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Find the Best Assisted Living in San Francisco, CA

As they age, people sometimes need help with daily tasks, but finding the right assisted living facility for yourself or your loved one can be difficult. We created this guide by comparing the local reviews and availability of 42 businesses and choosing seven favorites from the top assisted living facilities in San Francisco.

Top 7 San Francisco Assisted Living Facilities

Cypress at Golden Gate Read Author Review

Offers assisted living, independent living and memory care. Three related local facilities. Provides pet-friendly residences, dining services and personalized care.

Kokoro Assisted Living Read Author Review

Offers assisted living in Japantown. Provides an outdoor courtyard, a library, 24-hour staffing, health and wellness activities, and a variety of cuisines.

Rhoda Goldman Plaza Read Author Review

Offers personalized assisted living care for many levels of need. Provides four housing unit options and dining service adapted to residents’ dietary needs. Waitlist option for when units are unavailable.

San Francisco Towers Read Author Review

Offers assisted living in San Francisco. Five related locations in California. Amenities include weekly housekeeping and rooms with a bay view. Provides two financial plan options for residents.

The Sequoias San Francisco Read Author Review

Offers assisted living, skilled nursing, memory care and independent living in San Francisco. Amenities include a beauty salon, a gift shop and reading areas.

The Village at Hayes Valley Read Author Review

Offers assisted living in San Francisco. Services include assistance with daily living, medication management, scheduled transportation and help from its 24-hour staff. Six related facilities in the Greater San Francisco area.

Victorian Manor Read Author Review

Offers assisted living and short-term respite care in San Francisco. Amenities include scheduled activities and classes, fitness programs, arts and crafts, and outdoor activities.

san francisco skyline

What to know about assisted living in San Francisco

There are numerous things to consider when planning a move to an assisted living facility. These include not only the advertised amenities but also the location, licensing and environment of the facility.

The California Department of Social Services regulates assisted living facilities through licensing and periodic inspections. However, as with any living situation, there are benefits and drawbacks to assisted living in San Francisco.

Benefits of assisted living in San Francisco:

  • Social Security income is exempt from California state taxes at the time of publishing.
  • The city offers free and discounted public transportation services for older people through the San Francisco Municipal Transportation Agency (SFMTA).
  • The city is home to many award-winning hospitals and health systems, including UCSF Health and John Muir Health.
  • Bay Area summers are warm and dry, and the winters are mild but wet. This weather allows for outdoor activity year-round.

Drawbacks of assisted living in San Francisco:

  • San Francisco has a high cost of living. The city’s grocery cost index is 86.91 compared to a U.S. maximum of 100, according to Numbeo at the time of publishing.
  • San Francisco’s terrain can be very hilly, which could limit your or your loved one’s mobility. As you tour each facility, notice whether the surrounding grounds are flat enough to allow for easy outdoor recreation.
  • California fully taxes income from retirement and pension benefits.

How much does assisted living cost in San Francisco?

On average, the cost of assisted living in San Francisco runs between $4,400 and $6,400 per month. There are several factors that affect the monthly cost of assisted living, including:

  • The level of care needed
  • Whether a spouse is moving in too
  • The type of housing unit

When comparing assisted living facilities, talk to all your options. Many assisted living facilities offer discounts for veterans or couples moving into assisted living together. If money is a concern, most facilities are willing to remove amenities or services to fit your budget. Some also work out payment plans to help residents cover costs.

San Francisco assisted living FAQ

What is assisted living in San Francisco?
Assisted living is a level of care offered by retirement communities for people who need some help with everyday tasks like grooming, dressing and taking medication. Most assisted living communities are set up to let the residents maintain as much independence as possible. Alternatives to assisted living include independent living, memory care and skilled nursing care.
Who is eligible for assisted living in San Francisco?
Assisted living is tailored towards people age 65 and older, but there are no universal eligibility requirements for adults other than needing help with daily living tasks or health management. Each facility may have its own eligibility requirements, though.
Does Medicare pay for assisted living in San Francisco?
California’s version of Medicaid, called Medi-Cal, pays for assisted living but not entirely. It also offers financial assistance for basic and urgent senior health care needs, so it may cover some of the costs associated with assisted living in San Francisco.
What organizations support and protect older adults in San Francisco?
Organizations supporting older adults in San Jose include:
  • The San Francisco Senior Center provides special events and courses to keep older Californians active and social.
  • The Institute on Aging helps older people and adults with disabilities live independently with counseling, home care and a friendship hotline.
  • Shanti Project’s Pets are Wonderful Support program is designed to keep older people and their pet companions together by providing free support services for pets in the San Francisco area.
  • Avenidas provides older adults and their caregivers with resources and information to keep them active, engaged and healthy.

