Pricing ranges from
    $5,728 – 7,446/month

    Serra Highlands Senior Living

    501 King Dr, Daly City, CA, 94015
    • Independent living
    • Assisted living
    AnonymousLoved one of resident
    4.0

    Warm community, clean, small rooms

    I moved my mom here and overall we're happy - staff are warm, welcoming and communicative, and the community feels down-to-earth and lively. The building and common areas are clean and recently remodeled, dining is generally good (occasionally mediocre), and there are lots of engaging activities and outings. Drawbacks: rooms are often small/dated and some have shared bathrooms, and there are occasional short-staffing delays (especially weekends/new staff) - not ideal for higher-level wound or medical care. I would recommend it for seniors who want an active, caring, cost-effective place, but confirm private-bathroom availability and care limits before committing.

    Pricing

    $5,728+/moSemi-privateAssisted Living
    $6,873+/mo1 BedroomAssisted Living
    $7,446+/moStudioAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Spa
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination
    • Swimming pool

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.26 · 106 reviews

    Overall rating

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

      4.0
    • Staff

      4.4
    • Meals

      4.0
    • Amenities

      3.3
    • Value

      3.5

    Pros

    • Friendly, caring and professional staff
    • Clean, well-maintained common areas and rooms
    • Private rooms available
    • Restaurant-style, varied dining with customizable meals
    • Active calendar of activities (bingo, arts, music, outings)
    • Sense of community and belonging
    • On-site medical services (doctor, podiatrist) and nursing support
    • Housekeeping and laundry services
    • Outdoor spaces: patio, courtyard and garden
    • Value/affordable pricing for many residents
    • Helpful and informative tour and admissions staff
    • Move-in process described as easy and supportive
    • Medication administration and personal care assistance
    • Transportation/shuttle service for appointments
    • Remodeled common areas (new paint, flooring, dining furniture)
    • Small, home-like community feel
    • Month-to-month leasing/no waiting period in some cases
    • Dedicated staff during COVID and reports of above-and-beyond care
    • Reliable and praised kitchen/chef in several reviews
    • Activities staff noted as engaging and new leadership praised
    • Many residents described as happy, lively, and social
    • Accessible layout and multiple room options
    • Responsive staff communication in many reports
    • Escorted doctor visits and assistance with appointments
    • Warm, welcoming atmosphere on tours and in reception

    Cons

    • Small/sometimes cramped resident rooms
    • Some units have shared bathrooms
    • Older, dated building in places
    • Inconsistent staffing; short-staffed at times (weekends/Saturdays)
    • Slow response times to call buttons/alerts reported
    • High staff turnover and leadership changes noted
    • Price increases and extra/unexpected fees reported
    • Occasional delays or lapses in medical care and follow-up
    • Allegations of theft and care quality decline in some reports
    • Limited outdoor space in some units/urban location
    • Some visitors report pushy move-in/sales tactics
    • Limited transportation scheduling (e.g., specific weekdays)
    • Cleanliness/bathroom issues tied to incontinent residents in some areas
    • Lack of private bathrooms in certain floor plans
    • Not ideal for those wanting larger/luxurious apartments
    • Mixed food quality reports (some find bland/mediocre)
    • Limited rehab/physical therapy facilities on-site
    • Movement restrictions/backdoor safety concern mentioned
    • Not always enough one-on-one care for higher needs
    • Reports of being unwilling to admit residents with wounds
    • Noise and building wear (hollow-core doors, smells) in some parts
    • Some families report bait-and-switch pricing practices
    • Limited wheelchair availability for tours
    • Participation in activities can be low for some residents
    • Inconsistent maintenance/upkeep reported by a minority

    Summary review

    Overall sentiment: Reviews of Serra Highlands Senior Living are predominantly positive about staff, cleanliness, community and value, while consistently raising concerns about room size, building age, staffing consistency, and occasional management issues. Most reviewers praise the people who work there — caregivers, nurses, kitchen staff and front-desk personnel are repeatedly described as friendly, compassionate, professional and attentive. Multiple families noted that staff go above and beyond during crises (including COVID), that the move-in process and tours are thorough and welcoming, and that residents often report feeling at home and forming friendships.

