Best Assisted Living in San Francisco, CA

Reviewed by

Last updated

Jun 2026

We analyzed

21 homes in San Francisco, CA

Sources: CMS Centers for Medicare and Medicaid Services, and California Department of Health, Office of Aging and Long Term Care.

Other senior care options in San Francisco:

Memory Care Nursing Homes Independent Living

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

Watch this Video to see San Francisco's Top-rated Senior Communities

Avg. Monthly cost: $7,500

National average: $5,600

Monthly cost range: $6,500–$9,500

National average: $3,400 – $8,200

Avg. Staff-to-Resident ratio: 1:6 to 1:12

National average: 1:6

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 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. 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. 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). 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. 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).	San Francisco (Japantown)	400 Facility 400 CA AVG 103 Rank #28 / 1657	No	99 Facility 99 CA AVG 57 Rank #2 / 2092	91 Facility 91 CA AVG 81 Rank #355 / 1401	14	4 Facility 4 CA AVG 13 Rank #529 / 1397	1 Facility 1 CA AVG 3 Rank #413 / 1164	51 Facility 51 CA AVG 13 Rank #18 / 1487	88.0% Facility 88.0% CA AVG 74.8% Rank #322 / 1368	Sequoia Living, Inc.	Studio / 1 Bed / 2 Bed
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.	San Francisco (University Mound)	132 Facility 132 CA AVG 103 Rank #475 / 1657	No	61 Facility 61 CA AVG 57 Rank #1013 / 2092	62 Facility 62 CA AVG 81 Rank #1271 / 1401	21	23 Facility 23 CA AVG 13 Rank #1177 / 1397	4 Facility 4 CA AVG 3 Rank #828 / 1164	7 Facility 7 CA AVG 13 Rank #805 / 1487	74.2% Facility 74.2% CA AVG 74.8% Rank #746 / 1368	Portola Gardens LLC; Portola Mgmt Bsd, LLC	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 Facility 150 CA AVG 103 Rank #343 / 1657	No	96 Facility 96 CA AVG 57 Rank #43 / 2092	74 Facility 74 CA AVG 81 Rank #998 / 1401	18	15 Facility 15 CA AVG 13 Rank #1024 / 1397	3 Facility 3 CA AVG 3 Rank #753 / 1164	6 Facility 6 CA AVG 13 Rank #886 / 1487	89.3% Facility 89.3% CA AVG 74.8% Rank #298 / 1368	Shi-III Mg Rockridge Gp LLC;Merrill Gardens LLC	-
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 Facility 260 CA AVG 103 Rank #80 / 1657	No	99 Facility 99 CA AVG 57 Rank #2 / 2092	79 Facility 79 CA AVG 81 Rank #881 / 1401	20	19 Facility 19 CA AVG 13 Rank #1111 / 1397	2 Facility 2 CA AVG 3 Rank #600 / 1164	18 Facility 18 CA AVG 13 Rank #428 / 1487	78.8% Facility 78.8% CA AVG 74.8% Rank #624 / 1368	Van Ness Opco Tenant LLC; Atria Management Company	Studio / 1 Bed / 2 Bed
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 Facility 168 CA AVG 103 Rank #267 / 1657	Yes	88 Facility 88 CA AVG 57 Rank #218 / 2092	89 Facility 89 CA AVG 81 Rank #461 / 1401	11	6 Facility 6 CA AVG 13 Rank #654 / 1397	1 Facility 1 CA AVG 3 Rank #413 / 1164	2 Facility 2 CA AVG 13 Rank #1300 / 1487	-	Well Oak Tenant LLC;Oakmont Management Group LLC	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 Facility 350 CA AVG 103 Rank #36 / 1657	No	99 Facility 99 CA AVG 57 Rank #2 / 2092	93 Facility 93 CA AVG 81 Rank #242 / 1401	9	5 Facility 5 CA AVG 13 Rank #592 / 1397	0 Facility 0 CA AVG 3 Rank #1 / 1164	28 Facility 28 CA AVG 13 Rank #158 / 1487	100.0% Facility 100.0% CA AVG 74.8% Rank #1 / 1368	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. 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 Facility 210 CA AVG 103 Rank #134 / 1657	Yes	99 Facility 99 CA AVG 57 Rank #2 / 2092	59 Facility 59 CA AVG 81 Rank #1301 / 1401	26	27 Facility 27 CA AVG 13 Rank #1230 / 1397	15 Facility 15 CA AVG 3 Rank #1115 / 1164	8 Facility 8 CA AVG 13 Rank #738 / 1487	81.9% Facility 81.9% CA AVG 74.8% Rank #555 / 1368	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 Facility 124 CA AVG 103 Rank #540 / 1657	No	95 Facility 95 CA AVG 57 Rank #66 / 2092	82 Facility 82 CA AVG 81 Rank #793 / 1401	11	7 Facility 7 CA AVG 13 Rank #719 / 1397	2 Facility 2 CA AVG 3 Rank #600 / 1164	19 Facility 19 CA AVG 13 Rank #392 / 1487	77.4% Facility 77.4% CA AVG 74.8% Rank #653 / 1368	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 Facility 42 CA AVG 103 Rank #1196 / 1657	No	93 Facility 93 CA AVG 57 Rank #111 / 2092	88 Facility 88 CA AVG 81 Rank #513 / 1401	7	2 Facility 2 CA AVG 13 Rank #324 / 1397	2 Facility 2 CA AVG 3 Rank #600 / 1164	16 Facility 16 CA AVG 13 Rank #475 / 1487	95.2% Facility 95.2% CA AVG 74.8% Rank #183 / 1368	Hafco Elder Care, Inc.	Private / Semi-Private Rooms
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 Facility 14 CA AVG 103 Rank #1305 / 1657	No	82 Facility 82 CA AVG 57 Rank #357 / 2092	96 Facility 96 CA AVG 81 Rank #1 / 1401	3	0 Facility 0 CA AVG 13 Rank #1 / 1397	0 Facility 0 CA AVG 3 Rank #1 / 1164	22 Facility 22 CA AVG 13 Rank #313 / 1487	100.0% Facility 100.0% CA AVG 74.8% Rank #1 / 1368	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. 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).	San Francisco (Sunset District)	13 Facility 13 CA AVG 103 Rank #1309 / 1657	No	0 Facility 0 CA AVG 57 Rank #2070 / 2092	96 Facility 96 CA AVG 81 Rank #1 / 1401	4	0 Facility 0 CA AVG 13 Rank #1 / 1397	0 Facility 0 CA AVG 3 Rank #1 / 1164	12 Facility 12 CA AVG 13 Rank #569 / 1487	76.9% Facility 76.9% CA AVG 74.8% Rank #671 / 1368	Tredici, LLC	Private / Shared Rooms
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 Facility 33 CA AVG 103 Rank #1252 / 1657	No	94 Facility 94 CA AVG 57 Rank #87 / 2092	-	-	-	-	-	-	-	Private / Shared Rooms
Kokoro 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. 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. 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 (Japantown)	61 Facility 61 CA AVG 103 Rank #1068 / 1657	No	98 Facility 98 CA AVG 57 Rank #13 / 2092	87 Facility 87 CA AVG 81 Rank #568 / 1401	11	4 Facility 4 CA AVG 13 Rank #529 / 1397	0 Facility 0 CA AVG 3 Rank #1 / 1164	22 Facility 22 CA AVG 13 Rank #313 / 1487	67.2% Facility 67.2% CA AVG 74.8% Rank #905 / 1368	Kokoro Assisted Living Inc; Northstar Snr Lvg Mgt	Studio / 1 Bed
Providence Place	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 (Lower Pacific Heights)	34 Facility 34 CA AVG 103 Rank #1248 / 1657	No	95 Facility 95 CA AVG 57 Rank #66 / 2092	94 Facility 94 CA AVG 81 Rank #185 / 1401	5	3 Facility 3 CA AVG 13 Rank #441 / 1397	0 Facility 0 CA AVG 3 Rank #1 / 1164	26 Facility 26 CA AVG 13 Rank #205 / 1487	100.0% Facility 100.0% CA AVG 74.8% Rank #1 / 1368	Knop, Roman & Knop, Galina	Studio / Semi-Private Rooms
Merced Residential Care III	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 Facility 14 CA AVG 103 Rank #1305 / 1657	No	82 Facility 82 CA AVG 57 Rank #357 / 2092	90 Facility 90 CA AVG 81 Rank #398 / 1401	4	0 Facility 0 CA AVG 13 Rank #1 / 1397	2 Facility 2 CA AVG 3 Rank #600 / 1164	25 Facility 25 CA AVG 13 Rank #235 / 1487	100.0% Facility 100.0% CA AVG 74.8% Rank #1 / 1368	Hafco, Inc.	Studio

