113 skilled nursing facilities in San Francisco County, CA have costs between $2,000 to $12,195, have input from 1,155 reviews, and 94% have photos. Seniors in a nursing home would appreciate San Francisco County for its rich array of programs and resources tailored to their needs, alongside its scenic beauty. The city boasts the San Francisco Senior Center, which offers various recreational and educational activities, fostering social engagement among older adults. Proximity to Golden Gate Park provides peaceful green spaces perfect for leisurely strolls or picnics, while the renowned UCSF Memory and Aging Center offers specialized medical services and research opportunities for cognitive health. Events such as the annual Senior Resource Fair connect seniors with services ranging from healthcare to legal assistance, ensuring they remain active and informed members of their community.
Rhoda Goldman Plaza is a well-maintained facility in San Francisco, praised for its excellent staff, engaging activities, and gourmet dining, offering a supportive community atmosphere that fosters resident wellbeing.
Great Activities
Sequoias-Portola Valley
San Francisco
4.7 from 10 reviews
$68,000 per month
The Sequoias San Francisco offers exceptional skilled nursing services, attentive staff, a vibrant social atmosphere with numerous activities, and high-quality dining options, all within a prime Nob Hill location.
Staff Professionalism
Pacific Heights Transitional Care Center
San Francisco
4.7 from 12 reviews
Pacific Heights Transitional Care Center is highly praised for its exceptional staff, personalized care, and effective rehabilitation services, making it an excellent choice for families seeking a skilled nursing facility.
Community Engagement
San Francisco Towers
San Francisco
4.6 from 7 reviews
San Francisco Towers is an upscale facility offering spacious apartments, excellent dining, engaging social activities, and responsive staff in a vibrant downtown location, creating an appealing environment for seniors.
Spacious
The Avenue
San Francisco
4.7 from 3 reviews
$3,500 to $4,350 per month
This San Francisco facility is praised for its attentive and compassionate staff, luxurious ambiance, diverse dining options, and engaging activities that foster a strong sense of community for residents.
San Francisco Health Care
San Francisco
3.4 from 5 reviews
Reviews of elderly care facilities reveal a stark contrast in quality, with some offering attentive and compassionate staff that enhance residents' well-being, while others display negligence and unresponsiveness, underscoring the importance of thorough research when selecting a skilled nursing facility.
Francis of Assisi Community
San Francisco
The Francis of Assisi Community in San Francisco has limited transportation options and only one hospital nearby, which may pose challenges for residents requiring frequent medical attention or travel.
S F Community Convalescent
San Francisco
S F Community Convalescent, while offering numerous amenities like cafes, parks, and healthcare access, may have limited options for emergency medical services with only one nearby hospital.
The Avenues Transitional Care Center
San Francisco
4 from 1 review
$5,850 per month
Kindred Healthcare's nursing and rehabilitation center is praised for its dedicated, compassionate staff, personalized rehabilitation services, strong family involvement, high cleanliness standards, and effective discharge planning, all contributing to positive patient outcomes.
St. Anne's Home- NOT AL
San Francisco
While St. Anne's Home provides a welcoming community with ample amenities and healthcare access, it may lack sufficient skilled nursing resources for those requiring extensive medical care.
Progress Foundation
San Francisco
The Progress Foundation in San Francisco lacks specialized care options and may have limited healthcare providers, presenting potential challenges for residents needing skilled nursing services.
The Sequoias
San Francisco
The Sequoias in San Francisco offers skilled nursing services with 24-hour supervision and medication management, but potential residents may face limited access to specialized medical care due to the community's general focus on broader assistive living options.
Central Gardens
San Francisco
Central Gardens lacks on-site skilled nursing care, which may not meet the needs of residents requiring more intensive medical supervision or specialized healthcare services.
Lawton Skilled Nursing & Rehabilitation Center
San Francisco
Lawton Skilled Nursing & Rehabilitation Center in San Francisco offers a wide range of amenities and care services to ensure comfort, safety, and well-being for residents in their golden years.
Central Gardens Post Acute
San Francisco
Central Gardens Post Acute in San Francisco, CA lacks on-site healthcare facilities and immediate medical services, relying instead on nearby physicians and pharmacies for residents' healthcare needs.
