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Best Assisted Living in San Francisco, CA

Why trust this guide? Our editorial team analyzed 22 assisted living communities in San Francisco, CA using California Department of Social Services (CDSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in CA
Reviewed by
Last updated
Jul 2026
We analyzed
22 homes
Other senior care options in San Francisco:

Video Tour: Top-rated Assisted Living facilities in San Francisco, California.

Watch this Video to see San Francisco's Top-rated Senior Communities
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: 124The average licensed bed capacity across facilities in San Francisco, CA. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around San Francisco

The information below is reported by the California Department of Social Services and Department of Public Health.

The Sequoias San Francisco
AL
HOS
MC
NH
RC
SNF
San Francisco (Japantown)
400
Facility 400
CA AVG 104
Rank #28 / 1648
No
99
Facility 99
CA AVG 57
Rank #2 / 2087
91
Facility 91
CA AVG 81
Rank #355 / 1399
14
4
Facility 4
CA AVG 13
Rank #525 / 1388
1
Facility 1
CA AVG 3
Rank #412 / 1160
51
Facility 51
CA AVG 13
Rank #18 / 1494
88.0% -Sequoia Living, IncStudio / 1 Bed / 2 Bed
San Francisco Towers
AL
IL
MC
San Francisco (Cathedral Hill)
350
Facility 350
CA AVG 104
Rank #36 / 1648
No
99
Facility 99
CA AVG 57
Rank #2 / 2087
93
Facility 93
CA AVG 81
Rank #242 / 1399
9
5
Facility 5
CA AVG 13
Rank #588 / 1388
0
Facility 0
CA AVG 3
Rank #1 / 1160
28
Facility 28
CA AVG 13
Rank #159 / 1494
100.0% -Front Porch Communities And Services1 Bed / 2 Bed
Sunset Gardens
AL
RESC
San Francisco (Sunset District)
13
Facility 13
CA AVG 104
Rank #1300 / 1648
Yes
0
Facility 0
CA AVG 57
Rank #2065 / 2087
96
Facility 96
CA AVG 81
Rank #1 / 1399
4
0
Facility 0
CA AVG 13
Rank #1 / 1388
0
Facility 0
CA AVG 3
Rank #1 / 1160
12
Facility 12
CA AVG 13
Rank #571 / 1494
76.9% -Tredici, LLCPrivate / Shared Rooms
Providence Place
AL
MC
RC
San Francisco (Lower Pacific Heights)
34
Facility 34
CA AVG 104
Rank #1239 / 1648
No
95
Facility 95
CA AVG 57
Rank #66 / 2087
94
Facility 94
CA AVG 81
Rank #185 / 1399
5
3
Facility 3
CA AVG 13
Rank #441 / 1388
0
Facility 0
CA AVG 3
Rank #1 / 1160
26
Facility 26
CA AVG 13
Rank #217 / 1494
100.0% C+Knop, Roman & Knop, GalinaStudio / Semi-Private Rooms
Coterie Cathedral Hill
AL
IL
MC
San Francisco (Cathedral Hill)
260
Facility 260
CA AVG 104
Rank #80 / 1648
Yes
99
Facility 99
CA AVG 57
Rank #2 / 2087
79
Facility 79
CA AVG 81
Rank #880 / 1399
20
19
Facility 19
CA AVG 13
Rank #1106 / 1388
2
Facility 2
CA AVG 3
Rank #599 / 1160
18
Facility 18
CA AVG 13
Rank #430 / 1494
78.8% A+Van Ness Opco Tenant LLC And Atria Management CompanyStudio / 1 Bed / 2 Bed
Merced Girard
AL
MC
San Francisco (Portola)
42
Facility 42
CA AVG 104
Rank #1188 / 1648
No
93
Facility 93
CA AVG 57
Rank #111 / 2087
88
Facility 88
CA AVG 81
Rank #513 / 1399
7
2
Facility 2
CA AVG 13
Rank #324 / 1388
2
Facility 2
CA AVG 3
Rank #599 / 1160
16
Facility 16
CA AVG 13
Rank #476 / 1494
95.2% -Hafco Elder Care, IncPrivate / Semi-Private Rooms
Victorian Manor
AL
HOS
RC
San Francisco (Western Addition)
124
Facility 124
CA AVG 104
Rank #540 / 1648
No
95
Facility 95
CA AVG 57
Rank #66 / 2087
82
Facility 82
CA AVG 81
Rank #792 / 1399
11
7
Facility 7
CA AVG 13
Rank #715 / 1388
2
Facility 2
CA AVG 3
Rank #599 / 1160
19
Facility 19
CA AVG 13
Rank #401 / 1494
77.4% -Sky Blue Health IncStudio / Semi-Private Rooms
Buena Vista Manor
AL
MC
San Francisco (Buena Vista)
87
Facility 87
CA AVG 104
Rank #871 / 1648
Yes
84
Facility 84
CA AVG 57
Rank #319 / 2087
96
Facility 96
CA AVG 81
Rank #1 / 1399
2
0
Facility 0
CA AVG 13
Rank #1 / 1388
0
Facility 0
CA AVG 3
Rank #1 / 1160
- 78.2% -Buena Vista Manor House Co-
WindChime of Marin Memory Care
AL
MC
RESC
RC
Kentfield
55
Facility 55
CA AVG 104
Rank #1111 / 1648
No
45
Facility 45
CA AVG 57
Rank #1470 / 2087
66
Facility 66
CA AVG 81
Rank #1217 / 1399
23
12
Facility 12
CA AVG 13
Rank #918 / 1388
17