Not sure how to choose?

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    San Francisco assisted living community information

    Rhoda Goldman Plaza

    Rhoda Goldman Plaza provides five levels of assisted living care ranging from basic assistance to specialized plans. Amenities include flexible mealtimes and four housing unit options. Call the facility to see if units are available or if you need to be added to the waitlist.

    • Located in: San Francisco
    • Address: 2180 Post St., San Francisco, CA 94115
    • Phone: (415) 345-5060
    • Website: rgplaza.org
    The Village at Hayes Valley

    The Village at Hayes Valley offers levels of care ranging from basic help with daily tasks to a personalized plan that includes medication management, showering help and weekly wellness checks. Amenities include a 24-hour staff (including a respiratory therapist), a rooftop deck and garden patio, and scheduled transportation. Its parent company, Pacifica Senior Living, also has facilities in Daly City, Oakland, San Leandro, Union City and Vacaville.

    • Located in: San Francisco
    • Address: 624 Laguna St., San Francisco, CA 94102
    • Phone: (415) 830-4571
    • Website: pacificaseniorliving.com
    San Francisco Towers

    San Francisco Towers offers multiple levels of care to suit your or your loved one’s needs. Some of its amenities include a variety of room types (each with a view of the city or bay) and weekly housekeeping. San Francisco Towers offers two financial plans, one with a stable fee no matter the level of care and one with a fluctuating fee based on need. Covia, its parent company, also has locations in Los Gatos, Santa Rosa, Oakland, Palo Alto and Pacific Grove.

    • Located in: San Francisco
    • Address: 1661 Pine St., San Francisco, CA 94109
    • Phone: (415) 776-0500
    • Website: covia.org/san-francisco-towers
    Cypress at Golden Gate

    Cypress at Golden Gate offers flexible levels of assisted living care that can be changed at any time to meet your or your loved one’s specific needs. Amenities include restaurant-style dining, a licensed nurse on staff, and private patios or balconies. Residents can have their pets with them, too. Its parent company, SRG Senior Living, has additional communities in San Francisco, Walnut Creek and Daly City.

    • Located in: San Francisco
    • Address: 1601 19th Ave., San Francisco, CA 94122
    • Phone: (415) 952-8854
    • Website: srgseniorliving.com
    The Sequoias San Francisco

    The Sequoias San Francisco offers assisted living, memory care, skilled nursing and independent living, including an on-site clinic, to meet a variety of needs. It has 24-hour on-site security, and amenities include a salon and barbershop, a gift shop, reading rooms and pet-friendly accommodations. Sequoia Living, its parent company, also operates facilities in Walnut Creek, Greenbrae and Portola Valley.

    • Located in: San Francisco
    • Address: 1400 Geary Blvd., San Francisco, CA 94109
    • Phone: (415) 922-9700
    • Website: thesequoiassf.org
    Victorian Manor

    Victorian Manor offers short-term and long-term assisted living. The facility has certified nursing assistants as part of its caregiving staff. It also offers a variety of discussion groups, activities and meals.

    • Located in: San Francisco
    • Address: 1444 McAllister St., San Francisco, CA 94115
    • Phone: (415) 921-7550
    • Website: victorianmanorsf.com
    Kokoro Assisted Living

    Kokoro Assisted Living is located in San Francisco’s Japantown and offers a variety of care levels that can be customized to your or your loved one’s needs. Amenities include American and Asian cuisine options, staff on call 24/7, a variety of apartment styles, and health and wellness programs.

    • Located in: San Francisco
    • Address: 1881 Bush St., San Francisco, CA 94109
    • Phone: (415) 776-8066
    • Website: kokoroassistedliving.org
    by Sandi Pope ConsumerAffairs Research Team

    Sandi Pope previously worked in the nonprofit sector as an advocate for environmental and social change and believes information access is a human right. As a member of the ConsumerAffairs Research Team, she seeks to provide consumers with the necessary information needed in making life-altering decisions.