Heritage On The Marina
San Francisco
Heritage On The Marina offers skilled nursing care with 24-hour supervision and comprehensive medication management, but may not provide the level of advanced medical care found in specialized hospitals.
Knowledgeable Staff
Peninsula Reflections
Colma
4.4 from 7 reviews
$2,800 to $9,040 per month
Peninsula Reflections offers a personable approach with friendly staff and engaging activities, but potential residents should consider concerns about security and communication.
Friendly Staff
Oakmont of Mariner Point
Alameda
4.2 from 55 reviews
$6,195 to $10,995 per month
Oakmont of Mariner Point offers a beautiful, modern facility with commendable amenities and friendly staff, but it faces significant challenges regarding the quality of resident care and communication about health incidents.
Dedicated Staff
Home Sweet Home Senior Care
Daly City
3 from 2 reviews
Reviews of Home Sweet Home illustrate contrasting experiences, with one highlighting concerns about staff engagement and cleanliness, while another emphasizes the facility's welcoming atmosphere, dedication to resident well-being, and commitment to maintaining a clean environment.
Pacifica Nursing And Rehab Center
Pacifica
4.4 from 12 reviews
Pacifica Nursing & Rehab Center is generally well-reviewed for its cleanliness, dedicated and caring staff, effective rehabilitation programs, and engaging activities, although it faces critiques regarding food quality and shared room conditions.
Elders Inn On Webster
Alameda
4.4 from 10 reviews
Elders Inn is a well-maintained skilled nursing facility with a charming environment, friendly staff, and a supportive community, offering spacious private rooms and adequate medical care, though concerns about organization and pricing exist.
Great Staff
Grand Lake Gardens
Oakland
4.8 from 16 reviews
$3,790 to $5,857 per month
Grand Lake Gardens is a welcoming skilled nursing facility known for its engaged staff, beautiful dining spaces with stunning views, enriching activities, picturesque outdoor areas, and convenient access to essential services.
Exercise Facilities
The Watermark By The Bay
Emeryville
4.1 from 54 reviews
The Watermark by the Bay offers appealing facilities and a caring staff, but potential residents should consider mixed reviews regarding care quality and responsiveness, particularly in light of past incidents and COVID-19 challenges.
Lots Of Activities
Waters Edge Lodge
Alameda
4.6 from 19 reviews
Waters Edge Lodge is a highly regarded skilled nursing facility known for its attentive staff, engaging activities, excellent dining options, and a supportive community atmosphere in a serene location.
Caring Staff
Pacifica Nursing & Rehab Ctr
Pacifica
5 from 3 reviews
$6,750 per month
The reviews highlight a skilled nursing facility with exceptional, patient-centered care, proactive and engaged physical therapy services, compassionate staff fostering strong connections with residents and families, and accommodating practices that enhance emotional support during rehabilitation.
Cleanliness
Elders Inn
Alameda
4.3 from 8 reviews
$3,171 to $4,037 per month
Elders Inn in Alameda offers a warm atmosphere, accommodating wheelchair users with spacious interiors and engaging activities, though some families have raised concerns about its organization and pricing relative to care for residents with less intensive mobility needs.
Helpful Staff
Belmont Village Albany
Albany
4.5 from 60 reviews
$5,525 to $10,050 per month
Belmont Village Albany is a highly regarded skilled nursing facility known for its attentive staff, engaging activities, and well-designed environment that fosters social interaction and resident fulfillment.
St. Paul's Towers
Oakland
4.3 from 19 reviews
St. Paul's Towers is highly regarded for its compassionate skilled nursing care, attentive and responsive staff, vibrant community environment, and engaging activities, although some may find the premium pricing a concern.
St. Francis Convalescent Pavilion
Daly City
1.6 from 7 reviews
Many healthcare facilities, particularly skilled nursing facilities, face serious issues such as inadequate staff training, insufficient staffing levels leading to neglect, poor communication, and management inefficiencies that compromise patient care and recovery.
Dedicated Staff
The Redwoods
Mill Valley
4.4 from 14 reviews
The Redwoods in Mill Valley, California, is a highly regarded retirement community known for its excellent care, convenient location, and a variety of activities, although some reviews mention concerns about room size and communication.
Family Environment
Golden Age Bayside II
Alameda
5 from 3 reviews
$4,000 to $5,000 per month
Golden Age Senior Living in Alameda, California, offers compassionate, personalized care in a warm and family-like environment, with predictable flat-rate fees and an impeccably maintained facility that enhances residents' comfort and well-being.
