Senior living in San Francisco, California spans 1 verified communities and 142 Medicare-certified nursing homes across Alameda, Contra Costa, San Francisco, San Mateo, and Marin counties in California. Published starting rates at featured communities run $6,900–$6,900 per month, 61 area nursing homes hold a 5-star CMS rating, and every community review here comes from a verified phone interview — 20+ in total. 1003 state-licensed assisted living, memory care, and independent living communities are listed below by county.
Every community below has been independently reviewed through recorded phone interviews with its own residents and families. Prices shown are the operators’ published starting rates — not estimates, and not gated behind a form.
| Community | Location | Care types | Starting price | Phone-verified reviews | CMS rating |
|---|---|---|---|---|---|
| Tiffany Court of Walnut Creek | Walnut Creek, CA | Assisted Living | From $6,900/mo | 20+ verifiedlatest Aug 2026 | — |
Starting rates published by each operator, verified June 2026. Skilled nursing is typically billed by payer (Medicare/Medicaid/private) rather than a monthly rate. CMS ratings apply to Medicare-certified skilled nursing only — assisted living is state-licensed and has no federal rating.
Every assisted living, memory care, and independent living community licensed by the state in Alameda, Contra Costa, San Francisco, San Mateo, and Marin counties in California, from state licensing records. Listing here is not a rating: Lilisity publishes no score for any community that has not earned an award. Communities marked verified reviews have phone-verified resident and family interviews on file.
Verified starting rates at featured San Francisco communities range from $6,900 per month at Tiffany Court of Walnut Creek (assisted living) to $6,900 at Tiffany Court of Walnut Creek (assisted living). Memory care generally runs $1,000–$1,500 above assisted living; skilled nursing is billed through Medicare, Medicaid, or private pay rather than monthly rent.
| Care type | Typical San Francisco range | What it covers |
|---|---|---|
| Independent living | $3,000 – $4,500 | Private apartment or cottage, meals and services optional |
| Assisted living | $4,500 – $6,500 | Daily personal care, meals, medication management |
| Memory care | $5,500 – $8,000 | Secured neighborhood, dementia-trained staff |
| Skilled nursing | Payer-based | 24/7 medical care; Medicare/Medicaid/private pay |
Ranges reflect published rates at verified San Francisco-area communities plus operator-published market rates, September 2026. California’s Medicaid waiver programs and VA Aid & Attendance can offset costs — see the FAQ below.
61 of the 142 Medicare-certified nursing homes in the San Francisco metro hold the highest possible 5-star overall rating from CMS — including Diablo Valley Post Acute in Concord. Every facility below links to its full inspection history, staffing hours, and deficiency record.
| Facility ↕ | Location ↕ | CMS rating ↕ | Beds ↕ | Operator ↕ |
|---|---|---|---|---|
| Diablo Valley Post Acute | Concord, CA | ★★★★★ 5/5 | 190 | Pacs Group |
| City View Post Acute | San Francisco, CA | ★★★★★ 5/5 | 180 | Pacs Group |
| Rossmoor Post Acute | Walnut Creek, CA | ★★★★★ 5/5 | 155 | Pacs Group |
| Pleasanton Nursing And Rehabilitation Center | Pleasanton, CA | ★★★★★ 5/5 | 139 | Generations Healthcare |
| Crestwood Manor - Fremont | Fremont, CA | ★★★★★ 5/5 | 126 | Independent |
| Medical Hill Healthcare Center | Oakland, CA | ★★★★★ 5/5 | 124 | Pacs Group |
