About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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Top Home Care Agencies in San Francisco, California

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Home Helpers Home Care of Santa Rosa, CA, HomeCare Professionals - Main Office, CA and Amada Senior Care of Marin County, CA are the top home care agencies in San Francisco, California, offering expert support to help older adults remain safe, independent, and comfortable in their own homes. With 176 home care agencies in the area, families can choose from a wide variety of options to match their loved one’s personal needs. On average, home care in San Francisco costs $36 per hour, making it a flexible solution for families seeking hourly or full-time assistance.

In addition to in-home services, San Francisco offers extensive community programs for seniors — from nutritious meal delivery and transportation to caregiver support and health and wellness resources.

Home Care Agencies near San Francisco, CA

Showing 105 home care providers
Last Updated: 12/6/25
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1 review
[name removed] is very pleasant and helpful, my dad is happy to have her help an him, her quality of care is awesome , an we are so pleased with her.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Home Instead Senior Care enables the elderly to live independently. It’s at home where quality of life is enhanced without the stress of interrupted routines and changes in daily habits. Our non-medical CAREGivers provide one-on-one support and interaction that reduce feelings of isolation and...
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9 reviews
Very helpful and the process was efficient. I'm pleased with resources that are made available to get the care you need for your love one. Thanks very much
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
CSS Home Care & Senior Services offers high quality home care. We are passionate about senior care, offering our Home Care clients and their families a higher level of expertise, oversight and transparency. We are unique in the Home Care industry - run by specialists in senior care and each...
1 review
Staff was very friendly but there were some facilities you guys didn't deal with and that was what we ultimately chose so you were not able to help much My parents were in the Frank - dad passed 6 months...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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1 review
We were very impressed by the service offered by Hillendale. The CNAs they send were able to assist my loved one with medication, and for the most part all of the caretakers were friendly and really engaged...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
11 reviews
Staff is good to work with, pricing is reasonable and they understand the issues that come with dementia. We picked them because of the pricing and staff.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Care Indeed is a non-medical home care provider. Since 2010 we have been offering hourly or live-in services that fall into these categories: • Personal care• Support with mobility• Help with household chores• Companionship• TransportationWe also send our trained and experienced caregivers,...
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2 reviews
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Photo of Care for Seniors
11 Photo available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Photo of AccentCare of Sunnyvale
22 Photos available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
AccentCare is a nationwide leader in post-acute healthcare as well as specialized care management prior or acute episodes. Our wide variety of innovative services range from personal, non-medical care to skilled nursing, rehabilitation, hospice and care management. We serve over 92,000...
Photo of All Valley Home Care
11 Photo available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Photo of Helping Hands Patient Services, LLC
22 Photos available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
HELPING HANDS PATIENT SERVICES is a limited liability corporation with a staff of dedicated lift team technicians and support personnel. HHPS’ mission is to provide safe patient handling, improve patient comfort, safety and recovery, and prevent employee injuries through skillful, compassionate...
Photo of Alegre Home Care
11 Photo available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
In Home Care are limited to non medical services. This may include non personal care like doing laundry, picking up around the house or light housekeeping, reading newspaper out loud, preparing meals, to personal needs such as assisting in their bathing and oral hygiene, grooming and dressing...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details

How much does home care cost in San Francisco, California?

Home care in San Francisco costs an average of $36 per hour, according to A Place for Mom’s proprietary data.[01] This hourly rate makes it possible to create a care schedule tailored to each family’s needs and budget — whether that’s a few hours a week, 24/7 care, or something in between.

San Francisco’s cost of living is 65% higher than the national average,[02] which can affect long-term affordability. For seniors requiring full-time care, families may want to explore whether assisted living, memory care, or a nursing home is a more cost-effective option.

