AlmaVia of San Francisco

    1 Thomas More Way, San Francisco, CA 94132
    • Assisted Living
    • Memory Care

    Beautiful grounds, caring staff recommended

    I toured AlmaVia and was impressed - beautiful, well-maintained grounds, elegant common spaces, and bright, clean apartments with great natural light. The staff were warm, professional and easy to reach; residents looked happy and engaged with plentiful activities, great meals, and an excellent memory-care team. My family felt welcomed and supported throughout the visit, and I would highly recommend this community.

    Loved one of resident
    Aug 2026

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    Reviews

    4.47·(53)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.5
    • Staff

      4.5
    • Meals

      4.5
    • Amenities

      4.3
    • Value

      2.8

    Pros

    • clean, well-maintained facility
    • abundant natural light and large windows
    • spacious one‑bedroom apartment options
    • pleasant outdoor courtyard and green space
    • welcoming, family‑like atmosphere
    • compassionate and attentive caregiving staff
    • knowledgeable and organized tour staff
    • engaging, thoughtfully planned activities program
    • quality, thoughtfully prepared dining
    • strong memory‑care team and dignity emphasis
    • hotel‑like amenities and apartment feel
    • wide hallways and accessible circulation
    • variety of social and visiting spaces
    • spiritual and religious programming
    • live entertainment and special events
    • convenient location near transit/freeway
    • adequate parking
    • tight‑knit resident community

    Cons

    • inconsistent night staffing and extended call‑response times
    • gaps in family communication and care updates
    • additional fees for certain overnight or enhanced services
    • ambiguous or incomplete move‑in information
    • dining room perceived as small and undistinguished
    • facility layout reflecting an institutional conversion
    • limits on accommodating mixed‑level care households
    • safety infrastructure concerns for bathing and transfers
    • front‑desk/customer‑service tone inconsistency
    • perceived higher cost versus local competitors
    • uneven engagement for higher‑dependency residents

    Summary of reviews

    AlmaVia of San Francisco presents as a clean, well‑kept, and professionally run assisted‑living and memory‑care community with a strong emphasis on resident comfort and social programming. Reviewers consistently highlight the bright, renovated atmosphere — large windows, abundant natural light, landscaped courtyard and adjacent green space — and describe apartments with an apartment/hotel feel. Common‑area maintenance and overall sanitation are repeatedly characterized as high quality, and the facility’s design includes wide hallways and a variety of social spaces that support visitation and small‑group activities.

    Care and staff receive frequent praise for warmth, professionalism and resident familiarity. Families and visitors describe caregivers as attentive, compassionate, and knowledgeable; memory‑care staff are singled out for upholding resident dignity and for strong family support in many accounts. At the same time, several reviewers identified operational gaps that affect care continuity: inconsistent night staffing levels and slow call‑response times were a recurring concern, and a few accounts implied delays in clinical escalation and family notification. These items suggest a need to clarify overnight staffing plans and emergency escalation protocols before move‑in.

    Dining and activities are overall strengths. Meals are repeatedly described as thoughtfully prepared and enjoyable, and the activity calendar (games, crafts, group exercise, live entertainment and religious programming) appears lively and well organized. The dining room itself is sometimes perceived as small or not especially distinct, which may affect communal dining atmosphere at peak times. Activity engagement is broadly positive, but there are isolated indications that residents with higher dependency or mobility limitations can be less engaged; prospective families should verify individualized engagement strategies during a visit.

    Facility layout and operations present mixed signals. Several impressions describe the building as feeling like a converted clinical space, which can influence room sizes and some public spaces; some apartment layouts were described as smaller than expected. Families also raised practical concerns about move‑in logistics, clarity around pricing and extra charges (notably for overnight care), and occasional variability in front‑desk tone and communication. For couples with different care levels, the community may have limits in keeping both parties together without differing units or programming — an operational constraint to evaluate for paired moves.

    In summary, AlmaVia of San Francisco is likely to suit prospective residents and families seeking a bright, well‑maintained community with active programming, a mission‑driven staff culture, and quality dining. Before committing, visitors should (1) review written staffing ratios and overnight response procedures, (2) clarify all fees and move‑in information in writing, (3) inspect safety features in bathing and transfer areas, and (4) discuss individualized engagement plans for residents with higher care needs or for couples requiring different levels of service. These checks will help align expectations with the community’s operational realities.

