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Compare Assisted Living around San Francisco
The information below is reported by the California Department of Social Services and Department of Public Health.
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| Buena Vista Manor |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Francisco (Buena Vista) | 87 | Yes | 84 | - | - | - | - | 78.2% | - | Buena Vista Manor House Co. | - |
| Portola Gardens |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. |
San Francisco (University Mound) | 104 | No | 61 | 4 | 23 | 4 | 7 | 88.5% | - | Portola Gardens LLC; Ciminocare | Private / Shared Rooms |
| Merrill Gardens at Rockridge |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
Oakland (Shafter) | 150 | No | 96 | 5 | 15 | 3 | 6 | 89.3% | - | Shi-III Mg Rockridge Gp LLC;Merrill Gardens LLC | - |
| The Ivy at Golden Gate |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Francisco (Outer Sunset) | 168 | Yes | 88 | 2 | 6 | 1 | 2 | 0.6% | - | Well Oak Tenant LLC;Oakmont Management Group LLC | Studio / 1 Bed / 2 Bed |
| Coterie Cathedral Hill |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Francisco (Cathedral Hill) | 260 | No | 99 | 3 | 19 | 2 | 4 | 78.8% | A+ | Van Ness Opco Tenant LLC; Atria Management Company | Studio / 1 Bed / 2 Bed |
| San Francisco Towers |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Francisco (Cathedral Hill) | 350 | No | 99 | 4 | 5 | - | 28 | 100.0% | - | Front Porch Communities And Services | 1 Bed / 2 Bed |
| Ivy Park at Cathedral Hill |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Francisco (Cathedral Hill) | 210 | Yes | 99 | 4 | 27 | 15 | 8 | 81.9% | - | Coventry Subtenant LP;Oakmont Management Group LLC | Studio / 1 Bed / 2 Bed |
| Victorian Manor |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. |
San Francisco (Western Addition) | 124 | No | 95 | 4 | 7 | 2 | 19 | 77.4% | - | Sky Blue Health Inc. | Studio / Semi-Private Rooms |
| Merced Girard |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Francisco (Portola) | 42 | No | 93 | 3 | 2 | 2 | 16 | 95.2% | - | Hafco Elder Care, Inc. | Private / Semi-Private Rooms |
| Rhoda Goldman Plaza – San Francisco Assisted Living & Memory Care |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Francisco (Lower Pacific Heights) | 6 | No | 98 | 1 | - | 2 | 1 | 66.7% | - | Alara Health Services Inc | Studio / Alcove / 1 Bed / 2 Bed |
| The Carlisle |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
San Francisco (Cathedral Hill) | - | Yes | 99 | - | - | - | - | - | - | - | Studio / 1 Bed / 2 Bed |
| Merced Residential Care I |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Francisco (Oceanview) | 14 | No | 82 | 3 | - | - | 22 | 100.0% | - | Hafco, Inc. | Studio |
| Sunset Gardens |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
San Francisco (Sunset District) | 13 | No | 0 | 4 | - | - | - | 76.9% | - | - | Private / Shared Rooms |
| Avenue Assisted Living |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. |
San Francisco (Tenderloin) | - | No | 99 | - | - | - | - | - | - | - | Studio / Alcove / 1 Bed / 2 Bed |
| Merced Hampshire |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Francisco (Mission District) | 33 | No | 94 | - | - | - | - | - | - | - | Private / Shared Rooms |
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.
What does this home offer?
Pets Allowed
Building Type: Mid-rise
Peacefully nestled near Louis Sutter Playground Park and Parega Recreation Center in University Street, San Francisco, CA, Portola Gardens is an idyllic haven that offers assisted living. Residents enjoy the highest quality of care with a respectful and well-trained team helping with their daily living activities 24/7. With its refurbished accommodations, this community strives to accommodate up to 74 residents and ensure their comfort and safety.
Residents will not run out of things to do with a jam-packed calendar of recreational activities and exciting events that highlight their interests and strengths. Delightful and healthy dining options are served for residents to enjoy a satisfactory dining experience that satisfies their nutritional needs and preferences. The community also provides medication management, mental health support, and hospice coordination to ensure residents age gracefully.
