Assisted Living in San Francisco, CA
San Francisco has 49 state-licensed assisted living communities: 22 larger communities and 27 small residential homes (16 or fewer residents). The median cost of assisted living in California is $7,000 a month (CareScout 2025), against $6,200 nationally.
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Choosing Assisted Living
A practical guide for families, with checklists to take on your tours.
- What assisted living costs and the ways to pay
- Signs it may be time
- Tour checklists to print and take with you
- What residents and families told us matters most
Two kinds of assisted living in San Francisco
Both are licensed by California as assisted living. Larger communities suit people who want social life and on-site services; small homes suit people who do better with quiet, familiar routines, including many people with dementia. California words these licenses as “Residential Care Elderly” (46), “Rcfe-Continuing Care Retirement Community” (3).
All 49 licensed assisted living communities in San Francisco
Every assisted living community California licenses in San Francisco, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified testimonials are listed first, then by size.
49 shown
| Community | Size | Price |
|---|---|---|
| The Sequoias San Francisco1400 Geary Blvd | Large400 residents | $4,350 to $7,000/moLilisity estimate |
| San Francisco Towers (Independent Living and Assisted Living and Continuing Care)1661 Pine ST | Large350 residents | $4,350 to $7,000/moLilisity estimate |
| Coterie Cathedral Hill1001 Van Ness Avenue | Large260 residents | from $10,815/mo |
| Lynne & Roy M Frank ResidencesOne Avalon Avenue | Large220 residents | $4,350 to $7,000/moLilisity estimate |
| Ivy Park at Cathedral Hill1550 Sutter Street | Large210 residents | $4,350 to $7,000/moLilisity estimate |
| Rhoda Goldman Plaza2180 Post Street | Large195 residents | $4,350 to $7,000/moLilisity estimate |
| Alma Via of San FranciscoOne Thomas More Way | Large175 residents | from $8,015/mo |
| The Ivy at Golden Gate1601 19th Avenue | Large168 residents | $4,350 to $7,000/moLilisity estimate |
| Portola Gardens350 University St | Large132 residents | from $4,500/mo |
| The Carlisle-Ivy Signature Living1450 Post St | Large130 residents | $4,350 to $7,000/moLilisity estimate |
| Victorian Manor1444 Mcallister Street | Large124 residents | $4,350 to $7,000/moLilisity estimate |
| Sagebrook Senior Living at San Francisco2750 Geary Blvd | Large111 residents | $4,350 to $7,000/moLilisity estimate |
| Heritage on the Marina3400 Laguna St. | Large109 residents | $4,350 to $7,000/moLilisity estimate |
| Buena Vista Manor House399 Buena Vista Avenue East | Large87 residents | $4,350 to $7,000/moLilisity estimate |
| Kokoro Assisted Living1881 Bush St | Large61 residents | about $5,086/moLilisity estimate |
| San Francisco RCFE887 Potrero Avenue | Large59 residents | $4,350 to $7,000/moLilisity estimate |
| Merced Girard Residential Care Facility129 Girard Street | Mid-size42 residents | $4,350 to $7,000/moLilisity estimate |
| Fook Hong Sf Care Home5735 Mission Street | Mid-size40 residents | $4,350 to $7,000/moLilisity estimate |
| Providence Place2456 Geary Blvd. | Mid-size34 residents | $4,350 to $7,000/moLilisity estimate |
| Merced Three Residential Care Facility1420 Hampshire Street | Mid-size33 residents | $4,350 to $7,000/moLilisity estimate |
| Psalm Residential Care Home565 Grove St | Mid-size22 residents | $4,350 to $7,000/moLilisity estimate |
| Kimochi Home1531 Sutter Street | Mid-size20 residents | $4,350 to $7,000/moLilisity estimate |
| Autumn Glow654 Grove Street | Small home15 residents | $4,350 to $7,000/moLilisity estimate |
| Lady of Perpetual Help Rfe #1476 Fair Oaks Street | Small home15 residents | $4,350 to $7,000/moLilisity estimate |
| Sunset Care Home1434 7th Avenue | Small home15 residents | $4,350 to $7,000/moLilisity estimate |
| Care and Care Residence I940 Haight Street | Small home14 residents | $4,350 to $7,000/moLilisity estimate |
| Julie's Care Home1363 - 5th Avenue | Small home14 residents | $4,350 to $7,000/moLilisity estimate |
| Merced Residential Care Facility259 Broad Street | Small home14 residents | $4,350 to $7,000/moLilisity estimate |
| Merced Two Residential Care Facility257 Broad Street | Small home14 residents | $4,350 to $7,000/moLilisity estimate |
| Sutro Heights659 45th Street | Small home14 residents | $4,350 to $7,000/moLilisity estimate |
| Uplyft Assisted Care659 45th AVE | Small home14 residents | $4,350 to $7,000/moLilisity estimate |
| Sunset Gardens1338 27th Avenue | Small home13 residents | $4,350 to $7,000/moLilisity estimate |
