Page 2 of 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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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. 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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
A complaint visit is an unannounced on-site visit by California's Community Care Licensing Division to investigate a complaint about the community, filed by a resident, a family member, staff or anyone else. A visit means a complaint was looked into, not that it was proven: the state may find it substantiated, inconclusive or unfounded. Fewer visits is better.
Count of California state "Type A" citations — the state's most serious citation category (immediate or serious harm to residents), from California state inspection data.
Number of years the company has been in operation.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
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.
Victorian Manor
AL
HOS
RC
San Francisco (Western Addition)
124
Facility 124
CA AVG 93
Rank #469 / 1,517
B-No
95
Facility 95
CA AVG 56
Rank #43 / 1,408
17
7
Facility 7
CA AVG 13
Rank #820 / 1,459
2
Facility 2
CA AVG 3
Rank #798 / 1,505
19
Facility 19
CA AVG 12
Rank #378 / 1,473
77.4%
Facility 77.4%
CA AVG 74.8%
Rank #646 / 1,357
Sky Blue Health IncStudio / Semi-Private Rooms
Merced Three Residential Care Facility
AL
RESC
San Francisco (Mission District)
33
Facility 33
CA AVG 93
Rank #973 / 1,517
B-No
99
Facility 99
CA AVG 56
Rank #1 / 1,408
4
1
Facility 1
CA AVG 13
Rank #278 / 1,459
0
Facility 0
CA AVG 3
Rank #1 / 1,505
21
Facility 21
CA AVG 12
Rank #312 / 1,473
100.0%
Facility 100.0%
CA AVG 74.8%
Rank #1 / 1,357
--
Rhoda Goldman Plaza – San Francisco Assisted Living & Memory Care
AL
MC
San Francisco (Lower Pacific Heights)
6
Facility 6
CA AVG 93
Rank #1,048 / 1,517
B+No
98
Facility 98
CA AVG 56
Rank #11 / 1,408
3
0
Facility 0
CA AVG 13
Rank #1 / 1,459
2
Facility 2
CA AVG 3
Rank #798 / 1,505
2
Facility 2
CA AVG 12
Rank #1,269 / 1,473
66.7%
Facility 66.7%
CA AVG 74.8%
Rank #893 / 1,357
Alara Health Services IncStudio / Alcove / 1 Bed / 2 Bed
Buena Vista Manor
AL
MC
San Francisco (Buena Vista)
87
Facility 87
CA AVG 93
Rank #715 / 1,517
A+Yes
84
Facility 84
CA AVG 56
Rank #218 / 1,408
3
0
Facility 0
CA AVG 13
Rank #1 / 1,459
0
Facility 0
CA AVG 3
Rank #1 / 1,505
-
78.2%
Facility 78.2%
CA AVG 74.8%
Rank #631 / 1,357
Buena Vista Manor House Co-
The Ivy at Golden Gate
AL
MC
San Francisco (Outer Sunset)
168
Facility 168
CA AVG 93
Rank #227 / 1,517
AYes
88
Facility 88
CA AVG 56
Rank #146 / 1,408
17
6
Facility 6
CA AVG 13
Rank #758 / 1,459
1
Facility 1
CA AVG 3
Rank #542 / 1,505
3
Facility 3
CA AVG 12
Rank #1,181 / 1,473
-Well Oak Tenant LLC And Oakmont Management Group LLCStudio / 1 Bed / 2 Bed
Sunset Gardens
AL
RESC
San Francisco (Sunset District)
13
Facility 13
CA AVG 93
Rank #1,027 / 1,517
A+Yes-5
0
Facility 0
CA AVG 13
Rank #1 / 1,459
0
Facility 0
CA AVG 3
Rank #1 / 1,505
12
Facility 12
CA AVG 12
Rank #554 / 1,473
76.9%
Facility 76.9%
CA AVG 74.8%
Rank #662 / 1,357
Tredici, LLCPrivate / Shared Rooms
Sagebrook Senior Living
AL
MC
San Francisco (Laurel Heights)
111
Facility 111
CA AVG 93
Rank #552 / 1,517
B-Yes
95
Facility 95
CA AVG 56
Rank #43 / 1,408
37
13
Facility 13
CA AVG 13
Rank #1,052 / 1,459
5
Facility 5
CA AVG 3
Rank #1,177 / 1,505
8
Facility 8
CA AVG 12
Rank #713 / 1,473
67.6%
Facility 67.6%
CA AVG 74.8%
Rank #881 / 1,357
Eden Villa Prop LLC And Integral Senior Liv Mgmt LLCSuite / Companion Suite
Merced Girard
AL
RESC
San Francisco (Portola)
42
Facility 42
CA AVG 93
Rank #934 / 1,517
D+No
93
Facility 93
CA AVG 56
Rank #71 / 1,408
5
2
Facility 2
CA AVG 13
Rank #420 / 1,459
2
Facility 2
CA AVG 3
Rank #798 / 1,505
17
Facility 17
CA AVG 12
Rank #436 / 1,473
95.2%
Facility 95.2%
CA AVG 74.8%
Rank #221 / 1,357
Hafco Elder Care, IncPrivate / Semi-Private Rooms
Portola Gardens
AL
San Francisco (University Mound)
132
Facility 132
CA AVG 93
Rank #411 / 1,517
C+No
61
Facility 61
CA AVG 56
Rank #641 / 1,408
42
23
Facility 23
CA AVG 13
Rank #1,259 / 1,459
4
Facility 4
CA AVG 3
Rank #1,087 / 1,505
7
Facility 7
CA AVG 12
Rank #769 / 1,473
74.2%
Facility 74.2%
CA AVG 74.8%
Rank #732 / 1,357
Portola Gardens LLC And Portola Mgmt Bsd, LLCPrivate / Shared Rooms
Ivy Park at Cathedral Hill
AL
MC
San Francisco (Cathedral Hill)
210
Facility 210
CA AVG 93
Rank #117 / 1,517
D+Yes
99
Facility 99
CA AVG 56
Rank #1 / 1,408
50
27
Facility 27
CA AVG 13
Rank #1,308 / 1,459
17
Facility 17
CA AVG 3
Rank #1,460 / 1,505
8
Facility 8
CA AVG 12
Rank #713 / 1,473
81.9%
Facility 81.9%
CA AVG 74.8%
Rank #557 / 1,357
Coventry Subtenant LP And Oakmont Management Group LLCStudio / 1 Bed / 2 Bed

