Pricing ranges from
    $7,900 – 17,000/month

    Coterie Cathedral Hill

    1001 Van Ness Ave, San Francisco, CA, 94109
    • Independent living
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    5.0

    Hotel-like community with excellent care

    I moved my mother here and we're thrilled. The building is beautiful and hotel-like - great views, rooftop pool, cinema, restaurants and abundant amenities. Staff are warm, professional and attentive (huge thanks to Memory Care Director Christina Gonzalez), with 24/7 nursing and seamless support that lets residents keep their independence. Dining is restaurant-quality and the daily activities (live music, classes, trivia, Casino Night, etc.) keep everyone engaged. It's premium and not cheap, but worth it - I highly recommend Coterie.

    Pricing

    $7,900+/moStudioAssisted Living
    $11,500+/mo1 BedroomAssisted Living
    $17,000+/mo2 BedroomAssisted Living

    Schedule a Tour

    Amenities

    Healthcare services

    • 24-hour nursing
    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program
    • Physical therapy
    • Respite program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

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

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

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

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Family private dining rooms
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor patio
    • Outdoor space
    • Pet friendly
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Family education and support services
    • Fitness programs
    • Move-in coordination
    • Swimming pool

    Activities

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

    4.89 · 138 reviews

    Overall rating

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

      4.9
    • Staff

      4.9
    • Meals

      4.7
    • Amenities

      4.9
    • Value

      3.0

    Pros

    • Caring, attentive, and professional staff
    • Strong memory care leadership (notably Christina Gonzalez)
    • 24/7 on-site nursing and medical support
    • On-site Sollis Health urgent care and proximity to CPMC hospital
    • Insulin management and medication responsiveness
    • Mayo Clinic partnership and CaringKind dementia training
    • Luxury hotel-style design and ambiance
    • Multiple dining options (three restaurants) and restaurant-quality meals
    • Meals tailored to residents' needs and high culinary standards
    • Robust live music and entertainment program
    • Wide variety of activities and classes (tai chi, cardio drumming, floral arranging, tango, etc.)
    • Resident-driven programming and frequent excursions
    • Concierge/valet service and transportation (Mercedes cars) for outings/appointments
    • Rooftop garden and heated salt-water pool
    • Red-velvet cinema/movie theater and dedicated club/lounge spaces
    • Smart-home automation and modern apartment tech
    • On-site salon and spa services
    • Private dining, room service, and full bar/lounge options
    • Flexible stay options (short-term, long-term, month-to-month)
    • Clean, modern, well-maintained and elegantly designed facility
    • Strong communication with families and open-door management
    • Support groups and family resources for dementia care
    • Comprehensive fitness and wellness programs with diverse trainers
    • High safety and security (24/7 security, staff name recognition)

    Cons

    • Reports of understaffing in some shifts or situations
    • Occasional inconsistent personal care and hygiene (infrequent showers)
    • Concerns about slow responses to injuries and potential infection risk
    • Perceived lack of individualized attention for some residents
    • Some reviewers report activity program promises not consistently fulfilled
    • Menu repetition and desire for greater dining variety
    • High cost and affordability concerns
    • Apartment sizes sometimes described as small relative to price
    • A few reports of organizational issues requiring constant follow-up
    • Construction/noise during the opening phase reported by some
    • Isolated comments about memory care staffing presence (e.g., no director present at times)

    Summary review

    Overall sentiment: The reviews for Coterie Cathedral Hill are overwhelmingly positive with repeated praise for the staff, memory care leadership, dining, amenities, and the luxury hotel-style environment. Many reviewers describe the community as offering first-class hospitality, compassionate and skilled caregivers, and a culture that makes residents and families feel individually known and supported. At the same time, a minority of reviewers flagged operational and care-delivery concerns (notably understaffing and some hygiene issues), creating a pattern of mostly high satisfaction tempered by occasional variability in day-to-day execution.

    Care quality and staff: Across the reviews the single most consistent strength is staff quality. Reviewers use words like caring, attentive, professional, and genuine to describe employees from caregivers and med techs to concierge and executive leadership. The Memory Care Director Christina Gonzalez is singled out repeatedly for hands-on leadership, accessibility, dementia expertise, clear communication, and compassion; many families credited her with making memory care placement successful. Clinical supports are prominent: 24/7 on-site nursing, insulin management, and responsiveness by the Director of Nursing are frequently praised. Several positive comments also highlight clinical partnerships (Mayo Clinic) and dementia-focused staff training (CaringKind), which reviewers felt added credibility and safety for residents with Alzheimer’s or other dementias.

