Data ranking · 2026 · no paid placement
Best Assisted Living in San Francisco (2026)
Sorted by CMS stars, inspection records, and staffing when those numbers are published. This is a data ranking, not an editorial "best for your family" list. Paying never changes the order.
25 ranked of 48 licensed assisted living providers we currently list in San Francisco.
2026 data ranking
| Rank | Provider | Score | Overall | Staffing | Severe citations |
|---|---|---|---|---|---|
| 1 | Byxbee Home San Francisco, CA · data 2026-07-24 | 100 | Not published | Not published | 0 |
| 2 | Carlisle-Ivy Signature Living, The San Francisco, CA · data 2026-07-24 | 100 | Not published | Not published | 0 |
| 3 | Gentle Hands Seniors San Francisco, CA · data 2026-07-24 | 100 | Not published | Not published | 0 |
| 4 | Gonzales Home San Francisco, CA · data 2026-07-24 | 100 | Not published | Not published | 0 |
| 5 | Janet's Residential Facility for the Elderly San Francisco, CA · data 2026-07-24 | 100 | Not published | Not published | 0 |
| 6 | Julie's Care Home San Francisco, CA · data 2026-07-24 | 100 | Not published | Not published | 0 |
| 7 | Lady of Perpetual Help Rfe #1 San Francisco, CA · data 2026-07-24 | 100 | Not published | Not published | 0 |
| 8 | Marian's Care Home I San Francisco, CA · data 2026-07-24 | 100 | Not published | Not published | 0 |
| 9 | Merced Girard Residential Care Facility San Francisco, CA · data 2026-07-24 | 100 | Not published | Not published | 0 |
| 10 | Merced Three Residential Care Facility San Francisco, CA · data 2026-07-24 | 100 | Not published | Not published | 0 |
| 11 | Rhoda Goldman Plaza San Francisco, CA · data 2026-07-24 | 100 | Not published | Not published | 0 |
| 12 | St. Francis Manor I San Francisco, CA · data 2026-07-24 | 100 | Not published | Not published | 0 |
| 13 | Buena Vista Manor House San Francisco, CA · data 2026-07-24 | 99 | Not published | Not published | 0 |
| 14 | Ivy at Golden Gate, The San Francisco, CA · data 2026-07-24 | 99 | Not published | Not published | 0 |
| 15 | Kokoro Assisted Living San Francisco, CA · data 2026-07-24 | 99 | Not published | Not published | 0 |
| 16 | San Francisco RCFE San Francisco, CA · data 2026-07-24 | 99 | Not published | Not published | 0 |
| 17 | Care and Care Residence I San Francisco, CA · data 2026-07-24 | 79 | Not published | Not published | 1 |
| 18 | Care and Care Residence II San Francisco, CA · data 2026-07-24 | 79 | Not published | Not published | 1 |
| 19 | Corinthian Garden Residential Care Home San Francisco, CA · data 2026-07-24 | 79 | Not published | Not published | 1 |
| 20 | Providence Place San Francisco, CA · data 2026-07-24 | 79 | Not published | Not published | 1 |
| 21 | RJ Starlight Home Corporation San Francisco, CA · data 2026-07-24 | 79 | Not published | Not published | 1 |
| 22 | Victorian Manor San Francisco, CA · data 2026-07-24 | 79 | Not published | Not published | 1 |
| 23 | Lynne & Roy M Frank Residences San Francisco, CA · data 2026-07-24 | 78 | Not published | Not published | 1 |
| 24 | Alma Via of San Francisco San Francisco, CA · data 2026-07-24 | 77 | Not published | Not published | 1 |
| 25 | Coterie Cathedral Hill San Francisco, CA · data 2026-07-24 | 57 | Not published | Not published | 2 |
18 additional licensed providers in San Francisco are not ranked because CMS or state quality signals are unpublished.
How this data ranking works
Score components (0–100)
- Overall stars (50 pts): CMS Care Compare overall rating when published (state ratings used only when CMS is missing).
- Inspection (25 pts): published deficiency counts, with a larger penalty for severe (G–L) citations. We use citation counts because that is what we store from CMS today.
- Staffing (25 pts): CMS staffing star rating when published. If stars are missing, nurse staffing hours per resident day can contribute. Hours never invent a star rating in the table.
If a component is missing, its weight redistributes to the components that exist. If a provider has no rankable government signal, it stays off the ranked list. Missing data stays missing.
A high data-ranking score is not medical advice and is not a promise that a community is right for your parent. Tour, ask about staffing on the floor you would use, and read the full inspection record.
Full cost methodology (separate from this ranking): how we calculate costs.
Related pages
- Full directory (not ranked): Assisted Living in San Francisco
- Local costs: Assisted Living cost in San Francisco
- Best Nursing Home in San Francisco (2026)
- Best Memory Care in San Francisco (2026)
- Best Home Health Care in San Francisco (2026)
- All metro data rankings
Canonical path: /best/assisted-living/california/san-francisco/