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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Victorian Manor

1444 Mcallister St, San Francisco, CA 94115
Overview of Victorian Manor

Victorian Manor offers assisted living, hospice care, and respite care in San Francisco, California’s Western Addition. With 124 beds, the community provides assisted living support with daily tasks such as bathing, dressing, and medication while residents maintain their own living space. Hospice care centers on comfort for someone nearing the end of life, while respite care offers a short stay when a usual caregiver needs to travel or recover.

Residents can choose between studios and semi-private rooms. A studio gives one person a private space, while a semi-private room is shared. Respite care may suit a family needing support while a primary caregiver is away or recovering. The area has a Walk Score of 95, placing it in the walker’s paradise band, so daily errands do not require a car and a resident who no longer drives can still get out independently.

Ana Pacheco serves as the administrator, and Sky Blue Health operates Victorian Manor.

Contact Victorian Manor

Overview of Merced Three Residential Care Facility

Merced Three Residential Care Facility offers assisted living and residential care in San Francisco, California. The community opened in 2000 and has 33 beds, making it small enough for staff and residents to get to know each other. Every bed is currently occupied. Assisted living and residential care include individualized care and supervision around the clock, personal care assistance, and medication management and assistance, making the community a possible fit for someone who needs ongoing help with daily tasks and medications.

