The 10 Best Home Care Agencies for Seniors in Vista, 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 Vista, CA, residents and their loved ones rate In Home Care agencies 4.7 out of 5 stars across the 46 options below.
Home Care Services in Vista, California
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5.0
(1 reviews)
"Highly recommended. They are detail-oriented and customize plans on exactly what we needed. The caregivers were professional and management always answered our calls...."
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Paying for Home Care in Vista, CA
The Cost of Home Care in Vista, CA
According to the 2024 Genworth Cost of Care Survey, Vista's home care clients pay a monthly median rate of $6,673. This exceeds the national norm by about $950. However, it falls about $190 lower than California’s median, as well as care costs in San Diego. It also has a competitive edge over Santa Maria, where seniors pay around $14,491 for in-home care.
Vista
$6,673
California
$6,864
United States
$5,720
Riverside
$6,483
San Diego
$6,864
Oxnard
$6,864
Santa Maria
$14,491
The Cost of Home Care vs. Other Senior Care Options in Vista, CA
In Vista, seniors pay around $6,673 for nonmedical home care services, as well as specialized home health care. Opting for personal care in an assisted living facility saves seniors about $925 per month over home care, but seniors who need 24-hour care and monitoring pay about $4,000 more per month for nursing home care.
Home Care
$6,673
Home Health Care
$6,673
Adult Day Health Care
$1,690
Assisted Living Facility
$5,748
Nursing Home Care (semi-private room)
$10,646
Note: Data for Vista was unavailable, so data for the nearest city, Los Angeles, was used instead.
Financial Assistance for Home Care in Vista, 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.
Vista 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 Vista:
Resource | Contact | Address | Service |
---|---|---|---|
Senior Services Center | (760) 643-5288 | 1400 Vale Terrace Drive, Vista, CA 92084 | The Gloria McClellan Adult Activity and Resource Center is a state-funded center that offers a range of services and activities for senior citizens in the community. Services offered by the center include tax assistance, legal assistance, hearing screenings, transportation and health insurance counseling. The center provides lunch to seniors who attend activities and there is no charge for the meal. Activities offered include bridge, knitting circles, movies, bingo, sewing classes, chair yoga and fitness classes. Some of the classes are free and others charge a small fee. |
Meal Delivery Service | (760) 643-5288 | 1400 Vale Terrace Drive, Vista, CA 92084 | This program is funded by the federal government, the city of Vista and donations from the community. The aim of the service is to provide meals to seniors over the age of 60 who are homebound. In order to qualify for the program, seniors must be incapable of doing at least two of the following activities on their own: bathing, walking, eating, dressing and toileting. Clients are assessed on a quarterly basis to ensure that they still qualify for assistance. A meal is delivered on a daily basis from Monday to Friday and two frozen meals are provided for the weekend. There is a suggested contribution for each meal but finance is provided to those who are unable to pay. |
Transport | (760) 643-5288 | 1400 Vale Terrace Drive, Vista, CA 92084 | Out and About Vista is a program funded by the city of Vista. The aim of the program is to promote self-sufficiency for senior citizens and enable them to live in their own homes for a longer period of time. Volunteers from the community, use their private vehicles to transport homebound seniors to the shops, banks and social events. The volunteers are reimbursed for the mileage and supplemental insurance required. A notice period of 24 hours is required when booking a ride with this system. Donations are appreciated but there is no charge for using the transport service. |
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
Marie Karen
5.0
Review of Home Instead - Vista, CA
Caregivers stayed with our mom through the night to make sure she stayed in bed and had companionship when she could not sleep and was confused or frightened. They were always on time, personable...
Home Care
brenda-post
5.0
Review of Home Instead - Vista, CA
Everyone we have interacted with on the staff has been professional, caring and responsive. I appreciate the ease of schedule changes.
Home Care
San Marcos CA
4.0
Review of Home Instead - Vista, CA
My mom has used Home Instead for more than 2 years and they have been fantastic. Staff is caring and really concerned about their clients. When I asked to change assistants to better fit my mom's...