    Facilities, amenities and safety: Reviewers repeatedly note the luxury, modern design and hotel-like finishings of the building. Highlights include a rooftop garden and heated salt-water pool, a red-velvet cinema, multiple restaurants and bars, private dining and room service, a piano bar and live music in communal spaces, on-site salon, club rooms, and smart-home automation in apartments. The environment is described as bright, airy, and meticulously maintained, giving many the impression of a high-end hotel or resort rather than a typical assisted living. Safety features—24/7 security, on-site urgent care (Sollis Health) and proximity to CPMC—are frequently cited as reassuring. These facility strengths are part of why many residents and families say the move was worthwhile.

    Dining and culinary program: Dining is another dominant favorable theme. Multiple reviewers call the food exquisite, restaurant-quality, flavorful, and well-presented. The community offers several dining venues and an engaged culinary team; meals are often adjusted to residents’ needs and some reviewers say dining alone has improved appetite and weight. A smaller set of reviews expresses a desire for more menu rotation and less repetition, so while the overall consensus is very positive, consistency and variety in menu planning were occasional concerns.

    Activities, engagement and culture: The activity and entertainment program is widely praised for variety and creativity: live music (harpist, pianists, singers), fitness classes (tai chi, chair yoga, cardio drumming), arts and crafts, flower arranging, tango and dance performances, petting zoos, lectures, films, excursions, and resident-generated programming. This breadth supports engagement across ability levels and is particularly noted on memory care floors where tailored art/music/exercise programs promote belonging and mood stabilization. Several reviewers highlight the social warmth and family-like atmosphere, saying residents feel at home. A minority of reviewers, however, reported that some activity promises were not consistently fulfilled or that an activity coordinator was lacking in specific instances.

    Management, communication and transitions: Many families praise transparent, responsive leadership, and credit managers and directors with smooth transitions, frequent updates, FaceTime opportunities, and proactive problem-solving. The open-door policy and family support groups are frequently referenced as strengths. Conversely, a handful of reviewers noted operational lapses: a need for ongoing follow-up to get issues resolved, occasional disorganization, or that the advertised memory care leadership was not always physically present. These reports indicate some variability across teams or shifts rather than a universal failing.

    Operational and quality concerns: The main negative themes are clustered around staffing and individualized personal care. Several reviews raised concerns about understaffing, slow responses to injuries, infrequent showers or other hygiene lapses, and potential infection risks—issues that directly affect resident wellbeing. While these appear in a minority of testimonials, they are important because they contrast sharply with the otherwise high standards described and point to areas where consistency is critical. Cost and value are another recurring concern: many people note premium pricing and express that apartments can feel small for the cost, making affordability and space a consideration for prospective residents.

    Patterns and advice for prospective families: Most reviewers highly recommend Coterie Cathedral Hill for those seeking luxury, strong memory care leadership, abundant activities, and high-quality dining. The facility stands out for its hospitality focus, clinical supports (24/7 nursing, on-site urgent care), and the personable nature of staff—especially in memory care. However, prospective residents and families should do targeted due diligence: ask about staffing ratios across shifts, personal care/hygiene protocols, how activity programming is staffed and scheduled, menu rotation plans, unit-specific consistency (memory care vs assisted living), and concrete costs including apartment size vs price. If possible, arrange multiple visits at different times of day, meet the Memory Care Director and nursing staff, and consider a short trial stay (the community offers flexible stays) to observe daily operations firsthand.

    Bottom line: Coterie Cathedral Hill is presented in reviews as a top-tier, hospitality-driven senior living community with exceptional staff, standout memory care leadership, superb dining and rich programming set in a luxurious, well-appointed facility. The dominant impression is very positive and many families feel the community substantially improved their loved ones’ quality of life. Still, isolated but meaningful concerns about staffing consistency, personal care, menu repetition, organizational follow-through, and high pricing mean that individual experiences can vary. Prospective residents should verify operational details that matter most to them to ensure the community’s strengths align with their expectations and care needs.

    Location

    Map showing location of Coterie Cathedral Hill

    About Coterie Cathedral Hill

    Coterie Cathedral Hill sits in downtown San Francisco and opened in March 2022. The facility is a new luxury senior living community with 209 private residences spread over 13 floors, including studios, one-bedroom, and two-bedroom layouts. The building is LEED Silver Certified and includes energy-saving features, EV car charging, and recycled materials, and you'll find Wi-Fi, accessible spaces, and pet-friendly policies throughout. The building has a sleek glass tower, landscaped courtyards, rooftop gardens, balconies, terraces, and over 17,000 square feet of outdoor areas, all designed to bring in natural light and create gathering spots.

