Assisted Living in San Francisco, California

San Francisco, CA is a great location for seniors looking for assisted living. Assisted living is a type of care that provides help with daily activities such as...

San Francisco, CA is a great location for seniors looking for assisted living. Assisted living is a type of care that provides help with daily activities such as dressing, bathing, and medication management, while still promoting independence.

Assisted living is different from independent living and skilled nursing facilities. Independent living is for seniors who are still active and do not require assistance with daily activities. Skilled nursing facilities are for seniors who require more medical attention.

In San Francisco, there are many assisted living facilities that offer a variety of services and amenities. The cost of assisted living in San Francisco is higher than the average cost in California. However, the average income in San Francisco is also higher than the average income in California.

San Francisco is one of the top cities in California for assisted living. There are many great facilities to choose from, such as:

Aegis Living of San Francisco
AgeSong Hayes Valley
AlmaVia of San Francisco
Coventry Place
Cypress at Golden Gate

When looking for the right assisted living facility in San Francisco, it's important to consider the needs and preferences of your loved one, as well as the cost and location of the facility.

Janet's Residential Facility

3.8

2970 25th Ave, California 94132

Memory Care

Independent Living

Janet’s Residential Facility isn’t a big, impersonal institution — it’s a small care home run by Janet herself, who’s known for being hands-on and present with both residents and their families. The place feels more like a family home than a facility, with just a handful of residents and staff who actually know everyone by name. People mention that Janet is often around, answering questions directly and keeping a close eye on how things are going day to day.

Estimated Pricing

$5,088–$14,180 / mth

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Arlington Care Home

3.8

2545 Arlington Blvd, California 94530

Independent Living

Assisted Living

Arlington Care Home offers a personalized approach to senior living, focusing on assisted and independent living services. They provide 24-hour supervision and assistance with daily activities like bathing and dressing. The staff includes bilingual caregivers and is directed by a California Registered Nurse, ensuring a high level of care coordination. Families appreciate the intimate setting and the ability to tailor services to individual needs.

Estimated Pricing

$3,381–$7,925 / mth

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A Windsor House

3.8

2741 Hillegass Ave, California 94705

Memory Care

Independent Living

A Windsor House feels more like a classic Berkeley home than a facility, tucked on a leafy residential street with just a handful of residents. This place is small—think six to eight residents, not dozens—so you get a lot more personal attention than you’ll find at bigger places. Staff help with the basics: bathing, dressing, medication, and making sure folks get to appointments. Meals are home-cooked and they’ll work with special diets, including diabetes.

Estimated Pricing

$3,591–$12,659 / mth

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Burlingame Senior Home

3.8

1237 Balboa Ave, California 94010

Assisted Living

Burlingame Senior Home feels more like a cozy house than an institution, which is something families often mention. It's a small, residential-style place with a high staff-to-resident ratio—about one caregiver for every three residents. That means folks living there get a lot of personal attention, whether it's help with bathing, getting dressed, or managing medications.

Estimated Pricing

$4,137–$6,750 / mth

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Apple Tree Home Care

3.8

716 N Humboldt St, California 94401

Memory Care

Nursing Home

Apple Tree Home Care is a small, six-bed residential care home tucked into a quiet San Mateo neighborhood. Families often choose it for its homey atmosphere and the option for single rooms, which can be hard to find locally. The owner has described the house manager as having a decade of experience abroad and equivalent training to U.S. standards, though at least one family reported that the manager seemed inexperienced and hesitant to make decisions when it counted.

Estimated Pricing

$4,619–$11,098 / mth

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Elders Inn

3.8

1721 Webster St, California 94501

Memory Care

Independent Living

Elders Inn feels more like a small neighborhood than a big facility, with just 52 suites and several peaceful courtyards where residents can relax outside. Families mention that the place is clean and doesn't have that 'nursing home smell'—a detail that often matters more than you think. The staff gets a lot of praise for being genuinely friendly and attentive, and names like Tristan come up in reviews for being especially helpful.

