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.
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.
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.
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 #34 / 1,350
Yes
99
Facility 99
CA AVG 56
Rank #1 / 1,411
A+13
5
Facility 5
CA AVG 13
Rank #556 / 1,292
0
Facility 0
CA AVG 3
Rank #1 / 1,338
28
Facility 28
CA AVG 13
Rank #120 / 1,299
100.0%
Facility 100.0%
CA AVG 74.1%
Rank #1 / 1,202
-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 #963 / 1,350
No
95
Facility 95
CA AVG 56
Rank #43 / 1,411
A-7
3
Facility 3
CA AVG 13
Rank #418 / 1,292
0
Facility 0
CA AVG 3
Rank #1 / 1,338
26
Facility 26
CA AVG 13
Rank #194 / 1,299
100.0%
Facility 100.0%
CA AVG 74.1%
Rank #1 / 1,202
C+Knop, Roman & Knop, GalinaStudio / Semi-Private Rooms
Merced Residential Care I
AL
RESC
San Francisco (Oceanview)
14
Facility 14
CA AVG 103
Rank #1,012 / 1,350
No
82
Facility 82
CA AVG 56
Rank #242 / 1,411
A+3
0
Facility 0
CA AVG 13
Rank #1 / 1,292
0
Facility 0
CA AVG 3
Rank #1 / 1,338
23
Facility 23
CA AVG 13
Rank #263 / 1,299
100.0%
Facility 100.0%
CA AVG 74.1%
Rank #1 / 1,202
-Hafco, IncStudio
Coterie Cathedral Hill
AL
IL
MC
San Francisco (Cathedral Hill)
260
Facility 260
CA AVG 103
Rank #70 / 1,350
Yes
99
Facility 99
CA AVG 56
Rank #1 / 1,411
A34
19
Facility 19
CA AVG 13
Rank #1,032 / 1,292
2
Facility 2
CA AVG 3
Rank #679 / 1,338
18
Facility 18
CA AVG 13
Rank #381 / 1,299
78.8%
Facility 78.8%
CA AVG 74.1%
Rank #517 / 1,202
-Van Ness Opco Tenant LLC And Atria Management CompanyStudio / 1 Bed / 2 Bed
Fook Hong Sf Care Home, Inc.
AL
San Francisco
40
Facility 40
CA AVG 103
Rank #937 / 1,350
No
94
Facility 94
CA AVG 56
Rank #56 / 1,411
A+3
0
Facility 0
CA AVG 13
Rank #1 / 1,292
0
Facility 0
CA AVG 3
Rank #1 / 1,338
13
Facility 13
CA AVG 13
Rank #472 / 1,299
97.5%
Facility 97.5%
CA AVG 74.1%
Rank #150 / 1,202
-Fook Hong Sf Care Home, Inc-
Merced Residential Care III
AL
RESC
San Francisco (Oceanview)
14
Facility 14
CA AVG 103
Rank #1,012 / 1,350
No
82
Facility 82
CA AVG 56
Rank #242 / 1,411
B+3
0
Facility 0
CA AVG 13
Rank #1 / 1,292
1
Facility 1
CA AVG 3
Rank #451 / 1,338
26
Facility 26
CA AVG 13
Rank #194 / 1,299
100.0%
Facility 100.0%
CA AVG 74.1%
Rank #1 / 1,202
-Hafco, IncStudio
AlmaVia of San Francisco
AL
MC
San Francisco (Lakeshore)
175
Facility 175
CA AVG 103
Rank #196 / 1,350
Yes
59
Facility 59
CA AVG 56
Rank #697 / 1,411
B18
7
Facility 7
CA AVG 13
Rank #669 / 1,292
2
Facility 2
CA AVG 3
Rank #679 / 1,338
28
Facility 28
CA AVG 13
Rank #120 / 1,299
72.6%
Facility 72.6%
CA AVG 74.1%
Rank #662 / 1,202
B-Elder Care Alliance Elder Care Alliance Of Sf-
Kokoro Assisted Living
AL
IL
RC
San Francisco (Japantown)
61
Facility 61
CA AVG 103
Rank #845 / 1,350
Yes
98
Facility 98
CA AVG 56
Rank #11 / 1,411
B-11
4
Facility 4
CA AVG 13
Rank #498 / 1,292
0
Facility 0
CA AVG 3
Rank #1 / 1,338
22
Facility 22
CA AVG 13
Rank #281 / 1,299
67.2%
Facility 67.2%
CA AVG 74.1%
Rank #779 / 1,202
-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 103
Rank #1,005 / 1,350
No
98
Facility 98
CA AVG 56
Rank #11 / 1,411
C4
0
Facility 0
CA AVG 13
Rank #1 / 1,292
2
Facility 2
CA AVG 3
Rank #679 / 1,338
25
Facility 25
CA AVG 13
Rank #214 / 1,299
100.0%
Facility 100.0%
CA AVG 74.1%
Rank #1 / 1,202
-Autumn Glow Alzheimer's Home, IncPrivate / Semi-Private Rooms
Merced Residential Care II
AL
RESC
San Francisco (Oceanview)
6
Facility 6
CA AVG 103
Rank #1,036 / 1,350
No
82
Facility 82
CA AVG 56
Rank #242 / 1,411
B+6
0
Facility 0
CA AVG 13
Rank #1 / 1,292
1
Facility 1
CA AVG 3
Rank #451 / 1,338
10
Facility 10
CA AVG 13
Rank #588 / 1,299
66.7%
Facility 66.7%
CA AVG 74.1%
Rank #785 / 1,202
-Edna's Residential Care Homes III, IncStudio

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 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 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 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 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 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

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

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 Merced Residential Care II

Conveniently located in San Francisco, CA, Merced Residential Care II provides a safe community for assisted living. Residents are empowered to live the life they want with 24-hour assistance with their daily living activities like personal care. The community ensures residents’ families and physicians are regularly updated about their wellness, providing them transparency and peace of mind.

With an array of well-curated activities like Tai Chi, games, and movies, residents never run out of fun and adventures. Meals are prepared according to residents’ individual preferences and dietary requirements to guarantee proper nutrition. At Merced Residential Care II, everyone can live their best years without chores and worries.

Contact Merced Residential Care II

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.