Elder Care Cost in San Francisco, CA (2026)
Assisted living in San Francisco, CA averages $7,000/month (56% above national avg). Nursing home private room: $14,000/month. In-home aide: $8,200/month.
Source: Genworth/CareScout Cost of Care Survey 2024–2025
Assisted Living
$7,000
per month
Nursing Home
$14,000
private room
In-Home Aide
$8,200
44 hrs/week
Memory Care
$9,600
per month
Adult Day Care
$2,400
per month
How San Francisco, CA compares
Care type
Assisted Living
San Francisco, CA
$7,000/mo
National avg
$4,500/mo
Nursing Home
private room
$14,000/mo
$9,733/mo
In-Home Aide
44 hrs/week
$8,200/mo
$5,339/mo
Memory Care
$9,600/mo
$6,200/mo
Annual costs in San Francisco, CA
Assisted living
$84,000/year
or $7,000/month
Nursing home (private room)
$168,000/year
or $14,000/month
Most families need 2–4 years of care on average. At San Francisco, CA assisted living rates, that's $168,000–$336,000 total before insurance or Medicaid.
San Francisco, CA vs California statewide average
Assisted living
San Francisco, CA is 22% above the state average
Nursing home (private)
Understanding care types in San Francisco, CA
Assisted Living — $7,000/mo
Private apartment-style living with meals, housekeeping, medication management, and help with bathing or dressing. Good fit when someone needs regular support but not 24-hour nursing. No Medicare coverage. Most families pay privately.
Nursing Home — $14,000/mo
24-hour skilled nursing care. Required when someone needs ongoing medical attention — wound care, IV medications, physical therapy. Medicare covers the first 100 days after a qualifying hospital stay; Medicaid pays for long-term stays for those who qualify.
In-Home Aide — $8,200/mo
A home health aide comes to the house — typically 44 hours/week based on survey methodology. Covers personal care, light housekeeping, and companionship. Part-time (20 hrs/week) runs roughly $4,100/month in San Francisco, CA.
Memory Care — $9,600/mo
A secured unit within or attached to an assisted living facility, designed for residents with Alzheimer's or other dementias. Higher staff ratios and specialized programming push costs $2,600/month above standard assisted living in San Francisco, CA.
Nearby cities
Anaheim, CA
$6,000/mo
assisted living
Bakersfield, CA
$4,900/mo
assisted living
Fontana, CA
$5,500/mo
assisted living
Fremont, CA
$6,500/mo
assisted living
Fresno, CA
$5,200/mo
assisted living
Hayward, CA
$6,500/mo
assisted living
Huntington Beach, CA
$6,200/mo
assisted living
Irvine, CA
$6,300/mo
assisted living
Long Beach, CA
$6,100/mo
assisted living
Full California data
Statewide averages, Medicaid coverage details, and all care-type breakdowns.
California elder care costs →All 200 cities
Compare assisted living and nursing home rates across all metros.
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