Lilisity
Home › California › San Francisco

Senior Living in San Francisco, CA: Verified Testimonials & 2026 Costs

Data updated November 2026·Testimonials verified by phone through Aug 2026·Ratings from CMS Care Compare

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 testimonial 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.

Free family guideWhat care costs and how families pay

Compare 1 verified communities

Every community below has testimonials from 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.

CommunityLocationCare typesStarting pricePhone-verified testimonialsCMS rating
Tiffany Court of Walnut CreekWalnut Creek, CAAssisted LivingFrom $6,900/mo20+ 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.

Tiffany Court of Walnut Creek

Walnut Creek, CA · Assisted Living
“In more than two years, I have yet to find one little thing to say that's negative. Management is wonderful, caring and very attentive to everybody, not just my…”
— William Anderson, Aug 2026 · phone-verified
Read 20+ verified testimonials →

All senior living in San Francisco: 1003 licensed communities by county

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 testimonials have phone-verified resident and family interviews on file.

Also listed from public records: 3 independent living, life plan or 55+ communities and 278 income-restricted senior apartment buildings. Independent living is not licensed by the state, so they are listed apart on each county page.

Contra Costa County, CA 456 communities

Alameda County, CA 241 communities

San Mateo County, CA 207 communities

Marin County, CA 50 communities

San Francisco County, CA 49 communities

How much does senior living cost in San Francisco?

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 typeTypical San Francisco rangeWhat it covers
Independent living$3,000 – $4,500Private apartment or cottage, meals and services optional
Assisted living$4,500 – $6,500Daily personal care, meals, medication management
Memory care$5,500 – $8,000Secured neighborhood, dementia-trained staff
Skilled nursingPayer-based24/7 medical care; Medicare/Medicaid/private pay

Ranges reflect published rates at verified San Francisco-area communities plus operator-published market rates, November 2026. California’s Medicaid waiver programs and VA Aid & Attendance can offset costs — see the FAQ below.

What are the highest-rated nursing homes in San Francisco?

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 AcuteConcord, CA★★★★★ 5/5190Pacs Group
City View Post AcuteSan Francisco, CA★★★★★ 5/5180Pacs Group
Rossmoor Post AcuteWalnut Creek, CA★★★★★ 5/5155Pacs Group
Pleasanton Nursing and Rehabilitation CenterPleasanton, CA★★★★★ 5/5139Generations Healthcare
Crestwood Manor - FremontFremont, CA★★★★★ 5/5126Independent
Medical Hill Healthcare CenterOakland, CA★★★★★ 5/5124Pacs Group
Pacific Heights Transitional Care CenterSan Francisco, CA★★★★★ 5/5120Aspen Skilled Healthcare
Stonebrook Post AcuteConcord, CA★★★★★ 5/5120Independent
Tice Valley Post AcuteWalnut Creek, CA★★★★★ 5/5120Pacs Group
Alameda County Medical Center D/P SNFSan Leandro, CA★★★★★ 5/5109Independent
Bay Area Healthcare CenterOakland, CA★★★★★ 5/599Independent
Bayberry Skilled Nursing & Healthcare CenterConcord, CA★★★★★ 5/599Generations Healthcare
Excell Health Care CenterOakland, CA★★★★★ 5/599David & Frank Johnson
La Casa Via Transitional Care CenterWalnut Creek, CA★★★★★ 5/599Aspen Skilled Healthcare
Lone Tree Post AcuteAntioch, CA★★★★★ 5/599Pacs Group

Source: CMS Care Compare, federal five-star quality rating system, retrieved November 2026. Lilisity republishes this government data unmodified; no facility can pay to change its rating.

Which San Francisco areas have senior living?

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.

California

  • Concord (102)
  • Walnut Creek (79)
  • San Francisco (67)
  • San Mateo (63)
  • Antioch (60)
  • Hayward (51)
  • Oakland (49)
  • Fremont (39)
  • Brentwood (39)

How these testimonials were collected and how we’re paid

  1. We interview residents and family members by phone, voice to voice — never web forms, never scraped from other sites.
  2. Every testimonial is named and dated, and verified against the community’s current resident or family list before publishing.
  3. Testimonials are published as given, including critical ones. Of the 20 on this page, 20 are five-star and 0 are four-star. None were removed.

How Lilisity is paid: Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. CMS ratings come from the federal government, and testimonials come from residents. Read the full methodology → · How we are paid →

Recent verified testimonials from San Francisco families

★★★★★

“In more than two years, I have yet to find one little thing to say that's negative. Management is wonderful, caring and very attentive to everybody, not just my brother-in-law. The people are loving, caring and attentive. I go almost every day, and his room is always clean. You can smell the…”

William Anderson · Aug 2026 · Tiffany Court of Walnut Creekphone-verified

Assisted living and memory care by city

Assisted Living in Concord 97Assisted Living in Walnut Creek 73Assisted Living in San Mateo 61Assisted Living in Antioch 58Assisted Living in San Francisco 49Assisted Living in Brentwood 39Assisted Living in Hayward 35Assisted Living in Livermore 35Assisted Living in Fremont 32Assisted Living in Oakland 31Assisted Living in South San Francisco 31Assisted Living in San Rafael 30Assisted Living in Redwood City 28Assisted Living in Union City 22Assisted Living in Pittsburg 21Assisted Living in Pleasant Hill 21Assisted Living in Castro Valley 20Assisted Living in San Bruno 20Assisted Living in Danville 19Assisted Living in Richmond 19Assisted Living in Oakley 17Assisted Living in San Leandro 17Assisted Living in San Ramon 17Assisted Living in Daly City 15

San Francisco senior living questions, answered

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. Ask each community about openings when you call.

Yes. All 20 testimonials 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 testimonials.

Free help with senior living in San Francisco

Our free guide shows the starting prices communities post for each kind of care, walks you through a monthly budget, and explains how insurance, VA benefits, Medicaid and Medicare can help. We don’t share your information with any community.

Cover of the Lilisity guide Paying for Senior Living

Free guide · 16 pages

Paying for Senior Living

Costs by type of care, a monthly budget, and how insurance, the VA, Medicaid and Medicare help.

Get the free guideRead it online
Cover of the Lilisity guide Paying for Senior Living

Free guide · 16 pages

Paying for Senior Living

Add your name and email, and the download link appears right here.

Free for families. No community pays Lilisity per inquiry, per referral or per move-in. How we are paid.
Explore more: All California senior livingAlameda CountyContra Costa CountySan Francisco CountySan Mateo CountyMarin CountyHow testimonials are verifiedSenior living costs by state
© 2026 Lilisity, operated by Senior Living Alliance. List your community · For senior living communities →