| Pacific Heights Transitional Care Center | San Francisco, CA | ★★★★★ 5/5 | 120 | Aspen Skilled Healthcare |
| Stonebrook Post Acute | Concord, CA | ★★★★★ 5/5 | 120 | Independent |
| Tice Valley Post Acute | Walnut Creek, CA | ★★★★★ 5/5 | 120 | Pacs Group |
| Alameda County Medical Center D/P Snf | San Leandro, CA | ★★★★★ 5/5 | 109 | Independent |
| Bay Area Healthcare Center | Oakland, CA | ★★★★★ 5/5 | 99 | Independent |
| Bayberry Skilled Nursing & Healthcare Center | Concord, CA | ★★★★★ 5/5 | 99 | Generations Healthcare |
| Excell Health Care Center | Oakland, CA | ★★★★★ 5/5 | 99 | David & Frank Johnson |
| La Casa Via Transitional Care Center | Walnut Creek, CA | ★★★★★ 5/5 | 99 | Aspen Skilled Healthcare |
| Lone Tree Post Acute | Antioch, CA | ★★★★★ 5/5 | 99 | Pacs Group |
| Washington Center | San Leandro, CA | ★★★★★ 5/5 | 99 | Genesis Healthcare |
| Oakland Healthcare & Wellness Center | Oakland, CA | ★★★★★ 5/5 | 98 | Sol Healthcare |
| Morton Bakar Center | Hayward, CA | ★★★★★ 5/5 | 97 | Independent |
| Brookside Skilled Nursing Hospital | San Mateo, CA | ★★★★★ 5/5 | 96 | Independent |
| Legacy Post Acute Care | Martinez, CA | ★★★★★ 5/5 | 96 | Independent |
| Piedmont Gardens Health Facility | Oakland, CA | ★★★★★ 5/5 | 94 | Humangood |
| Central Gardens Post Acute | San Francisco, CA | ★★★★★ 5/5 | 92 | Pacs Group |
| Victorian Post Acute | San Francisco, CA | ★★★★★ 5/5 | 90 | Pacs Group |
| Crestwood Treatment Center | Fremont, CA | ★★★★★ 5/5 | 88 | Independent |
| Mission Valley Post Acute | Fremont, CA | ★★★★★ 5/5 | 85 | Pacs Group |
| Shields Richmond Nursing Center | Richmond, CA | ★★★★★ 5/5 | 84 | Independent |
| The Vineyards Healthcare Center | Livermore, CA | ★★★★★ 5/5 | 83 | Links Healthcare Group |
| Princeton Manor Healthcare Center, Llc | Oakland, CA | ★★★★★ 5/5 | 82 | Independent |
| Creekside Healthcare Center | San Pablo, CA | ★★★★★ 5/5 | 80 | Mariner Health Care |
| Belmont Healthcare Center | Belmont, CA | ★★★★★ 5/5 | 74 | Spyglass Healthcare |
| Creekview Skilled Nursing | Pleasanton, CA | ★★★★★ 5/5 | 73 | Continuing Life |
| Niles Canyon Post Acute | Fremont, CA | ★★★★★ 5/5 | 73 | West Harbor Healthcare |
| Lawton Skilled Nursing & Rehabilitation Center | San Francisco, CA | ★★★★★ 5/5 | 68 | Generations Healthcare |
| Pacifica Nursing And Rehabilitation Center | Pacifica, CA | ★★★★★ 5/5 | 68 | The Ensign Group |
| St Francis Healthcare Center | Hayward, CA | ★★★★★ 5/5 | 62 | Pacs Group |
| Bellaken Skilled Nursing Center | Oakland, CA | ★★★★★ 5/5 | 61 | Independent |
| Greenridge Post Acute | El Sobrante, CA | ★★★★★ 5/5 | 60 | Aspen Skilled Healthcare |
| Mcclure Post Acute | Oakland, CA | ★★★★★ 5/5 | 60 | Pacs Group |
| Linda Mar Care Center | Pacifica, CA | ★★★★★ 5/5 | 59 | Nahs |
| Shadelands Post Acute | Walnut Creek, CA | ★★★★★ 5/5 | 59 | Pacs Group |
| Baywood Court Health Center | Castro Valley, CA | ★★★★★ 5/5 | 56 | Independent |
| San Francisco Post Acute | San Francisco, CA | ★★★★★ 5/5 | 53 | Pacs Group |
| Sequoias San Francisco Convalescent Hospital | San Francisco, CA | ★★★★★ 5/5 | 50 | Independent |
| Valley Pointe Nursing & Rehabilitation Center | Castro Valley, CA | ★★★★★ 5/5 | 50 | Pacs Group |
| Chaparral House | Berkeley, CA | ★★★★★ 5/5 | 49 | Independent |
| Moraga Post Acute | Moraga, CA | ★★★★★ 5/5 | 49 | Pacs Group |
| Oakland Heights Nursing And Rehabilitation | Oakland, CA | ★★★★★ 5/5 | 48 | Aspen Skilled Healthcare |
| St Paul'S Towers | Oakland, CA | ★★★★★ 5/5 | 43 | Front Porch |