Estimated Pricing

$4,243–$12,126 / mth

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Autumn Glow

3.8

654 Grove St, California 94102

Memory Care

Independent Living

Autumn Glow stands out because it feels more like a home than an institution. With only about 15 residents, it’s small enough that staff actually know everyone’s routines and quirks. The team is specifically trained in Alzheimer’s and dementia care, and they’re on site 24/7—not just for emergencies, but for everyday help with things like medication and personal care.

Estimated Pricing

$5,088–$10,017 / mth

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Bayside Elderly Housing

3.8

777 Broadway, California 94607

Assisted Living

Bayside Elderly Housing is one of those places that quietly supports seniors who want to age in place, especially those with limited incomes. It’s not your typical 'assisted living'—the building is specifically designed for independent seniors and disabled adults who qualify for HUD’s Section 8 rental assistance. The property is managed by Chinatown Community Development Center (Chinatown CDC), a local nonprofit with deep roots in San Francisco’s Chinatown and North Beach neighborhoods.

Estimated Pricing

$5,088–$7,957 / mth

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Sacramento Senior Home Management Office

3.8

2517 Sacramento St, California 94702

Assisted Living

Sacramento Senior Home Management Office at 2517 Sacramento St is one of those places that tends to fly under the radar, but families in Berkeley know it for its straightforward approach to assisted living. It isn’t a sprawling facility—instead, it feels more like a residential home, which can be a relief for folks who want something less institutional. They offer a range of room options, from studios to two-bedrooms, so residents can find a setup that fits their needs and budget.

Estimated Pricing

$3,591–$7,050 / mth

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Marina Garden Nursing Center

3.7

3201 Fernside Blvd, California 94501

Memory Care

Independent Living

Marina Garden Nursing Center is a small, locally owned skilled nursing facility with just 32 beds, so it feels more personal than some of the larger places in Alameda. They handle a mix of short-term rehab, long-term care, and respite stays. Families often mention that the staff is attentive and that there's a consistent group of caregivers, which can make transitions easier for new residents.

Estimated Pricing

$4,243–$12,126 / mth

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Berg Senior Services

3.7

6510 Gladys Ave, California 94530

Memory Care

Independent Living

Berg Senior Services is run by a family that's been in the senior care space for years, and you can feel that personal touch when you walk in. They focus on assisted living, independent living, and memory care, all under one roof, so residents can stay put even if their needs change. The leadership team has been with the organization for over 17 years, which is rare and means there's a lot of consistency in how things are run.

Estimated Pricing

$3,381–$9,000 / mth

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Confedence Home Care

3.7

865 Marina Bay Pkwy # 43, California 94804

Memory Care

Nursing Home

Confidence Home Care, tucked into the Marina Bay area of Richmond, has built a reputation for hands-on, practical support for older adults who want to remain at home. Their caregivers help with everyday needs like bathing, dressing, meal prep, and medication reminders. What stands out is their willingness to tailor care plans—families mention that staff regularly check in and adjust routines as needs change.

Estimated Pricing

$4,000–$12,106 / mth

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Crystal Springs Care Home

3.7

265 Acacia Ave, California 94066

Assisted Living

Crystal Springs Care Home is a small, homey board and care home tucked into a residential neighborhood in San Bruno. It’s not a big, flashy facility—more like a house where a handful of seniors live together and get help with daily routines. The care team helps with things like bathing, dressing, medication reminders, and getting to doctor’s appointments. They also handle meals, laundry, and housekeeping, so residents and families don’t have to worry about chores.

Estimated Pricing

$3,625–$6,750 / mth

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Heirloom Gardens

3.7

1424 Sanchez Ave, California 94010

Assisted Living

Heirloom Gardens is a small, intimate community offering assisted living services tailored to seniors who need support with daily activities. They specialize in caring for residents with mild dementia, providing memory care, incontinence care, and general ambulatory assistance. The facility ensures residents receive personalized care, focusing on maintaining dignity and personal choice. Residents can enjoy social activities, arts and crafts, and health and wellness programs.

Estimated Pricing

$4,137–$6,750 / mth

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