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Residential care

Royal Ilima

Residential care in San Mateo, California

Checked November 1, 2026

Provider details
Address1565 ROYAL AVE.
CitySan Mateo
StateCalifornia
ZIP code94401
CountySAN MATEO
Phone(650) 348-3895
License number415600602
License typeResidential Care Facility for the Elderly (RCFE) — California's assisted living license
Licensing statusLICENSED
Licensed since2/9/2005
LicenseeHALE KOKUA, INC.
Capacity6
Care typesresidential care, assisted living
Services offered24-hour non-medical care and supervision, assistance with activities of daily living
CMS quality noteLicensed by the California Department of Social Services, Community Care Licensing Division.

Royal Ilima is in 1565 ROYAL AVE., San Mateo, CA 94401. Phone: (650) 348-3895. Ownership: not stated in the source file. It holds California RCFE license 415600602 (status LICENSED, first licensed 2/9/2005, capacity 6). In California, assisted living is licensed as a Residential Care Facility for the Elderly.

Who pays for residential care?

What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:

Residential care guide · Paying for care

Other residential care in SAN MATEO County

Common questions about Royal Ilima

Where is Royal Ilima located?

Royal Ilima is at 1565 ROYAL AVE., San Mateo, California 94401.

What care and services does Royal Ilima offer?

Royal Ilima offers residential care, assisted living, 24-hour non-medical care and supervision, assistance with activities of daily living.

How do I contact Royal Ilima?

Call Royal Ilima at (650) 348-3895.

How much does assisted living cost?

The national median cost of assisted living is $6,200 a month (CareScout Cost of Care Survey, 2025). Costs in California can be higher or lower. The price goes up when a person needs more help with daily tasks. See our guide to assisted living costs and who pays for the full picture.

Does Medicare pay for assisted living?

No. Medicare does not pay for the rent or the day-to-day help in assisted living. That help is called custodial care, and Medicare does not cover it. Medicare still pays for your medical care while you live there, like doctor visits, hospital care, and home health visits.

What is the difference between assisted living and a nursing home?

Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. Staff are on hand day and night, but it does not give round-the-clock nursing care. A nursing home gives skilled nursing care and rehab around the clock. People who need help but not daily medical care often pick assisted living. People who need daily medical care often need a nursing home.

Who else pays for assisted living besides Medicare?

Most people pay out of pocket. Medicaid pays for care services in assisted living in many states through waiver programs, but it does not pay the rent. A VA pension called Aid and Attendance can add money each month for veterans who need help with daily tasks. Long-term care insurance can pay for part of the cost.

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