Other senior care options in San Francisco:

Best Assisted Living in San Francisco, CA

Why trust this guide? Our editorial team analyzed 21 assisted living communities in San Francisco, CA using California Department of Social Services (CDSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in CA
Reviewed by
Last updated
Jun 2026
We analyzed
21 homes
Other senior care options in San Francisco:

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

Watch this Video to see San Francisco's Top-rated Senior Communities
Avg Walk Score: 89/ 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: 124The average licensed bed capacity across facilities in San Francisco, CA. Individual facilities can vary widely from this average.
National Average: 90

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
HC
MC
NH
RC
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, IncStudio / 1 Bed / 2 Bed
Portola Gardens
AL
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, LLCPrivate / Shared Rooms
Coterie Cathedral Hill
AL
IL
MC
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
A+Van Ness Opco Tenant LLC; Atria Management CompanyStudio / 1 Bed / 2 Bed
The Ivy at Golden Gate
AL
MC
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 LLCStudio / 1 Bed / 2 Bed
San Francisco Towers
AL
NH
IL
MC
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 Services1 Bed / 2 Bed
WindChime of Marin Memory Care
AL
MC
RC
Kentfield
55
Facility 55
CA AVG 103
Rank #1118 / 1657
No
45
Facility 45
CA AVG 57
Rank #1474 / 2092
66
Facility 66
CA AVG 81
Rank #1218 / 1401
23
12
Facility 12
CA AVG 13
Rank #922 / 1397
17
Facility 17
CA AVG 3
Rank #1129 / 1164
24
Facility 24
CA AVG 13
Rank #262 / 1487
60.0%
Facility 60.0%
CA AVG 74.8%
Rank #1099 / 1368
A+Windchime Group LLC; Integral Senior Living LLCStudio
Ivy Park at Cathedral Hill
AL
MC
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 LLCStudio / 1 Bed / 2 Bed
Victorian Manor
AL
HC
RC
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 IncStudio / Semi-Private Rooms
Merced Girard
AL
MC
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, IncPrivate / Semi-Private Rooms
Sunset Gardens
AL
NH
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, LLCPrivate / Shared Rooms
Merced Hampshire
AL
RC
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
IL
RC
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 MgtStudio / 1 Bed
AlmaVia of San Francisco
AL
MC
San Francisco (Lakeshore)
175
Facility 175
CA AVG 103
Rank #234 / 1657
Yes
59
Facility 59
CA AVG 57
Rank #1088 / 2092
82
Facility 82
CA AVG 81
Rank #793 / 1401
15
7
Facility 7
CA AVG 13
Rank #719 / 1397
2
Facility 2
CA AVG 3
Rank #600 / 1164
22
Facility 22
CA AVG 13
Rank #313 / 1487
72.6%
Facility 72.6%
CA AVG 74.8%
Rank #786 / 1368
B-Elder Care Alliance Elder Care Alliance Of Sf-
Providence Place
AL
MC
RC
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
C+Knop, Roman & Knop, GalinaStudio / Semi-Private Rooms
Merced Three Residential Care Facility
AL
RC
San Francisco (Mission District)
33
Facility 33
CA AVG 103
Rank #1252 / 1657
No
99
Facility 99
CA AVG 57
Rank #2 / 2092
85
Facility 85
CA AVG 81
Rank #688 / 1401
3
1
Facility 1
CA AVG 13
Rank #210 / 1397
-
20
Facility 20
CA AVG 13
Rank #353 / 1487
100.0%
Facility 100.0%
CA AVG 74.8%
Rank #1 / 1368
---
Rows per page:
View all Nearby Homes
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

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

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

Overview of Coterie Cathedral Hill

At Coterie Cathedral Hill, one will find a lifestyle built on luxury, wellness, and purpose. A luxury senior living offering independent living, assisted living, and memory care, Coterie Cathedral Hill in San Francisco is all about up-scale quality of service. The atmosphere of enhanced quality living is instantly felt when you step into community grounds. An elevated lifestyle is the goal of the senior living community, ensuring that residents can thrive and continue nurturing themselves as individuals in a warm and welcoming environment. In San Francisco, Coterie Cathedral Hill offers an unmatched level of care that redefines the luxury quality of living we know today. 

Coterie Cathedral Hills strive to nourish your well-being with its wellness programs and fitness activities. Luxury appliances fill the magnificent rooms of every room and facility in the building. Located in a wonderful location, residents can appreciate the iconic views of San Francisco through their windows or their expansive rooftop terrace. Their outdoor common area is spacious and built with outdoor heaters that allow for engaging activities all year round.

Contact Coterie Cathedral Hill

The Ivy at Golden Gate

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

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.

Contact The Ivy at Golden Gate

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 San Francisco Towers

San Francisco Towers is a vibrant and trusted community in the heart of San Francisco, emphasizing the importance of togetherness and support. The community’s mission is to provide a welcoming environment where residents thrive, even during challenging times, through the care of dedicated staff and virtual events that foster connection. Rooted in values of community and resilience, San Francisco Towers is committed to creating a supportive living experience for all.

The community offers a range of amenities and facilities designed to enhance residents’ lives. Nestled in Pacific Heights, near Nob Hill and Fillmore Street, the prime location allows residents to explore the best of San Francisco. Engaging events, from classes and concerts to wellness programs, contribute to a dynamic calendar of activities. San Francisco Towers provides a variety of amenities, including an indoor swimming pool, a cozy library, and a rooftop garden, creating an environment where residents can relax and live their best lives. Additionally, the community’s comprehensive services, spanning healthcare, dining, and wellness, ensure residents have the support they need at every stage, fostering positive aging and overall well-being.

Contact San Francisco Towers

Ivy Park at Cathedral Hill

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

The exceptional Walk Score of 99 is a worth leading with. Ivy Park at Cathedral Hill sits on Sutter Street in San Francisco’s Cathedral Hill neighborhood, making it a walker’s paradise where daily errands don’t require a car and California Pacific Medical Center is four-tenths of a mile away. For a senior living community, that kind of urban density is a structural advantage.

The building is a mid-rise with 210 beds across studio, one-bedroom, and two-bedroom units ranging from 400 to 550 square feet. Oakmont Management Group operates the community; Chris Schuster is the administrator. At 8 years in operation, the facility currently runs at 82% occupancy with 172 beds filled. The care mandate covers assisted living, independent living, and memory care under one roof.

On-site services include licensed nurses and CNAs, 24-hour staffing, transportation, and fitness and recreation. Pets are welcome. The facility is California state-licensed as a Residential Care Elderly community, not CMS-certified; Medicare and Medicaid don’t apply here. State inspections have covered medication management and fall and injury prevention among other areas.

Ivy Park at Cathedral Hill is a large, multi-care-type community in one of San Francisco’s most walkable senior living corridors, suited to residents who want proximity to urban amenities and full-spectrum care options under private-pay terms.

Contact Ivy Park at Cathedral Hill

Victorian Manor

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

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.

Contact Victorian Manor

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

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
Who we are

Your Senior Care Partner, Every Step of the Way

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

Contact us Today

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.