Page 3 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. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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.
Merced Three Residential Care
AL
San Francisco
33
Facility 33
CA AVG 103
Rank #967 / 1,350
No
91
Facility 91
CA AVG 56
Rank #101 / 1,411
B-4
1
Facility 1
CA AVG 13
Rank #199 / 1,292
0
Facility 0
CA AVG 3
Rank #1 / 1,338
21
Facility 21
CA AVG 13
Rank #297 / 1,299
--Hafco Elder Care, Inc-
WindChime of Marin Memory Care
AL
MC
RESC
RC
Kentfield
55
Facility 55
CA AVG 103
Rank #871 / 1,350
No
45
Facility 45
CA AVG 56
Rank #965 / 1,411
D30
12
Facility 12
CA AVG 13
Rank #859 / 1,292
17
Facility 17
CA AVG 3
Rank #1,294 / 1,338
25
Facility 25
CA AVG 13
Rank #214 / 1,299
60.0%
Facility 60.0%
CA AVG 74.1%
Rank #956 / 1,202
A+Windchime Group LLC And Integral Senior Living LLCStudio
The Sequoias San Francisco
AL
CCRC
HOS
MC
NH
RC
SNF
San Francisco (Japantown)
400
Facility 400
CA AVG 103
Rank #26 / 1,350
No
99
Facility 99
CA AVG 56
Rank #1 / 1,411
?15
4
Facility 4
CA AVG 13
Rank #498 / 1,292
1
Facility 1
CA AVG 3
Rank #451 / 1,338
51
Facility 51
CA AVG 13
Rank #6 / 1,299
88.0%
Facility 88.0%
CA AVG 74.1%
Rank #250 / 1,202
-Sequoia Living, IncStudio / 1 Bed / 2 Bed
Buena Vista Manor House
AL
MC
San Francisco
87
Facility 87
CA AVG 103
Rank #710 / 1,350
No
84
Facility 84
CA AVG 56
Rank #218 / 1,411
A-18
3
Facility 3
CA AVG 13
Rank #418 / 1,292
1
Facility 1
CA AVG 3
Rank #451 / 1,338
35
Facility 35
CA AVG 13
Rank #46 / 1,299
--Buena Vista Associates(A Limited Partnership)-
The Village at Hayes Valley
AL
MC
San Francisco (Hayes Valley)
-No
98
Facility 98
CA AVG 56
Rank #11 / 1,411
----
18
Facility 18
CA AVG 13
Rank #381 / 1,299
-A+--
Merced Hampshire
AL
RESC
San Francisco (Mission District)
33
Facility 33
CA AVG 103
Rank #967 / 1,350
No
94
Facility 94
CA AVG 56
Rank #56 / 1,411
--------Private / Shared Rooms
The Carlisle
AL
San Francisco (Cathedral Hill)
-Yes
99
Facility 99
CA AVG 56
Rank #1 / 1,411
--------Studio / 1 Bed / 2 Bed
Avenue Assisted Living
AL
MC
RC
San Francisco (Tenderloin)
-No
99
Facility 99
CA AVG 56
Rank #1 / 1,411
--------Studio / Alcove / 1 Bed / 2 Bed
Mission Creek Senior
AL
MC
San Francisco (Mission Bay)
-No
90
Facility 90
CA AVG 56
Rank #110 / 1,411
--------1 Bed
Coventry Place
AL
IL
MC
San Francisco (Cathedral Hill)
-Yes
99
Facility 99
CA AVG 56
Rank #1 / 1,411
---------

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 Merced Three Residential Care

Merced Three Residential Care provides assisted living in San Francisco, CA. Residents can receive help with personal care and medications, along with individualized care and supervision available 24 hours a day.

Opened in 2000, the community has 33 beds, making it a smaller setting that may suit someone who prefers a community with fewer residents. A Walk Score of 91 places the area in the walker’s paradise category, so daily errands do not require a car and a resident who no longer drives can still get out independently.

Transportation is available for medical appointments, reducing the need for a resident or family member to arrange those trips separately. Meals and snacks are prepared to meet each resident’s dietary needs, while wellness updates are coordinated with the physician and family.

