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Assisted Living in San Francisco, CA

The average cost of assisted living in the city is $5,500 a month. This guide is a starting point covering the cost of assisted living care in the city, as well as financing options to pay for it. You’ll find in-depth information on 40 assisted living facilities in San Francisco and 30 in surrounding areas.  

  • Assisted living: $5,500
  • Nursing home semiprivate room: $9,148
  • In-home care: $5,625
  • Adult day health services: $1,733

AlmaVia of San Francisco

One Thomas More Way
San Francisco, CA

Call 1-800-991-9257 for details

3 Reviews
Starting at XXXX per month

Call 1-800-991-9257 for details

3 Reviews
Starting at XXXX per month

AlmaVia of San Francisco offers services and accommodations for assisted living and Alzheimer's or memory care that address spiritual and physical needs.

Sagebrook San Francisco

2750 Geary Boulevard
San Francisco, CA

Call 1-800-991-9257 for details

4 Reviews
Starting at XXXX per month

Call 1-800-991-9257 for details

4 Reviews
Starting at XXXX per month

Sagebrook San Francisco offers classic design and modern comfort and amenities in the heart of the city.

The Village at Hayes Valley

624 Laguna Street
San Francisco, CA

Call 1-800-991-9257 for details

1 Review
Starting at XXXX per month

Call 1-800-991-9257 for details

1 Reviews
Starting at XXXX per month

Nestled into the vibrant Hayes Valley neighborhood, AgeSong at Laguna Grove offers a variety of services and amenities for individuals seeking assisted living or memory care.

Victorian Manor

1444 McAllister Street
San Francisco, CA

Call 1-800-991-9257 for details

Starting at XXXX per month

Call 1-800-991-9257 for details

Starting at XXXX per month

Victorian Manor, located in San Francisco, provides seniors with a selection of amenities to encourage an enjoyable senior living experience.

Sutro Heights Residential Care Home

659 45th Ave
San Francisco, CA

Call 1-800-991-9257 for details

Starting at XXXX per month

Call 1-800-991-9257 for details

Starting at XXXX per month

Sutro Heights Residential Care Home located in San Francisco, provides seniors with a selection of amenities to encourage an enjoyable senior living experience.

Gonzales Home I

2237 Noriega Street
San Francisco, CA

Call 1-800-991-9257 for details

Starting at XXXX per month

Call 1-800-991-9257 for details

Starting at XXXX per month

We are operating a 6-bed facility for ambulatory and non-ambulatory clients. We only accept private clients. We have 2 private rooms and 2 semi-private rooms for each home. We always have 2 well-trained caregivers 7 days a week with 24…

Nobis Care Homes I

110 Vale Avenue
San Francisco, CA

Call 1-800-991-9257 for details

Starting at XXXX per month

Call 1-800-991-9257 for details

Starting at XXXX per month

A superb care home, Nobis Care Home provides each resident with the activities and amenities they desire in a home-like environment, while also providing families with peace of mind.

San Francisco Towers

1661 PINE STREET
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Cypress at Golden Gate

1601 19th Avenue
San Francisco, CA

Call 1-800-991-9257 for details

Starting at XXXX per month

Call 1-800-991-9257 for details

Starting at XXXX per month

Housed in a historic landmark building designed in the 1920s, Vintage Golden Gate is an elegant and welcoming senior living community offering Northern California seniors superb retirement accommodations, as well as top-notch assisted living and memory care. Our community is…

Coventry Place San Francisco

1550 Sutter Street
San Francisco, CA

Call 1-800-991-9257 for details

Starting at XXXX per month

Call 1-800-991-9257 for details

Starting at XXXX per month

Assisted Living, Memory Care, and Independent Senior Living in San Francisco, California.

Rhoda Goldman Plaza

2180 Post Street
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Rhoda Goldman Plaza is an elegant assisted living facility that provides older adults the opportunity to enjoy a rewarding, flexible lifestyle while affo...

Sequoias San Francisco Convalescent Hospital

1400 Geary Blvd
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

With its location in the heart of San Francisco's cultural corridor, The Sequoias - San Francisco, an accredited Life Care Community, is city living at its best.

The Avenue

1035 Van Ness Avenue
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

San Francisco 's newest and best address for Senior Living! Knowing we are here for you, is first and foremost our mission; to assist our residents, and their loved ones, rediscover peace of mind. Please read on to learn more…

We Can Help! Our Local Advisors can help your family make a confident decision about senior living.

Quality Care Homes, Llc 1

801 - 38Th Avenue
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

A superb care home, Farol's Residential Care Home provides each resident with the activities and amenities they desire in a home-like environment, while also providing families with peace of mind.

St. Anne’s Home for the Aged

300 LAKE STREET
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Sunset Gardens

1338 - 27TH AVENUE
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

A superb care home, Sunset Gardens provides each resident with the activities and amenities they desire in a home-like environment, while also providing families with peace of mind.

