San Francisco tends to be a pricey city for nursing home care, with semiprivate rooms coming in at $12,471 per month and private rooms at $15,208. Fortunately, relatively affordable alternatives may be available. For seniors who prefer to live at home, home care, which includes personal care and housekeeping services, and home health care, which also includes skilled nursing services, are considerably cheaper at $6,101 monthly. Assisted living costs about the same as home-based care at $6,100. Adult day health care, which features recreational and wellness services in a daytime community setting, is the cheapest option at $1,950 monthly.