
San Francisco (Lower Pacific Heights)
6
Facility 6
CA AVG 103
Rank #1,318 / 1,645
No
98
Facility 98
CA AVG 59
Rank #13 / 2,057
3
0
Facility 0
CA AVG 13
Rank #1 / 1,387
2
Facility 2
CA AVG 3
Rank #724 / 1,433
2
Facility 2
CA AVG 13
Rank #1,321 / 1,505
66.7%
Facility 66.7%
CA AVG 75.9%
Rank #998 / 1,452
Alara Health Services IncStudio / Alcove / 1 Bed / 2 Bed
Ivy Park at Cathedral Hill
AL
MC
San Francisco (Cathedral Hill)
210
Facility 210
CA AVG 103
Rank #134 / 1,645
Yes
99
Facility 99
CA AVG 59
Rank #2 / 2,057
50
27
Facility 27
CA AVG 13
Rank #1,224 / 1,387
17
Facility 17
CA AVG 3
Rank #1,384 / 1,433
8
Facility 8
CA AVG 13
Rank #774 / 1,505
81.9%
Facility 81.9%
CA AVG 75.9%
Rank #633 / 1,452
Coventry Subtenant LP And Oakmont Management Group LLCStudio / 1 Bed / 2 Bed
WindChime of Marin Memory Care
AL
MC
RESC
RC
Kentfield
55
Facility 55
CA AVG 103
Rank #1,110 / 1,645
No 45 30
12
Facility 12
CA AVG 13
Rank #919 / 1,387
17
Facility 17
CA AVG 3
Rank #1,384 / 1,433
25
Facility 25
CA AVG 13
Rank #268 / 1,505
60.0%
Facility 60.0%
CA AVG 75.9%
Rank #1,185 / 1,452
Windchime Group LLC And Integral Senior Living LLCStudio
Merced Girard
AL
RESC
San Francisco (Portola)
42
Facility 42
CA AVG 103
Rank #1,186 / 1,645
No
93
Facility 93
CA AVG 59
Rank #111 / 2,057
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 #500 / 1,505
95.2%
Facility 95.2%
CA AVG 75.9%
Rank #215 / 1,452
Hafco Elder Care, IncPrivate / Semi-Private Rooms
Victorian Manor
AL
HOS
RC
San Francisco (Western Addition)
124
Facility 124
CA AVG 103
Rank #538 / 1,645
No
95
Facility 95
CA AVG 59
Rank #66 / 2,057
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 #423 / 1,505
77.4%
Facility 77.4%
CA AVG 75.9%
Rank #734 / 1,452
Sky Blue Health IncStudio / Semi-Private Rooms
Sagebrook Senior Living
AL
MC
San Francisco (Laurel Heights)
111
Facility 111
CA AVG 103
Rank #638 / 1,645
Yes
95
Facility 95
CA AVG 59
Rank #66 / 2,057
37
13
Facility 13
CA AVG 13
Rank #950 / 1,387
5
Facility 5
CA AVG 3
Rank #1,094 / 1,433
8
Facility 8
CA AVG 13
Rank #774 / 1,505
67.6%
Facility 67.6%
CA AVG 75.9%
Rank #985 / 1,452
Eden Villa Prop LLC And Integral Senior Liv Mgmt LLCSuite / Companion Suite
The Ivy at Golden Gate
AL
MC
San Francisco (Outer Sunset)
168
Facility 168
CA AVG 103
Rank #266 / 1,645
Yes
88
Facility 88
CA AVG 59
Rank #218 / 2,057
17
6
Facility 6
CA AVG 13
Rank #651 / 1,387
1
Facility 1
CA AVG 3
Rank #478 / 1,433
2
Facility 2
CA AVG 13
Rank #1,321 / 1,505
-Well Oak Tenant LLC And Oakmont Management Group LLCStudio / 1 Bed / 2 Bed

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.

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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 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 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

Overview of Rhoda Goldman Plaza – San Francisco Assisted Living & Memory Care

Experience the best of your golden years with Rhoda Goldman Plaza – Assisted Living & Memory Care, an outstanding community set in the thriving neighborhood of Post Street, San Francisco, CA, that offers assisted living and memory care. The community features beautifully furnished and spacious studio to two-bedroom floor plans, prioritizing residents’ comfort and safety. A respectful and highly trained team helps residents with their daily living activities and household chores 24/7, ensuring a maintenance-free lifestyle.

Residents will not feel lonely with a fun-packed calendar of recreational activities and engaging programs for their leisure and wellness. Mealtimes foster comfort and satisfy dietary needs with delightful and healthy meals that cater to their dietary needs and preferences. With its cozy and welcoming environment, residents live a blissful retirement.