Quality Care Homes, Llc 3

2277 - 33Rd Avenue
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

A superb care home, Farol's Residential Care Home 4 provides each resident with the activities and amenities they desire in a home-like environment, while also providing families with peace of mind.

St. Francis Manor I

1450 PORTOLA DRIVE
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

A superb care home, St. Francis Manor 1 provides each resident with the activities and amenities they desire in a home-like environment, while also providing families with peace of mind.

Merced Hampshire

1420 Hampshire Street
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Kimochi Home

1531 Sutter Street
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Kokoro Assisted Living

1881 Bush Street
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Merced Broad

257 Broad St.
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Irene Swindells Center for Adult Day Services

3698 California Street
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Sunset Care Home

1434 7TH AVENUE
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

San Francisco Adult Residential Facility

887 Potrero Ave
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Heritage on the Marina

3400 Laguna St.
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Buena Vista Manor House

399 Buena Vista East
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Autumn Glow

654 Grove Street
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Sunset Care Home 2

1367 39Th Avenue
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Quality Care Homes, Llc 2

757 - 44Th Avenue
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Gonzales Home

1855 35Th Avenue
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Farol'S Manor #2

2242 48Th Avenue
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Quality Care Homes, Llc 4

475 Eucalyptus Drive
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Palarca-J.J. Oceanside Residential Care Home

1278 La Playa Street
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Damenik'S Home

331 30Th Avenue
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Aurora'S Residential Care Home

1827 Silliman Street
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Crossroads Residential Care

9 Crystal Street
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Be-Be'S Care Home #1

419 28Th Ave
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Mae Bea Andrews Boarding Care

1739 Newcomb Ave
San Francisco, CA

Call 1-800-991-9257 for details

Call 1-800-991-9257 for details

Reviews of San Francisco Assisted Living Facilities

AlmaVia of San Francisco

Review by Visitor | Consumer

At AlmaVia, initially, there was a confusion about the appointment that was made, but they were very good about finding a replacement person to give us a tour, and he was excellent. He was one of the nursing people on staff, so he answered a lot of our questions. Activities seemed fine to me and included art classes, m...

Read more AlmaVia of San Francisco reviews

AlmaVia of San Francisco

Review by Visitor | Consumer

AlmaVia of San Francisco was lovely, clean and nice, and the staff was very nice. The rooms seemed very well thought out.

Read more AlmaVia of San Francisco reviews

AlmaVia of San Francisco

Review by SC | Consumer

Our tour at AlmaVia of San Francisco was good, but we wanted to put my mom in a place that is more agreeable with her personality. She likes being active and engaged with people; however, it didn't look like there was a lot of communication with the other clientele. They had a lot of art and craft activities, televisio...

Read more AlmaVia of San Francisco reviews

The Village at Hayes Valley

Review by Thomas | Consumer

The Village at Hayes Valley was very average. They were very limited in their amenities. Most of the rooms were shared. It was a nice location. It's central city and a good neighborhood.

Read more The Village at Hayes Valley reviews

Sagebrook San Francisco

Review by F | Consumer

They showed me a room at Sagebrook San Francisco on which they hadn't done any renovation yet, and the carpet needed to be replaced. It's kind of a backyard column kind of industrial and boxy. It's more like a hotel room kind of setting. There wasn't much of a view, just a big city. It was a little bit stark.

Read more Sagebrook San Francisco reviews

Sagebrook San Francisco

Review by Harry | Consumer

Sagebrook San Francisco was an adequate facility. I used it in the 1980s when it was called Garden Sullivan. The facility was nice and had been cleaned up a lot. The only problem with it was there was a building being built next door to the room that they showed us, and to pay $5,000 a month for a room that we could du...

Read more Sagebrook San Francisco reviews
 

Map of San Francisco Assisted Living Facilities

Assisted Living Costs in San Francisco

San Francisco, along with San Jose, has the highest average monthly assisted living costs in the state according to the Genworth 2018 Cost of Care Study. Assisted living costs in the city are $1,500 higher than the national average and $1,000 higher than the state average. When compared with other major cities such as Los Angeles ($4,500) and Sacramento ($4,473), assisted living in San Francisco is substantially more expensive, and the same can be said for small cities throughout California, such as Bakersfield ($3,150) and Madera ($3,323). 

Cost of Assisted Living Comparison Chart

  • San Francisco: $5,500
  • National average: $4,000
  • State average: $4,500
  • Bakersfield: $3,150
  • Los Angeles: $4,500
  • Madera: $3,323
  • Oxnard: $4,525
  • Sacramento: $4,473
  • San Jose: $5,500

Care Cost Comparison

The type of care is the biggest factor in determining the average cost per month, and in San Francisco, this is particularly evident. The average monthly cost of nursing care in the city is nearly $4,000 higher than the cost of assisted living. Although home care services are only a little more expensive than assisted living, those who choose to continue living at home have to account for additional costs such as rent, food and utilities, all of which are usually included in the cost of assisted living. 