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    Location

    Map showing location of AlmaVia of San Francisco

    AlmaVia of San Francisco is located at 1 Thomas More Way, San Francisco, CA, 94132.

    About AlmaVia of San Francisco

    AlmaVia of San Francisco sits in the Lakeshore neighborhood near Lake Merced, and the building stands three stories tall, with peaceful rose gardens and walking paths outside for residents who like nature or a stroll in the fresh air. The facility offers studio, one-bedroom, and two-bedroom apartments, and rooms are set up with seniors in mind-everything's wheelchair accessible, with safety features in showers and wide hallways, so folks with walkers or wheelchairs can get around without that feeling of being boxed in. Assisted living apartments start at around $4,995 a month for a studio, $6,250 for a one-bedroom, and $7,600 for a two-bedroom, with extra monthly fees if another person lives with you in the apartment, which is $1,250 more each month. The community asks for a one-time fee of $5,750 with move-in, and there are different levels of care, so folks with higher care needs pay more, from $500 a month for lighter care all the way up to $3,200 if someone needs heavy assistance. For short-term stays, respite care is $285 daily, and support services are available for both those planning to return home and those deciding if the community is a good fit.

    There's a secure memory care section in a separate building, which is set up carefully for residents with dementia or Alzheimer's, using wander alert systems and technology like bracelets to keep everyone safe. Staff know how to handle people who tend to wander, act out, or have complex behavior issues, and they support folks through big mood swings or episodes. Nurses and caregivers are around during the day and awake all night, and visiting specialists like physical or occupational therapists, nurses, and podiatrists come regularly. Residents dealing with diabetes can get insulin injections and blood sugar checks, including sliding scale therapy, and there's help for people with incontinence, though folks need to be able to manage some of their care with reminders.

    Meals are provided by a professional chef, and residents can expect restaurant-style dining with lots of choices-vegetarian, gluten-free, low-salt, low-sugar, and vegan meals are available, and a registered dietitian supports the nutrition program. People don't have to spend their time cooking or cleaning, as the staff handles housekeeping, laundry, and takes care of mail too. The community welcomes pets, so residents are allowed to bring cats or dogs, and pet care services are there if anyone needs help.

    AlmaVia has several indoor areas for socializing, and there's a library, a computer lab, a beauty salon, a chapel, and plenty of common rooms for activities or just sitting with neighbors. Activities include art shows, group walks in the garden, music and karaoke, stretching and fitness classes, political letter-writing groups, cooking and gardening, memory care programs for those with Alzheimer's, and there's a full calendar every month. Volunteers from nearby schools and universities visit, and there are ways for residents to help out through advisory groups or by volunteering. Devotional services support a variety of faiths onsite and offsite, with a chaplain and a spiritual care director for all beliefs.

    AlmaVia is a non-profit community, and the focus stays on safety and comfort for people aged 55 and older, with 24-hour support, emergency call systems in every apartment, and transportation for appointments or outings around San Francisco. Folks who don't get around easily can receive two-person transfers and mechanical lift support. The community's received several awards for assisted living and memory care, including recognition from US News and World Report. People enjoy having their own space and the chance to come and go independently, while still having help available for things like bathing, dressing, and medication management, and the grounds are wide open so everyone can find a quiet bench or a bit of sun any time they want.

    About Transforming Age

    AlmaVia of San Francisco is managed by Transforming Age.

    Transforming Age is a nonprofit senior living network founded in 1956 (originally Presbyterian Ministries), headquartered in Bellevue, WA with a second HQ in Omaha, NE. Operating 75+ communities across 23 states, they provide independent living, assisted living, memory care, and affordable housing plus home-based services.

    People often ask...

    AlmaVia of San Francisco offers assisted living and memory care.

    There are 12 photos of AlmaVia of San Francisco on Mirador.

    The full address for this community is 1 Thomas More Way, San Francisco, CA 94132.

    No, AlmaVia of San Francisco does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In California, the Department of Social Services' Community Care Licensing Division licenses residential care facilities for the elderly, conducting inspections and investigating complaints.

