Senior living in San Francisco, CA
48 licensed communities in San Francisco, San Francisco County with real, all-in monthly pricing. Compare honestly and book your own tours — Chapter never sells your information.
What senior living costs in San Francisco
Real all-in monthly cost — base rent plus a typical care add-on — across 48 local communities.
12 homes in San Francisco are licensed by the state to care for residents with dementia. A dementia license doesn't always mean a secured unit, so ask each home. See dementia-licensed homes →
At about $6,915/mo all-in, San Francisco runs 8% above the California average of $6,401, and 21% above the national benchmark of about $5,700/mo (Genworth/CareScout Cost of Care).
All-in pricing is base rent plus a typical care add-on. Estimated figures are marked on each listing and refined as communities verify their rates on Chapter.
Cost by ZIP code in San Francisco
Average all-in monthly cost in the San Francisco ZIP codes with listed communities.
Communities in San Francisco
Ranked by resident rating — never by who pays us.
Byxbee Home
Care And Care Residence I
Ivy At Golden Gate, The
Autumn Glow
Julie's Care Home
Merced Residential Care Facility
Gentle Hands Seniors
Ivy Park At Cathedral Hill
Cayco's Care Home
Corinthian Garden Residential Care Home
Damenik's Home
Fook Hong Sf Care Home, Inc.
Golden Residential Care Home
Kimochi Home
Marian's Care Home I
Merced Three Residential Care Facility
Rj Starlight Home Corporation
Taraval Residential Care Home
Carlisle-ivy Signature Living, The
Gonzales Home
Merced Girard Residential Care Facility
Uplyft Assisted Care Llc
Rhoda Goldman Plaza
Prefer a smaller, home-like setting? 13 of San Francisco's communities are board and care homes with six or fewer residents. See board and care homes in San Francisco
Paying with Medi-Cal? 3 homes in San Francisco are approved for the Assisted Living Waiver (ALW). See ALW homes in San Francisco County · How Medi-Cal & Medicare work
All 48 licensed communities in San Francisco, with monthly cost
- 9th Avenue Community Care Home$6,500/mo est.
- Alma Via Of San Francisco$6,950/mo est.
- Autumn Glow$6,600/mo est.
- Buena Vista Manor House$7,300/mo est.
- Byxbee Home$6,500/mo est.
- Care And Care Residence I$6,500/mo est.
- Care And Care Residence Ii$7,450/mo est.
- Carlisle-ivy Signature Living, The$6,850/mo est.
- Cayco's Care Home$6,700/mo est.
- Corinthian Garden Residential Care Home$6,700/mo est.
- Coterie Cathedral Hill$6,950/mo est.
- Damenik's Home$6,700/mo est.
- Fook Hong Sf Care Home, Inc.$6,700/mo est.
- Gentle Hands Seniors$6,600/mo est.
- Golden Residential Care Home$6,700/mo est.
- Gonzales Home$6,850/mo est.
- Guirola Resident Care$7,300/mo est.
- Heritage On The Marina$7,100/mo est.
- Ivy At Golden Gate, The$6,500/mo est.
- Ivy Park At Cathedral Hill$6,600/mo est.
- Janet's Residential Facility For The Elderly$7,100/mo est.
- Julie's Care Home$6,600/mo est.
- Kimochi Home$6,700/mo est.
- Kokoro Assisted Living$7,100/mo est.
- Lady Of Perpetual Help Rfe #1$7,100/mo est.
- Lynne & Roy M Frank Residences$7,450/mo est.
- Marian's Care Home I$6,700/mo est.
- Merced Girard Residential Care Facility$6,850/mo est.
- Merced Residential Care Facility$6,600/mo est.
- Merced Three Residential Care Facility$6,700/mo est. · ALW
- Merced Two Residential Care Facility$7,100/mo est.
- Portola Gardens$7,100/mo est. · ALW
- Providence Place$7,100/mo est.
- Psalm Residential Care Home$6,950/mo est.
- Quality Care Homes, Llc 2$7,300/mo est.
