
Compare Nursing Homes around San Francisco
The information below is reported by the California Department of Social Services and Department of Public Health.
| The Sequoias San Francisco | NH AL HC MC RC | San Francisco (Japantown) | 400
Facility
400
CA AVG
103
Rank
#28 / 1657 |
88.0%
Facility
88.0%
CA AVG
84.7%
Rank
#380 / 1537 | +4% | 6.36
Facility
6.36
CA AVG
4.22
Rank
#8 / 354 | +121% | +51% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 362 | 91
Facility
91
CA AVG
81
Rank
#355 / 1401 | 12
Facility
12
CA AVG
50.2
Rank
#12 / 361 | 4.0
Facility
4.0
CA AVG
4.6
Rank
#169 / 361 | - | 352 | - |
99
Facility
99
CA AVG
57
Rank
#2 / 2092 | Sequoia Living Inc | $34.3M
Facility
$34.3M
CA AVG
$17.0M
Rank
#31 / 355 | $11.0M
Facility
$11.0M
CA AVG
$7.0M
Rank
#72 / 355 | 32.2%
Facility
32.2%
CA AVG
45.2%
Rank
#329 / 355 | 56071 | ||||
| The Avenues Transitional Care Center | NH HC MC NC RC | San Francisco (Outer Sunset) | 140
Facility
140
CA AVG
103
Rank
#419 / 1657 |
88.1%
Facility
88.1%
CA AVG
84.7%
Rank
#374 / 1537 | +4% | 4.22
Facility
4.22
CA AVG
4.22
Rank
#138 / 354 | +57% | 0% | $12.7k
Facility
$12.7k
CA AVG
$56.5k
Rank
#251 / 362 | - | 26
Facility
26
CA AVG
50.2
Rank
#86 / 361 | 3.7
Facility
3.7
CA AVG
4.6
Rank
#135 / 361 | 1 | 131 | A |
85
Facility
85
CA AVG
57
Rank
#290 / 2092 | Craig Orgill | $22.8M
Facility
$22.8M
CA AVG
$17.0M
Rank
#93 / 355 | $11.2M
Facility
$11.2M
CA AVG
$7.0M
Rank
#36 / 355 | 49.3%
Facility
49.3%
CA AVG
45.2%
Rank
#89 / 355 | 55963 | ||||
| Sunset Gardens | NH AL | San Francisco (Sunset District) | 13
Facility
13
CA AVG
103
Rank
#1309 / 1657 |
76.9%
Facility
76.9%
CA AVG
84.7%
Rank
#767 / 1537 | -9% | 4.87
Facility
4.87
CA AVG
4.22
Rank
#53 / 354 | +64% | +15% | $12.0k
Facility
$12.0k
CA AVG
$56.5k
Rank
#248 / 362 | 96
Facility
96
CA AVG
81
Rank
#1 / 1401 | 44
Facility
44
CA AVG
50.2
Rank
#196 / 361 | 8.8
Facility
8.8
CA AVG
4.6
Rank
#348 / 361 | 1 | 10 | - |
0
Facility
0
CA AVG
57
Rank
#2070 / 2092 | Ronald Kinnersley | $8.3M
Facility
$8.3M
CA AVG
$17.0M
Rank
#284 / 355 | $5.2M
Facility
$5.2M
CA AVG
$7.0M
Rank
#266 / 355 | 63.4%
Facility
63.4%
CA AVG
45.2%
Rank
#89 / 355 | 55423 | ||||
| St. Andrew | NH IL | Daly City (St. Francis) | 186
Facility
186
CA AVG
103
Rank
#191 / 1657 | - | - | 4.02
Facility
4.02
CA AVG
4.22
Rank
#184 / 354 | +152% | -5% | $41.0k
Facility
$41.0k
CA AVG
$56.5k
Rank
#300 / 362 | - | 63
Facility
63
CA AVG
50.2
Rank
#279 / 361 | 9.0
Facility
9.0
CA AVG
4.6
Rank
#350 / 361 | 6 | 105 | - |
69
Facility
69
CA AVG
57
Rank
#768 / 2092 | - | - | - | - | 555235 | ||||
| San Francisco Health Care and Rehab Inc. | NH NC | San Francisco (North Of The Panhandle) | 168
Facility
168
CA AVG
103
Rank
#267 / 1657 |
60.2%
Facility
60.2%
CA AVG
84.7%
Rank
#1216 / 1537 | -29% | 4.10
Facility
4.10
CA AVG
4.22
Rank
#160 / 354 | +9% | -3% | $152.4k
Facility
$152.4k
CA AVG
$56.5k
Rank
#359 / 362 | - | 36
Facility
36
CA AVG
50.2
Rank
#148 / 361 | 5.1
Facility
5.1
CA AVG
4.6
Rank
#257 / 361 | 3 | 131 | A |
96
Facility
96
CA AVG
57
Rank
#43 / 2092 | Stan Stukov | $15.0M
Facility
$15.0M
CA AVG
$17.0M
Rank
#159 / 355 | $9.0M
Facility
$9.0M
CA AVG
$7.0M
Rank
#109 / 355 | 60.1%
Facility
60.1%
CA AVG
45.2%
Rank
#89 / 355 | 56272 |
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.
