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.
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” (28), “Rcfe-Continuing Care Retirement Community” (2).
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 reviews are listed first, then by size.
30 shown
| Community | Size | Price |
|---|---|---|
| Aldersly326 Mission Avenue | Large172 residents | Get pricing |
| Almavia of San Rafael515 Northgate Drive | Large160 residents | Get pricing |
| Drake Terrace275 Los Ranchitos Road | Large130 residents | Get pricing |
| The Vincent1 Las Gallinas Ave | Large126 residents | Get pricing |
| Aegis Living San Rafael800 Mission Ave | Large98 residents | Get pricing |
| Cogir of San Rafael111 Merrydale Rd | Large70 residents | Get pricing |
| Greenwood Assisted Living233 West End Ave | Mid-size47 residents | Get pricing |
| Saint Michael's Extended Care416 4th Street | Mid-size44 residents | Get pricing |
| Golden Home Extended Care, INC.1234 Las Gallinas Ave | Mid-size28 residents | Get pricing |
| Villa Marin Ambulatory Care Unit100 Thorndale Drive | Mid-size28 residents | Get pricing |
| Villa Gardens25 Villa Avenue | Small home12 residents | Get pricing |
| Roses Resthome1 Roosevelt Ave | Small home8 residents | Get pricing |
| A&a Haven Home73 Golden Hinde Blvd. | Small home6 residents | Get pricing |
| The Bridge Carehome181 Lucas Park Dr. | Small home6 residents | Get pricing |
| Daniel Rest Home28 Roosevelt Avenue | Small home6 residents | Get pricing |
| Gentle Home Care LLC463 Nova Albion Way | Small home6 residents | Get pricing |
| Haven House of San Rafael45 Meriam Dr | Small home6 residents | Get pricing |
| Haven Residence of San Rafael70 Meriam Dr | Small home6 residents | Get pricing |
| Long Life Living INC II15 Pikes Peak Drive | Small home6 residents | Get pricing |
| Long Life Living INC III36 Mt. Foraker Drive | Small home6 residents | Get pricing |
| Loving Long Life57 Vallejo Way | Small home6 residents | Get pricing |
| Terra Linda Christian Homes, INC # 2598 Kernberry | Small home6 residents | Get pricing |
| Terra Linda Christian Homes, INC # 5631 Bamboo Terrace | Small home6 residents | Get pricing |
| Terra Linda Christian Homes, INC #4344 Devon Drive | Small home6 residents | Get pricing |
| Three Home Village 2675 Rosal WAY | Small home6 residents | Get pricing |
| Three Home Village 3679 Rosal Way | Small home6 residents | Get pricing |
| Three Home Village I665 Rosal Way | Small home6 residents | Get pricing |
| Shalom House566 Wakerobin Lane | Small home5 residents | Get pricing |
| Garden Home16 Garden Ave | Small home4 residents | Get pricing |
| Luna's Home1027 Las Pavadas Avenue | Small home4 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 30 assisted living communities in San Rafael as of September 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, 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.