    Care quality and staffing: The facility receives mixed-but-leaning-positive feedback on care. Many accounts highlight dependable medication administration, escorting residents to doctors, evening nursing availability, and on-site medical services such as a doctor and podiatrist. However, a recurring theme is inconsistent staffing levels: short-staffed weekends (especially Saturdays), longer waits for help, and reports of high staff turnover or declines in quality after leadership changes. Some families cite slow responses to emergency call buttons and occasional lapses in follow-up care; in a few serious reports reviewers mentioned untreated lesions and theft, indicating that experiences can vary considerably depending on staff continuity and management oversight.

    Staff, management and culture: The culture is often described as family-oriented, warm and welcoming. Activities directors and particular staff members receive specific praise for engagement and organization. Several reviewers compliment recent remodeling of common spaces and active leadership, but others report deterioration after leadership departures. Pricing and management practices are another mixed point: many see Serra Highlands as offering good value or affordable pricing, while a number of reviewers report unexpected fee increases, perceived bait-and-switch practices, or extra costs (for example, charges like TB tests) and rate hikes shortly after moving in.

    Facilities, rooms and maintenance: The facility overall is described as clean, bright and well-maintained with pleasant landscaping, new paint and flooring in remodeled areas, and private rooms with smart TVs in some units. Outdoor amenities like patios, courtyards and gardens are frequently praised. The most consistent facility complaints center on small room sizes, an older/dated building in certain wings, and the presence of shared bathrooms in some studios — all repeatedly flagged by visitors who preferred larger or more modern accommodations. A few reviewers mentioned noticeable wear such as hollow-core doors, disinfectant odors, and inconsistent upkeep in parts of the building.

    Dining and activities: Dining is a major strength for many residents — reviews mention restaurant-style service, varied menus, flexible/customizable meals, and a few standout staff (e.g., a praised chef). Some reviewers, however, rated certain meals as bland or mediocre. Activities are well-regarded overall: there's a full calendar of daily offerings (exercise, bingo, arts & crafts, music/piano, field trips, weekly outings) and many accounts of a lively social environment. Participation levels can vary by resident; some people are described as loners with low engagement while others thrive in the community. Transportation is available for appointments, though reviewers noted limited scheduling (e.g., rides concentrated on specific days).

    Safety and accessibility: Several reviewers appreciated the accessible layout and freedom residents have to roam and socialize, while a few raised safety concerns — specifically a backdoor risk and early evening door checks at 5:00 referenced by multiple visitors. Some families experienced restrictions or territorial behavior in dining seating and wanted a more inclusive approach to integrating new residents. A minority also reported that the community was unwilling to admit residents with wounds or higher-level needs, suggesting limits to the facility’s clinical scope.

    Patterns and recommendations: The dominant positive patterns are consistent praise for staff, cleanliness, social programming, and value for many residents. The dominant negatives are space limitations, intermittent staffing shortages or turnover, and management/financial transparency issues. Prospective families should tour multiple times (at different hours and days) to observe staffing levels, activity participation and mealtimes, ask specifically about private bathroom availability, staffing on weekends and holidays, recent rate history and any extra fees, and how the community handles higher-care needs, wounds and safety procedures (including door policies). Checking references from recent residents and asking for details about staff tenure and leadership stability will help identify whether a particular unit’s positive or negative reports are representative.

    Bottom line: Serra Highlands offers a warm, activity-rich, generally well-run community with many families reporting satisfied, happy residents and caring staff at a reasonable price. However, experiences vary by unit and by time; concerns about small room sizes, shared bathrooms, inconsistent staffing (especially on weekends), and occasional management or care lapses mean that careful, targeted due diligence is essential before committing. If priority needs are strong nursing/rehab services, larger apartment space, or guaranteed weekend staffing, families should confirm those specifics in writing. For those seeking an affordable, social, staff-oriented community with good dining and active programming, Serra Highlands frequently meets expectations; for residents needing higher acuity care or more spacious apartments, it may be less suitable.

