Assisted Living in San Rafael, CA
San Rafael has 30 state-licensed assisted living communities: 10 larger communities and 20 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.
Free guide · 14 pages
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 Rafael
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” (28), “Rcfe-Continuing Care Retirement Community” (2).
All 30 licensed assisted living communities in San Rafael
Every assisted living community California licenses in San Rafael, 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.
30 shown
| Community | Size | Price |
|---|---|---|
| Aldersly326 Mission Avenue | Large172 residents | from $9,589/mo |
| Almavia of San Rafael515 Northgate Drive | Large160 residents | from $2,755/mo |
| Drake Terrace275 Los Ranchitos Road | Large130 residents | from $7,085/mo |
| The Vincent1 Las Gallinas Ave | Large126 residents | $4,350 to $7,000/moLilisity estimate |
| Aegis Living San Rafael800 Mission Ave | Large98 residents | from $6,997/mo |
| Cogir of San Rafael111 Merrydale Rd | Large70 residents | $4,350 to $7,000/moLilisity estimate |
| Greenwood Assisted Living233 West End Ave | Mid-size47 residents | $4,350 to $7,000/moLilisity estimate |
| Saint Michael's Extended Care416 4th Street | Mid-size44 residents | $4,350 to $7,000/moLilisity estimate |
| Golden Home Extended Care1234 Las Gallinas Ave | Mid-size28 residents | $4,350 to $7,000/moLilisity estimate |
| Villa Marin Ambulatory Care Unit100 Thorndale Drive | Mid-size28 residents | from $12,646/mo |
| Villa Gardens25 Villa Avenue | Small home12 residents | $4,350 to $7,000/moLilisity estimate |
| Roses Resthome1 Roosevelt Ave | Small home8 residents | $4,800 to $7,750/moLilisity estimate |
| A&A Haven Home73 Golden Hinde Blvd. | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Daniel Rest Home28 Roosevelt Avenue | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Gentle Home Care463 Nova Albion Way | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Haven House of San Rafael45 Meriam Dr | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Haven Residence of San Rafael70 Meriam Dr | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Long Life Living II15 Pikes Peak Drive | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Long Life Living III36 Mt. Foraker Drive | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Loving Long Life57 Vallejo Way | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Terra Linda Christian Homes # 2598 Kernberry | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Terra Linda Christian Homes # 5631 Bamboo Terrace | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Terra Linda Christian Homes #4344 Devon Drive | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| The Bridge Carehome181 Lucas Park Dr. | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Three Home Village 2675 Rosal WAY | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Three Home Village 3679 Rosal Way | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Three Home Village I665 Rosal Way | Small home6 residents | $4,800 to $7,750/moLilisity estimate |
| Shalom House566 Wakerobin Lane | Small home5 residents | $4,800 to $7,750/moLilisity estimate |
| Garden Home16 Garden Ave | Small home4 residents | $4,800 to $7,750/moLilisity estimate |
| Luna's Home1027 Las Pavadas Avenue | Small home4 residents | $4,800 to $7,750/moLilisity estimate |
Independent living in San Rafael
Also in San Rafael: 3 independent living, life plan and 55+ communities in San Rafael and 6 income-restricted senior apartment buildings.
How much does assisted living cost in San Rafael?
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. 5 San Rafael communities publish a starting price on Lilisity, from $2,755 to $12,646 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 Rafael 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 Rafael 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 Rafael assisted living questions
California licenses 30 assisted living communities in San Rafael as of November 2026: 10 larger communities and 20 small residential homes of 16 or fewer residents, with about 1,026 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.