| The Sequoias | Portola Valley, CA | ★★★★★ 5/5 | 43 | Independent |
| California Pacific Medical Ctr- Davies Campus Hosp | San Francisco, CA | ★★★★★ 5/5 | 38 | Independent |
| Avondale Villa Post-Acute | Livermore, CA | ★★★★★ 5/5 | 37 | Links Healthcare Group |
| Richmond Post Acute Care | Richmond, CA | ★★★★★ 5/5 | 35 | Independent |
| Hayes Convalescent Hospital | San Francisco, CA | ★★★★★ 5/5 | 34 | Independent |
| Laurel Heights Community Care | San Francisco, CA | ★★★★★ 5/5 | 32 | Independent |
| Marina Garden Nursing Center | Alameda, CA | ★★★★★ 5/5 | 32 | Independent |
| Villa Marin | San Rafael, CA | ★★★★★ 5/5 | 31 | Independent |
| St Anthony Care Center | Hayward, CA | ★★★★★ 5/5 | 30 | Independent |
| Zuckerberg San Francisco General Hosp & Trauma Snf | San Francisco, CA | ★★★★★ 5/5 | 30 | Independent |
| We Care Skilled Nursing Facility | Hayward, CA | ★★★★★ 5/5 | 28 | Independent |
| San Francisco Towers | San Francisco, CA | ★★★★★ 5/5 | 27 | Front Porch |
| Stratford Villa Post-Acute | Livermore, CA | ★★★★★ 5/5 | 27 | Links Healthcare Group |
| Vale Healthcare Center | San Pablo, CA | ★★★★☆ 4/5 | 202 | Mariner Health Care |
| Concord Post Acute | Concord, CA | ★★★★☆ 4/5 | 190 | Pacs Group |
| Atherton Park Post-Acute | Menlo Park, CA | ★★★★☆ 4/5 | 160 | Kalesta Healthcare Group |
| Country Drive Post Acute | Fremont, CA | ★★★★☆ 4/5 | 126 | Windsor |
| Masonic Home | Union City, CA | ★★★★☆ 4/5 | 125 | Independent |
| Rosewood Post Acute | Pleasant Hill, CA | ★★★★☆ 4/5 | 113 | Windsor |
| Golden Heights Healthcare | Daly City, CA | ★★★★☆ 4/5 | 102 | Golden Snf Operations |
| Pine Ridge Care Center | San Rafael, CA | ★★★★☆ 4/5 | 101 | Mariner Health Care |
| Delta View Post Acute | Antioch, CA | ★★★★☆ 4/5 | 99 | Pacs Group |
| Hayward Post Acute | Hayward, CA | ★★★★☆ 4/5 | 99 | Windsor |
| Hayward Gardens Post Acute | Hayward, CA | ★★★★☆ 4/5 | 75 | Pacs Group |
| South Marin Health & Wellness Center | Greenbrae, CA | ★★★★☆ 4/5 | 72 | Aspen Skilled Healthcare |
| Vista Post Acute | Hayward, CA | ★★★★☆ 4/5 | 71 | Bvhc, Llc |
| Canyon Creek Post-Acute | Castro Valley, CA | ★★★★☆ 4/5 | 70 | Links Healthcare Group |
| San Leandro Healthcare Center | San Leandro, CA | ★★★★☆ 4/5 | 62 | Pratap Poddatoori |
| Kyakameena Care Center | Berkeley, CA | ★★★★☆ 4/5 | 60 | Pratap Poddatoori |
| The Reutlinger Community | Danville, CA | ★★★★☆ 4/5 | 60 | Independent |
| Danville Post-Acute Rehab | Danville, CA | ★★★★☆ 4/5 | 54 | The Ensign Group |
| Pleasant Hill Post Acute | Pleasant Hill, CA | ★★★★☆ 4/5 | 51 | Pacs Group |
| St. Anne'S Home | San Francisco, CA | ★★★★☆ 4/5 | 46 | Independent |
| San Bruno Skilled Nursing | San Bruno, CA | ★★★★☆ 4/5 | 45 | Pacs Group |
| Alhambra Post Acute | Martinez, CA | ★★★★☆ 4/5 | 44 | Pacs Group |
| Redwood Healthcare Center Llc | Oakland, CA | ★★★★☆ 4/5 | 44 | Crystal Solorzano |
| Bethesda Home | Hayward, CA | ★★★★☆ 4/5 | 40 | Independent |
| Bancroft Healthcare Center | San Leandro, CA | ★★★★☆ 4/5 | 39 | Independent |
| Serenethos Care Center, Llc | Hayward, CA | ★★★★☆ 4/5 | 36 | Independent |
| Lake Park Healthcare Center | Oakland, CA | ★★★★☆ 4/5 | 35 | Aspen Skilled Healthcare |
| Jones Convalescent Hospital | San Leandro, CA | ★★★★☆ 4/5 | 25 | Pratap Poddatoori |
| Laguna Honda Hospital & Rehabilitation Ctr D/P Snf | San Francisco, CA | ★★★☆☆ 3/5 | 769 | Independent |
| Jewish Home & Rehab Center D/P Snf | San Francisco, CA | ★★★☆☆ 3/5 | 362 | Independent |
| Alameda Hospital D/P Snf | Alameda, CA | ★★★☆☆ 3/5 | 181 | Independent |
