San Mateo, CA has 59 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $7,234/mo. That's above the California state median by about 3%. Most assisted living in San Mateo is small: 95% of licensed providers have 16 beds or fewer, against 65% nationally.
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Median monthly price, San Mateo
$7,234/mo
● San Mateo $7,234 ○ National median $6,230
2025 figures
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A dash means the underlying source can't support that figure for this area. We leave the cell empty rather than estimate around it.
Home care in San Mateo runs about $41 an hour. Here is what common schedules cost a month:
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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.
Nearby cities: Foster City · Belmont · Burlingame · San Carlos · Millbrae
Here is what different monthly budgets cover in San Mateo.
San Mateo is a market of small licensed homes. 95% have 16 beds or fewer, against 65% nationally. The typical one has 6 beds.
On the most recent inspection on file, state inspectors recorded an average of 0.8 findings per provider here, below the San Mateo County average of 1.4.
In the last 365 days: 108 newly licensed · 11 closed. Counts come from our ingestion diffs, not a complete state registry dump.
San Mateo, in San Mateo County, has about 103,105 residents. About 17,563 of them (17%) are 65 or older. The median household income is $153,504.
Source: US Census BureauArea Agency on Aging serving this city.
State Long-Term Care Ombudsman program.
State Health Insurance Assistance Program (SHIP).
Statewide help for older adults, people with disabilities and caregivers.
San Mateo
VA Medical Center in Menlo Park.
Can help pay for care if your parent qualifies.
National helplines, including the Eldercare Locator and 211, are listed on paying for care.
Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →
San Mateo's median assisted living cost is about 3% higher than the California state median.
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Reading up first? Assisted Living across California → · Assisted Living cost across California → · Adult Day Care vs Assisted Living →
Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.