Lee Joyce serves as the administrator, and Hafco Elder Care operates the community.

Contact Merced Three Residential Care

Overview of WindChime of Marin Memory Care

Experience person-centered memory care in a home-like environment at WindChime of Marin Memory Care, a blissful senior living community in Kentfield, CA, offering a serene environment for seniors dealing with memory loss. The community features an array of private to semi-private apartments, featuring access to 24-hour response, daily laundry, medication management and other convenient services. Boasting over 20 years of experience in serving memory care residents, the community thoroughly understands the unique needs of each person and provides them with the appropriate programming that help them feel more comfortable and at home.

The community ensures each of their residents are able to participate in vibrant activities and events by tailoring them based on their varying capabilities and interests. On-site physical therapy services provided by ONR are available to help residents maintain their strength and mobility for an active living. Dining experiences are enhanced by a talented culinary team that deliciously prepares residents’ favorite meals and serves health-conscious menus that are tailored to satisfy personal tastes and dietary needs.

Contact WindChime of Marin Memory Care

Overview of The Sequoias San Francisco

Age gracefully with The Sequoias San Francisco, a dedicated community in San Francisco, CA, that offers assisted living, memory care, and skilled nursing. Residents here receive the highest quality of care from a compassionate and highly trained team attending to their needs 24/7. Purposely designed and spacious studio and two-bedroom floor plans are available in a cozy and nurturing environment for residents to feel a sense of belonging.

From fun games to engaging exercises, residents are encouraged to live actively and remain socially engaged with the community’s unending array of recreational activities and engaging programs. To satisfy residents’ dietary needs and preferences, delicious and healthy dining options are served for a delightful dining experience. The community is ideal for those seeking a place to spend their golden years, especially with its state-of-the-art amenities and exceptional services.

Contact The Sequoias San Francisco

Overview of Buena Vista Manor House

Buena Vista Manor House offers assisted living and memory care in San Francisco, California. Assisted living includes help with bathing, dressing and medication while the resident keeps an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering. Having both care levels may make Buena Vista Manor House a good fit for a resident whose needs may grow over time, since the resident can move between care levels without leaving the community.

Buena Vista Manor House opened in 1984 and has 87 beds. Studio, one bedroom and shared units are available. A studio is one private space, while a shared unit can suit someone who wants a companion. Staff are present around the clock, and Angelina Guzman serves as administrator.

Manicured grounds, gardens and greenery create outdoor walking areas for residents. Chef prepared, nutritionally balanced meals are served in a dining room. The activity schedule includes Tuesday tea, Thursday Bingo, Friday entertainment, cocktail hour and two outings each month. Rehabilitation services are available for residents who need help recovering or maintaining physical function. A Walk Score of 84 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still reach nearby shops, a pharmacy or cafes independently. Pets are allowed, enabling a resident to keep a pet at the community.

Contact Buena Vista Manor House

The Village at Hayes Valley

624 Laguna St, San Francisco, CA 94102
Overview of The Village at Hayes Valley

The Village at Hayes Valley in the City by the Bay balances personalized care and community activities. The Village offers a welcoming ambiance of a boutique community, perfect for assisted living and memory care residents.  The community’s purpose mainly revolves around the residents’ wellness. The Village at Hayes ensures that every resident’s needs are holistically met. Families of residents at The Village can rest easy knowing their loved ones are in professional and compassionate hands. 
The Village’s services and amenities are delivered by their valuable and respected caregivers, who are dedicated to assisting with day-to-day needs such as personal care, medication management, and housekeeping. Concierge services also extend to coordinating travel for medical appointments, and the like. Licensed nurses, as well as visiting specialists, help with health and wellness. Residents don’t have to worry about the daily activities they used to do, because, at The Village at Hayes Valley, residents just need to relax and enjoy.