| Damenik's Home331 30th Avenue | Small home12 residents | $4,350 to $7,000/moLilisity estimate |
| Rj Starlight Home2680 Bryant Street | Small home12 residents | $4,350 to $7,000/moLilisity estimate |
| Tlc Home Care II110 Vale Avenue | Small home9 residents | $4,800 to $7,750/moLilisity estimate |
| Janet's Residential Facility for the Elderly2970 25th Avenue | Small home8 residents | $4,800 to $7,750/moLilisity estimate |
| 9th Avenue Community Care Home1730 - 9th Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Care and Care Residence II901 Grafton Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Cayco's Care Home1855 35th Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Corinthian Garden Residential Care Home170 Aptos Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Gentle Hands Seniors2447 19th Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Golden Residential Care Home166 Foote Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Gonzales Home2237 Noriega Street | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Guirola Resident Care618 Holloway Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Marian's Care Home I1450 - 24th Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Quality Care Homes 2757 - 44th Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Sunset Care Home 21367 39th Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Taraval Residential Care Home3721 Taraval Street | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Byxbee Home383 Byxbee Street | Small home4 residents | $4,800 to $7,750/moLilisity estimate |
Independent living in San Francisco
Also in San Francisco: 4 independent living, life plan and 55+ communities in San Francisco and 74 income-restricted senior apartment buildings.
How much does assisted living cost in San Francisco?
The median cost of assisted living in California is $7,000 a month ($84,000 a year), above the national median of $6,200. That’s CareScout’s 2025 survey, collected July to November 2025. 3 San Francisco communities publish a starting price on Lilisity, from $4,500 to $10,815 a month. If more care is needed: nursing home costs in California, with CareScout medians and the private-pay rates nursing homes publish. Small residential homes often cost less than larger communities, though care needs, room type and services move the price more than the building does.
Medicare does not pay for assisted living. People pay from savings and income, long-term care insurance, or VA Aid and Attendance (up to $29,093 a year for a veteran in 2026), and some qualify for Medicaid help with care costs at communities that accept it. Who actually pays for long-term care.
Free tools: how long will the money last? · home care or assisted living? · VA Aid and Attendance estimator
Three questions to ask on every San Francisco tour
From about 23,000 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
- Can I come back and eat a meal here, unannounced?Dining was 23% of all concerns: quality that changes day to day.
- How is laundry labeled and tracked, and what happens when something goes missing?Housekeeping was 17%.
- Who is my main contact, and how often will I hear from them?Communication with management was 15%.
All 8 tour questions, with a free printable tour card (PDF).
Check a San Francisco community’s license
California publishes licensing records, and in most cases inspection or complaint reports, for every community on this page. Look up any community on the state’s site: ccld.dss.ca.gov. Ask the community for its most recent inspection report too; they have to keep it.
San Francisco assisted living questions
California licenses 49 assisted living communities in San Francisco as of November 2026: 22 larger communities and 27 small residential homes of 16 or fewer residents, with about 3,241 licensed spots in all.
The median cost of assisted living in California is $7,000 a month (CareScout 2025), compared with $6,200 nationally. Prices vary with the room, the level of care and the community, so ask each one for its current rate sheet. The table on this page shows each community's published price or a Lilisity estimate where we have one, and our free guide lists the questions to ask about cost.
Medicaid doesn't pay rent or meals in assisted living. Most states offer a Medicaid waiver or program that can pay for care services at participating communities for people who qualify; not every community takes it, so ask each one. California's Medicaid agency or your local Area Agency on Aging can tell you what's available.
California publishes its licensing records at ccld.dss.ca.gov. You can also ask any community for its most recent state inspection report.