| Bay View Rehabilitation Hospital, Llc | Alameda, CA | ★★★☆☆ 3/5 | 180 | David & Frank Johnson |
| Walnut Creek Skilled Nursing & Rehabilitation Cent | Walnut Creek, CA | ★★★☆☆ 3/5 | 180 | Generations Healthcare |
| The Avenues Transitional Care Center | San Francisco, CA | ★★★☆☆ 3/5 | 140 | Aspen Skilled Healthcare |
| Tampico Healthcare Center | Walnut Creek, CA | ★★★☆☆ 3/5 | 128 | Independent |
| Diamond Ridge Healthcare Center | Pittsburg, CA | ★★★☆☆ 3/5 | 120 | David & Frank Johnson |
| Fremont Healthcare Center | Fremont, CA | ★★★☆☆ 3/5 | 115 | Mariner Health Care |
| Emmanuel Post Acute Care - Hayward | Hayward, CA | ★★★☆☆ 3/5 | 99 | Independent |
| Hayward Healthcare & Wellness Center | Hayward, CA | ★★★☆☆ 3/5 | 99 | Sol Healthcare |
| Sage Post Acute | Hayward, CA | ★★★☆☆ 3/5 | 99 | Independent |
| We Care Skilled Nursing - Fremont | Fremont, CA | ★★★☆☆ 3/5 | 99 | Independent |
| Garfield Neurobehavioral Center | Oakland, CA | ★★★☆☆ 3/5 | 96 | Independent |
| Driftwood Healthcare Center - Hayward | Hayward, CA | ★★★☆☆ 3/5 | 88 | Mariner Health Care |
| Willow Pass Healthcare Center | Concord, CA | ★★★☆☆ 3/5 | 81 | Pratap Poddatoori |
| Smith Ranch Skilled Nursing & Rehabilitation Cente | San Rafael, CA | ★★★☆☆ 3/5 | 80 | Generations Healthcare |
| Elmwood Care Center | Berkeley, CA | ★★★☆☆ 3/5 | 74 | Pratap Poddatoori |
| Hayward Hills Health Care Center | Hayward, CA | ★★★☆☆ 3/5 | 74 | Mariner Health Care |
| Peninsula Post-Acute | Burlingame, CA | ★★★☆☆ 3/5 | 62 | Pacs Group |
| Mercy Retirement & Care Center | Oakland, CA | ★★★☆☆ 3/5 | 59 | Independent |
| Lake Merritt Healthcare Center Llc | Oakland, CA | ★★★☆☆ 3/5 | 53 | Crystal Solorzano |
| The Tamalpais | Greenbrae, CA | ★★★☆☆ 3/5 | 52 | Independent |
| St John Kronstadt Convalescent Center | Castro Valley, CA | ★★★☆☆ 3/5 | 49 | Independent |
| Shields Nursing Center | El Cerrito, CA | ★★★☆☆ 3/5 | 45 | Independent |
| Devonshire Oaks Nursing Center | Redwood City, CA | ★★★☆☆ 3/5 | 38 | Independent |
| Golden Pavilion Healthcare | Daly City, CA | ★★☆☆☆ 2/5 | 239 | Golden Snf Operations |
| Marin Post Acute | San Rafael, CA | ★★☆☆☆ 2/5 | 168 | Pacs Group |
| Alameda Healthcare & Wellness Center | Alameda, CA | ★★☆☆☆ 2/5 | 166 | Sol Healthcare |
| Fruitvale Healthcare Center | Oakland, CA | ★★☆☆☆ 2/5 | 140 | Mariner Health Care |
| Millbrae Care Center | Millbrae, CA | ★★☆☆☆ 2/5 | 140 | Independent |
| Eden Healthcare Center | Hayward, CA | ★★☆☆☆ 2/5 | 121 | Spyglass Healthcare |
| San Pablo Healthcare & Wellness Center | San Pablo, CA | ★★☆☆☆ 2/5 | 108 | Sol Healthcare |
| Golden Harbor Healthcare Center | Hayward, CA | ★★☆☆☆ 2/5 | 99 | Independent |
| Professional Post Acute Center | San Rafael, CA | ★★☆☆☆ 2/5 | 99 | Cambridge Healthcare Services |
| East Bay Post-Acute | Castro Valley, CA | ★★☆☆☆ 2/5 | 91 | Pacs Group |
| San Rafael Healthcare & Wellness Center, Lp | San Rafael, CA | ★★☆☆☆ 2/5 | 54 | Independent |
| Northgate Postacute Care | San Rafael, CA | ★★☆☆☆ 2/5 | 52 | Rmg Capital Partners |
| Orinda Care Center, Llc | Orinda, CA | ★★☆☆☆ 2/5 | 47 | Crystal Solorzano |
| Ashby Care Center | Berkeley, CA | ★★☆☆☆ 2/5 | 31 | Independent |
| San Mateo Medical Center D/P Snf | San Mateo, CA | ★☆☆☆☆ 1/5 | 345 | Independent |
| Ahmc Seton Medical Center | Daly City, CA | ★☆☆☆☆ 1/5 | 186 | Ahmc Healthcare |
| Novato Healthcare Center | Novato, CA | ★☆☆☆☆ 1/5 | 181 | Independent |
| San Francisco Health Care | San Francisco, CA | ★☆☆☆☆ 1/5 | 168 | Independent |
| West Shore Post Acute | Alameda, CA | ★☆☆☆☆ 1/5 | 151 | Independent |
