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4.7
(63 reviews)
"Gentiva has been instrumental in caring for my father. The caregivers are kind, patient and reliable. the caregivers make suggestions to help my father. Communication is easy. Thank you!..."
READ MOREThe 10 Best Home Care Agencies for Seniors in San Francisco, CA for 2025
Caring.com offers a free service to help families find senior care and authentic reviews to help you in your decision. On average in San Francisco, CA, residents and their loved ones rate In Home Care agencies 4.4 out of 5 stars across the 100 options below.
Home Care Services in San Francisco, California
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4.8
(26 reviews)
"I needed help with a family member and Dan and his staff met with us right away. Dan worked with us on scheduling different shifts and accommodating our needs. The staff were on time, very knowledgeable, and provided excellent care for my aunt whil..."
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5.0
(32 reviews)
"My personal Interaction with the care staff is wonderful. Great communication! Always available if I have any questions for my love one. The Care Plus agency is awesome always updating me with my grandpas health and providing new ways of the care smo..."
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4.5
(16 reviews)
"ameriCARE San Francisco is a family-owned and operated home care agency serving all the San Francisco Bay Area. We are a new kind of in-..."
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4.5
(12 reviews)
"We hired Care Indeed and that's been great. Mostly, they care for my dad, like transferring, feeding, bathing, and grooming. The caregiver comes 6 hours a day. She is very kind, competent, and caring. She listens to my mom. She's there to help my mom..."
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5.0
(3 reviews)
"We have been using their home care services for over 2 years in the care of my wife. Two shifts of 3 hours in the morning to get her cleaned up, dressed , and fed along with some exercises . Then the reverse of 3 hours in the evening to get her re..."
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5.0
(1 reviews)
"My friend is using Senior Helpers of Greater Marin, and the caregiver has been really great. They're excellent, very attentive, and very good at communicating what's going on. The caregiver has a very positive attitude and is very patient with the se..."
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4.7
(4 reviews)
"The care givers are like a family member. When we need an answer to a certain issue, the office staff has been immediately available...."
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4.6
(14 reviews)
"I used Home Instead for my husband. It's excellent. We went through a long journey of caretaking and stopped and he was in the hospital and back on, and they consistently helped me when there was a worker that got sick or whatever. Karen, the schedul..."
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"Home Instead Senior Care is a non-medical provider of personal care, companionship, meal preparation, light housekeeping, medication reminde..."
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"Health Professionals, Inc. specializes in providing experienced, reliable and affordable Caregivers that will meet your needs. We are commit..."
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"Specialized care for clients with Alzheimer's, dementia, and diabetes Hospice care, pain control and management care Transportation for do..."
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"For nearly 20 years, TheKey—formerly Home Care Assistance—has delivered quality in-home care, supporting older adults with a wide range of n..."
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5.0
(1 reviews)
"Mom was in excellent hands with the women of CareAmerica. Constantly by her side making sure she was comfortable. Couldn’t have done the last two weeks of Moms life without them. And my mission of having Mom pass away at home was accomplished. Extre..."
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5.0
(6 reviews)
"Whenever we need a caregiver for my dad, Venus at Stanford Senior Care is always there to provide support on short notice. She and her team are wonderful, compassionate, and truly dedicated to caring for him. If you're looking for reliable, family-li..."
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"Clara is a new kind of in-home care marketplace that puts you first. What makes Clara different? Our caregivers get paid 20-40% more than..."
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"Our team recognizes the complexities of the challenges that come with aging. At Cornerstone Caregiving of San Francisco, CA, we are proud to..."
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"Kizuna is your trusted partner in connecting Bay Area families with high quality, background-checked private caregivers for in-home care. We..."
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Paying for Home Care in San Francisco, CA
The Cost of Home Care in San Francisco, CA
The 2024 Genworth Cost of Care Survey reports that seniors in San Francisco typically pay around $7,531 per month for home care, surpassing the respective state and national norms by about $670 and $1,800. Seniors in nearby Fresno pay considerably lower monthly rates of around $6,101, but in San Jose, home care rates run considerably higher at around $8,008.