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Overview of Fook Hong Sf Care Home, INC.

Licensed since 2013, Fook Hong SF Care Home, Inc., is a 40-bed skilled nursing and assisted living community in the Cayuga Terrace neighborhood of San Francisco, California. Medicare, Medicaid, and private pay are welcome. Operated by South Pasadena Care Center, LLC under administrator Sau Ting Josephin Leewong, the facility offers a culturally focused program geared toward the San Francisco Asian community, with meals and activities reflecting that mission.

CMS grades the facility 2 stars overall, with health inspection, staffing, and quality measures each below California’s average. Nurse hours run 3h 38m per resident day, about 17 percent below California’s average of 4h 23m. Issued in 2023 were three civil money penalties totaling $6,000. Against that, the state RCFE inspection record since 2021 shows zero citations and complaints across three official inspections, earning an 84 out of 100 against California’s benchmark of 70.

An on-site Nurse Aide Training Program and an active Resident Council are available. Community admissions run 61 percent Medicare and 37 percent Medicaid, averaging a stay length of 152 days, a profile supporting both short-term post-acute and longer Medicaid-funded placements.

With Medicare and Medicaid placements serving most of admissions, Fook Hong SF Care Home, Inc., fits San Francisco residents who seek skilled nursing care in a culturally focused community.

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Ranking Methodology

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.

Public data
6 weighted categories
Updated quarterly

Full methodology

Weighting overview

35%
Resident Experience
25%
Regulatory
15%
Visual Media
10%
Website
10%
Stability
5%
Environment

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

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

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

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

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

Includes
Occupancy Rate
Bed Options

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

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We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

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.

Best Assisted Living in San Francisco, CA

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Fook Hong Sf Care Home, Inc.

Contact Fook Hong Sf Care Home, Inc.