Maintain independence in retirement with The Avenues Transitional Care Center, an astounding community in San Francisco, CA, offering rehabilitation and therapy. Residents can keep their peace of mind with a wide range of care services, including pain management, diabetic management, hospice program, wound care, and dementia care. The community ensures residents receive the right care for their unique needs by creating personalized care plans.
Residents will surely recover without hassle, accompanied by the community’s comprehensive care and dedicated services. With an on-site dietitian, residents delight with delicious and well-balanced meals that satisfy their dietary needs and preferences. The community is ideal for those seeking exceptional care for their unique needs, ensuring the finest retirement experience.
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.
Surrounded by serene green spaces in Daly City, CA, St. Andrew Community is an idyllic 62+ community that offers independent living. The community has 12 cozy studios and 38 specially designed one-bedroom apartments, ensuring residents can find the accommodation that best matches their preferences. Residents also enjoy a convenient lifestyle with the community’s resident services program and laundry spaces.
With its proximity to shopping centers and Seton Medical Center, residents have quick access to their healthcare needs and leisure. Fully furnished kitchens in each apartment and a community kitchen are available, so residents can prepare meals according to their dietary needs and preferences. The community is ideal for those looking to downsize in retirement, especially with its affordability and welcoming environment.
San Francisco Health Care is a renowned nursing home in San Francisco, CA, that offers nursing services, therapy, mental health services, and other medical services. With 24-hour care options, older adults receive the utmost attention for their comfort and safety. X-ray, housekeeping, and pharmacy services are just some of the community’s unique offerings, dedicated to improving older adults’ quality of life. The community also strives to promote diversity and inclusivity with a multilingual team and a welcoming setting, ensuring older adults feel a sense of belonging during their stay.
Parties, light exercises, and community events are conducted to encourage residents to make new friends and have fun. A restaurant-style dining is also provided, so residents have a hassle-free dining experience that caters to their dietary needs and preferences. Occupational, speech, and physical therapy are also provided to help residents go back to their routines. As one of San Francisco’s trusted nursing homes, this senior living community makes a good option for those seeking a wide range of care for their healthcare needs.
Ranking Methodology
How we rank these nursing homes
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
Weighting overview
- 35%Care Quality
- 20%Staffing
- 20%Regulatory
- 20%Operational
- 5%Environment
01
Care Quality 35%
The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.
- Includes
- Overall Rating
- Health Inspection
- QM Rating
- Long-Stay QM
- Short-Stay QM
02
Staffing Adequacy 20%
The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.
- Includes
- Nurse Hrs/Res/Day
- RN vs State
- Total Nurse Staff Hrs vs State
- RN Turnover
03
Regulatory & Safety Record 20%
Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.
- Includes
- Citations
- Citations/Inspection
- Severe Citations
- Fines
- Accreditations
04
Operational & Financial Stability 20%
Stable operations and sound finances are leading indicators of consistent care over time.
- Includes
- Occupancy vs State
- Avg Length of Stay
- Revenue
- Payroll %
- Years in Operation
- Admin Tenure
05
Environment & Accessibility 5%
Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.
