AlmaVia of San Francisco

    1 Thomas More Way, San Francisco, CA, 94132
    4.5 · 51 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    4.0

    Spotless, caring community with drawbacks

    I toured the community and was impressed - spotlessly clean, bright apartments, beautiful grounds, and a clear focus on assisted living and memory care. Staff were warm, professional, and engaged; residents looked happy and activities and meals were thoughtfully planned and delicious. The tour was well organized and the layout and offerings were easy to understand. My main concerns were the cost and long wait list, occasional understaffing/night shortages, and some communication/front-desk issues about caregiving. Overall it's a top-quality, well-run option if you can afford it and are comfortable with those caveats.

    Pricing

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    Amenities

    4.45 · 51 reviews

    Overall rating

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

      4.5
    • Staff

      4.5
    • Meals

      4.5
    • Amenities

      4.2
    • Value

      2.8

    Pros

    • Spotlessly clean, well-maintained facility
    • Abundant natural light and large windows
    • Good-size one-bedroom apartments and spacious units
    • Quiet neighborhood with adjacent green space and courtyard views
    • Wide, accessible hallways
    • Warm, welcoming, home-like atmosphere
    • Professional, compassionate, and attentive staff
    • Staff who know residents well and create a tight-knit community
    • Engaging, thoughtfully planned activities (games, crafts, exercises, live entertainment)
    • Delicious, thoughtfully prepared meals with variety
    • Strong memory care team praised for dignity and support
    • Elegant public spaces and hotel-like amenities
    • Convenient location (noted proximity to 19th Avenue / Stonestown and freeway access)
    • Well-organized and informative tours
    • Spiritual/religious programming and on-site parish church
    • Attractive gardens and outdoor spaces
    • Updated, recently renovated or new-feeling building
    • Good staff communication and responsiveness (for many families)
    • Residents generally look happy and engaged
    • Family-oriented, mission-driven approach focusing on resident well-being

    Cons

    • Building sometimes feels like a converted hospital or skilled nursing facility
    • Dining room described as small and not especially appealing
    • Perceptions of understaffing, particularly at night
    • Slow call light responses (reports of two-hour response at night)
    • Extra charges or unclear fees for night care and move-in
    • Inconsistent care/communication for some families (not always kept in loop)
    • Some residents (wheelchair users) observed sitting idle in rooms
    • Instances reported of care lapses (e.g., delayed hospital visit)
    • Pricing considered high or less competitive than alternatives
    • Long waiting list and limited immediate availability
    • Not always a fit for certain or higher-level memory care needs
    • Couples may need separate placements due to differing care needs
    • Occasional unfriendly or unwelcoming front desk interactions
    • Safety concerns for some units (bathtub/fall risk noted)
    • Lack of move-in information or orientation details for some families
    • Perception that some rooms feel small despite spacious units for others
    • Far location for some families depending on preferred area

    Summary review

    Overall sentiment across the reviews for AlmaVia of San Francisco is strongly positive, with consistent praise for cleanliness, staff warmth, resident engagement, and the attractiveness of the building and grounds. Reviewers repeatedly emphasize that the community is impeccably clean, well-maintained, and bright — large windows and abundant natural light are repeatedly mentioned. The grounds and courtyard, along with views from windows and proximity to green space and a parish church, contribute to a calm, home-like setting. Many reviewers described public spaces as elegant and hotel-like, and several noted that recent renovations or new finishes give the community an updated feel.

    Care quality is generally described as compassionate and professional. Multiple reviews highlight staff who know residents well, treat them with dignity and respect, and create a warm, family-like atmosphere. The memory care team receives particular praise for its attention, support to families, and mission-driven approach. Staff are often described as attentive, courteous, compassionate, and genuinely enjoying their work. Families frequently report that staff communication during tours and daily interactions is good and that staff are easy to reach. That said, there are notable exceptions — a number of reviews report concerns about inconsistent communication (families not kept up to date), and at least one instance where a family reported a delayed hospital transfer. These comments suggest variability across shifts or individual staff members.

