As the population of elderly Americans grows, more and more families are considering home care for their aging loved ones. In-home caregivers can provide much-needed companionship, housekeeping and help with personal hygiene that allow older adults to stay independent and age safely in their home.
Oftentimes, families turn to home care agencies to find those reliable caregivers whom they can trust to invite to their home. These agencies do the crucial work of ensuring that caregivers have the right training, screening and supervision to assist elderly adults.
But with thousands of home care agencies in the U.S., it can be hard to know which ones to choose. That’s why Caring.com has once again compiled our annual list of the best home care agencies in America, based on nearly 25,000 consumer reviews for home care agencies.
This year, we’re excited to highlight more than 253 agencies in 34 states that have earned top marks from seniors and families who’ve used their services. To qualify for the recognition, agencies must have 10 or more consumer reviews on Caring.com and an overall average rating of 4.5 out of 5 stars, among other criteria. Families working with these agencies can have peace of mind knowing that their loved ones are in good hands.
Looking for top senior living communities? See our list of senior living community winners.
Best Home Care in Alabama -- 7 Caring Stars of 2018
Baldwin County
- BrightStar Care of Greater Mobile
Calhoun County
- Home Helpers
Jefferson County
- Always Best Care of Birmingham
- Bluebird Homecare of Alabama, Inc.
- Home Instead Senior Care - Birmingham
Lee County
- Synergy HomeCare of Central and East Alabama
Mobile County
- Right at Home West Mobile
Best Home Care in Arizona -- 8 Caring Stars of 2018
Maricopa County
- Compassionate Assistance
- Devoted Guardians
- PrimeCare Home Solutions
- ResCare HomeCare - Sun City
- Right at Home Northwest Phoenix
Pima County
- ResCare HomeCare - Tucson
- Right at Home Tucson
- Synergy HomeCare of Tucson
Yavapai County
- Synergy HomeCare of Prescott
Best Home Care in California -- 28 Caring Stars of 2018
Alameda County
- Divine Home Care
- Kindred at Home - Personal Home Care Assistance
Butte County
- Home Instead Senior Care - Chico
Fresno County
- Right at Home Fresno
Los Angeles County
- 1Heart Caregiver Services
- Home Care Assistance - Beverly Hills
- Home Instead Senior Care - Culver City
- Homewatch CareGivers Serving Los Angeles and South Bay Beach Cities
- Mom's Home Care
- Right at Home Glendale and Burbank
- Right at Home Pasadena
Marin County
- Hired Hands Homecare
- Right at Home Marin County
Monterey County
- Victorian Home Care
Orange County
- Assistance in Home Care - Garden Grove
- Right at Home West Orange County
Placer County
- Live Well at Home by Eskaton
Riverside County
- Always Best Care of Desert Cities
- Right at Home Palm Springs and Desert Cities
Sacramento County
- Golden Years In Home Senior Care
San Bernardino County
- Families Choice Home Care
San Diego County
- Amada Senior Care - Oceanside
- Home Care Assistance - La Jolla
San Mateo County
- Thera Care
Santa Clara County
- Family Matters In-Home Care
- Homecare California
Sonoma County
- Homewatch CareGivers of Santa Rosa and Central Sonoma County
Best Home Care in Colorado -- 6 Caring Stars of 2018
Arapahoe County
- Home Care Assistance of Centennial
Boulder County
- Home Instead Senior Care - Lafayette
- Synergy HomeCare
Denver County
- Home Instead Senior Care - Denver
Jefferson County
- Home Care Assistance of Jefferson County
- Home Instead Senior Care - Denver North
Best Home Care in Connecticut -- 2 Caring Stars of 2018