    License number385600270
    StatusLicensed
    Facility typeResidential Care Elderly
    Capacity175 residents
    LicenseeELDER CARE ALLIANCE OF SF, ELDER CARE ALLIANCE
    EffectiveOctober 30th, 2003
    View the official license record

    Inspection Reports

    22

    Reports

    2

    Type A Citations

    3

    Type B Citations

    10

    Complaints

    7

    Years

    07 Oct 2025Inspection
    Observed overall compliance with safety and care requirements; medications, kitchen, fire safety, and staff/resident records appeared current, and no citations were issued.
    19 Aug 2025Inspection
    Identified that a resident was restrained with a gait belt by two staff; no injuries or bruises were observed.
    • Type A87608(a)(5)
    29 May 2025Inspection
    Investigated a reopened complaint and reviewed the amended finding with the administrator.
    17 Apr 2025Inspection
    Investigated a complaint alleging improper notice of a rate increase that did not reflect modification conditions and rate structure.
    • Type B87507(g)(4)
    11 Apr 2025Inspection
    Observed no deficiencies during an unannounced case management visit.
    02 Apr 2025Complaint
    Investigated the allegation that staff did not provide proper notice of a rate increase. Found that notices did not clearly indicate modifications and rate structure, and billing did not match the notices.
    • Type B809-D
    02 Apr 2025Complaint
    Investigated two specific complaints about pre-admission appraisal and provision of records; the findings concluded the allegations were unsubstantiated.
    15 Oct 2024Complaint
    Found lack of supervision allowed a resident with dementia to exit the building during the overnight hours on 9/28/2024. The resident had wandering behavior and was not allowed to leave unassisted.
    • Type A87411(a)
    11 Oct 2024Inspection
    Identified a missing health screening report for one caregiver, leading to a technical violation; other records and operations were found in order.
    20 Sept 2024Complaint
    Investigated a resident injury claim due to staff neglect and a transport vehicle maintenance concern. Found insufficient evidence to support either allegation.
    20 Sept 2024Inspection
    Identified that a resident sustained a minor injury during a wheelchair lift transport, and safe equipment and adequate staff support were not provided.
    30 Apr 2024Complaint
    Found that resident rates were increased with the required 60 days' advance notice provided. Found that the specific allegation of violating the admission agreement was unfounded.
    10 Apr 2023Complaint
    Found that the allegation that the home refused to take the resident back after hospital discharge was unfounded; the resident returned and is now receiving wound care through home health.
    10 Oct 2022Inspection
    Observed proper infection control, locked medications, and overall clean, safe conditions with no deficiencies cited.
    22 Sept 2022Complaint
    Investigated allegation that staff prevented residents from leaving. A misinterpretation of the power of attorney led to residents being prevented from departing.
    • Type B87468.1(a)(6)
    22 Sept 2022Complaint
    Investigated a complaint that a resident developed a stage 3 pressure ulcer while in care. Findings described prevention efforts and a worsening condition tied to the resident’s health status.
    22 Oct 2021Inspection
    Observed adherence to infection control practices, proper signage, and PPE availability; no deficiencies were cited.
    20 Apr 2021Inspection
    Investigated an incident in which a lamp near a resident's bed fell and bumped a resident's head. Documents such as medical records and service plans were requested and reviewed.
    02 Mar 2021Inspection
    Identified concerns about COVID-19 protocols and requested current documentation.
    07 Aug 2020Complaint
    Determined that the resident’s sudden behavioral changes were documented and reported appropriately, including incident reports and medication adjustments, and that notices regarding rate increases and eviction procedures were properly provided; additionally, found that the facility responded promptly to record requests, and concluded that the allegations of staff neglect, illegal eviction, and failure to update care plans were unfounded.
    18 May 2020Complaint
    Investigated the allegation that male caregivers delayed assistance for a non-ambulatory resident needing restroom help; found that staff promptly provided only female caregivers, and the resident was satisfied with the care received.
    13 Oct 2019Inspection
    Reviewed records and procedures, confirming fire and safety protocols, medication management, and building standards were maintained properly, with no deficiencies identified during the inspection.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of AlmaVia of San Francisco. The information above has not been verified or approved by the owner or operator. For exact information, please contact AlmaVia of San Francisco directly. There is no cost for this service. We are compensated by the community you select.

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