    Location

    Map showing location of Serra Highlands Senior Living

    About Serra Highlands Senior Living

    Serra Highlands Senior Living sits in Daly City, just outside of San Francisco, and has a clean, bright, and welcoming feeling, with a mix of independent living, assisted living, memory care, skilled nursing, and even continuing care retirement options, so as folks' needs change, they can stay in the same place and get more care if they need it; the staff are friendly and helpful, including the front desk, and residents and visitors have said it's a pleasant place with lots of positive talking and good energy among residents and workers. The rooms are private and a good size, with bathrooms and some have smart TVs, but the streaming services aren't included, so you'd have to set that up if you want it, and residents can bring their own things to decorate and make it feel more like home, which is nice-plus, you have options like pet-friendly living and accessible showers for those who need them.

    There's always someone on duty for 24-hour oversight, and trained staff helps with daily activities like bathing, dressing, or just remembering to take medicine, and people who need more medical care or memory support have personalized plans and a secure area so they stay safe and comfortable. Meals are chef-prepared with vegetarian and kosher options, served in an elegant dining area, and there's always a choice, which is good if someone's a bit picky or has special needs. The building has indoor and outdoor spaces for socializing or just relaxing, including a beauty salon, a visiting room with a TV, resident parking, and transportation to appointments or outings, so people don't feel stuck; folks can walk the wooded paths or sit outside to look at the bay or the gardens, and they host activities all day, so you see people going to arts and crafts, bingo, exercise classes, and even happy hours or live music.

    The community has a vibrant, busy feel, with a social calendar full of chances to mingle and connect, and the continued learning program means people can keep growing or pick up something new they never had time for before. Memory care is set up for residents with Alzheimer's or other kinds of dementia, with activities and therapies to help prevent wandering or confusion, and there's skilled nursing if a higher level of care is needed, so you don't have to worry about moving somewhere else if things change. Staff help with planning out what care costs, with real stories and resources about options like veterans' benefits or using home sale proceeds, or even long-term care insurance, so families have support for making decisions.

    Serra Highlands Senior Living feels closely knit and active, with lots of chances for friendships, events that keep the days from getting too long or dull, and a sense of safety and support; the place stays tidy and the atmosphere is open, so people can come and go in the common areas and socialize easily, with only a few rules for safety. There's always plenty to do and someone around to help, whether someone lives independently, needs a bit of extra support, or requires more advanced medical or memory care, and there are options for home care and respite stays too, so families can get help without a big commitment. Overall, Serra Highlands offers a variety of services and living choices in a clean, cheerful space surrounded by scenic views and supports people through every stage of aging with respect and care.

    About Pacifica Senior Living

    Serra Highlands Senior Living is managed by Pacifica Senior Living.

    Pacifica Senior Living, a division of Pacifica Companies (family-owned since 1978), was founded in 2008 and is headquartered in San Diego, California. Operating over 90 communities across 13-14 states with concentrations in California, Florida, and Arizona, Pacifica has grown to become the 13th largest overall senior care provider in the United States. The company ranks as the 5th largest memory care provider, 10th largest assisted living provider, and 21st largest independent living provider nationally, serving thousands of residents from coast to coast through their comprehensive care offerings.

    Pacifica's mission centers on creating a lifestyle of independence, security, and peace of mind for each individual and their family. The company provides personalized, compassionate care services through their signature Heartland™ Assisted Living and Legacies™ Memory Care programs, which focus on the individual while offering customized care plans that respect each resident's needs, preferences, and privacy. Their philosophy emphasizes striking a balance between assistance and independence, providing dignified and compassionate retirement experiences in environments that feel like home. Each community is managed individually, allowing for tailored support of unique resident profiles and communal character, with everything from scheduling to dining menus designed around residents' preferences.

