Operating as a Residential Care Facility for the Elderly under California Community Care Licensing since October 15 1974, The Manor on Bankers Hill is the independent living community run by St. Paul's Senior Services at 2635 Second Ave in San Diego's Bankers Hill. The 200-resident building completed a full renovation in 2024, and when residents need a higher clinical level of care they often transition within the St. Paul's network to St. Paul's Skilled Nursing and Rehabilitation for post-acute or long-term nursing needs. Rent covers a chef-prepared meal plan, housekeeping, and scheduled transportation to medical appointments, which lets residents age in place without maintaining a home. The Manor does not operate a dedicated memory care unit, so families whose loved ones develop dementia are typically directed to adult day programs such as George G. Glenner Alzheimer's Family Centers, Inc. for structured cognitive engagement. The most complex placements here are residents under 60 with qualifying medical needs, wandering-risk histories, or personal oxygen equipment, all of which the awake night-shift team is staffed to monitor across a fenced rear perimeter and pull-cord alert system.