    Activities and social life are strengths cited across many summaries. Reviews mention a wide range of thoughtfully planned activities — games, crafts, group exercise, live entertainment — that keep residents engaged and enthusiastic. Several reviewers said residents looked happy and actively participated, describing the environment as vibrant and supportive. Dining also receives strong positive mentions: meals are characterized as delicious, thoughtfully prepared, and varied. However, the dining room itself was described by some as small and not particularly special, which contrasts with comments that dining quality is high.

    Facilities and apartment-related feedback is mixed but generally positive. Many reviewers praised one-bedroom units as a good size, with some describing apartments as spacious, updated, and having an apartment/hotel feel. Others felt rooms seemed small or raised safety questions (notably bathtub-related fall risk). The building’s layout — wide hallways and a clear sense of spaces for socialization — was appreciated, as were parking and convenient access to freeway ramps and nearby shopping for some. A recurring thematic point is that, despite attractive public areas, the facility sometimes feels like a converted hospital or SNF; this perception did not override positive comments about upkeep but is a consistent note among several reviewers.

    Staffing and safety concerns appear as the most significant negative pattern. Several reviews mention understaffing, particularly at night, with one reporting call lights taking up to two hours for response and an extra cost for night care. A few families felt their relative did not receive the level of attention they expected; one review mentioned a three-day delay in hospital transfer. Observations of some residents in wheelchairs sitting in empty rooms point to potential underuse of available staff to engage certain residents. These issues indicate that while daytime staffing and activity programming are robust, evening/night coverage and consistent care follow-through may be areas needing attention.

    Cost, availability, and fit are practical factors that influenced decision-making for several reviewers. AlmaVia is repeatedly described as competitively priced by some but expensive by others; move-in fees and higher costs compared to certain competitors were mentioned. A number of families noted a long waiting list or that the community was their top choice but not immediately available. Fit-wise, while the memory care program is praised, some families found the offerings not aligned with higher or very specific care needs or noted they would have to separate couples who require different levels of care. A few reviewers also raised concerns about front desk interactions or an initial negative check-in experience, reflective of inconsistencies in first impressions.

    In summary, AlmaVia of San Francisco is widely seen as a clean, well-kept, and welcoming community with strong programming, engaging activities, quality dining, and a caring staff culture — especially for memory care and social engagement. The main caveats emerging from reviews are concerns about staffing consistency (notably at night), occasional lapses in communication and care coordination, pricing and fees, and some facility-related fit issues (dining room size, perceived institutional feel in places, and isolated safety concerns like tubs and fall risk). Prospective families should weigh the strong positive daily-life environment and staff warmth against potential variability in night staffing and specific care-level matches, and should clarify move-in costs, night-care policies, and communication protocols during their tour or contract discussions.

    Location

    Map showing location of AlmaVia of San Francisco

    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...