Fairfield County
- Right at Home Greater Fairfield County
Tolland County
- Home Instead Senior Care - Tolland
Best Home Care in Florida -- 26 Caring Stars of 2018
Brevard County
- Brevard Affordable Home Care Agency
- Home Instead Senior Care - Melbourne
Broward County
- Right at Home DeerField Beach
Clay County
- Home Instead Senior Care - Orange Park
Duval County
- Synergy HomeCare of Jacksonville
Hernando County
- Home Instead Senior Care - Spring Hill
Hillsborough County
- Home Helpers - Tampa
- Home Instead Senior Care - Tampa
- Right at Home Sun City Center
Lake County
- Right at Home Lake and Sumter Counties
Miami-Dade County
- Right at Home Miami, FL
- Visiting Angels - Miami, FL
Orange County
- Right at Home Orlando
Palm Beach County
- Assisting Hands Palm Beach
- BrightStar Care of Jupiter/Martin County
- Right at Home Boca Raton
- Right at Home Palm Beach
Pasco County
- Dedicated Angel
- Precious Care and Home Companion Service
- Right at Home West Pasco
Pinellas County
- Assisting Hands Home Care of St. Petersburg
- Right at Home Central Pinellas
Polk County
- Home Instead Senior Care - Winter Haven
Saint Lucie County
- Home Instead Senior Care - Port St. Lucie
Sarasota County
- BrightStar Care of Venice and Port Charlotte
Volusia County
- Home Instead Senior Care - Daytona Beach
Best Home Care in Georgia -- 4 Caring Stars of 2018
Floyd County
- ComForCare Home Care of Northwest Georgia
Fulton County
- Home Instead Senior Care - Atlanta Central and North
- Kosta Private Home Care
Hall County
- Home Care Matters, LLC
Best Home Care in Illinois -- 19 Caring Stars of 2018
Cook County
- Big Hearts Home Care
- Home Instead Senior Care - Elk Grove Village
- Home Instead Senior Care - Palos Heights
- Home Instead Senior Care - Skokie
- Inspired Care Home Health
- Norwood Seniors Network
- Right at Home North Shore/Chicago Metro
- Right at Home Orland Park
- Right at Home Oak Park Chicago
- Synergy HomeCare - Oak Park
- Synergy HomeCare - Orland Park
- Synergy HomeCare - Schaumburg
DuPage County
- Home Helpers Home Care - Hinsdale
- Independence-4-Seniors
Lake County
- Comfort Keepers of Grayslake
- Home Instead Senior Care - Grayslake
- Right at Home Northern Lake County
Sangamon County
- BrightStar Care Springfield-Decatur
Will County
- Home Instead Senior Care - Joliet
Best Home Care in Indiana -- 6 Caring Stars of 2018
Delaware County
- Home Instead Senior Care - Anderson
Hamilton County
- Home Care Assistance of Indianapolis
Lake County
- Right at Home Northwest Indiana
Marion County
- Home Instead Senior Care - Indianapolis North
Putnam County
- Visiting Angels - Greencastle
Vanderburgh County
- Home Instead Senior Care - Evansville
Best Home Care in Kansas -- 2 Caring Stars of 2018
Johnson County
- Right at Home Kansas City Metro Area and Lawrence
Sedgwick County
- Home Instead Senior Care - Wichita
Best Home Care in Kentucky -- 3 Caring Stars of 2018
Daviess County
- Home Instead Senior Care - Owensboro
Jefferson County
- Home Instead Senior Care - Louisville East & Oldham
Kenton County
- Home Instead Senior Care - Fort Mitchell
Best Home Care in Louisiana -- 1 Caring Star of 2018
Saint Tammany Parish
- Right at Home Washington/St. Tammany Parishes
Best Home Care in Maine -- 1 Caring Star of 2018
Penobscot County
- Visiting Angels - Bangor, ME
Best Home Care in Maryland -- 8 Caring Stars of 2018
Anne Arundel County
- Home Instead Senior Care - Arnold
Carroll County
- 2nd Family
- Right at Home Central Maryland - Carroll
Frederick County
- Right at Home Central Maryland - Frederick
Howard County
- Right at Home Central Maryland - Howard
Montgomery County
