49 facilities, but not cheap. San Francisco is one of the pricier markets in California. Safety scores are about average for the area.
These scores are part of the FYI Safety Scorecard, California's independent safety rating for assisted living. See how San Francisco compares statewide.
130 beds · $8,500/mo
Best safety record in San Francisco. Large community with more amenities. On the pricier end.
195 beds · $10,370/mo
Very clean inspection history. Large community with more amenities. Offers memory care. On the pricier end.
61 beds · $6,064/mo
Very clean inspection history. Large community with more amenities.
59 beds · $6,900/mo
Very clean inspection history. Large community with more amenities. Offers memory care.
400 beds · $5,102/mo
Very clean inspection history. Large community with more amenities. Offers memory care. Lower cost than most in the area.
87 beds · $7,600/mo
Solid inspection record. Large community with more amenities. Offers memory care.
42 beds · $4,500/mo
Above-average safety. Offers memory care. Lower cost than most in the area.
168 beds · $8,500/mo
Above-average safety. Large community with more amenities. Offers memory care. On the pricier end.
33 beds · $4,800/mo · Medi-Cal
Above-average safety. Offers memory care. Lower cost than most in the area.
260 beds · $8,750/mo
Above-average safety. Large community with more amenities. Offers memory care. On the pricier end.
Showing 49 of 49.
A mix of large communities and smaller homes. San Francisco has 49 licensed facilities. 16 are larger communities with 50+ beds, which typically offer more structured programming, dining options, and round-the-clock staffing. There are also 13 smaller residential homes if you prefer a quieter, more personal setting. The remaining 20 fall in between.
Expect to pay around $6,431/mo. That's about 22% more than the statewide average of $5,291/mo, so this isn't the cheapest market. Prices range from $3,050 up to $10,370 depending on the facility, room type, and level of care. 40 of 49 facilities publish pricing, which is better transparency than most areas.
Look at the safety scores before you visit. The average score in San Francisco is 7.6 out of 10. That's about average for California. Some facilities here have excellent records and others don't, so check individual scores before you visit. Our scores come from real California state inspection data, not self-reported reviews.
A few things that might narrow your search. Only 6% of facilities here accept Medi-Cal through the Assisted Living Waiver program, so your options will be limited. 26 facilities offer specialized memory care if that's what you need.
Start by comparing facilities on what actually matters: safety record, pricing, care types, and size. We list all 49 licensed assisted living facilities in San Francisco with their FYI Safety Scores, drawn from California state inspection data, plus any verified pricing, so you can narrow the list before you ever pick up the phone. Many placement services are paid referral agents who only show you facilities that pay them. Here you can compare every licensed option directly.
It's on the pricier side. The average in San Francisco is $6,431/mo, about 22% more than the typical California city we track. If budget is a concern, it's worth looking at neighboring cities too.
Safety varies a lot by facility. Of the 49 facilities in San Francisco with a FYI Safety Score, 23 land in the Good or Excellent range and 8 fall into the Poor or Severe range. Across the 49 facilities with an inspection record, 59% have zero substantiated complaints. These scores come from California state inspection data, not online reviews, so they reflect what regulators actually documented.
The Carlisle-Ivy Signature Living currently has the highest safety score in San Francisco at 9.7 out of 10. These scores are based on real state inspection data, not online reviews. We'd recommend checking individual scores for any facility you're considering, since they can vary a lot even within the same city.
Among our top-rated facilities, Merced Girard Residential Care Facility starts at $4,500/mo, and it has a safety score of 7.8. Across all 49 facilities in the area, published prices range from $3,050 to $10,370/mo. Keep in mind that the actual cost depends on the level of care needed.
6% of facilities in San Francisco participate in the Assisted Living Waiver (ALW) program, which is California's way of covering assisted living costs through Medi-Cal. Among the top-rated facilities, Merced Three Residential Care Facility accepts it. Eligibility requirements can be strict, so it's worth calling ahead to ask about availability and waitlists.
Yes, 26 facilities in San Francisco offer specialized memory care for residents with Alzheimer's or other forms of dementia. Among the top-rated: Rhoda Goldman Plaza and San Francisco Rcfe and Sequoias San Francisco (the) and Buena Vista Manor House and Merced Girard Residential Care Facility and The Ivy at Golden Gate and Merced Three Residential Care Facility and Coterie Cathedral Hill. Memory care units typically have additional security measures and staff trained in dementia care, so expect higher pricing than standard assisted living.
Every licensed facility we track in San Francisco, ranked by our recommendation. Each links to its full safety record, pricing, and details.