    Residents can use a fitness center, a state-of-the-art theater, a yoga studio, heated pools, and salons with boutique hair services, and there are curated art collections by artists like Zai Divecha and Amber Vittoria. The main entrance sits on Myrtle Street, and there's a car drop-off under the building through O'Farrell Street. There's a busy common area that can feel a bit cramped when things pick up, but the place is always clean. The landscaped plaza gives residents and their guests space to sit outside, while ground-floor retail shops bring some activity along Van Ness Avenue.

    Coterie Cathedral Hill offers assisted living, memory care, and independent living, with care tailored for seniors at different stages, including special design features to help those with memory issues. The staff trains with Mayo Clinic's Healthy Living Program and receives ongoing dementia care training, and they're known for being caring and ready to help around the clock. There's a private on-site healthcare facility with treatment and diagnostic services, and the medical team from Sollis handles wellness needs. The dining menus are built in partnership with Mayo Clinic, designed for older adults' diets, and people often talk about the very good food and fine dining experiences in the resident-only restaurant.

    Residents get help with arranging rides, planning their diets, and taking classes, and the amenity list includes everything from a master class program and curated activities to club-like lounges and a theater for movies or talks. The sales director is knowledgeable and professional, and tours are available to show people what life is like inside. Some parts of the building can feel a bit crowded during gatherings, but the staff keeps up with cleaning and safety protocols for flu, COVID-19, and disasters. The combination of elegant private homes, outdoor gardens, wellness programs, concierge services, and security makes Coterie Cathedral Hill a solid choice for seniors who want style, care, and a connected social life in the city.

    About Atria Senior Living

    Coterie Cathedral Hill is managed by Atria Senior Living.

    Atria Senior Living, founded in 1996 and headquartered in Louisville, Kentucky, is one of North America's largest senior living providers, operating more than 230 communities across 38 U.S. states and seven Canadian provinces. Serving approximately 35,000 residents and employing over 10,000 staff members, Atria has grown from managing 20 communities to become a leader in the senior living industry with over $1.3 billion in revenue under management.

    The company offers a comprehensive range of care options including independent living, assisted living, memory care, and short-term stays through multiple brands: Atria Senior Living, Holiday by Atria, Atria Retirement Canada, Atria Signature Collection, and Coterie Senior Living (a joint venture with Related Companies). Their communities are particularly concentrated along the east and west coasts, with significant presence in major metropolitan areas including New York, California, Toronto, Boston, Houston, Atlanta, Dallas, Seattle, and Portland.

    Atria's philosophy centers on their belief that "People belong together®," emphasizing connection and creating homes where residents can thrive regardless of their care needs. Their signature Engage Life® program provides daily opportunities for residents to learn, socialize, stay fit, and achieve personal goals. Since 2004, Atria's pioneering Quality Enhancement program has set industry standards through bi-annual unannounced audits, focusing on both clinical excellence and resident experience.

    The company's commitment to excellence has earned widespread recognition, including over 120 prestigious industry awards in 2023 alone. Notably, 49 communities received top-tier recognition awards – more than any other senior living provider nationwide. Since 2018, Atria communities have averaged less than one deficiency per state survey, demonstrating their consistent dedication to quality care and regulatory compliance. This award-winning approach, combined with their innovative in-house marketing and comprehensive employee recognition programs, positions Atria as a trusted leader in senior living solutions.

    People often ask...

