The 10 Best Home Care Agencies for Seniors in San Luis Obispo County, 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 Luis Obispo County, CA, residents and their loved ones rate In Home Care agencies 4.8 out of 5 stars across the 21 options below.

The Genworth 2021 Cost of Care Survey doesn’t outline senior care cost data for San Luis Obispo County, so countywide cost data is estimated based on rates in San Luis Obispo, the county seat. Based on this, local seniors and families expect to pay about $7,150 monthly for home care, which is substantially higher than state and national rates of $6,101 and $4,957, respectively. Costs in Santa Maria are nearly $500 less at $6,673 per month, and in Oxnard, fees are $1,300 below San Luis Obispo County’s median. In Visalia, rates are $1,800 less at $5,339.

In San Luis Obispo County, home care agencies provide nonmedical services for older adults, including housekeeping, personal care and meal preparation, and charge about $7,150 per month. Home health care provides these services along with skilled nursing and charges the same monthly rate. Seniors in assisted living pay an average of $1,850 less monthly, with housing and personal care coming in at $5,300. Nursing homes charge higher rates than home care agencies, with rates starting at $10,038. 

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.