- Home Instead Senior Care - Montgomery
- Options For Senior America - Gaithersburg
- Right at Home Montgomery County, MD
Best Home Care in Massachusetts -- 6 Caring Stars of 2018
Bristol County
- Home Instead Senior Care - Attleboro
- Home Instead Senior Care - North Dartmouth
Norfolk County
- Home Helpers and Direct Link
Plymouth County
- Home Instead Senior Care - Pembroke
Worcester County
- Right at Home Eastern Worcester
- Right at Home Leominster
Best Home Care in Michigan -- 7 Caring Stars of 2018
Kent County
- Gauthier Family Home Care
Macomb County
- Home Instead Senior Care - Shelby Township
Monroe County
- Right at Home Southeastern Michigan
Oakland County
- Home Instead Senior Care - Birmingham
Saginaw County
- Visiting Angels
Wayne County
- Home Instead Senior Care - Livonia
- Homewatch CareGivers Serving Metro Detroit, Grosse Pointe, and Plymouth
Best Home Care in Minnesota -- 1 Caring Star of 2018
Anoka County
- Comfort Keepers Blaine
Best Home Care in Missouri -- 8 Caring Stars of 2018
Boone County
- BrightStar Care of Mid Missouri - Columbia
Clay County
- Home Instead Senior Care - Liberty
Greene County
- Home Instead Senior Care - Springfield
- Sutton In-Home Senior Care
Jasper County
- ComForCare Southwest Missouri
Saint Louis County
- Good Samaritan Senior Care - St. Louis
- Right at Home St. Louis Central
- Senior Services Unlimited
Best Home Care in Nebraska -- 1 Caring Star of 2018
Lincoln County
- Home Instead Senior Care - North Platte
Best Home Care in Nevada -- 5 Caring Stars of 2018
Clark County
- Comfort Keepers
- Home Care Assistance of Henderson
- Home Instead Senior Care - Las Vegas
- Right at Home Las Vegas
Washoe County
- Right at Home Reno
Best Home Care in New Hampshire -- 1 Caring Star of 2018
Rockingham County
- Right at Home Southern New Hampshire
Best Home Care in New Jersey -- 11 Caring Stars of 2018
Atlantic County
- Visiting Angels
Bergen County
- A-1 Health Care Services, Inc
- HomeWell of Northeast New Jersey
- Senior Helpers Bergen County
Burlington County
- Care4U Home Health Services, LLC
- Visiting Angels
Camden County
- Right at Home Camden, Burlington & Gloucester Counties
Essex County
- Assisting Hands Home Care
Mercer County
- Visiting Angels
Somerset County
- Visiting Angels - Hillsborough
Warren County
- Home Instead Senior Care - Washington
Best Home Care in New York -- 9 Caring Stars of 2018
Nassau County
- Right at Home Nassau Suffolk
- Right at Home South Shore Long Island
New York County
- Right at Home Lower Manhattan
- Right at Home Uptown NYC
Rockland County
- Home Instead Senior Care - Rockland
Suffolk County
- Home Instead Senior Care - Hauppauge
Westchester County
- Right at Home Northern Westchester County
- Right at Home Westchester
- Westchester Family Care Inc
Best Home Care in North Carolina -- 9 Caring Stars of 2018
Craven County
- Home Instead Senior Care - New Bern
Forsyth County
- Home Instead Senior Care - Winston/Salem
- Right at Home Winston Salem
Iredell County
- Right at Home
Mecklenburg County
- Home Instead Senior Care - Charlotte
- Homewatch CareGivers Serving Charlotte and Mecklenburg County
Rowan County
- TenderHearted Home Care
Wake County
- Aware Senior Care
- Right at Home of Wake County
Best Home Care in Ohio -- 11 Caring Stars of 2018
Columbiana County
- Visiting Angels in Salem Ohio
Cuyahoga County
- Home Instead Senior Care - Cleveland
- Right at Home Beachwood
- Visiting Angels - Cleveland
Franklin County
- Homewatch CareGivers Serving Columbus and Central Ohio
Hamilton County
- Queen City Elder Care
Lake County
- Home Instead Senior Care - Mentor
Lorain County
- Four Seasons Home Care