Friendly Staff
Mercy Retirement and Care Center
Oakland
4.3 from 37 reviews
$4,725 to $5,575 per month
Mercy Retirement & Care Center offers a holistic, faith-based approach to skilled nursing with compassionate staff, quality care, and engaging activities in a well-maintained environment.
Friendly Staff
Pacifica Senior Living Burlingame
Burlingame
4.7 from 68 reviews
$3,695 to $6,400 per month
Pacifica Senior Living Burlingame is praised for its friendly staff, affordable pricing, spacious apartments, engaging activities, and commitment to cleanliness and ongoing renovations, making it a supportive environment for seniors.
Caring Staff
Lakeshore Residential Care
Oakland
3.6 from 15 reviews
$3,500 to $4,500 per month
Lakeshore Residential Care in Oakland receives mixed reviews, with some praising clean facilities and attentive staff, while others report poor communication, unpleasant odors, and inadequate care for residents.
Friendly Staff
Pacifica Senior Living San Leandro
San Leandro
4.6 from 77 reviews
$3,750 to $4,800 per month
Pacifica Senior Living in San Leandro is a well-maintained community with friendly, attentive staff and a wide variety of engaging activities that foster social interaction among residents, contributing to a supportive and welcoming atmosphere.
Alameda Healthcare & Wellness Center
Alameda
2.4 from 7 reviews
Alameda Healthcare & Wellness Center offers a clean environment and satisfactory physical therapy services but struggles with care quality, responsiveness, communication, and inconsistent meal quality, raising concerns for families seeking reliable skilled nursing care.
Affordability
Piedmont Gardens
Oakland
3.7 from 18 reviews
$3,100 to $6,158 per month
Piedmont Gardens CCRC offers a clean, well-organized environment with courteous staff and various amenities, but potential residents should consider mixed reviews regarding care quality and high costs when seeking skilled nursing options.
Oakland Healthcare and Wellness Center
Oakland
1 from 1 review
A family's distressing experience at a local rehabilitation facility revealed severe neglect, inadequate medical care, unaddressed personal hygiene, missing personal belongings, and poor nutrition, highlighting significant deficiencies to avoid when seeking a Skilled Nursing Facility.
Friendly Staff
Carlton Senior Living San Leandro
San Leandro
4.4 from 64 reviews
$3,295 to $5,995 per month
Carlton Senior Living San Leandro offers a clean, attractive environment with engaging activities and onsite medical support, but potential residents should be aware of concerns regarding staff professionalism, communication issues, and the absence of private rooms.
Dedicated Staff
Bellaken Garden
Oakland
3.9 from 12 reviews
$4,500 to $5,500 per month
Bellaken Garden and Skilled Nursing Center in Oakland, CA, offers culturally relevant care for Chinese-speaking residents, particularly veterans, with strengths in affordable rehabilitation services and responsive administration, but has mixed reviews regarding communication barriers, food variety, and the facility's aesthetic appeal.
Elmwood Care Center
Berkeley
1.6 from 7 reviews
Elmwood Care Center has received numerous negative reviews highlighting poor staff attitudes, inadequate care and assistance, disorganization in medication administration, unsatisfactory food quality, and a crowded environment.
Shields Nursing Center
El Cerrito
3 from 2 reviews
Shields Nursing Center has notable shortcomings in aesthetics, food quality, and room lighting, but it is praised for its compassionate and attentive staff who provide essential emotional support to residents.
Windsor Healthcare Center Of Oakland
Oakland
3 from 1 review
$2,195 to $3,895 per month
Windsor Healthcare Center of Oakland offers nutritious meals, clean living conditions, and a strong community atmosphere, but faces challenges with staffing levels that could impact individualized care.
Shields Richmond Nursing Center
Richmond
3 from 2 reviews
Reviews of Shields Richmond Nursing Center indicate a mix of experiences, highlighting concerns over inadequate care and nutrition alongside some positive staff interactions, suggesting potential variability in patient experiences that prospective residents should consider.
Staff Professionalism
South Marin Health & Wellness Center
Greenbrae
4.2 from 5 reviews
Both South Marin Health & Wellness Center and Kindred Care have mixed reviews, with South Marin praised for its pleasant setting and some positive patient experiences, while Kindred Care has faced serious criticism for neglectful patient care despite having good physical therapy services.