Contact Rhoda Goldman Plaza – San Francisco Assisted Living & Memory Care

Ivy Park at Cathedral Hill

1550 Sutter St, San Francisco, CA 94109
Overview of Ivy Park at Cathedral Hill

The exceptional Walk Score of 99 is a worth leading with. Ivy Park at Cathedral Hill sits on Sutter Street in San Francisco’s Cathedral Hill neighborhood, making it a walker’s paradise where daily errands don’t require a car and California Pacific Medical Center is four-tenths of a mile away. For a senior living community, that kind of urban density is a structural advantage.

The building is a mid-rise with 210 beds across studio, one-bedroom, and two-bedroom units ranging from 400 to 550 square feet. Oakmont Management Group operates the community; Chris Schuster is the administrator. At 8 years in operation, the facility currently runs at 82% occupancy with 172 beds filled. The care mandate covers assisted living, independent living, and memory care under one roof.

On-site services include licensed nurses and CNAs, 24-hour staffing, transportation, and fitness and recreation. Pets are welcome. The facility is California state-licensed as a Residential Care Elderly community, not CMS-certified; Medicare and Medicaid don’t apply here. State inspections have covered medication management and fall and injury prevention among other areas.

Ivy Park at Cathedral Hill is a large, multi-care-type community in one of San Francisco’s most walkable senior living corridors, suited to residents who want proximity to urban amenities and full-spectrum care options under private-pay terms.

Contact Ivy Park at Cathedral Hill

Overview of WindChime of Marin Memory Care

Experience person-centered memory care in a home-like environment at WindChime of Marin Memory Care, a blissful senior living community in Kentfield, CA, offering a serene environment for seniors dealing with memory loss. The community features an array of private to semi-private apartments, featuring access to 24-hour response, daily laundry, medication management and other convenient services. Boasting over 20 years of experience in serving memory care residents, the community thoroughly understands the unique needs of each person and provides them with the appropriate programming that help them feel more comfortable and at home.

The community ensures each of their residents are able to participate in vibrant activities and events by tailoring them based on their varying capabilities and interests. On-site physical therapy services provided by ONR are available to help residents maintain their strength and mobility for an active living. Dining experiences are enhanced by a talented culinary team that deliciously prepares residents’ favorite meals and serves health-conscious menus that are tailored to satisfy personal tastes and dietary needs.

Contact WindChime of Marin Memory Care

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

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 Sagebrook Senior Living

Enjoy top-notch care with Sagebrook Senior Living, a trusted community in San Francisco, CA, that offers assisted living and memory care. Committed to improving residents’ well-being, a kind and highly trained team provides top-notch care 24/7 according to their unique needs and preferences. With specially designed and cozy one-bedroom floor plans, residents can keep their peace of mind and live up to their potential.

Promoting a vibrant and welcoming environment, residents are encouraged to live actively and meet new friends through a jam-packed calendar of fun activities and engaging events. Mealtimes foster comfort and satisfy nutritional needs with delicious and well-balanced dining options. Residents, even those with memory-related needs, can maintain their independence and dignity in the community’s stress-free setting and top-notch services.

Contact Sagebrook Senior Living

The Ivy at Golden Gate

1601 19Th Avenue, San Francisco, CA 94122
Overview of The Ivy at Golden Gate

The Ivy at Golden Gate is a senior living community in the 19th Avenue neighborhood of San Francisco, offering assisted living, independent living, and memory care in a single two-story building. It is operated by Well Oak Tenant LLC and Oakmont Management Group LLC and administered by Adiam Welday. Because the community brings several levels of care together on one campus, families can consider it both for a loved one who needs daily support now and for someone whose needs may change over time.

The community has 168 residences and welcomes adults age 62 and older. Housing options range from private studio, one-bedroom, and two-bedroom apartments to the signature Evergreen at Ivy neighborhood, where private and companion suites are set aside for memory care. Round-the-clock care is provided by the on-site team, and the community frames its approach through its Whole Living Approach and EverYou Program, which center on personalized support while encouraging residents to stay active and independent.

Daily life leans toward engagement and connection. Residents have access to an activities studio, an art studio, a media room, a technology center, a library, and a fitness center, along with landscaped grounds, flower gardens, and indoor and outdoor lounges. Dining is served throughout the day, with prepared meals and an on-site bistro, and the community is pet friendly for those bringing an animal companion.

State inspections by the California Department of Social Services have generally found the community clean, well maintained, and compliant, with attention paid to resident supervision. Families touring the community may want to ask how supervision is managed for residents living with dementia.

The setting adds to the appeal for visiting family. With a Walk Score of 88, the surrounding neighborhood is very walkable, so many errands and visits can be handled on foot. That combination of an accessible city location and a full range of care makes the community worth a closer look for families weighing options in San Francisco.

Contact The Ivy at Golden Gate

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.
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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.