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Best Assisted Living in San Rafael, CA

Reviewed by Dr. Jordan Weiss
Updated Apr 2026

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

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

Watch this Video to see San Rafael's Top-rated Senior Communities
Avg. Monthly cost: $6,500
National average: $5,600
Monthly cost range: $5,500–$8,500
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 Rafael

The information below is reported by the California Department of Social Services and Department of Public Health.

Click column headers to sort
Aldersly
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.

San Rafael (Dominican)
172No 89 514821 47.7% -Aldersly/Life Care Services,LLCStudio / 1 Bed / 2 Bed / Alcove
Westmont of Pinole
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.

Pinole
100Yes 73 42027 91.0% AWestmont Manager Gp LLC; Westmont Living IncStudio / 1 Bed
The Vincent
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 Rafael (Cerro)
126No 59 420104 65.9% A-Oakmont Of San Rafael LLC;Wellquest Living, LLCStudio / 1 Bed / 2 Bed
AlmaVia of 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.

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 (Lakeshore)
175Yes 59 47222 72.6% C+Elder Care Alliance Elder Care Alliance Of Sf-
A&A Haven Home
RC
San Rafael
62A&A Haven Home LLC
Daniel Rest Home
RC
San Rafael
643Silvana Daniel
Garden Home
RC
San Rafael
49Bayhome Living LLC
Gentle Home Care LLC
RC
San Rafael
65Gentle Home Care LLC
Golden Home Extended Care, INC.
RC
San Rafael
2817Golden Home Extended Care, INC.
Haven House Of San Rafael
RC
San Rafael
66Haven House LLC
Haven Residence Of San Rafael
RC
San Rafael
62Haven House LLC
Ika Homes LLC (Blue House)
RC
San Rafael
4Ika Homes LLC
Long Life Living INC II
RC
San Rafael
611Long Life Living INC
Long Life Living INC III
RC
San Rafael
611Long Life Living INC.
Loving Long Life
RC
San Rafael
67Loving Long Life LLC
Luna's Home
RC
San Rafael
48C.A.S.A. Luna, INC.
Roses Resthome
RC
San Rafael
84Silvana Daniel
Shalom House
RC
San Rafael
529De Olave, Maria Del Pilar
Terra Linda Christian Homes, INC # 2
RC
San Rafael
618Terra Linda Christian Homes, INC
Terra Linda Christian Homes, INC # 5
RC
San Rafael
618Terra Linda Christian Homes, INC.
Terra Linda Christian Homes, INC #4
RC
San Rafael
618Terra Linda Christian Homes, INC,
Three Home Village 2
RC
San Rafael
68Flaskow LLC
Three Home Village 3
RC
San Rafael
68Flaskow LLC
Three Home Village I
RC
San Rafael
68Flaskow LLC
Villa Gardens
RC
San Rafael
121Villa Gardens
Villa Marin Ambulatory Care Unit
IL
CCRC
San Rafael
28Villa Marin Homeowners Association

Aldersly

326 Mission Ave, San Rafael, CA 94901
Overview of Aldersly

Have the finest retirement experience at Aldersly Retirement Community, an exceptional community in San Rafael, CA, offering independent living, assisted living, memory care, and extended care. Alongside beautifully furnished and cozy studio and one-bedroom floor plans, housekeeping and linen services are also provided to ensure residents can feel at ease during their stay. Residents can also keep their peace of mind with a compassionate and well-trained team providing top-notch care around the clock.

To enhance residents’ cognition and living experiences, fun recreational activities and stimulating programs are conducted. Mealtimes foster comfort and satisfy dietary needs with delicious and healthy dining options served three times daily. Amenities include an on-site salon, a library, a greenhouse, safety features, a fitness studio, and a beautifully maintained garden, creating the ideal setting for residents to thrive in their golden years.

What does this home offer?

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Housing Options: Studio / 1 Bed / 2 Bed / Alcove

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Building Type: 2-story

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Dining Services

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Beauty Services

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Transportation Services

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Housekeeping Services

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Social and Recreational Activities

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Exercise Programs

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Parking Available

Contact Aldersly

Overview of Westmont of Pinole

Westmont of Pinole is a prominent senior living community in Pinole, CA, offering assisted living, independent living, and memory care. Residents receive top-notch care and support from a kind and reliable team to meet their needs and aspirations. The community also handles housekeeping and other daily responsibilities to ensure residents enjoy a maintenance-free lifestyle.

A robust calendar of engaging activities and enjoyable programs accompanies residents as they learn new things and rediscover their interests. With healthy and delicious meals, residents can rest assured of hassle-free dining that caters to their dietary needs and tastes. Westmont of Pinole is great for those looking to make every moment of their best years count surrounded by incredible amenities and a trusted community.

What does this home offer?

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Pets Allowed

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Housing Options: Studio / 1 Bed

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Building Type: 2-story

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Transportation Services

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Fitness and Recreation

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Three Meals Per Day

Contact Westmont of Pinole

The Vincent

1 Las Gallinas Ave, San Rafael, CA 94903
Overview of The Vincent

Spend your golden years doing what you love with The Vincent in Las Gallinas Avenue, San Rafael, CA, which is dedicated to providing the highest quality of care and assistance with its assisted living and memory care services. The community features beautifully designed and cozy residences in variations of studio, one-bedroom, and two-bedroom floor plans to ensure seniors’ comfort and safety. Let go of your woes with a responsible and highly skilled team helping with your daily living activities and personal needs around the clock.

Prioritizing residents’ convenience, the community handles the housekeeping and maintenance. Have a delightful dining experience with delicious and healthy meals satisfying dietary needs and tastes. The Vincent is dedicated to enhancing seniors’ quality of life with its stunning amenities and warm environment.

What does this home offer?

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Room Sizes: 351 / 360 / 400 / 425 / 485 / 500 / 523 / 702 / 946

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact The Vincent

Overview of Almavia of San Francisco

Greeting seniors with its peaceful setting, Almavia of San Francisco is an astounding senior living community in Thomas More Way, San Francisco, CA that offers assisted living and independent living. The community doubles its efforts to meet seniors’ needs and aspirations by providing them with top-tier care and assistance 24/7. Almavia of San Francisco is dedicated to improving seniors’ welfare with exceptional services.

Discover new interests and rekindle passions with a full slate of fun activities and engaging programs. With extensive amenities, residents have more opportunities to mingle with friends and maintain an active lifestyle. Moreover, diverse dining options are provided daily to meet dietary needs and preferences. Almavia of San Francisco strives to create a haven for seniors to make every moment of their best years memorable. The community was also recognized as Best Assisted Living by US News and World Report for its exceptional quality.

What does this home offer?

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Pets Allowed

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Building Type: 3-story

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Fitness and Recreation

Contact AlmaVia of San Francisco

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
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
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Frequently Asked Questions about Assisted Living in San Rafael, CA

What is the average cost of assisted living in San Rafael, CA?

The average monthly cost of assisted living in San Rafael, CA is approximately $6,500. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in San Rafael, CA?

Assisted living in San Rafael, CA typically ranges from $5,500–$8,500 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 Rafael, CA?

Assisted living facilities in San Rafael, 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 Rafael, CA?

According to state licensing records, there are approximately ~15–25 licensed assisted living facilities in San Rafael, 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.