Best Nursing Homes in SAN FRANCISCO, CA (2025)

Last Updated: December 2025

Nursing Homes

4.2

Average Rating

4+ Star Facilities

📊SAN FRANCISCO Senior Population

851,036

Total Population

39.3

Median Age

16.7%

Age 65+ (142,119)

22,643

Age 85+

Census Context: SAN FRANCISCO's senior population of 142,119represents 16.7% of residents, providing important context for understanding local demand for quality nursing home care.

Top 10 Nursing Homes in SAN FRANCISCO

See our expert rankings of the highest-quality facilities in SAN FRANCISCO based on comprehensive CMS data analysis.

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Jump directly to facilities by their CMS star rating:

Not Rated(1 facilities)

About Nursing Homes in SAN FRANCISCO

SAN FRANCISCO stands out with 11 five-star nursing homes (61.1% of facilities)—significantly above the national average of 18.9%. With an average rating of 4.2 stars across 18 facilities, SAN FRANCISCO offers strong options for quality senior care. Serving a population of 851,036 (including 142,119 seniors age 65+), SAN FRANCISCO offers diverse senior care options.

SAN FRANCISCO Quick Facts:

•142,119 residents age 65+ in SAN FRANCISCO
•61.1% five-star rate (223% above the national average)
•44.4% chain-owned facilities (national average: 76%)
•6 nonprofit facilities (33.3% of market)
•100% of facilities have abuse violations

Nursing Home Costs in SAN FRANCISCO

Nursing home costs in the San Francisco area average $420-$581/day ($12,600-$17,430/month) for skilled nursing care (13% above the California state average), according to the 2024 Genworth Cost of Care Survey. California overall is 35% above the national median. Most facilities accept Medicare for short-term rehabilitation (up to 100 days), private insurance, and Medicaid for eligible residents. Some facilities also participate in Veterans Aid & Attendance programs for qualifying veterans and spouses.

Market Overview

SAN FRANCISCO's nursing homes include 61.1% for-profit, 33.3% nonprofit, 5.6% government-owned facilities.

Choosing a Nursing Home in SAN FRANCISCO

Start by touring the 11 five-star facilities in SAN FRANCISCO, which represent the top 61.1% by CMS quality metrics. Consider the 6 nonprofit facilities—research shows nonprofits earn five-star ratings at twice the rate of for-profits nationwide. Note that 18 facilities (100%) have documented abuse violations—review inspection reports carefully before deciding.

All nursing homes in SAN FRANCISCO are licensed and inspected by the California Department of Public Health. Medi-Cal covers nursing home care for eligible California residents. For advocacy and complaints, contact the California Long-Term Care Ombudsman at 1-800-231-4024. California law requires nursing homes to maintain minimum staffing ratios, conduct quarterly inspections, and report all incidents to state authorities. Families can file complaints with the California Long-Term Care Ombudsman program, which investigates concerns about quality of care, resident rights, and facility conditions.

All Nursing Homes in SAN FRANCISCO

Filter and sort facilities below. Default ranking uses our composite quality score, which combines CMS ratings, staffing quality, safety records, and compliance history.

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Showing 18 of 18 facilities in SAN FRANCISCO

SAN FRANCISCO TOWERS

1661 PINE STREET, SAN FRANCISCO, CA 94109

Phone: (415)447-5505

Distance: 0 miles | Beds: 27 | Est. Occupancy: 59% (~11 available)

NonprofitCMS Rating: 5/5 Stars

CALIFORNIA PACIFIC MEDICAL CTR- DAVIES CAMPUS HOSP

601 DUBOCE AVE, SAN FRANCISCO, CA 94117

Phone: (415)600-6000

Distance: 0 miles | Beds: 38 | Est. Occupancy: 68% (~12 available)

NonprofitCMS Rating: 5/5 Stars

SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL

1400 GEARY BLVD, SAN FRANCISCO, CA 94109

Phone: (415)922-9700

Distance: 0 miles | Beds: 50 | Est. Occupancy: 73% (~13 available)

NonprofitCMS Rating: 5/5 Stars