Lucas County
- Right at Home Perrysburg
Montgomery County
- Home Instead Senior Care - Dayton
Portage County
- Home Instead Senior Care - Ravenna
Best Home Care in Oklahoma -- 1 Caring Star of 2018
Oklahoma County
- Synergy HomeCare
Best Home Care in Oregon -- 8 Caring Stars of 2018
Deschutes County
- Home Instead Senior Care - Bend
- Right at Home Central Oregon
Jackson County
- At Home Senior Solutions
Linn County
- Visiting Angels of Willamette Valley - Albany
Marion County
- Home Instead Senior Care - Salem
Multnomah County
- Home Instead Senior Care - Portland East
Washington County
- Home Instead Senior Care - Beaverton
Yamhill County
- Visiting Angels of Newberg
Best Home Care in Pennsylvania -- 12 Caring Stars of 2018
Allegheny County
- Home Instead Senior Care - Bethel Park
- Home Instead Senior Care - Oakmont
- Home Instead Senior Care - Pittsburgh
Bucks County
- Always Best Care of Upper BuxMont
- Daughterly Companions, LLC
- Home Instead Senior Care - Levittown
- Loving Arms Elder Care
Cumberland County
- Ella Home Care Inc - Camp Hill
Dauphin County
- Home Instead Senior Care - Harrisburg
Lehigh County
- Home Instead Senior Care - Whitehall
Montgomery County
- Right at Home Lansdale
- Right at Home Lower Berks County, Upper Chester County and Western Montgomery County
Best Home Care in South Carolina -- 4 Caring Stars of 2018
Anderson County
- Senior Helpers - Anderson
Greenville County
- Synergy HomeCare of Greenville, South Carolina
Horry County
- Home Care of Myrtle Beach
York County
- BrightStar Care Rock Hill
Best Home Care in Tennessee -- 5 Caring Stars of 2018
Shelby County
- Right at Home Memphis East
Hamilton County
- Home Helpers & Direct Link - Signal Mountain
Madison County
- Comfort Keepers of Jackson Tennessee
Williamson County
- Home Care Assistance of Nashville
Montgomery County
- Right at Home Clarksville
Best Home Care in Texas -- 18 Caring Stars of 2018
Bexar County
- Synergy HomeCare of Greater San Antonio
Comal County
- Home Instead Senior Care - New Braunfels
Dallas County
- Home Instead Senior Care - Dallas
- Home Instead Senior Care - Duncanville
- Right at Home Irving/Arlington
Denton County
- Home Instead Senior Care - Highland Village
- Right at Home Collin & Denton County
Ellis County
- Right at Home Midlothian
Galveston County
- Right at Home Galveston
Harris County
- Heaven Sent Home Care LLC
- Senior Helpers - North Houston
Jefferson County
- Montebello Home Care
Lubbock County
- Home Instead Senior Care - Lubbock
Mclennan County
- Home Instead Senior Care - Hewitt
Navarro County
- Home Helpers & Direct Link - Corsicana
Travis County
- Red Bud Home Care
Wise County
- Right at Home Rhome
Best Home Care in Utah -- 1 Caring Star of 2018
Utah County
- Aspen Senior Care
Best Home Care in Virginia -- 6 Caring Stars of 2018
Frederick County
- FirstLight HomeCare Northwest Virginia
Hampton City County
- Home Helpers- Hampton & Newport News
Loudoun County
- Home Helpers of North VA
Manassas County
- Home Instead Senior Care - Manassas
Winchester County
- Right at Home Winchester
Best Home Care in Washington -- 3 Caring Stars of 2018
Grays Harbor County
- Personal Service Providers
Pierce County
- Visiting Angels of Tacoma and Olympia
Spokane County
- Family Home Care - Tri-Cities
Best Home Care in Wisconsin -- 7 Caring Stars of 2018
Eau Claire County
- Visiting Angels - Altoona
Fond Du Lac County
- Visiting Angels - Fond du Lac
Kenosha County
- Right at Home Kenosha-Racine
Outagamie County
- Right at Home Appleton
Ozaukee County
- Home Helpers and Direct Link Mequon
Racine County
- BrightStar Care Racine
Waupaca County
- Synergy HomeCare of Waupaca