Senior living in San Mateo, CA
62 licensed communities in San Mateo, San Mateo 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 Mateo
Real all-in monthly cost — base rent plus a typical care add-on — across 62 local communities.
12 homes in San Mateo 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 $7,015/mo all-in, San Mateo runs 10% above the California average of $6,401, and 23% 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.
How San Mateo compares to nearby cities
Average all-in monthly cost in other San Mateo County cities, so you can weigh options a short drive away.
Communities in San Mateo
Ranked by resident rating — never by who pays us.
Angel Haven
Comfort Home Ii
Enchanted Garden For Seniors
Kimochi San Mateo
Nevilyn's Home
Olivia's Care Home
Heritage Park
Judy's Tender Care For The Elderly
George Anne Home
Judy's Home For The Elderly
Pacific Care Home Iv
Judy's Care Home For The Elderly
Sunrise Of San Mateo
Emerald Residential Care Home
Patricia Home
Stratford, The
Our House
Tlc Home Care V
Haven@22nd Avenue Assisted Living
Portola Place
Aba Maria's Home For The Elderly
Unified Hearts Home Care
Chateau Sabelle
Prefer a smaller, home-like setting? 52 of San Mateo's communities are board and care homes with six or fewer residents. See board and care homes in San Mateo
Paying with Medi-Cal? San Mateo County homes approved for the Assisted Living Waiver (ALW) are listed by city. See ALW homes in San Mateo County · How Medi-Cal & Medicare work
All 62 licensed communities in San Mateo, with monthly cost
- Aba Maria's Home For The Elderly$6,950/mo est.
- Adams Paul Inc$7,200/mo est.
- Ageway Boarding Care #2$7,100/mo est.
- Ajaviniar Home Care Services Llc$6,500/mo est.
- Amazing Home$7,300/mo est.
- Angel Haven$6,500/mo est.
- B & B Residential Facilities$7,200/mo est.
- B & B Residential Facilities, Inc.$7,300/mo est.
- B & B Residential Facilities, Inc.$7,300/mo est.
- Camenchita's Rch Llc$7,200/mo est.
- Chateau Sabelle$6,950/mo est.
- Comfort Home Ii$6,500/mo est.
- Complete Senior Living, Inc$7,300/mo est.
- Cortez Home$6,950/mo est.
- Emerald Residential Care Home$6,700/mo est.
- Enchanted Garden For Seniors$6,500/mo est.
- Garden Court At The Village$7,200/mo est.
- George Anne Home$6,600/mo est.
- Harbor At Hillsdale Senior Living$7,100/mo est.
- Haven@22nd Avenue Assisted Living$6,850/mo est.
- Hennelly House$7,200/mo est.
- Heritage Inn$7,300/mo est.
- Heritage Park$6,600/mo est.
- Heritage Place$7,450/mo est.
- Judy's Care Home For The Elderly$6,600/mo est.
- Judy's Home For The Elderly$6,600/mo est.
- Judy's Senior Care Home Llc$7,450/mo est.
- Judy's Tender Care For The Elderly$6,600/mo est.
- Kimochi San Mateo$6,500/mo est.
- Martha's Home$7,450/mo est.
- Monteverde Manor Iii$7,100/mo est.
- Nani's Home$7,300/mo est.
- Nevilyn's Home$6,500/mo est.
- New Life Residence$7,300/mo est.
- Noah's Care Home$6,950/mo est.
- Norcal Care Home Ii$7,300/mo est.
- Olivia's Care Home$6,500/mo est.
- Olivia's Care Home Ii$7,450/mo est.
- Olivia's Care Home Iii$7,200/mo est.
- Olivia's Care Home Iv$7,450/mo est.
- Our House$6,850/mo est.
- Pacific Care Home$7,100/mo est.
- Pacific Care Home Ii$7,200/mo est.
- Pacific Care Home Iv$6,600/mo est.
- Pacific Care Home V$7,450/mo est.
- Patricia Home$6,700/mo est.
- Peninsula Elderly Care Home$6,950/mo est.
- Peninsula Regent (the)$7,450/mo est.
- Peninsula Village$7,200/mo est.
- Petani Haven$7,100/mo est.
- Portola Place$6,850/mo est.
- Roberta Care Home$7,300/mo est.
- Roias Home For The Elderly$7,200/mo est.
- Royal Ilima$7,200/mo est.
- San Mateo Villa$7,200/mo est.
- Sterling Court$7,100/mo est.
- Stratford, The$6,850/mo est.
- Sunrise Of San Mateo$6,600/mo est.
- Therese Residential Care Home$7,100/mo est.
- Tlc Home Care V$6,850/mo est.
- Unified Hearts Home Care$6,950/mo est.
- Vanessa Care Home Ii$7,100/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 Mateo — FAQ
How much does senior living cost in San Mateo?
Across 62 communities in San Mateo, the average all-in cost is about $7,015 per month (median $7,100), 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 Mateo are licensed for dementia care?
12 homes in San Mateo 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 Mateo?
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 Mateo?
San Mateo has 62 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 Mateo?
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.
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