San Mateo has 61 state-licensed assisted living communities: 5 larger communities and 56 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.
Most communities don't publish prices. Tell us who you're looking for and a local advisor will send current rates and availability for the assisted living options that fit.
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” (59), “Rcfe-Continuing Care Retirement Community” (2).
Every assisted living community California licenses in San Mateo, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified reviews are listed first, then by size.
61 shown
| Community | Size | Price |
|---|---|---|
| Peninsula Regent (the)1 Baldwin Avenue | Large435 residents | Get pricing |
| Harbor at Hillsdale Senior Living2883 S Norfolk St | Large175 residents | Get pricing |
| The Stratford601 Laurel Ave | Large96 residents | Get pricing |
| Sunrise of San Mateo955 S El Camino Real | Large85 residents | Get pricing |
| Sterling Court850 No. El Camino Real | Mid-size24 residents | Get pricing |
| Kimochi San Mateo453 N San Mateo DR | Small home14 residents | Get pricing |
| Heritage Inn835 Jefferson Court | Small home12 residents | Get pricing |
| Heritage Place152 24th Avenue | Small home12 residents | Get pricing |
| Olivia's Care Home IV2836 Flores St. | Small home12 residents | Get pricing |
| B & B Residential Facilities, INC.15 W. 38th Avenue | Small home7 residents | Get pricing |
| Aba Maria's Home for the Elderly125a 24th Ave. | Small home6 residents | Get pricing |
| Adams Paul INC1778 Adams Street | Small home6 residents | Get pricing |
| Ageway Boarding Care #21325 Royal Avenue | Small home6 residents | Get pricing |
| Ajaviniar Home Care Services LLC1024 Norton St | Small home6 residents | Get pricing |
| Amazing Home17 Jody Court | Small home6 residents | Get pricing |
| Angel Haven1660 Wolfe Drive | Small home6 residents | Get pricing |
| B & B Residential Facilities13 W. 38th Avenue | Small home6 residents | Get pricing |
| B & B Residential Facilities, INC.3824 Beresford Street | Small home6 residents | Get pricing |
| Camenchita's Rch, LLC1615 Dix Street | Small home6 residents | Get pricing |
| Chateau Sabelle2921 Isabelle Street | Small home6 residents | Get pricing |
| Comfort Home II652 Vanessa Drive | Small home6 residents | Get pricing |
| Complete Senior Living, INC601 N. Idaho | Small home6 residents | Get pricing |
| Emerald Residential Care Home1749 Newbridge Avenue | Small home6 residents | Get pricing |
| Enchanted Garden for Seniors188 Starlite Drive | Small home6 residents | Get pricing |
| Garden Court at the Village137 Poinsettia Ave | Small home6 residents | Get pricing |
| George Anne Home849 N Delaware Street | Small home6 residents | Get pricing |
| Haven@22nd Avenue Assisted Living304 22nd Ave | Small home6 residents | Get pricing |
| Hennelly House306 - 31st Avenue | Small home6 residents | Get pricing |
| Heritage Park843 Jefferson Court | Small home6 residents | Get pricing |
| Judy's Home for the Elderly3425 Pacific Boulevard | Small home6 residents | Get pricing |
| Judy's Senior Care Home LLC151 28th Ave. | Small home6 residents | Get pricing |
| Judy's Tender Care for the Elderly3415 Pacific Blvd. | Small home6 residents | Get pricing |
| Monteverde Manor III2650 Edison Street | Small home6 residents | Get pricing |
| New Life Residence976 Norton | Small home6 residents | Get pricing |
| Noah's Care Home52 West 39th Avenue | Small home6 residents | Get pricing |
| Olivia's Care Home2087 Isabelle Ave | Small home6 residents | Get pricing |
| Olivia's Care Home II48 West 39th Ave | Small home6 residents | Get pricing |
| Olivia's Care Home III317 W 20th Avenue | Small home6 residents | Get pricing |
| Our House1916 Shoreview Avenue | Small home6 residents | Get pricing |
| Pacific Care Home3647 Pacific Blvd | Small home6 residents | Get pricing |
| Pacific Care Home II3653 Pacific Blvd | Small home6 residents | Get pricing |
| Pacific Care Home IV92 West 41st Avenue | Small home6 residents | Get pricing |
| Pacific Care Home V1790 Brooks St | Small home6 residents | Get pricing |
| Patricia Home988 Patricia Avenue | Small home6 residents | Get pricing |
| Peninsula Elderly Care Home108 Darcy Ave | Small home6 residents | Get pricing |
| Peninsula Village108 E. Hillsdale Blvd. | Small home6 residents | Get pricing |
| Petani Haven1840 Evergreen Street | Small home6 residents | Get pricing |
| Portola Place445 Portola Drive | Small home6 residents | Get pricing |
| Roias Home for the Elderly311 28th Avenue | Small home6 residents | Get pricing |
| Royal Ilima1565 Royal Ave. | Small home6 residents | Get pricing |
| San Mateo Villa1661 Mckinley Street | Small home6 residents | Get pricing |
| Shoreview 21799 Shoreview Avenue | Small home6 residents | Get pricing |
| Therese Residential Care Home1787 Rex Street | Small home6 residents | Get pricing |
| Tlc Home Care V716 North Humboldt St | Small home6 residents | Get pricing |
| Unified Hearts Home Care630 Vanessa Dr | Small home6 residents | Get pricing |
| Vanessa Care Home II1640 Eleanor Drive | Small home6 residents | Get pricing |
| Nevilyn's Home1702 Echo Avenue | Small home4 residents | Get pricing |
| Norcal Care Home II1706 Borden Street | Small home4 residents | Get pricing |
| Roberta Care Home1647 Roberta Drive | Small home4 residents | Get pricing |
| Martha's Home227 Prague Street | Small home3 residents | Get pricing |
| Nani's Home633 Vanessa Drive | Small home3 residents | Get pricing |
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. 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
From 22,911 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
All 8 tour questions, with a free printable tour card (PDF).
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.
California licenses 61 assisted living communities in San Mateo as of September 2026: 5 larger communities and 56 small residential homes of 16 or fewer residents, with about 1,166 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, or ask a Lilisity advisor for current prices.
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.
One call covers which communities have openings, what they cost and which fit your parent's needs and budget.