Wellness updates are coordinated with the physician and family, so both receive information about a resident’s well-being. Transportation to medical appointments allows residents to attend those visits without arranging transportation independently. Nutritious meals and snacks are prepared to meet each resident’s dietary needs. With a Walk Score of 99, the area is considered a walker’s paradise, so daily errands do not require a car and a resident who no longer drives can still get out independently. The community is administered by Lee Joyce and operated by Hafco Elder Care.

Contact Merced Three Residential Care Facility

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

Rhoda Goldman Plaza, San Francisco Assisted Living & Memory Care, situated in the Lower Pacific Heights neighborhood of San Francisco, California, supplies assisted living and memory care services. Assisted living assists residents with daily activities like bathing, dressing, and managing medication in private quarters. Secured memory care delivers dedicated supervision for individuals prone to wandering, allowing support levels to increase as health needs evolve.

Administrator Saher Choudry directs the six-bed community operated by Alara Health Services. Floor plans feature studios, alcove spaces, one-bedroom apartments, and two-bedroom units suited for individuals or couples wanting to live together. Small capacity numbers foster a close-knit residential environment where staff and residents interact closely.

Positioned in an area with a walk score of 98, the location functions as a walker’s paradise. Non-driving residents can access surrounding shops, services, and local destinations on foot without relying on motor vehicles.

Interested families exploring personal care or memory support choices in San Francisco can reach out to the administrative office to inquire about available residences or plan a tour.

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

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

The Ivy at Golden Gate

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

The Ivy at Golden Gate offers assisted living and memory care in San Francisco, CA. Assisted living provides help with daily tasks while a resident keeps a private apartment, while memory care provides a secured setting with supervision for someone at risk of wandering. Offering both care levels may make the community a good fit for someone whose needs may grow over time, since the resident can change care levels without leaving the community.

The community has 168 beds. Housing options include studios, one-bedroom apartments, and two-bedroom apartments; a studio provides a single private space, while a two-bedroom layout can suit a couple moving together or someone who wants a companion. In the Outer Sunset neighborhood, the community has a Walk Score of 88 / 100, placing it in a very walkable area where most errands can be done on foot and a resident who no longer drives can still get out independently. Pets are allowed, so residents can bring a pet when moving in.

Adiam Welday serves as the administrator. The community is operated by Well Oak Tenant and Oakmont Management Group.

Contact The Ivy at Golden Gate

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 Sagebrook Senior Living

Sagebrook Senior Living, a 111-bed facility located in San Francisco, CA, provides assisted living and memory care services. Located in the Laurel Heights area, which Walk Score rates as a walker’s paradise with a score of 95, making a car unnecessary for daily errands.

Assisted living maintains a resident’s personal space, while staff members provide assistance with bathing, dressing, and medication. In areas where a resident might roam, memory care provides oversight within a secured environment.

Layouts consist of suites and companion suites, with the latter being a communal area for two individuals wishing to cohabit. Residents are allowed to have a pet. Eden Villa Prop LLC and Integral Senior Liv Mgmt LLC run Sagebrook, with Peter T. Nixdorff serving as the administrator.

Contact Sagebrook Senior Living

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

Portola Gardens

350 University St, San Francisco, CA 94134
Overview of Portola Gardens

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.

Contact Portola Gardens

Ivy Park at Cathedral Hill

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

Ivy Park at Cathedral Hill offers assisted living and memory care in San Francisco, CA. Assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident maintains a private living space; memory care provides a secured setting with supervision for someone living with dementia or at risk of wandering. Having both care levels in one community may suit a resident whose needs grow over time without requiring a move to another community.

The community has 210 beds, making it a larger setting with more residents and staff. Studio, one-bedroom, and two-bedroom residences are available; a two-bedroom can suit a couple moving together, while a studio provides one private living space. Pets are allowed.

Ivy Park at Cathedral Hill is in the Cathedral Hill neighborhood, and its Walk Score is 99 out of 100, meaning the area is a walker’s paradise where daily errands do not require a car, so a resident who no longer drives can still get out independently. Chris Schuster serves as administrator, and Coventry Subtenant LP and Oakmont Management Group operate the community.

Contact Ivy Park at Cathedral Hill

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.