- Rhoda Goldman Plaza$6,850/mo est.
- Rj Starlight Home Corporation$6,700/mo est.
- Sagebrook Senior Living At San Francisco$6,950/mo est.
- San Francisco Rcfe$7,300/mo est.
- San Francisco Towers$7,200/mo est.
- Sequoias San Francisco (the)$7,200/mo est.
- Sunset Care Home$7,100/mo est. · ALW
- Sunset Care Home 2$7,200/mo est.
- Sunset Gardens$6,950/mo est.
- Taraval Residential Care Home$6,700/mo est.
- Tlc Home Care Ii$7,450/mo est.
- Uplyft Assisted Care Llc$6,850/mo est.
- Victorian Manor$6,950/mo est.
How to pay for senior living in California
Most families combine private funds with one or more of these programs. Here's a plain-English rundown of what's available in California.
Medi-Cal Assisted Living Waiver (ALW)
California's Assisted Living Waiver lets Medi-Cal cover the care portion of assisted living — personal care and health services, not room and board — for people who would otherwise qualify for a nursing home. You generally must have full Medi-Cal with no share of cost, be 21 or older, need nursing-facility level of care, and live in one of the roughly 15 participating counties (which include Los Angeles, San Diego, Sacramento, Orange, and San Francisco). Slots are capped and there's usually a waitlist, so families apply early through a local Care Coordination Agency.
VA Aid & Attendance pension
Wartime veterans and their surviving spouses who need help with daily activities may qualify for the VA's Aid & Attendance pension, which is added on top of the basic VA pension to help pay for care. For December 2025 through November 2026, the maximum is roughly $2,424 a month for a single veteran, $2,874 for a veteran with a spouse, and $1,558 for a surviving spouse. Eligibility depends on service history, income, and net worth.
Long-term care insurance
If your loved one holds a long-term care insurance policy, it often pays toward assisted living or memory care once they need help with two or more activities of daily living. Check the daily or monthly benefit amount, the elimination (waiting) period, and whether the policy requires a licensed community — nearly every community in our directory is state-licensed.
Medical expense tax deduction
When a resident is chronically ill — needing help with at least two activities of daily living, or requiring supervision due to cognitive decline — and care follows a documented plan of care, the IRS lets you deduct qualifying medical costs above 7.5% of adjusted gross income, if you itemize. Care services, medication management, and dementia care typically qualify; pure room and board usually doesn't. A tax professional can confirm what applies to your situation.
This is general information to help you plan — not financial, tax, or legal advice. Benefit amounts and eligibility rules change, so confirm details with the program or a qualified professional before making decisions.
Senior living in San Francisco — FAQ
How much does senior living cost in San Francisco?
Across 48 communities in San Francisco, the average all-in cost is about $6,915 per month (median $6,900), generally ranging from $6,500 to $7,450. All-in means base rent plus a typical monthly care add-on. Assisted living and memory care usually cost more than independent living because of the added personal care.
How many homes in San Francisco are licensed for dementia care?
12 homes in San Francisco are licensed by California's Community Care Licensing Division to care for residents with dementia. A dementia license means the home meets the state's dementia-care rules; it doesn't always mean a secured (locked) memory care unit, so ask each home how it handles wandering and what training its staff have.
How can I pay for senior living in San Francisco?
Most families combine private funds with programs like the Medi-Cal Assisted Living Waiver (which covers care costs — not room and board — in participating California counties), the VA's Aid & Attendance pension for wartime veterans and their spouses, long-term care insurance, and medical-expense tax deductions. See the "How to pay for senior living in California" section above for details on each.
What levels of senior care are available in San Francisco?
San Francisco has 48 licensed communities offering independent living and assisted living. Chapter shows every licensed community — not just the ones that pay to be featured.
Does Chapter charge families or sell my information in San Francisco?
No. Chapter is always free for families, and we never sell or share your contact information. When you book a tour, your details go only to that one community — you'll never get calls from a dozen sales teams. That's the opposite of how referral sites in California typically work.
Senior living in other California cities
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