- Includes
- Walk Score
- BBB Rating
San Francisco Nursing Home Facilities Overview
- Avg payroll costs: $7,273,207.45 (California avg: $6,440,675.14)
- Avg home costs: $12,231,302.73 (California avg: $7,865,538.87)
- Avg occupancy: 85.67% (California avg: 87.25%)
- Avg bed count: 97 (California avg: 109)
- Avg home revenue: $16,995,475.91 (California avg: $15,059,642.16)
Community-level financial and occupancy data
- PACIFIC HEIGHTS TRANSITIONAL CARE: 93.75% occupancy, 120 beds, $19,217,009.00 home revenue, $8,292,551.00 payroll costs, $10,894,978.00 home costs.
- CENTRAL GARDENS POST ACUTE: 90.98% occupancy, 92 beds, $16,768,558.00 home revenue, $6,549,362.00 payroll costs, $8,779,731.00 home costs.
- SAN FRANCISCO HEALTH CARE: 59.46% occupancy, 168 beds, $16,122,174.00 home revenue, $7,542,125.00 payroll costs, $8,002,292.00 home costs.
- SAN FRANCISCO POST ACUTE: 95.28% occupancy, 53 beds, $10,442,784.00 home revenue, $4,452,651.00 payroll costs, $5,754,137.00 home costs.
- VICTORIAN POST ACUTE: 94.89% occupancy, 90 beds, $13,666,804.00 home revenue, $6,243,274.00 payroll costs, $8,827,737.00 home costs.
- THE AVENUES TRANSITIONAL CARE CENTER: 96.50% occupancy, 140 beds, $21,231,839.00 home revenue, $8,590,146.00 payroll costs, $11,186,899.00 home costs.
- TUNNELL SKILLED NURSING & REHAB CTR: 94.61% occupancy, 178 beds, $29,218,118.00 home revenue, $7,974,082.00 payroll costs, $20,709,383.00 home costs.
- LAWTON SKILLED NURSING & REHAB CTR: 84.26% occupancy, 60 beds, $13,067,456.00 home revenue, $4,137,441.00 payroll costs, $7,365,689.00 home costs.
View Chart Data Table
| Metric | San Francisco | California |
|---|---|---|
| Avg payroll costs | $7,273,207.45 | $6,440,675.14 |
| Avg home costs | $12,231,302.73 | $7,865,538.87 |
| Avg occupancy | 85.67% | 87.25% |
| Avg bed count | 97 | 109 |
| Avg home revenue | $16,995,475.91 | $15,059,642.16 |
| Community | Occupancy | Beds | Home Revenue | Payroll Costs | Home Costs | Medicare | Medicaid | Private Pay |
|---|---|---|---|---|---|---|---|---|
| PACIFIC HEIGHTS TRANSITIONAL CARE | 93.75% | 120 | $19,217,009.00 | $8,292,551.00 | $10,894,978.00 | 18.03% | 65.60% | 16.37% |
| CENTRAL GARDENS POST ACUTE | 90.98% | 92 | $16,768,558.00 | $6,549,362.00 | $8,779,731.00 | 39.88% | 45.11% | 15.01% |
| SAN FRANCISCO HEALTH CARE | 59.46% | 168 | $16,122,174.00 | $7,542,125.00 | $8,002,292.00 | 20.63% | 61.47% | 17.90% |
| SAN FRANCISCO POST ACUTE | 95.28% | 53 | $10,442,784.00 | $4,452,651.00 | $5,754,137.00 | 50.48% | 27.37% | 22.15% |
| VICTORIAN POST ACUTE | 94.89% | 90 | $13,666,804.00 | $6,243,274.00 | $8,827,737.00 | 41.68% | 46.00% | 12.32% |
| THE AVENUES TRANSITIONAL CARE CENTER | 96.50% | 140 | $21,231,839.00 | $8,590,146.00 | $11,186,899.00 | 14.06% | 69.43% | 16.51% |
| TUNNELL SKILLED NURSING & REHAB CTR | 94.61% | 178 | $29,218,118.00 | $7,974,082.00 | $20,709,383.00 | 11.37% | 68.82% | 19.81% |
| LAWTON SKILLED NURSING & REHAB CTR | 84.26% | 60 | $13,067,456.00 | $4,137,441.00 | $7,365,689.00 | 31.24% | 50.92% | 17.84% |
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Frequently Asked Questions about Nursing Homes in San Francisco, CA
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 nursing home care?
Yes — California Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 5 nursing homes in San Francisco, CA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in San Francisco, CA?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in San Francisco, CA, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in San Francisco, CA?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.