Staff Responsiveness
Excell Health Care Center
Oakland
3 from 2 reviews
The contrasting reviews of Excell Care Center reveal critical inconsistencies in patient care and monitoring, highlighting the need for thorough oversight and attentiveness in skilled nursing facilities to ensure resident safety and well-being.
Friendly Staff
AlmaVia of San Rafael
San Rafael
4.4 from 35 reviews
$4,195 to $6,895 per month
AlmaVia of San Rafael is praised for its compassionate and attentive care, supportive environment, engaging activities, and strong communication between staff and families, making it an excellent choice for individuals needing skilled nursing services.
Creekside Healthcare Center
San Pablo
3.2 from 5 reviews
Creekside Healthcare Center offers a friendly environment with engaging activities and a good staff-to-resident ratio, but potential families should consider concerns regarding medication management, communication issues, and occasional neglect.
Friendly Staff
Baywood Court
Castro Valley
4.6 from 30 reviews
Baywood Court is highly praised for its clean, welcoming environment, attentive and approachable staff, engaging activities that promote social connections and physical health, spacious accommodations with personalized dining options, and overall value in providing holistic care for seniors.
Great Food
MorningStar of Hayward
Hayward
4.4 from 72 reviews
$3,500 to $6,275 per month
Casa Sandoval Senior Living is highly praised for its welcoming atmosphere, friendly staff, spacious and recently remodeled accommodations, diverse activities, delicious dining experiences, and thoughtful attention to accessibility during ongoing renovations, making it an excellent choice for skilled nursing care.
Great Staff
Villa Marin
San Rafael
4.2 from 13 reviews
Villa Marin Retirement Residence offers a mix of positive experiences with exemplary nursing care and social activities but has raised concerns about nursing staff responsiveness and high financial requirements for skilled nursing care.
Live Oak Living Ctr
El Sobrante
2.5 from 4 reviews
Live Oak Living Center in El Sobrante, California, offers convenient access to healthcare services, including nearby physicians and pharmacies, as well as transportation and a hospital for comprehensive medical support.
Clean Facility
San Carlos Elms
San Carlos
4.6 from 13 reviews
$2,500 to $5,880 per month
San Carlos Elms is highly praised for its compassionate staff, welcoming atmosphere, engaging activities, and high-quality dining experiences, making it an ideal choice for families seeking exceptional care for their loved ones.
Compassionate Staff
Bethesda Christian Retirement Center
Hayward
4.8 from 6 reviews
$2,000 to $3,000 per month
Bethesda Christian Retirement Center is praised for its compassionate staff, well-maintained outdoor spaces, comprehensive skilled nursing care, engaging activities, and nutritious meal options that create a supportive environment for residents.
Orinda Care Center
Orinda
3 from 1 review
Orinda Care Center offers a welcoming atmosphere with active resident engagement and cleanliness, though it faces challenges with room size and limited outdoor spaces.
Clean
Atria Park Of Lafayette
Lafayette
4.4 from 49 reviews
$2,600 to $6,495 per month
Atria Park of Lafayette is highly praised for its attentive staff, clean and elegant environment, strong communication with families, and a welcoming atmosphere that fosters resident engagement.
Amazing Care
Carefield Castro Valley
Castro Valley
4.2 from 25 reviews
Carefield Castro Valley is highly regarded for its exceptional staff, clean and spacious environment, engaging activities, and quality dining experience, making it a strong choice for families seeking skilled nursing care.
Washington Care & Rehabilitation Center
San Leandro
4 from 3 reviews
$2,400 to $3,720 per month
Washington Care provides a supportive environment for elderly residents with friendly staff, nutritious dining options, engaging activities like bingo, and a sense of community that enhances quality of life while ensuring essential medical support.
Friendly Staff
Washington Center
San Leandro
4 from 3 reviews
Washington Care and Rehab Center offers attentive staff, good food, engaging social activities, and a supportive environment for elderly residents, although room sizes and response times to bedside assistance could improve.
Great Staff
Brookside Skilled Nursing Hospital
San Mateo
3.5 from 6 reviews
Brookside Skilled Nursing Hospital is highly rated for its attentive care, clean environment, and engaging activities, though some challenges remain for residents needing extensive assistance or private accommodations.
