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Page Reviewed / Updated – August 28, 2020

The 10 Best Assisted Living Facilities in San Leandro, CA

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Located along the eastern shore of San Francisco Bay, San Leandro is a quiet suburban city that’s close to downtown San Francisco, Oakland and San Jose. The city features a number of waterfront parks, a large indoor mall and plenty of restaurants, shops and services. The climate is warm and temperate, with summertime temperatures averaging around 65 degrees and winter temps hovering around 48. 

About 89,000 people live in San Leandro, just over 15% of whom are aged 65 and older. Seniors can enjoy easy access to some of California’s top-ranked hospitals and medical facilities, including Kaiser Permanente Walnut Creek, Eden Medical Center and St. Rose Hospital. 

Note: Information for San Leandro was not available, so data from the nearest city, San Francisco, was used. 

This guide highlights the top 10 assisted living facilities in San Leandro. Additionally, find out more about the cost of assisted living in San Leandro and what financial assistance programs are available.

Waters Edge Lodge

Seniors seeking a friendly assisted living community located in a quiet, peaceful waterfront setting will feel right at home at Waters Edge Lodge. Situated along the shore of Harbor Bay, this 100-apartment community features courtyard patios, an in-house cafe serving freshly-baked snacks and easy access to nearby shops and services. Pets are welcome, and many apartments are equipped with private balconies. 

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  • Beauty salon
  • Activities include happy hour, card clubs and exercise classes

Carlton Senior Living San Leandro

Carlton Senior Living San Leandro is a modern, purpose-built senior living community that features a wide array of daily events designed to keep seniors active. Each private suite is equipped with either a low-barrier bathtub or a roll-in shower, individual climate controls and plenty of en suite storage. Friendly, caring staff are always on-site, and residents can call for assistance at any time using the in-house emergency call system. Nutritious meals are served restaurant-style, and light snacks and beverages are always available at the 24-hour Carlton Cafe. 

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Marymount Villa

Gracious and well-appointed, Marymount Villa provides seniors with a comfortable place to spend their retirement years. Located within an easy walk from a BART/AC transit stop, residents here have wearable medical alert pendants that connect with on-site staff. Transportation to local appointments is included, and the community's vibrant social program includes regular day trips to local attractions, special celebration meals and daily card games. 

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  • Three meals daily plus unlimited snacks
  • 1.5 miles from the San Leandro hospital

Pacifica Senior Living Oakland Heights

Located in the desirable Highland Park neighborhood, Pacifica Senior Living Oakland Heights provides a complete range of senior living services, including assisted living. Cozy cottage-style accommodations are designed to look and feel like a family home, and the entire campus is connected with paved, level walkways. Amenities include plenty of seating throughout the outdoor areas, as well as a library and a gift shop. Pet therapy is available, and daily activities include tai chi classes and trips to local wineries, restaurants and museums. 

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  • Small dogs and cats welcome with approval
  • Individual heating and air conditioning in each apartment

Sunrise of Danville

Sunrise of Danville is a boutique-style assisted living and memory care community located close to many of the area's top hospitals, including John Muir Health and Kaiser Walnut Creek. Residents can spend their days exploring new interests and pursuing favorite hobbies in the arts and crafts studio, strolling along the paved paths and relaxing with Hansen and Hazel, the community dog and cat. The parlor features a grand piano and fireplace, and a private dining room is available for family gatherings.

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Sunrise of Oakland Hills

Situated on a quiet, tree-lined street in a residential neighborhood overlooking San Francisco Bay, Sunrise of Oakland Hills is just minutes from world-class health care facilities, including Kaiser Permanente Medical Center. This mansion-style property features stunning outdoor spaces, private suites with kitchenettes and a bright, updated bistro. Many of the suites have water views, and the neighboring parks and green spaces are filled with walking paths and gardens. 

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Atria Valley View

Situated just steps from John Muir Health, Atria Valley View is a LEED-certified, eco-friendly assisted living community. Seniors can relax on the overlook deck perched high above the Tice Valley, catch a movie in the theater and enjoy afternoon drinks in the comfortable lounge. Wooded walking paths connect to the front door, and each apartment features a balcony or patio, kitchenette and individual climate controls. Meals are freshly prepared on-site using local ingredients, and vegetarian options are available. 

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Pacifica Senior Living Union City

Pacifica Senior Living Union City is a resort-style boutique senior living community that offers seniors a wide variety of social and recreational programs and amenities. Located just steps from the Union Landing Shopping Center, Ruggieri Senior Center and Union City Library, residents here can enjoy an active retirement lifestyle. Pets are welcome in select apartments, and therapy dogs are regular visitors. Plenty of amenities are available, including a therapeutic spa and hot tub, a cozy fireside living room and spacious, relaxing outdoor gardens and seating areas. 