Facility 17
CA AVG 3
Rank #1125 / 1160
25
Facility 25
CA AVG 13
Rank #265 / 1494
60.0% A+Windchime Group LLC And Integral Senior Living LLCStudio
Kokoro Assisted Living
AL
IL
RC
San Francisco (Japantown)
61
Facility 61
CA AVG 104
Rank #1062 / 1648
Yes
98
Facility 98
CA AVG 57
Rank #13 / 2087
87
Facility 87
CA AVG 81
Rank #568 / 1399
11
4
Facility 4
CA AVG 13
Rank #525 / 1388
0
Facility 0
CA AVG 3
Rank #1 / 1160
22
Facility 22
CA AVG 13
Rank #317 / 1494
67.2% -Kokoro Assisted Living Inc And Northstar Snr Lvg MgtStudio / 1 Bed
The Ivy at Golden Gate
AL
MC
San Francisco (Outer Sunset)
168
Facility 168
CA AVG 104
Rank #268 / 1648
Yes
88
Facility 88
CA AVG 57
Rank #218 / 2087
89
Facility 89
CA AVG 81
Rank #461 / 1399
11
6
Facility 6
CA AVG 13
Rank #650 / 1388
1
Facility 1
CA AVG 3
Rank #412 / 1160
2
Facility 2
CA AVG 13
Rank #1305 / 1494
0-Well Oak Tenant LLC And Oakmont Management Group LLCStudio / 1 Bed / 2 Bed
Fook Hong Sf Care Home, Inc.
AL
NH
San Francisco (Cayuga Terrace)
40
Facility 40
CA AVG 104
Rank #1201 / 1648
No
94
Facility 94
CA AVG 57
Rank #87 / 2087
90
Facility 90
CA AVG 81
Rank #398 / 1399
3
0
Facility 0
CA AVG 13
Rank #1 / 1388
-
13
Facility 13
CA AVG 13
Rank #534 / 1494
97.5% -Fook Hong Sf Care Home, Inc-
Merced Three Residential Care Facility
AL
RESC
San Francisco (Mission District)
33
Facility 33
CA AVG 104
Rank #1243 / 1648
No
99
Facility 99
CA AVG 57
Rank #2 / 2087
85
Facility 85
CA AVG 81
Rank #687 / 1399
3
1
Facility 1
CA AVG 13
Rank #210 / 1388
-
20
Facility 20
CA AVG 13
Rank #361 / 1494
100.0% ---
Portola Gardens
AL
San Francisco (University Mound)
132
Facility 132
CA AVG 104
Rank #475 / 1648
No
61
Facility 61
CA AVG 57
Rank #1011 / 2087
62
Facility 62
CA AVG 81
Rank #1270 / 1399
21
23
Facility 23
CA AVG 13
Rank #1172 / 1388
4
Facility 4
CA AVG 3
Rank #829 / 1160
7
Facility 7
CA AVG 13
Rank #812 / 1494
74.2% -Portola Gardens LLC And Portola Mgmt Bsd, LLCPrivate / Shared Rooms
AlmaVia of San Francisco
AL
MC
San Francisco (Lakeshore)
175
Facility 175
CA AVG 104
Rank #235 / 1648
Yes
59
Facility 59
CA AVG 57
Rank #1086 / 2087
82
Facility 82
CA AVG 81
Rank #792 / 1399
15
7
Facility 7
CA AVG 13
Rank #715 / 1388
2
Facility 2
CA AVG 3
Rank #599 / 1160
28
Facility 28
CA AVG 13
Rank #159 / 1494
72.6% B-Elder Care Alliance Elder Care Alliance Of Sf-
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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 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 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

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 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

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

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

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

Buena Vista Manor

399 Buena Vista Ave E, San Francisco, CA 94117
Overview of Buena Vista Manor

Settled in the neighborhood of San Francisco, CA, Buena Vista Manor is an upscale senior living community that provides a warm atmosphere for assisted living. Serving seniors for over 30 years, the community has built a trusted reputation in delivering exceptional care and reliable support with the help of an excellent care team available 24/7 to offer a wide range of care services. Here, residents are provided with a gracious, safe, and stress-free living environment surrounded by lush gardens and greenery for a more relaxing atmosphere.

Ensuring every needs of its residents are met and exceeded, the community also offers residents an array of opportunities to live an enriched lifestyle through a wide array of interesting activities and chef-prepared, nutritionally balanced meals. Residents are also provided with various maintenance services to ensure they live a worry-free life with more time to explore all the great things the neighborhood and the community offers.

Contact Buena Vista Manor

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

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.