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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 52 assisted living facilities in San Francisco and 30 in surrounding areas.
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.
Our distinctive community offers stunning views of the San Francisco Bay and the Golden Gate Bridge and easy access to world-class entertainment, shopping and services.
Set in the heart of San Francisco's rich culture and natural beauty, Coventry Place offers stylish mid-rise retirement living where you can enjoy a blend of comfort, fine dining, endless social opportunities and a refreshing array of wellness and recreational…
As a resident at Cypress at Golden Gate, you will find a CARF-Accredited community with all kinds of lifestyle opportunities for social connections, health, and wellness activities through our ZEST™ Wellness, along with all the comforts and conveniences of care…
Sutro Heights Residential Care Home located in San Francisco, provides seniors with a selection of amenities to encourage an enjoyable senior living experience.
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…
This San Francisco senior housing community offers both assisted living and memory care support in a beautiful Colonial Revival building that fosters a strong sense of community in a place that feels familiar. Residents have access to private backyard areas,…
AlmaVia of San Francisco offers services and accommodations for assisted living and Alzheimer's or memory care that address spiritual and physical needs.
San Francisco Towers is a senior life plan community where residents enjoy an active lifestyle with access to extensive care options should future needs change. Each of the spacious independent living apartments is filled with natural light, has a fully equipped…
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…
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.
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.
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.
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.
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.
Located in a historical Julia Morgan designed building overlooking the picturesque yacht marina in San Francisco's Bay area is Heritage on the Marina. The affluent marina area is home to major tourist attractions such as Lands End, which seniors visit…
Call 1-800-991-9257 for details
Francis of Assisi Community was developed in 1979 by Catholic Charities/Catholic Social Services. With the diverse resident population that represents many languages and cultures, all staff and residents share the common goal of helping and supporting one another. Everyone works…
San Francisco is known for its rich intellectual and creative culture, progressive spirit, and global outlook—and that’s just what you’ll find at San Francisco Towers, a sophisticated Life Plan Community in the heart of the city. Everything you love is…
Esperanza Apartments and Betel Apartments were the first major new construction undertakings for Mission Housing. Both were completed in 1976. The original design architect for Esperanza was Burger & Coplan; the contractor was Mapco Construction. The development features a landscaped…
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
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
I found The Carlisle to be a very welcoming and gracious place that my dad would be very comfortable in. I liked it a lot. From what I observed while sitting in the lobby, the staff was really close to the people who live there. They are very kind, patient, and attentive. The living quarters were pretty good. The dinin...Read more The Carlisle reviews
I wasn't that impressed with The Village at Hayes Valley. The people were nice though. I went to both assisted living and memory care facilities. The main facility was pretty nice and airy, but I only went into the atrium and up to the administrator's office. I didn't get to go around and see where the people live. Acr...Read more The Village at Hayes Valley reviews
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
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
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.
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.
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
Castro Senior Center
110 Diamond Street, San Francisco, California 94114
Self Help for the Elderly Senior Centers
Curry Senior Center
333 Turk Street, San Francisco, California 94102
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
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
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
National Council on Aging
870 Market Street #785, San Francisco, California 94102
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