Average home care costs in San Francisco, CA

Average hourly rate
$36/hr
Average overnight rate
$35/hr
Average weekend rate
$35/hr

Home care costs vs. senior living costs in San Francisco, CA

44 hours of home care/wk
$6,859/mo
$6,246/mo

Home care costs in San Francisco vs. state and national averages

Daily, monthly, and annual costs in the table below are based on a part-time care schedule of 4 hours of care per day, 5 days per week.
Cost comparison table showing home care costs by location. This table contains 3 rows of data across 5 columns.
Column location: Location (Location name)
Column hourlyCost: Hourly cost (Cost per hour)
Column dailyCost: Daily cost (Cost per day (4 hours))
Column monthlyCost: Monthly cost (Cost per month)
Column annualCost: Annual cost (Cost per year)
LocationHourly costDaily costMonthly costAnnual cost
San Francisco, CA$36$144$3,118$37,440
California$37$148$3,204$38,480
National$30$120$2,598$31,200
San Francisco, CA
Hourly cost:$36
Daily cost:$144
Monthly cost:$3,118
Annual cost:$37,440
California
Hourly cost:$37
Daily cost:$148
Monthly cost:$3,204
Annual cost:$38,480
National
Hourly cost:$30
Daily cost:$120
Monthly cost:$2,598
Annual cost:$31,200
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Compare the costs of aging in place against senior living

Use our cost calculator to compare your loved one’s current living and home care expenses against the cost of senior living in San Francisco.

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How to pay for home care in San Francisco

Many families use a combination of personal funds, insurance, and public programs to pay for in-home care in San Francisco.

Private pay options

Home care is often funded through:

  • Personal savings and income. Social Security benefits, retirement accounts, and pensions can be used to pay for services.
  • Long-term care insurance. Policies often reimburse a portion of home care costs, depending on coverage and qualifications.
  • Life insurance. Some policies can be sold, borrowed against, or converted to cash for care.
  • Home equity. Reverse mortgages or home equity loans may help cover long-term care expenses.

Medicare

Medicare covers short-term home health services that are ordered by a doctor and considered medically necessary. Covered services may include:[03]

  • Skilled nursing care
  • Therapy (physical, occupational, and/or speech)
  • Certain durable medical equipment and supplies

Medicare generally won’t cover nonmedical services such as meal prep, bathing assistance, or housekeeping if they’re the only type of care that’s needed.

Medicare resources in San Francisco

For free, unbiased help navigating Medicare benefits in San Francisco, contact:

For general information and assistance with Medicare, visit Medicare.gov.

Medicaid

Medicaid, also known as Medi-Cal in California, may help cover home care services for seniors in San Francisco. California’s Medicaid program offers options to support home care, including:[04]

  • In-Home Supportive Services (IHSS). This program delivers nonmedical assistance with tasks like bathing, dressing, meal preparation, and mobility support to those who are aged, blind, or disabled. To qualify, applicants must be Medi-Cal eligible and require support to safely remain at home.[04]
  • Multipurpose Senior Services Program (MSSP) and the Home and Community-Based Alternatives Waiver. These programs support comprehensive care coordination for seniors who need a nursing home level of care but prefer to live at home.[05]

Medicaid resources in San Francisco, CA

For questions about Medi-Cal, or help applying for benefits, seniors in San Francisco can contact the following resources:

Veterans benefits

Veterans in San Francisco can use VA benefits to cover home care services. The U.S. Department of Veterans Affairs (VA) offers programs designed to help eligible veterans receive in-home assistance, enabling them to maintain independence and quality of life. Available programs include:

  • Aid and Attendance (A&A). The Aid and Attendance benefit provides additional monthly payments to eligible wartime veterans and surviving spouses who receive a VA pension and require assistance with daily activities.[06] These funds can be used to pay for in-home care services. To apply, visit VA.gov to download Form 21-2680. The completed form can be uploaded online, mailed in, or submitted in person at the nearest regional benefit office in Oakland.
  • Homemaker and Home Health Aide Care. This program offers trained professionals to assist veterans with personal care needs, allowing them to remain in their homes. Services include help with activities like bathing, dressing, and meal preparation. Eligibility is determined by a VA health care provider, and services are coordinated through the local VA medical center. To apply, contact a VA social worker in California for next steps.[07]
  • Veteran Directed Care (VDC). The VDC program allows eligible veterans to manage their own care services, including hiring personal care aides. This self-directed approach provides flexibility in choosing caregivers and tailoring services to individual needs. Enrollment is coordinated through the local VA medical center’s social work department.​ To access the program, reach out to your loved one’s VA social worker.[08]