San Francisco
$7,531
California
$6,864
United States
$5,720
Stockton
$6,101
San Jose
$8,008
Santa Cruz
$7,245
Fresno
$6,101
The Cost of Home Care vs. Other Senior Care Options in San Francisco, CA
In San Francisco, home care agencies charge about $7,531 per month for nonmedical assistance. It runs about $1,050 lower than the cost of home health care, which includes essential skilled nursing services. Additionally, it offers roughly $4,940 in savings over nursing home rates, which cover intensive 24-hour care and monitoring.
Home Care
$7,531
Home Health Care
$8,580
Adult Day Health Care
$1,842
Assisted Living Facility
$7,495
Nursing Home Care (semi-private room)
$12,471
Financial Assistance for Home Care in San Francisco, CA
Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.
- Long-Term Care Insurance: Long-term care insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
- Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
- Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
- Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living. Contact the Department of Veterans Affairs to learn more.
- Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.
San Francisco Home Care Resources
Home care services are only one of the pieces needed for seniors to gracefully age in place. There are many services and programs that are low-cost or free, that enable seniors to enjoy an independent lifestyle in the comfort of their own home, such as help with home modifications, meal delivery services, and more. Below, we’ve compiled a few of the most helpful resources in San Francisco:
| Resource | Contact | Address | Service |
|---|---|---|---|
| Meals on Wheels San Francisco | (415) 920-1111 | 137 FairFax Ave, San Francisco, CA 94124 | Volunteers in the area help senior clients maintain a safe and healthy lifestyle by delivering nutritious meals, including breakfast, lunch and dinner options that can be modified to fit each client’s specific needs. Delivered daily, on weekdays, or twice a week, meals can arrive hot, refrigerated, or frozen depending on the client’s capabilities. The agency also provides volunteer shoppers who can buy groceries and small household items, along with helpful volunteers who can stop by just to change a light bulb, make small furniture repairs and other small projects. |
| San Francisco Human Services Department of Disability and Aging Services | (415) 355-6700 | 2 Gough St, San Francisco, CA 94103 | Often referred to as the DAS Benefits and Resources Hub, the agency connects seniors, veterans and individuals with disabilities with a variety of resources, like in-home supportive services, food pantries and LGBT programs. Adult protective services are also available. Applications are accepted online. Representatives can be reached at the provided number and speak the following languages: Spanish, Cantonese, Mandarin, Vietnamese, Japanese and Tagalog. |
| Bay Area Legal Aid | (415) 982-1300 | 1800 Market Street 3rd Floor, San Francisco, CA 94102 | The nonprofit represents clients from a variety of different cultural and social-economic backgrounds in areas of finance, housing preservation and helping individuals apply for the government support they are entitled to. Attorneys can also assist with appealing unlawful terminations of financial aid or wrongful denials for benefits. The agency also has experience handling medical issues, as well as assisting clients with obtaining in-home support services and SSI benefits. |
| San Francisco Community Assistance Program | (415) 551-3000 | 525 Golden Gate Avenue (at Polk St.), San Francisco, CA 94102 | Not only does this agency help senior and low-income residents in San Francisco provide assistance with paying water bills, but they also offer free replacements of old, in-efficient water fixtures. Once approved, customers receive a free evaluation of their home and receive discounts for up to 35% on sewer bills and 15% on water bills. The program can replace faucets, showerheads and toilets, in addition to fixing expensive plumbing issues. |
| Self-Help for the Elderly | (415) 677-7600 | 731 Sansome Street, Suite 100, San Francisco, CA 94111 | Serving over 40,000 seniors in Chinatown each year, the non-profit offers a wide variety of senior care services, both in and out of the home, along with resources to help seniors and their caregivers. The organization also provides HICAP services to help seniors better understand their health insurance options and rights. |
Determining Your Loved One’s Need for In-Home Care
Aging can be a difficult process, and loved ones may not always ask for help – often times it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.
Guidelines for Talking About In-Home Care
If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.
Reviews of Care Providers Nearby
Home Care
Letty
5.0
Review of Home Instead - San Francisco, CA
I used Home Instead for my husband. It's excellent. We went through a long journey of caretaking and stopped and he was in the hospital and back on, and they consistently helped me when there was a...
Home Care
Lisa D_26
5.0
Review of Arosa - San Francisco
The most helpful part about their service is the consistency. I like that they're responsive, and I like the people who have been assigned to my parents.
Home Care
Gina S_4
5.0
Review of Arosa - San Francisco
They sent me a very competent caregiver. They were very supportive.