    State of California Inspection Reports

    14

    Inspections

    0

    Type A Citations

    2

    Type B Citations

    3

    Years of reports

    05 Sept 2024
    Investigated allegations that staff conducted improper assessments, charged for services not rendered, and didn't follow the admission agreement; determined allegations were unfounded.
    24 May 2024
    Confirmed findings of delayed response to resident call bells, substantiating violation of personal rights.
    • § 87468.1(a)(2)
    16 Feb 2024
    No deficiencies were cited, and all required safety and operational protocols were found to be in place during the inspection.
    31 Oct 2023
    Confirmed that the allegation of staff shortages in the memory care unit was unsubstantiated based on interviews, document reviews, and observations.
    25 Oct 2023
    Confirmed that a resident left the facility unattended during a community walk with their spouse.
    28 Aug 2023
    Investigated report of suspected abuse involving a resident alleging sexual abuse by a private duty aide; actions taken to address the situation.
    23 Aug 2023
    Investigated an allegation that staff failed to comply with infection control practices, determined to be unfounded as COVID-19 protocols were properly implemented and maintained, with no positive cases reported among staff.
    26 Jul 2023
    Investigated allegations of a scabies outbreak and unmet hygiene needs for residents; found no substantial evidence to support claims of improper response or neglect of care.
    10 May 2023
    Investigated allegation of facility without hot water; found no evidence to support claim, temperatures remained adequate during repair.
    06 Apr 2023
    Confirmed allegations of staff not following COVID-19 reporting protocols, while other allegations were unfounded or unsubstantiated.
    • § 872119(a)(2)
    18 Apr 2022
    Confirmed incident of resident leaving facility unattended, no injuries sustained. Safety measures to be implemented in care plan.
    30 Mar 2022
    Identified an incident where a resident attempted to leave the facility, staff intervened, and the resident was safely returned. Additional documentation and interviews were requested for further follow-up.
    23 Feb 2022
    Inspection found the facility to be clean, spacious, and well-equipped with appropriate resources for residents.
    28 Jan 2022
    Confirmed understanding of California Code Title 22 Regulations pertaining to facility operations, admission policies, staffing requirements, health conditions, emergency preparedness, complaints reporting, and pre-licensing readiness during a recent inspection.

    Nearby Communities

    • Exterior view of a multi-story residential building with large windows and a green awning entrance, surrounded by small trees and parked cars under a clear blue sky.
      $6,780 – $10,500+4.2 (47)
      Studio • 1 Bedroom • Semi-private
      independent, assisted living, memory care

      Ivy Park at Cathedral Hill

      1550 Sutter St, San Francisco, CA, 94109
    • Exterior view of a multi-story building with beige walls and multiple windows. The building has a large sign that reads 'SAGEBROOK SENIOR LIVING AT SAN FRANCISCO'. There are a few tall, narrow trees planted in front of the building under a clear blue sky.
      $4,500 – $7,000+4.5 (97)
      Semi-private • Studio
      independent, assisted living, memory care

      Sagebrook Senior Living

      2750 Geary Blvd, San Francisco, CA, 94118
    • Exterior view of Buena Vista Manor House, a three-story yellow and red building with multiple windows. The entrance is decorated with colorful tiles and flanked by two tall, trimmed bushes. A paved walkway with black metal railings leads through a well-maintained garden with green hedges, white flowers, and various plants under a clear blue sky.
      $5,100 – $7,600+4.3 (29)
      Semi-private
      assisted living, memory care

      Buena Vista Manor House

      399 Buena Vista Ave E, San Francisco, CA, 94117
    • Front exterior view of a two-story brick building with arched windows and decorative stone accents. The entrance has a set of brick stairs with white railings leading to double glass doors under an ornate stone archway. There are two tall lampposts on either side of the walkway and well-maintained landscaping with bushes and flowers in front of the building.
      $8,500 – $9,500+4.4 (65)
      Studio • 1 Bedroom
      independent, assisted living, memory care

      The Ivy at Golden Gate

      1601 19th Ave, San Francisco, CA, 94122
    • Exterior view of a multi-story senior living facility named Peninsula Del Rey, featuring beige and gray walls, balconies, palm trees, parked cars, and a clear blue sky.
      $5,320 – $9,890+4.4 (125)
      Studio • 1 Bedroom • 2 Bedroom
      independent living, assisted living

      Peninsula Del Rey

      165 Pierce Street, Daly City, CA, 94015
    • Exterior view of Cardinal Point senior living facility showing the entrance with white columns and a covered driveway. The building has multiple balconies and large windows. There are landscaped plants and flowers in the foreground, along with a sign that reads 'Cardinal Point Oakmont Senior Living 2851 Mariner Square Drive'. A clear blue sky is visible above.
      $3,200 – $5,995+4.8 (60)
      Studio • 1 Bedroom • 2 Bedroom
      continuing care retirement community

      Cardinal Point

      2431 Mariner Square Dr, Alameda, CA, 94501

    Assisted Living in Nearby Cities

    1. 63 facilities$7,052/mo
    2. 31 facilities$7,780/mo
    3. 232 facilities$6,152/mo
    4. 236 facilities$6,425/mo
    5. 228 facilities$6,462/mo
    6. 20 facilities$7,837/mo
    7. 242 facilities$6,116/mo
    8. 18 facilities$7,568/mo
    9. 159 facilities$6,724/mo
    10. 153 facilities$6,034/mo
    11. 30 facilities$7,302/mo
    12. 225 facilities$6,179/mo
    © 2025 Mirador Living