What does this home offer?
Housing Options: Private / Shared Rooms
Building Type: 2-story
Dining Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
Found in Oakland, California, Merrill Gardens at Rockridge stands out as a vibrant and thoughtfully designed community. Owned by a family company, it offers both independent senior living and memory care services, excelling particularly in providing top-notch assisted living facilities. Residents can trust in the commitment to premier care, ensuring privacy, security, and exceptional support services.
This community goes beyond the basics, featuring a variety of amenities for a well-rounded lifestyle. From cozy studio to one-bedroom units with kitchenettes and private balconies, Merrill Gardens at Rockridge caters to diverse preferences. The community spaces include a movie theater, living areas, game room, landscaped courtyard, library, computer room, and fitness center. With a calendar brimming with activities and proximity to cafes, restaurants, antique shops, and bookstores, residents can enjoy both convenience and an engaging social environment. The addition of a concierge further enhances the overall experience, providing a seamless living experience for those seeking various assisted living levels of care.
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.
What does this home offer?
Room Sizes: 372 - 1171 sq. ft
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: High-rise
Dining Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
Exercise Programs
With the seniors’ welfare in mind, the Ivy at Golden Gate located at the serene neighborhood of 19th Avenue, San Francisco, CA is an ideal senior living community that offers a spectrum of living options including assisted living, retirement living, and memory care. Offering cozy and spacious floor plans including private studio, one-bedroom, and two-bedroom apartments, alongside its signature Evergreen at Ivy neighborhood private and companion suites, the community ensures comfort and security. Experience round-the-clock care and assistance with a team of kind, compassionate, and highly skilled professionals within the premises of the community.
The Ivy at Golden Gate focuses on the welfare of its residents, employing its exclusive Whole Living Approach and EverYou Program that delivers personalized care and maximizes comfort. Residents experience an active and engaged lifestyle that acknowledges their independence while encouraging them to interact with the community. With meticulously prepared healthy meals, seniors enjoy all-day dining. Amenities include an activities studio, a media room, a technology center, an art studio, bistro, a library, a fitness center, aesthetically landscaped grounds and flower gardens, and peaceful indoor and outdoor lounges.
What does this home offer?
Minimum Age: 62 Years Old
Pets Allowed
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Two-story
Transportation Services
Fitness and Recreation
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.
The Ivy at Golden Gate promotes flexibility with helpful services that help with memory care with a unique program called Ever You that helps with brain and memory stimulation. The senior living community aims to help residents live a meaningful life. The Ivy at Golden Gate has gotten the trust of families with the service and compassionate care that the community has devoted itself to doing.
Community features include comprehensive amenities and services that allow each individual to grow and enjoy their golden years. From creating arts and crafts projects to receiving transportation to events and appointments, these amenities and services help residents live a life of ease with their daily activities.
What does this home offer?
Pets Allowed
Room Sizes: 400 / 450 / 480 / 550 sq. ft
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
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.
What does this home offer?
Housing Options: Studio / Semi-Private Rooms
Building Type: 3-story
Dining Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
Exercise Programs
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.
What does this home offer?
Total Residents: 42
Housing Options: Private / Semi-Private Rooms
Building Type: 2-story
Dining Services
Transportation Services
Housekeeping Services
Exercise Program
Recreational Activities
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.
What does this home offer?
Housing Options: Studio / Alcove / 1 Bed / 2 Bed
Building Type: Mid-rise
Dining Services
Beauty Services
Transportation Services
Social and Recreational Activities
Exercise Programs
Parking Available
How we rank these communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
Weighting overview
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.
Regulatory & Safety Record 25%
State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.
Visual Media & Transparency 15%
Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.
Website & Operator Transparency 10%
Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.
Community Stability 10%
Operational signals indicating whether a community is well-run and meeting demand.
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.
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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.
How many licensed assisted living facilities are there in San Francisco, CA?
According to state licensing records, there are approximately ~50–70 licensed assisted living facilities in San Francisco, CA.
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.