    The company's specialized memory care programs demonstrate their expertise in dementia care. Their Legacies™ Memory Care program helps patients with Alzheimer's disease and other forms of memory loss feel safe and secure while providing memory-boosting activities. The innovative Amara Memory Support program creates welcoming and empowering environments that celebrate the essence of people rather than focusing on their diagnosis. Programming encompasses nine Focus Elements of Life: Recreation, Service, Spirituality, Movement, Sensory, Household Connection, Community, Exploration, and Creative Arts, delivered through stimulating activities including gardening, culinary adventures, musical experiences, creative artistic outlets, and mindfulness practices.

    Pacifica offers a comprehensive continuum of care including independent living, assisted living, memory care, respite care, skilled nursing, and adult day care services. All communities focus on promoting well-being by meeting care needs while facilitating social interactions, activities, and wellness programs. Despite recent financial challenges leading to the bankruptcy of one management entity affecting approximately 20 California facilities, the majority of Pacifica's nearly 100 communities continue operating, maintaining their commitment to advancing senior living and providing peace of mind to residents and families through warm, family-like communities where each resident receives individualized attention while maintaining dignity and independence.

    People often ask...

    State of California Inspection Reports

    35

    Inspections

    6

    Type A Citations

    13

    Type B Citations

    4

    Years of reports

    17 Jun 2025
    Investigated allegations about up-to-date resident records, meal service, attendance at medical appointments, staff training, restroom supplies, and dementia status. Concluded unsubstantiated.
    • § 87463(h)
    24 Apr 2025
    Found that the deficiencies cited on 4/17/2025 were cleared, and the review was completed.
    • § 9058
    04 Apr 2025
    Investigated an allegation about resident safety and care. The description noted concerns about supervision and how residents were assisted.
    • § 9058
    17 Apr 2025
    Found during an unannounced annual visit that the temperature was 69 F and the CO monitor was working; food supplies were adequate and fire extinguishers were due for evaluation with maintenance scheduled. Six resident and six staff records were reviewed, administrator certificate expired but renewal submitted, and four staff members lacked criminal background clearance; deficiencies were cited.
    • § 9058
    • § 87355(e)(4)
    07 Mar 2025
    Investigated findings identified four allegations: dresser inaccessible due to bed placement, no heating in the resident's room and other areas, a fall during a shower transfer, and delays or failures to seek medical attention or arrange transport after the incident. Not enough evidence to prove these violations occurred.
    • § 87468.1(a)(13)
    • § 87303(b)
    24 Feb 2025
    Substantiated that three residents eloped due to lack of supervision. Found that other concerns—administrator hours, toilet condition, residents’ nutrition, staffing, staff training, and notifying families about management changes—were not supported by a preponderance of evidence.
    • § 87464(f)(1)
    04 Dec 2024
    Determined the allegation that faucets used for personal care did not deliver hot water and that bathing water was not adequately warm could not be proven or disproven. Water temperatures measured in tested faucets and showers ranged from 105 to 107.2 degrees Fahrenheit.
    23 Apr 2024
    Found no deficiencies today. Noted a two-story site with secure medications and sharps, a well-stocked kitchen, furnished resident rooms, and ongoing construction on the second floor; a follow-up visit to complete the review was planned.
    23 Apr 2024
    Inspection revealed no safety hazards or deficiencies at the facility.
    09 Apr 2024
    Investigated a January 2024 death during a case-management visit, requested the Assisted Living Schedule and training records, interviewed one staff member, found no deficiencies, and reviewed with the Executive Director.
    09 Apr 2024
    Found no deficiencies during the visit and interviewed 1 staff member.
    27 Mar 2024
    Found that the allegation that caregivers wore the same gloves for more than one resident could not be proven, and that the shortage of plastic garbage can liners could not be determined. Reviewed the Infection Control Plan and related staff training.
    27 Mar 2024
    Reviewed allegations of improper infection control practices, including caregivers not changing gloves between residents and shortage of garbage can liners. Evidence was inconclusive to support or refute findings. Insufficient documentation for infection control training and preventionist role noted.
    19 Mar 2024