| Bay Marina Post Acute | Oakland, CA | ★☆☆☆☆ 1/5 | 94 | Shlomo Rechnitz |
| All Saint'S Subacute & Transitional Care | San Leandro, CA | ★☆☆☆☆ 1/5 | 86 | Pacs Group |
| The Rehabilitation Center Of Oakland | Oakland, CA | ★☆☆☆☆ 1/5 | 70 | Sol Healthcare |
| The Redwoods, A Community Of Seniors | Mill Valley, CA | ★☆☆☆☆ 1/5 | 58 | Independent |
| Pittsburg Skilled Nursing Center | Pittsburg, CA | ★☆☆☆☆ 1/5 | 49 | Independent |
| Berkeley Pines Skilled Nursing Center | Berkeley, CA | ★☆☆☆☆ 1/5 | 36 | Independent |
| All Saint'S Maubert | San Leandro, CA | ★☆☆☆☆ 1/5 | 14 | Pacs Group |
| Chinese Hospital D/P Snf | San Francisco, CA | Not rated | 23 | Independent |
Source: CMS Care Compare, federal five-star quality rating system, retrieved September 2026. Lilisity republishes this government data unmodified; no facility can pay to change its rating.
Senior living in the San Francisco metro is spread across Alameda, Contra Costa, San Francisco, San Mateo, and Marin counties in California. The cities with the most licensed communities and nursing homes are listed below; most sit within a short drive of the region’s hospital systems, which matters for families coordinating specialist care or hospital discharge.
How Lilisity makes money: some communities pay us a referral fee when a family we’ve helped moves in. That fee never changes a review, a rating, or who appears on this page — CMS ratings come from the federal government, and reviews come from residents. Read the full methodology → · How we are paid →
“My brother-in-law lives at the community and I couldn’t be happier with how he’s treated. The management and staff are incredibly caring, attentive, and loving with everyone, not just him. The food is good, the activities are wonderful, and there’s always something going on. The room and…”
Most states, including California, offer a Medicaid waiver that covers care costs (not room and board) at participating assisted living communities for people who qualify financially and medically. Not every community accepts the waiver, so ask early. Veterans and surviving spouses may also qualify for VA Aid & Attendance, worth up to roughly $2,300 per month toward care.
Assisted living provides housing, meals, and help with daily tasks like bathing and medications in an apartment setting, state-licensed and mostly private pay. Nursing homes (skilled nursing) provide 24/7 medical care, are federally certified and CMS-rated, and are typically paid through Medicare, Medicaid, or long-term-care insurance.
Every facility in the table above links to its full record — CMS star ratings, health-inspection findings, staffing hours per resident, and any fines or penalties, sourced from Medicare's Care Compare data. 61 San Francisco-area facilities currently hold a 5-star overall rating.
Assisted living moves can happen in days when a community has availability — after a nurse assessment and paperwork. Memory care placements after a crisis often complete within one to two weeks. Calling an advisor who knows current availability is the fastest path: (833) 612-4732.
Yes. All 20 reviews on this page come from recorded, voice-to-voice phone interviews with named residents and family members, conducted and verified by Senior Living Alliance. Nothing is scraped, anonymous, or edited — including the four-star reviews.
One call covers current availability, honest pricing, and which communities fit your parent’s care needs and budget. No obligation, and we never sell your information.
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