Cost of Homemaker/Home Health Aide Comparison Chart

  • Assisted living: $5,500
  • Homemaker services: $5,625
  • Home health aide: $5,625
  • Adult day health: $1,733
  • Nursing home care (semiprivate room): $9,148

Financial Assistance for Assisted Living in San Francisco

Medicaid in California

California’s Medicaid Managed Care Program is called Medi-Cal. The program provides financial assistance and services to seniors who reside in assisted living facilities under one of two waivers: The Assisted Living Waiver and the Multipurpose Senior Services Program. 

To be eligible for these waiver programs, seniors must be at least 65 years of age and require daily nursing care. They must also be able to live safely within an assisted living community. Financial eligibility requirements stipulate that individuals may not earn more than $1,242 per month and may not own more than $2,000 in assets. Couples may not earn more than $1,682 per month and may not own more than $3,000 in assets. 

Assisted Living Waiver

For those who reside in an assisted living facility, the Assisted Living Waiver is their best chance at receiving Medicaid assistance. This waiver helps seniors who require regular nursing care yet choose to continue living in an assisted living facility. It covers the cost of services in an assisted living facility as well as additional support services such as nonmedical transportation, nurse visits and case management. 

To apply for this program, seniors can contact their nearest care coordination agency in person or by telephone. 

Multipurpose Senior Services Program

California’s Multipurpose Senior Services program is a waiver program that’s managed under the Medi-Cal Managed Care Program. MSSP was created to decrease the load on the Medicaid system in the state by reducing the number of seniors who require care in nursing homes, which in California are quite expensive. Seniors who participate in this program are generally those who need a nursing level of care but prefer to continue living at home or in an assisted living facility. The program may provide a number of services in addition to assisted living or home care such as nurse visits, occupational or physical therapy, nonmedical transportation and adult companions. The MSSP only accepts 12,000 participants at one time, so there’s usually a waiting list. 

To apply for the MSSP, seniors can contact the California Department of Health Care Services at (415) 206-5317. 

Other Financial Assistance Programs for Assisted Living

State Supplemental Payment

Seniors who receive Supplemental Security Income have the option to apply for California’s state supplemental payment. This payment is intended to top-up SSI payments and provides seniors with additional cash to pay for necessities such as room and board in assisted living facilities. The senior’s income determines the benefit amount, which has a maximum of $160.72 a month. 

The financial eligibility requirements of this benefit change often, so it’s best for seniors who are interested in applying to contact their local Social Security office in person or call (800) 772-1213.

Long-Term Care Insurance

Seniors who hold a long-term care insurance policy are covered for their annual care costs in assisted living and nursing care homes by their insurance providers. Typically, the policyholder must pay a yearly deductible.

While eligibility and policy terms vary depending on the plan and provider, most insurance companies won’t offer policies to those who are already in poor health and require daily care. The amount of coverage purchased, as well as the policyholder’s age and health history,  generally determine premiums.

Elderlife Bridge Loan

Elderlife Financial Services provides seniors who are ineligible for Medicaid and other government assistance programs with access to temporary funds to pay for the cost of assisted living or nursing home care. Bridge loans are paid to the senior’s care facility directly and are repaid by the senior in monthly installments. Elderlife Financial Services offers flexible loan terms and low interest rates. 

Eligibility is dependent on several factors, particularly, credit history and income. Seniors who don’t qualify on their own may include up to six cosigners on their loan, which may increase the likelihood of approval and reduce monthly payments. Seniors can apply for a bridge loan online or by calling (888) 228-4500.

Assisted Living Resources in San Francisco

Senior Community Centers

Senior centers act as a local gathering place for individuals over 55 years of age. They usually provide a range of programming that may include congregate meals, fitness classes, day trips and social activities.

Golden Gate Park Senior Center
6101 Fulton Street, San Francisco, California 94121
(415) 666-7079

Castro Senior Center
110 Diamond Street, San Francisco, California 94114
(415) 863-3507

Self Help for the Elderly Senior Centers
(Various locations)
(415) 677-7600

Curry Senior Center
333 Turk Street, San Francisco, California 94102
(415) 885-2274

Active Senior Programs

The city of San Francisco’s Recreation and Parks Department offers a variety of workshops, classes and social programs to entertain the city’s elderly population. San Francisco residents generally receive program discounts.

San Francisco Recreation and Parks Senior Program
501 Stanyan Street, San Francisco, California 94117
(415) 518-7725

Veterans Affairs

Many seniors are eligible for financial assistance and medical benefits from Veterans Affairs. Eligible seniors can access health care at VA medical clinics.

San Francisco Vet Center
505 Polk Street, San Francisco, California 94102
(415) 441-5051

Senior Advocacy Programs

Senior advocates provide a range of services designed to protect seniors’ best interests. Services may include benefits assistance, support groups and community resource facilitation. 

San Francisco Office of Aging
1650 Mission Street #5, San Francisco, California 94103
(415) 355-3555

National Council on Aging
870 Market Street #785, San Francisco, California 94102
(415) 955-8560

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