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.

Complete Senior Living

3.6

601 N Idaho St, California 94401

Memory Care

Independent Living

Complete Senior Living at 601 N Idaho St in San Mateo is a smaller, residential-style community that offers assisted living, independent living, and memory care. What stands out here is the home-like feel—residents aren’t just in a big facility, but in a place that feels personal and welcoming. The staff-to-resident ratio is typically higher in these board and care homes, which means more one-on-one attention, though I couldn't find specific staff names or backgrounds.

Estimated Pricing

$4,619–$9,780 / mth

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The Stuart House

3.6

3067 Belfast Way, California 94806

Nursing Home

Assisted Living

The Stuart House is a small, residential care home with just six beds, which means residents get a lot more personal attention than in larger facilities. Instead of a big, institutional feel, it's more like a family home—residents have a choice of studio-style rooms, and the staff-to-resident ratio is naturally higher. The place is licensed as a Residential Care Facility for the Elderly, so they handle day-to-day help like bathing, dressing, meals, and medication reminders.

Estimated Pricing

$4,319–$12,106 / mth

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Elder Care Alliance

3.6

1301 Marina Village Pkwy Suite #210, California 94501

Memory Care

Independent Living

Elder Care Alliance in Alameda isn’t just another senior living provider—it’s a network with roots in faith-based values and a reputation that’s a bit of a mixed bag, depending on who you ask. Their Alameda office at Marina Village Parkway serves as an administrative hub, but the real action happens at their residential communities like AlmaVia of San Francisco and AlmaVia of Camarillo, both of which have landed on U.S.

Estimated Pricing

$4,243–$8,318 / mth

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Ashby Care Center

3.6

2270 Ashby Ave, California 94705

Nursing Home

Assisted Living

Ashby Care Center is a medium-sized nursing home and skilled nursing facility that’s been part of the Berkeley community for years. If you’re looking for a place that handles both short-term rehab and long-term care, this is one to consider. They offer around-the-clock nursing, and their staff includes registered nurses, physical therapists, occupational therapists, and speech therapists.

Estimated Pricing

$3,591–$12,659 / mth

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Providence Place

3.5

2456 Geary Blvd, California 94115

Memory Care

Independent Living

Providence Place isn’t your typical senior care community. What really stands out is their strong focus on memory care, especially for folks living with dementia. The staff here have a reputation for being genuinely tuned in to the needs of residents—families often mention how the team goes out of their way to keep everyone engaged and respected, not just cared for. They’re a medium-sized community, so it never feels overwhelming or impersonal.

Estimated Pricing

$5,088–$14,180 / mth

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The Home in Burlingame

3.5

922 Capuchino Ave, California 94010

Assisted Living

The Home in Burlingame is tucked into a quiet residential neighborhood, operating out of a large house that feels more like a family home than a facility. It’s a residential care home, so you’ll find a smaller group of residents—usually just a handful—living together and getting help with daily routines. Staff help with things like bathing, dressing, meals, and medication reminders. There’s no flashy amenities, but that’s not really the point here.

Estimated Pricing

$4,137–$6,750 / mth

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Shields-Richmond Nursing Center

3.5

1919 Cutting Blvd, California 94804

Memory Care

Nursing Home

Shields-Richmond Nursing Center stands out for its long history—run by the Shields family since 1965, they’re one of the few locally owned skilled nursing providers left in the area. The facility is mid-sized with 84 beds, so it’s not overwhelming, and families often mention that it feels more personal than the larger corporate-run places. They’re known for strong clinical care, especially for residents with complex needs.

Estimated Pricing

$4,000–$12,106 / mth

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Heirloom Gardens of Daly City

3.4

75 Surrey Ct, California 94015

Memory Care

Nursing Home

Heirloom Gardens of Daly City feels more like a small, homey place than a big, impersonal facility. They help with things like bathing, dressing, and making sure medications are taken correctly, but they also try to keep things comfortable and personal. Residents can decorate their rooms however they like, and there are both private and shared options. The staff is around 24/7, and there’s always someone awake at night if anyone needs help.

Estimated Pricing

$3,654–$13,037 / mth

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Life Time Home

3.4

356 Mastick Ave, California 94066

Assisted Living

Life Time Home is a small, residential assisted living spot tucked into a quiet San Bruno neighborhood. With just five residents at a time, it feels more like a family home than a facility. The staff is described as friendly and attentive, and they're around 24/7 to help with daily needs—things like bathing, dressing, medication reminders, and making sure residents stay safe. Meals are prepared in-house, and snacks are always available.

Estimated Pricing

$3,625–$6,750 / mth

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Cristina's Care Home

3.3

1580 Crestwood Dr, California 94066

Memory Care

Assisted Living

Cristina's Care Home feels more like a family home than a facility. The staff are known for being warm, attentive, and genuinely invested in the residents' well-being. Several families mention how easy it is to reach the caregivers, and that communication is straightforward and honest. Residents get help with daily routines—things like bathing, dressing, and managing medications—but it never feels rushed.

Estimated Pricing

$3,625–$10,322 / mth

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Golden Pavilion Healthcare

3.3

99 Escuela Dr, California 94015

Independent Living

Nursing Home

Golden Pavilion Healthcare is a big nursing home right off Escuela Drive in Daly City. If you’re looking for a place with a lot of beds and a mix of residents, this is one of the larger options around—almost 240 beds, so it’s definitely not a small, homey setting. They offer skilled nursing, rehab, and long-term care, with 24-hour supervision and help with daily needs.

Estimated Pricing

$3,654–$13,037 / mth

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St Rafael's Homes

3.3

2628 Shattuck Ave., California 94704

Nursing Home

Assisted Living

St Rafael's Homes is a small, residential care home located right on Shattuck Ave in Berkeley. They offer assisted living and board-and-care services, meaning residents get help with daily activities like bathing, dressing, medication reminders, and meals. The home is set up for seniors who need some support but don't require a full nursing facility. Staff can help with things like wound care, occupational therapy, and even podiatry visits.

Estimated Pricing

$3,591–$12,659 / mth

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TLC Home

3.3

3090 Muirfield Cir, California 94066

Assisted Living

TLC Home at 3090 Muirfield Cir stands out from other San Bruno care homes by feeling more like a real house than an institution. The staff here pay close attention to each resident’s daily routine—helping with things like bathing, dressing, and medication, but also encouraging independence wherever possible. Meals are a highlight: they’re cooked fresh, tailored to dietary needs, and residents can actually look forward to what’s on the menu.

Estimated Pricing

$3,625–$6,750 / mth

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D'Nalor Care Homes

3.2

2706 106th Ave, California 94605

Nursing Home

Assisted Living

Dimond Care feels more like a small, family-run home than a big senior facility. The place itself is modest—just one floor, with a handful of rooms and a cozy common area where residents often gather for meals or to watch TV. It’s not flashy, and some visitors say it can feel a bit dark or dated, but the inside is kept clean and there’s no unpleasant smell (which, as one reviewer pointed out, is a very good sign). The staff is a real highlight here.

Estimated Pricing

$3,715–$14,405 / mth

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