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  • Library with computer stations
  • Escorted day trips to local shops and attractions

Casa Sandoval Senior Living

Casa Sandoval Senior Living is a supportive, friendly community with dedicated assisted living neighborhoods. Individual care plans are coordinated by dedicated care managers who work to meet the unique needs and preferences of each resident. Caring staff are always available to offer support and assistance, and families are encouraged to drop by anytime. Activities include daily exercise classes, games and crafts, and special events, such as birthdays, are celebrated with plenty of homemade food.

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The Point at Rockridge

The Point at Rockridge is a comfortable senior living community that features top-tier amenities combined with a caring, supportive staff team. The studio and one-bedroom apartments are equipped with kitchenettes, private wheelchair-accessible bathrooms and private balconies, along with an emergency call system. Seniors can stay active in the fitness room, visit the in-house beauty salon and join exercise classes, music groups and card games in the multipurpose rooms. The sixth-floor lounge offers stunning views of the Golden Gate Bridge and Mount Tamalpais, while the landscaped courtyard is a great place to relax on a sunny afternoon. 

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The Cost of Senior Living and Care in San Leandro

According to data gathered by the 2018 Genworth Cost of Care Survey, the average cost of senior care in San Leandro consistently exceeds that of California. Seniors pay $1,000 more for assisted living, nearly $780 more for nursing home care and over $670 more for home care in this city than in the state as a whole. The difference in adult day health care is less noticeable, costing an average of $1,733 a month in San Leandro versus the state monthly average of $1,679.

Note: Cost data for San Leandro is not available, so data for San Francisco, its nearest major city, has been used for cost comparisons.

How much does Assisted Living Cost in San Leandro?

San Leandro is among the most expensive cities in the state for assisted living, with average monthly costs at $5,500. This exceeds the statewide average by $1,000 and the nationwide average of $4,000 by $1,500.

The only city in California with more expensive care is Santa Cruz, where seniors pay nearly $100 more per month for assisted living services. The most affordable city in the state for this type of care is Bakersfield, which lies about 260 miles away. Here, the average monthly cost for assisted living is $3,150.

How much does Home Care Cost in San Leandro?

Of the major California cities surveyed, San Leandro ties with Santa Rosa for the most expensive city for home care. Here, homemaker services cost an average of $5,625 per month or $29.50 per hour. This is roughly $700 more per month than the California average of $4,957 and over $1,600 more than the nationwide average of $4,004. The most affordable major city in the state for this type of senior care is Bakersfield, where seniors pay an average of $4,385 per month or $23.00 per hour for care.

How much does Adult Day Care Cost in San Leandro?

While the cost of adult day health care in San Leandro is higher than the statewide average of $1,679 per month and the national average of $1,560 per month, it’s among the more affordable options of the major cities surveyed.

The most expensive city in the state for this type of care is Santa Rosa at $2,362 per month or $109 per day, compared to San Leandro’s average monthly cost of $1,733 or daily cost of $80. Adult day health care is considerably cheaper in the Visalia area, which is about 200 miles away. Here, care costs an average of $1,040 per month or $48 per day.

How much does Nursing Home Costs in San Leandro?

On average, nursing home care in San Leandro costs roughly $800 more per month than the statewide average of $8,365 and about $1,700 more than the national average of $7,441. Seniors pay about $2,600 more for care here than those living in Visalia, which is the state’s most affordable option at $6,540 per month. However, nursing home care in San Leandro is almost $1,500 less than in Santa Maria and $800 less than in Napa, the costliest cities in the state for nursing home care.

Financial Assistance Programs in San Leandro

Medicaid Program in San Leandro

San Leandro seniors with limited income and resources can receive free or low-cost health insurance through Medi-Cal, California’s Medicaid program. Medi-Cal covers a variety of medical expenses, including hospital stays, routine medical care and prescription drugs. It also covers nursing home and some personal care services.

To qualify for Medi-Cal, applicants must be at least 65 years of age, permanent residents of California and U.S. citizens or legal residents. Income and asset limits also apply. Single applicants may earn up to $1,271 per month and own up to $2,000 in countable assets, and married applicants can have a combined monthly income of up to $1,720 per month and $3,000 in countable assets. Seniors who do not meet income guidelines may still qualify for Medi-Cal through the Medically Needy Pathway, and those whose income and assets exceed guidelines may qualify through Medicaid planning.

