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Assisted living in San Mateo County, CA

209 licensed assisted living, memory care, and independent living communities across 18 cities in San Mateo County, with all-in monthly costs on every listing. That includes 151 small board-and-care homes and 6 homes approved for Medi-Cal's Assisted Living Waiver.

Cost of care

What senior living costs in San Mateo County

All-in monthly cost (base rent plus a typical care add-on) across every licensed community in the county.

209communities
$6,987average all-in / mo
$6,950median all-in / mo
$6,500–$7,450range / mo
Level of care
Communities
Avg / mo
Median / mo
Independent living
3
$6,967
$6,850
Assisted living
209
$6,987
$6,950

At about $6,987/mo all-in, San Mateo County runs 9% above the California average of $6,401, and 23% above the national benchmark of about $5,700/mo (Genworth/CareScout Cost of Care).

Most prices are Chapter estimates based on area averages, marked on each listing, until the community verifies its own rate. See the California cost report for statewide figures.

By city

Senior living costs by city in San Mateo County

Every city in the county with a licensed community, by number of communities.

City
Communities
Avg all-in / mo
San Mateo
62
$7,015
South San Francisco
31
$7,016
Redwood City
28
$7,057
San Bruno
21
$6,957
Daly City
15
$6,747
Millbrae
12
$6,954
Burlingame
11
$7,118
San Carlos
7
$6,943
Foster City
6
$6,900
Menlo Park
4
$7,088
Belmont
3
$7,083
Montara
2
$6,700
Pacifica
2
$6,675
Colma
1
$6,700
East Palo Alto
1
$6,950
Emerald Hills
1
$7,300
Portola Valley
1
$6,600
S San Francisco
1
$7,300
Small homes

Board and care homes in San Mateo County

151 licensed homes with six or fewer residents, averaging about $6,964/mo all-in. Board and care homes offer the same licensed help with daily living as larger assisted living, in a regular house with more one-on-one attention.

Paying with Medi-Cal? 6 communities in San Mateo County are approved for the Assisted Living Waiver (ALW), which pays for care (not room and board). See ALW homes in San Mateo County · How Medi-Cal & Medicare work

Communities in San Mateo County

Ranked by resident rating, then size — never by who pays us.

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Cadence Millbrae

Millbrae, CA
Assisted living
New listing · no reviews yet
Est. all-in from
$6,700/mo
estimated — not yet verified
View & book

Peninsula Del Rey

Daly City, CA
Assisted living
New listing · no reviews yet
Est. all-in from
$7,200/mo
estimated — not yet verified
View & book

Trousdale, The

Burlingame, CA
Assisted living
New listing · no reviews yet
Est. all-in from
$7,100/mo
estimated — not yet verified
View & book

San Carlos Elms

San Carlos, CA
Assisted living
New listing · no reviews yet
Est. all-in from
$7,300/mo
estimated — not yet verified
View & book
Good to know

Senior living in San Mateo County — FAQ

How much does assisted living cost in San Mateo County?

Across 209 licensed communities in San Mateo County, the average all-in cost is about $6,987 per month (median $6,950). All-in means base rent plus a typical care add-on; one-time move-in fees are extra. Most prices on Chapter are estimates until each community verifies its own rate.

What are the most and least expensive cities for senior living in San Mateo County?

Among cities with at least five communities, the lowest average all-in costs are in Daly City ($6,747), Foster City ($6,900), San Carlos ($6,943), and the highest are in Burlingame ($7,118), Redwood City ($7,057), South San Francisco ($7,016).

How many board and care homes are in San Mateo County?

151 of the county's 209 licensed communities are small board-and-care homes with six or fewer residents, averaging about $6,964 per month. They're licensed as residential care facilities for the elderly (RCFEs), just like larger assisted living communities, but operate in ordinary houses with a few caregivers.

Does Medi-Cal pay for assisted living in San Mateo County?

Medi-Cal's Assisted Living Waiver (ALW) is available in San Mateo County, and 6 communities here are on the state's participating list. ALW pays for care services, not room and board, and there is a statewide waitlist.

Does Chapter charge families or sell my information?

No. Chapter is free for families and never sells or shares your contact information. When you book a tour, your details go only to that one community.

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Listings are sourced from public California licensing records. Pricing is estimated from regional averages until each community verifies its own.