Contact The Village at Hayes Valley

Merced Hampshire

1420 Hampshire Street, San Francisco, CA 94110
Overview of Merced Hampshire

San Francisco’s Mission District is home to Merced Hampshire, an assisted living property situated roughly 2.4 miles from the city center. Operating out of a single-story building that houses 33 beds, the community eliminates the need for stairs or elevators, which simplifies mobility for residents. Accommodations include a mix of private and semi-private room options in a centralized neighborhood layout.

The surrounding area holds a walkability score of 94 out of 100, classifying the area as a pedestrian paradise where visitors and families can handle retail shopping and daily errands completely on foot. On-site staff members deliver 24-hour physical assistance, laundry, linen care, daily housekeeping, and prepared meals.

To support physical wellness and peer interaction, the community coordinates local transportation alongside a daily recreation schedule featuring Tai Chi, group games, karaoke, and structured exercise classes.

Families can call the administrative office to check current room vacancies and discuss specific physical care routines.

Contact Merced Hampshire

The Carlisle

1450 Post Street, San Francisco, CA 94109
Overview of The Carlisle

Feel the fresh air with The Carlisle, a blissful senior living community settling at Post Street, San Francisco, CA that offers assisted living and luxury retirement living. Providing a wide range of floor plans such as private studio, one-bedroom, and two-bedroom apartments, the community ensures a well-lit and cozy residence. Experience luxury and elegance with The Carlisle’s amenities and services.

The Carlisle delivers personalized care and support 24/7 with a dedicated and highly skilled team of professionals. The community strives to provide its residents with ways to achieve personal growth and remain engaged and energized. Residents enjoy entertaining conversations over healthy and delicious meals with the community’s restaurant-style dining. Giving the seniors a better quality of life, The Carlise provides wondrous amenities including a bar and lounge, a creative arts studio, a movie theater, a library, a full-service salon and spa, a wellness and fitness center, and a bistro.

Contact The Carlisle

Overview of Avenue Assisted Living

Make the most of your best years with Avenue Assisted Living, a blissful retreat set in the thriving residential area of Van Ness Avenue, San Francisco, CA, that offers assisted living, memory care, and respite care. Dedicated to improving residents’ quality of life, a kind and highly trained team provides exceptional and personalized care around the clock. Residents enjoy a maintenance-free lifestyle with the community handling the household chores and errands.

Fun social events and exciting events are held for residents to live actively and remain socially engaged. Three delicious and healthy meals are served restaurant-style for residents to enjoy a delightful dining experience that satisfies their dietary needs and preferences. The community also provides transportation services for residents’ convenience. With its specially designed amenities and stress-free setting, residents spend their golden years without worries.

Contact Avenue Assisted Living

Overview of Mission Creek Senior

Mission Creek Senior is an assisted living and memory care community in San Francisco’s Mission Bay neighborhood. Assisted living provides help with daily tasks while residents maintain personal living spaces, and memory care offers a secured setting with supervision for someone at risk of wandering. Having both care levels in one community may suit a resident whose needs could grow over time.

Housing includes a one-bedroom option. Beauty salon and spa services are available on site, allowing residents to receive grooming and personal care without leaving the community. Outdoor courtyards offer room for social gatherings and strolls, and transportation service is also available.

Restaurant-style dining includes chef-inspired meals prepared by on-site registered dieticians, with menus customized to individual needs and tastes. In-room service lets a resident receive meals in their room when preferred. A Walk Score of 90 makes the area a walker’s paradise, so daily errands do not require a car and a resident who no longer drives can still get out independently.

Contact Mission Creek Senior

Coventry Place

1550 Sutter Street, San Francisco, CA 94109
Overview of Coventry Place

A sister company of the Cypress at Golden Gate, Coventry Park in Lower Pacific Heights is one of the pinnacles of assisted living in the Bay Area, Coventry Place also offers independent living. There are also calendar-filled activities and programs for residents to sign up for. At Coventry Park in San Francisco, you’ll find everything in one community. 

Coventry Place offers various services, such as its evolving menu, maintenance and housekeeping services with linen and tower, and a complimentary transportation service. Residents of the community come from all walks of life, hailing from different parts of the country. It is also strategically located by neighboring town centers and medical centers, making it conveniently accessible for seniors. 

Contact Coventry Place

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.