    State of California Inspection Reports

    28

    Inspections

    4

    Type A Citations

    4

    Type B Citations

    6

    Years of reports

    29 May 2025
    Reviewed amended findings after reopening the complaint related to the allegation, noting a new finding issued on 4/17/2025 during a case management visit with the administrator. An exit interview was conducted.
    • § 9058
    17 Apr 2025
    Identified an allegation that staff did not provide proper notice of a resident’s rate increase. Found inconsistencies between charged fees, the addendum rate, and notices, with modified conditions and rate structure not reflected in the notices compared to the ledger.
    • § 87507(g)(4)
    • § 9058
    02 Apr 2025
    Identified that the allegation that staff did not provide proper notice of rate increases for a resident was valid. Found inconsistencies between rate notices, payment ledgers, and invoices, with rate changes not clearly disclosed and amounts not matching addenda.
    11 Apr 2025
    Initiated an unannounced case management visit on 4/11/2025 to discuss and request resident records based on additional findings from the review of evidence; no deficiencies cited.
    • § 9058
    • §
    02 Apr 2025
    Found that an appraisal for the resident's care needs was completed before admission; the resident reported satisfaction with care and could determine their own health needs, while the responsible party provided conflicting information. Found insufficient evidence to support the allegation that records were not provided on request or the rate increase notice issue.
    15 Oct 2024
    Found lack of supervision allowed a resident with dementia to elope during overnight hours, with staff asleep and not supervising residents.
    11 Oct 2024
    Identified that one staff member did not have a health screening on file. Found overall conditions clean and safe, with functioning fire safety systems, adequate food and supplies, and active interaction between staff and residents.
    20 Sept 2024
    Identified an allegation that staff did not provide safe equipment or additional support during a wheelchair transfer, which led to a minor injury when the lift's electronic function failed and the manual crank caused a jerking motion. Found the resident used a foldable wheelchair with small wheels and limited back leverage.
    20 Sept 2024
    Found that a resident sustained a minor injury during transport when assisted with the wheelchair lift, but evidence did not prove staff neglect or intent. Found the allegation that the vehicle lift was not in proper repair unsubstantiated, since it has a manual crank and can operate when electronic parts fail.
    20 Sept 2024
    Found that a resident injured themselves after falling from a wheelchair lift during transportation, which was partly caused by the manual crank's jerking motion and inadequate wheelchair equipment, despite staff following proper procedures.
    • § 87411(a)
    30 Apr 2024
    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.
    30 Apr 2024
    Reviewed records and information confirmed that resident rates were increased with proper 60-day notice, and the complaint about the admission agreement violation was unfounded.
    02 Mar 2021
    Investigated concerns about COVID-19 protocols, requested roster and COVID-19 updates to be provided by 3/3/2021; reviewed with the Administrator and prepared for signature.
    10 Apr 2023
    Determined that the allegation that the resident was refused readmission after hospital discharge is unfounded. The resident returned to the care setting on 4/5/2023 with discharge instructions and is currently receiving wound care through home health.
    10 Apr 2023
    Investigated the allegation that the facility refused to readmit a resident after hospital discharge; found that the resident was indeed discharged back to the facility as scheduled.
    • § 87468.1(a)(2)
    10 Oct 2022
    Found no deficiencies after an unannounced annual visit; observed strong safety and infection-control measures, with locked chemicals and medications, proper hand-washing facilities, PPE storage, and a required emergency/disaster plan submission by 10/13/2022.
    10 Oct 2022
    Reviewed safety protocols and infection control measures, including signage, proper storage of chemicals and medications, and sanitation practices, with no deficiencies identified.
    22 Sept 2022
    Found that staff prevented two residents from leaving when they wanted to go home, due to a mistaken belief about who could decide for one resident, which violated residents' right to leave.
    22 Sept 2022
    Found the allegation that a resident sustained a stage 3 pressure ulcer while in care. The ulcer developed due to the resident's health condition despite preventive measures like a pressure-relieving mattress, regular turning every two hours, and incontinence care.
    22 Sept 2022
    Determined that staff prevented two residents from leaving the facility despite their right to do so, due to a misunderstanding about decision-making authority related to one resident’s power of attorney.
    22 Oct 2021
    Found ongoing COVID-19 surveillance testing, adequate PPE, and posted signs for mask, vaccination, and hand washing. Observed bathrooms with hand-washing signage, foot-operated lids, motion-sensor paper towel and liquid soap dispensers, and hand sanitizer throughout; dining tables spaced 6 inches apart; no deficiency cited.
    22 Oct 2021
    Reviewed confirmed that COVID-19 safety measures, including signage, sanitation practices, and PPE supplies, were in place and adequate, with some recommendations issued to further enhance safety throughout the facility.
    20 Apr 2021
    Reviewed an incident where a lamp near a resident's bed fell and bumped the resident's head. Discussed with the executive director and requested medical documents, including the physician's assessment, current service plan, and medical records.
    20 Apr 2021
    Reviewed the incident where a lamp fell and bumped a resident’s head during a move, following a report submitted earlier, and coordinated with the facility’s director to obtain relevant documentation.
    • § 87468.1(a)(6)
    02 Mar 2021
    Reviewed documentation related to COVID-19 protocols following concerns reported to the regional office. Requested and scheduled receipt of specific facility COVID-19 updates and rosters.
    07 Aug 2020
    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 2020
    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 2019
    Reviewed records and procedures, confirming fire and safety protocols, medication management, and building standards were maintained properly, with no deficiencies identified during the inspection.

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