Senior living and care in San Francisco

51 licensed assisted living homes are based in San Francisco, and 13 of them are small homes with six beds or fewer. Every one is listed on our San Francisco assisted living page.

Prices are not public for individual homes. The California median for a private one-bedroom in assisted living is about $7,000 a month (CareScout Cost of Care Survey 2025). Small six-bed homes often cost less than large communities; ask each home for a written rate.

San Francisco has 18 Medicare-certified nursing homes, and 78% of rated homes have 4 or 5 stars overall from Medicare. Our nursing home page for San Francisco shows each home's ratings, inspection citations and federal fines.

Possibly. San Francisco County is one of 15 California counties in the Medi-Cal Assisted Living Waiver, which pays for care (not room and board) in participating homes for people who qualify.

Every provider page on Later Stages shows its license or Medicare number. Assisted living and home care licenses can be checked on the California Department of Social Services Care Facility Search; nursing homes, home health and hospice on Medicare's Care Compare.

HICAP gives free Medicare counseling at (800) 434-0222. The long-term care ombudsman CRISISline, (800) 231-4024, takes complaints about care in nursing homes and assisted living.