Well Maintained
Smith Ranch Skilled Nursing & Rehabilitation Center
San Rafael
3.4 from 8 reviews
Kindred Transitional Care and Rehabilitation - Smith Ranch offers a mix of commendable rehabilitation services and caring staff, but concerns about insufficient staffing, slow response times, and inadequate accommodations for specific patient needs may be important for potential residents to consider.
Friendly Staff
Oakmont of Concord
Concord
4.6 from 55 reviews
$5,095 to $9,095 per month
Oakmont of Concord is praised for its well-maintained environment, attentive and compassionate staff, high-quality care, engaging activities, and effective communication with families, making it a highly recommended skilled nursing facility.
Friendly Staff
Atria Tamalpais Creek
Novato
4.3 from 55 reviews
$5,295 to $12,195 per month
Atria Tamalpais Creek is highly regarded for its welcoming atmosphere, dedicated staff, well-maintained grounds, and strong communication with families, making it an appealing option for those seeking a supportive skilled nursing facility.
Valley Pointe Rehab & Nursing
Castro Valley
3 from 1 review
This elder care facility offers 24-hour assistance with a positive daytime staff but requires improvements in nighttime responsiveness and meal quality to enhance resident satisfaction.
Professional
Manorcare Health Services - Tice Valley
Walnut Creek
3.7 from 7 reviews
ManorCare Health Services - Tice Valley has mixed reviews, with praise for attentive staff, cleanliness, and activities, but concerns about understaffing and care quality.
Great Food
Palm Villas Redwood City
Redwood City
4.5 from 11 reviews
Palm Villas of Redwood City is a clean, community-oriented skilled nursing facility with attentive staff and engaging activities, though it lacks transportation services and may have limited private room availability.
Great Staff
Walnut Creek Care Home
Walnut Creek
4.4 from 15 reviews
$3,800 to $5,200 per month
Walnut Creek Care Home is highly regarded for its cleanliness, dedicated staff, and personalized care in a small, pet-friendly environment, making it an appealing choice for families seeking skilled nursing facilities.
Windsor Gardens Care Center Of Hayward
Hayward
1.3 from 3 reviews
Windsor Gardens Care Center in Hayward has faced serious allegations of neglect, including inadequate therapy leading to deterioration in resident health, poor food quality, understaffing with long response times, lack of transparency regarding health issues, and dismissive management attitudes towards complaints.
Hayward Hills Health Care Center
Hayward
1 from 2 reviews
The author's harrowing experiences at Hayward Hills highlight significant neglect, inadequate supervision, and distressing conditions that compromise the care of residents, emphasizing the need to thoroughly evaluate skilled nursing facilities before placement.
Cleanliness
Manorcare Health Services - Rossmoor
Walnut Creek
2.9 from 10 reviews
Manor Care in Walnut Creek offers a mix of positive experiences related to cleanliness and attentive care, alongside concerns about understaffing, responsiveness, and dietary choices.
ProMedica Rossmoor
Walnut Creek
2.3 from 8 reviews
The feedback on a rehabilitation facility reveals serious concerns about medication management, poor staff communication, and inadequate patient care, highlighting the need for thorough improvements to ensure safety and effective support during recovery.
Walnut Creek Skilled Nursing & Rehabilitation Center
Walnut Creek
3 from 2 reviews
Walnut Creek Skilled Nursing and Rehab is praised for its exceptional rehabilitation services and dedicated staff, but experiences may vary regarding meal quality and parking availability.
Alhambra Convalescent Hospital
Martinez
3 from 2 reviews
A family's experience with a skilled nursing facility revealed significant deficiencies in personal care, including infrequent hygiene assistance and inadequate support during recovery, despite a clean environment and polite staff.
Friendly Staff
Tampico Terrace Care Center
Walnut Creek
3 from 3 reviews
Experiences at Tampico Terrace Care Center vary significantly, with one family expressing dissatisfaction due to isolation and communication issues in their husband's care, while another praises the supportive staff and effective communication during a mother's stroke rehabilitation, highlighting the importance of consistent patient care standards.
La Casa Via Transitional Care Center
Walnut Creek
3.3 from 4 reviews
The Walnut Creek skilled nursing facility offers a clean environment, dedicated and compassionate staff, engaging activities for residents, good communication with families, and satisfactory meals, though concerns about emergency responsiveness and staffing during busy times exist.