Resources for veterans in San Francisco

In addition to the regional benefit office in Oakland, veterans and their surviving spouses can contact these organizations for help with VA benefits:

Resources in San Francisco that help seniors age in place

Local services that support independent living for seniors in San Francisco include:

  • Institute on Aging
    The Institute on Aging provides community-based programs that support older adults in San Francisco.
    Phone: 415-750-4111

Home care laws and regulations in California

California’s home care laws and regulations help ensure that home care agencies operate safely and ethically, providing peace of mind to clients and their families.

Licensing and accreditation

In California, home care agencies must be licensed by the California Department of Social Services (CDSS).[09] This law mandates that all health care organizations meet specific standards to operate legally.

Hiring practices

Home care aides in California must be registered with the CDSS Home Care Aide Registry. This registration process involves fingerprinting, background checks, and completion of training requirements.[09]

These standards are in place to protect clients and ensure consistent quality across agencies.

How to choose the right home care agency in San Francisco

Request detailed pricing information

Ask for a written service agreement with hourly rates, minimum service hours, and any fees for assessments, transportation, or cancellation.

Ask about caregiver training and expertise

Inquire about caregiver qualifications, especially if your loved one has dementia, limited mobility, or chronic conditions. Ask how the agency handles supervision and continuing education.

Look up inspection and complaint history

Reviewing an agency’s compliance history can provide insight into their service quality. Look up agency information, including inspection reports and substantiated complaints, using the Cal Health Find Database.

Read home care reviews

Online reviews can help you understand the strengths and weaknesses of each agency, particularly in areas like caregiver reliability and communication.

Frequently asked questions about home care in San Francisco

Home Helpers Home Care of Santa Rosa, CA, HomeCare Professionals - Main Office, CA and Amada Senior Care of Marin County, CA are the top-rated Home Care facilities near San Francisco, CA. These Home Care facilities received the highest rankings based on verified family reviews. See full list of communities.
The average cost of Home Care in San Francisco is $6,859 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.
Home care is provided by an aide who comes to a senior’s home to help with daily chores and activities of daily living. It can be offered anywhere a senior calls home — including a house, senior apartment, independent living, or assisted living. Learn more about home care.
Home care services are customizable to a senior’s unique needs. Services can include companionship, help with chores like cooking and housekeeping, or assistance with activities of daily living, like toileting and bathing. Explore home care services in more detail.
Home care provides nonmedical services for seniors who require assistance with daily tasks like housework, bathing, dressing, and transportation. In contrast, home health care is prescribed by a doctor and includes services like skilled nursing care and therapies, health monitoring, and medication administration that are provided by licensed medical professionals. Read more about home care vs. home health care.

References

  1. A Place for Mom. (2025). A Place for Mom proprietary data.

  2. PayScale. (2024). Cost of Living in San Francisco, California.

  3. U.S. Centers for Medicare and Medicaid Services. Home health services.

  4. California Department of Social Services. In-Home Supportive Services (IHSS) program.

  5. California Department of Health Care Services. Multipurpose Senior Services program.

  6. U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

  7. U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

  8. U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

  9. California Department of Social Services. (2016). Home Care Services Consumer Protection Act overview.

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More questions?

Ask an A Place for Mom local advisor at no cost.

The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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1.

A Place for Mom. (2025). A Place for Mom proprietary data.

2.
3.

U.S. Centers for Medicare and Medicaid Services. Home health services.

4.

California Department of Social Services. In-Home Supportive Services (IHSS) program.

5.

California Department of Health Care Services. Multipurpose Senior Services program.

6.

U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

7.

U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

8.

U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

9.

California Department of Social Services. (2016). Home Care Services Consumer Protection Act overview.