    Found no deficiencies after reviewing the resident's medical file, six staff files, and staff training records, and after interviewing two staff members as part of case management related to a death.
    19 Mar 2024
    Reviewed documents, interviewed staff members, and found no deficiencies during the visit.
    07 Feb 2024
    Found renovations on the second floor were contained with doors closed, no dust or toxic materials observed, and city inspectors found no anomalies. Meals were served per menus and dietary needs, and the allegation that staff spoke to residents inappropriately was unsubstantiated.
    07 Feb 2024
    Investigated complaints about inappropriate communication, construction hazards, and inadequate meal services; found no substantial evidence to support claims.
    17 Mar 2023
    Found compliance with regulations; no citations issued. Recommended licensure.
    17 Mar 2023
    Confirmed compliance with all regulations during the unannounced visit, recommending licensure of the facility.
    21 Feb 2023
    Confirmed COMP II completion as successful, with identity verified, licensing laws understood, and LIC 809 completed with photo ID. Reviewed understanding across core areas, including license type and resident populations, admission policies, staffing requirements and training, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
    21 Feb 2023
    Confirmed successful completion of Component II inspection, demonstrating understanding of licensing laws and regulations related to facility operation, admission policies, staffing requirements, health conditions, emergency preparedness, complaints, and pre-licensing readiness.
    21 Apr 2022
    Identified ongoing concerns about licensing information display and license transferability, and noted no timely response by the deadline. Found uncorrected deficiencies under the applicable regulations, with potential penalties if not addressed.
    21 Apr 2022
    Identified regulatory violations and assessed civil penalties of $100 per day for delays in correcting two violations, accruing daily through 4/21.
    21 Apr 2022
    Identified deficiencies in regulations were cited during an inspection by the California Department of Social Services.
    • § 87206
    • § 87109(b)
    • § 87206(a)
    21 Apr 2022
    Identified violations during the inspection led to civil penalties being assessed for non-compliance with certain regulations.
    08 Apr 2022
    Identified a deficiency in state regulations because the operation advertised itself as licensed before licensure was approved. Failure to address the deficiency may result in civil penalties.
    08 Apr 2022
    Investigated the allegation that staff did not seek timely medical attention for a resident and found a delay in obtaining care. Investigated the allegation that the resident sustained pressure injuries and identified no evidence that such injuries occurred.
    08 Apr 2022
    Identified that the site advertised under a different name without a license, displayed signage and online listings under that name, failed to report a February 10, 2022 incident within seven days during leadership transition, and had new leadership with staff unaware of a resident’s baseline and needs.
    • § 87211
    • § 87205
    • § 87206
    • § 87109(b)
    • § 87411(a)
    08 Apr 2022
    Investigated operation without approved licensure and identified deficiencies in regulatory compliance.
    • § 87206
    • § 87109(b)
    08 Apr 2022
    Confirmed that staff did not seek timely medical attention for a resident but found no evidence of pressure injuries during their stay.
    • § 87465(a)(1)
    23 Jun 2021
    Found premises clean, odorless, and well maintained, with six resident bedrooms and bathrooms organized and properly equipped; hot water in resident bathrooms ranged from 114 to 118 degrees Fahrenheit. Found adequate food supplies (two days perishable and seven days non-perishable), safety devices in place, medications centrally stored and labeled, PPE adequate, staff with clearances and current First Aid/CPR, and resident records complete; no deficiencies observed and operations in compliance with regulations.
    23 Jun 2021
    Inspection found the facility to be in compliance with regulations, with no deficiencies observed during the visit.
    30 Jan 2021
    Found the specific allegation unsubstantiated after reviewing medical and care records and interviewing involved parties. Continued falls and injuries occurred despite regular supervision, repeated reassessments, and one-on-one overnight care from an outside provider.
    30 Jan 2021
    Found that the allegation of inadequate care for a resident's pressure injury was unfounded; medical records showed the injury existed for about a year and received appropriate medical treatment and home health services.
    30 Jan 2021
    Reviewed multiple assessments, medical records, and interviews regarding allegations of inadequate supervision and falls resulting in injuries. Allegations were not proven due to lack of evidence.

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