Novato Healthcare Center
Novato
3.5 from 4 reviews
Novato Healthcare offers compassionate staff and strong physical therapy services, but concerns about communication, meal management, and significant lapses in basic caregiving may impact overall patient safety and satisfaction.
Baypoint Healthcare Center
Hayward
Baypoint Healthcare Center offers a range of amenities and personalized care services but may lack specialized skilled nursing services required for more intensive medical needs.
Northgate Convalescent Hosp
San Rafael
Northgate Convalescent Hosp in San Rafael, CA, while surrounded by numerous amenities like restaurants and parks, may lack sufficient in-house skilled nursing services or specialized medical staff that some residents might require.
Park Bridge Nursing Home
Alameda
Park Bridge Nursing Home in Alameda, CA, while offering convenient access to various amenities and healthcare services, may lack extensive options for spiritual fulfillment and has limited nearby places of worship.
Windsor Post-Acute Care Center Of Hayward
Hayward
Windsor Post-Acute Care Center of Hayward may face challenges such as limited nearby medical facilities, a lack of extensive outdoor activities, and potential concerns regarding staff availability during peak times.
Pine Ridge Care Center
San Rafael
4 from 1 review
Pine Ridge Care Center offers professional staff, accessible physical therapy, and Medicare coverage, but may need improvement in personalized care to better meet individual resident needs.
Seton Medical Center
Daly City
Seton Medical Center in Daly City, CA may lack specialized nursing care and could have limitations in medical services compared to a skilled nursing facility.
Manorcare Health Svc Tice Valley
Walnut Creek
$4,500 to $5,500 per month
Manorcare Health Service Tice Valley, while conveniently located near various amenities and services, may lack specialized skilled nursing support and resources for residents with complex medical needs.
Jewish Home and Rehab Center
San Francisco
$3,995 to $4,995 per month
The Jewish Home and Rehab Center in San Francisco offers various amenities and care services but may lack specialized skilled nursing support for complex medical needs.
Crown Bay Nursing And Rehabilitation Center
Alameda
Crown Bay Nursing And Rehabilitation Center offers a range of amenities and care services, but individuals seeking a skilled nursing facility may find limited specialized medical services and higher dependency on staff for daily living activities.
Windsor Rosewood Care Center
Pleasant Hill
Windsor Rosewood Care Center in Pleasant Hill, CA offers a welcoming atmosphere and essential services like 24/7 assistance with daily living activities, but potential residents should be aware of the limitations regarding privacy and independent living.
San Pablo Healthcare & Wellness Center
San Pablo
$4,000 per month
San Pablo Healthcare & Wellness Center offers 24/7 care assistance and a variety of amenities, but potential residents may find it lacks specialized services for more intensive skilled nursing needs.
Care Plus
South San Francisco
Care Plus in South San Francisco, CA lacks specialized skilled nursing facilities nearby, which may be a concern for seniors needing ongoing medical care.
All Saint's Maubert
San Leandro
All Saint's Maubert in San Leandro, CA, may lack on-site medical staff and specialized skilled nursing care, potentially limiting residents with complex health needs.
Princeton Manor Healthcare Center
Oakland
Princeton Manor Healthcare Center in Oakland, CA lacks skilled nursing care services, which may be a concern for those needing intensive medical attention or rehabilitation.
Considerations for seniors living in San Francisco County, CA
Access to top-notch healthcare facilities: San Francisco County has some of the best healthcare facilities in the country, including UCSF Medical Center and Kaiser Permanente.
Public transportation: The county has a comprehensive public transportation network, making it easy and convenient for seniors to get around without having to drive.
Cultural attractions: San Francisco is home to a vast array of museums, theaters, and other cultural institutions that offer excellent opportunities for seniors to engage in lifelong learning and enrichment.
Outdoor recreation: The county boasts some of the most beautiful parks and natural areas in California, providing ample opportunities for seniors to stay active and enjoy the great outdoors.
Senior-friendly policies: San Francisco is known for being one of the most senior-friendly cities in the country, with a range of policies aimed at providing support and resources for older adults. These include programs like Meals on Wheels, senior centers, and affordable housing initiatives.
Cost of skilled nursing facility in San Francisco County, CA