To apply for Medi-Cal, seniors can:

Medicaid Waivers in San Leandro

Assisted Living Waiver Program

The Assisted Living Waiver Program is available to seniors residing in San Leandro. This program covers services received at home or in an assisted living facility, including assistance with the activities of daily living, social and recreational activities, prepared meals and health-related services.

To qualify for ALWP, applicants must require nursing home-level care, but not so much care that it would be prohibitively expensive to receive it in an assisted living facility. Applicants must also meet Medi-Cal’s income and asset guidelines.

For more information on this waiver and to learn how to apply, visit our ALWP page.

Multipurpose Senior Services Program

The Multipurpose Senior Services Program provides in-home care and case management with no share of cost for Medicaid beneficiaries residing in San Leandro. While this program does not cover medical care, it does cover services like adult day health care, home modifications and assistive technology, enabling seniors to avoid or delay nursing home placement.

To be eligible for this program, applicants must be at least 65 years old and need assistance with one or more activities of daily living or two or more life activities, such as chores. Applicants must also meet the Medicaid Home and Community Based Services income and asset guidelines. Single applicants may have a monthly income of up to $1,242 and up to $2,000 in countable assets, and married applicants may have a combined monthly income of up to $1,682 and up to $3,000 in countable assets.

More information on this program, including how to apply, visit our MSSP page.

Home and Community-Based Alternatives Waiver

The Home and Community-Based Alternatives waiver program provides care services to seniors who are eligible for nursing home placement but prefer to remain in their home. This program also provides assistance for those who currently live in a nursing home facility but wish to transition to an assisted living facility or back to their home.

To qualify for the HCBA waiver, applicants must meet the Medicaid Home and Community Based Services income and asset guidelines. This program has an enrollment cap, and eligible applicants may be placed on a waiting list until services are available.

For more information on benefits, eligibility and how to apply, visit our HCBA page.

Community Based Adult Services Program

The Community Based Adult Services Program provides assistance services to seniors in San Leandro. Some services offered by CBAS include nutritional guidance, physical and occupational therapy, transportation services and personal care during daytime hours. Care is provided in specialized care centers like adult day health care facilities.

To qualify for CBAS, applicants must have a functional need for services and meet Medi-Cal’s income and asset guidelines. To learn more about CBAS, including how to apply for the program, visit our page.

Other Financial Assistance Programs in San Leandro

In-home Supportive Services (IHSS)

In-home care services in San Leandro are covered by Medi-Cal through the In-Home Supportive Services program. IHSS is an alternative to out-of-home care. Some services provided by this program include housecleaning, meal preparation, personal care services and accompaniment to medical appointments. As part of the regular state plan, this program is an entitlement, meaning that services are guaranteed for qualified applicants. More information regarding IHSS can be found here.

Paid Family Leave Act (PFL)

People who take a leave from work to care for a seriously ill relative or domestic partner can get paid to do so under the PFL. Caregivers can get up to six weeks off and receive up to 70% of their pay, and compensation is based on their earnings. For more information, read our page on PFL here.

More Senior Living Resources in San Leandro


Phone Number


Estabrook Place (510) 347-5800 Estabrook Place features 51 one-bedroom, one-bathroom units for low-income seniors. It’s located near the downtown corridor and offers convenient access to public transportation.
This wheelchair-accessible community features a landscaped courtyard, on-site laundry and secure entries. Section 8 vouchers are accepted.
Eden Lodge (510) 352-7008 Eden Lodge is an apartment complex for low-income seniors. This complex is comprised of 143 one-bedroom, one-bathroom units and offers community amenities, such as an on-site beauty shop, exercise equipment, a library and a recreation room equipped with pool and ping pong tables.
Fargo Senior Center Apartments (510) 351-1135 Fargo Senior Center is a ministry of Christian Church Homes, a non-profit organization that builds and maintains affordable senior housing. Fargo Senior Center is a 62-and-over community that has 75 units, each with individual climate control, patios or balconies and complete kitchens with refrigerators and electric stoves.
Broadmoor Plaza (510) 553-9250 Broadmoor Plaza is an apartment community for low-income adults age 62 and over. It offers 60 energy-efficient and water-efficient one-bedroom units, each of which is equipped with an emergency call system.
Residents have access to a free shuttle program, an on-site library and computer lab and community-organized activities like bingo and movie nights.
Spectrum Community Services (510) 881-0300 Spectrum is a federally-funded program that offers weatherization services to low-income individuals in San Leandro. Some services provided include weather stripping installation, smoke detectors and carbon monoxide alarm installation and heater replacement.

For additional information and planning, please read our comprehensive guide to paying for senior care in California.