Home Care in San Francisco, California

If you're looking for senior care for an elder loved one in San Francisco, there are numerous home care agencies to choose from. Non-medical home care and home health care are two different types of...

Home Care in San Francisco, California

If you're looking for senior care for an elder loved one in San Francisco, there are numerous home care agencies to choose from. Non-medical home care and home health care are two different types of care that are available. Non-medical home care includes services such as companionship, meal preparation, and housekeeping, while home health care includes medical services such as nursing and rehabilitation. In San Francisco, the cost of home care tends to be higher than the state average in California. However, the average income in San Francisco is also higher than the state average. San Francisco is not located in Colorado, so it does not rank among the top cities in that state. Some of the top-rated home care agencies in San Francisco include Home Care Assistance, Honor, and Kindly Care.

21st Century Home Health

4.1
1633 Old Bayshore Hwy #216, California 94010
21st Century Home Health in Burlingame is a team I’ve worked with often, especially for families needing more than just the basics at home. They send out registered nurses, physical therapists, occupational therapists, and even speech therapists—so it’s not just about help with bathing or meals, but real medical care and rehab right in your living room. I’ve seen them take on everything from wound care after surgery to helping folks manage diabetes or recover strength after a stroke.
Estimated Pricing
$25–$61 / hr

Bay Area Care at Home

4.1
75 Broadway st. Ste 202, California 94111
Bay Area Care at Home is a small, locally run agency focused on non-medical home care for seniors in San Francisco. They’re not a big franchise, so you’re more likely to get to know the people who answer the phone and coordinate care. The staff helps with daily routines—things like meal prep, light housekeeping, errands, and companionship. Personal care (like bathing or dressing) is available, but they don’t provide skilled nursing.
Estimated Pricing
$26–$35 / hr

Family Care SF, Inc.

3.8
2433 Ocean Ave, California 94127
Family Care SF, Inc. is a small, family-run agency that helps older adults stay at home by matching them with caregivers who fit their personality and needs. They aren't a giant chain, so you’ll actually talk to someone local—often the same person each time. Families say the caregivers are reliable and easy to work with; if you need to switch caregivers, they handle it quickly. They offer both live-in and hourly help, and you can get someone for just a few hours or around the clock.
Estimated Pricing
$26–$35 / hr

Nestvy Senior Placement and Home Care

4.4
66 Franklin St Suite 300, California 94607
Nestvy isn’t your typical home care agency—they do a lot more than just send someone out to help with chores or bathing. What stands out is how they guide families through the maze of options, whether you’re looking for in-home help, assisted living, or memory care. They take the time to really listen, and people say they’re quick to respond, even when things get stressful or complicated.
Estimated Pricing
$24–$59 / hr

Premier Homecare Angels

1516 Oak St #105, California 94501
If you're looking for someone to help care for your parent at home, Premier Homecare Angels stands out for a few reasons that go beyond the usual promises. The owner, Czarina, is hands-on and has a reputation for being both professional and genuinely compassionate—families mention her by name in their reviews, which is rare. People say she’s easy to reach and really listens, which can make a big difference when you’re dealing with the day-to-day ups and downs of elder care.
Estimated Pricing
$29–$59 / hr

Premier Homecare Angels

3.8
1151 Harbor Bay Pkwy #101, California 94502
Premier Homecare Angels is a local home care agency that’s been around since 2009, serving families in Alameda and the surrounding area. They focus on helping older adults stay at home by providing hands-on support with daily routines—things like bathing, dressing, light housekeeping, and getting to appointments. If your loved one needs help just a few hours a day or more regular support, they seem able to tailor the schedule.
Estimated Pricing
$18–$40 / hr

HealthFlex Home Health

3.9
1633 Old Bayshore Hwy Suite 310, California 94010
HealthFlex Home Health stands out for families who want more than just basic help at home. Their team includes registered nurses, physical and occupational therapists, speech therapists, social workers, and home health aides—so you’re not just getting a caregiver, but a whole clinical support system. They’re especially known for handling complex medical needs at home, like wound care, IV therapy, and managing chronic illnesses such as heart failure or diabetes.
Estimated Pricing
$25–$61 / hr

Alice Home Care

4.3
2515 Santa Clara Ave Suite 201, California 94501
Alice Home Care feels different from a lot of agencies in Alameda. It’s run by Alice Lai-Bitker, who spent years working in social services and even served as President of the Alameda County Board of Supervisors. She’s not just a name on the door—she’s actually been a hands-on caregiver for her own parents and brings that experience to her business. Families say the team is responsive and patient, especially when you’re trying to figure out what kind of help you really need.
Estimated Pricing
$18–$40 / hr

Care America Homecare Services

2.8
611 Gateway Blvd #266, California 94080
Care America Homecare Services is one of those agencies you hear about from families who want their loved ones to feel truly cared for at home. They focus on non-medical home care—things like help with bathing, dressing, meal prep, companionship, and making sure someone’s there when family can’t be.
Estimated Pricing
$38–$59 / hr

Home Instead

505 14th St Suite 900, California 94612
Homewatch CareGivers of Oakland stands out for its hands-on, practical help for older adults who want to stay in their own homes. They send trained caregivers to assist with everyday tasks like bathing, getting dressed, meal prep, and keeping the house tidy. If your loved one needs reminders to take their medications or a ride to the doctor, they handle that too.
Estimated Pricing
$24–$59 / hr

At Home Support Senior Care

4.3
1590 El Camino Real Suite K, California 94066
At Home Support Senior Care feels like one of those rare local agencies that actually listens to what families need. They’re family-owned, and you can sense it in the way they approach care—no cookie-cutter plans here. Instead, they start with a free in-home assessment, so families don’t have to guess what level of help makes sense. Their team helps with everything from a few hours of companionship to overnight care, and they’re used to adapting as needs change.
Estimated Pricing
$29–$50 / hr

Visiting Angels

Mash Building Santa Clara Ave #300b, California 94501
If you’re looking for help caring for your parent at home in Oakland, Visiting Angels on Santa Clara Ave might be worth a look. They’re not just about sending someone over to help with chores—they really try to match you with a caregiver who fits your parent’s personality and needs. Families say the caregivers are attentive and genuinely care, often going above and beyond what’s expected.
Estimated Pricing
$24–$59 / hr

Visiting Angels

4.3
2447 Santa Clara Ave #300b, California 94501
Visiting Angels on Santa Clara Avenue is a name you’ll hear often if you ask Alameda families where to turn when an older loved one needs help at home. They’re not a huge, faceless operation—the office feels local, and you can actually get someone on the phone after hours. Folks mention Heleen by name; she’s known for picking up calls late in the evening and helping families sort out care in a pinch.
Estimated Pricing
$18–$40 / hr

Aviva In-Home Care

4.2
100 Pine St #1250, California 94111
Aviva In-Home Care is one of those agencies that families around San Francisco quietly recommend to each other when a loved one needs help at home. They’re not flashy, but their reputation for reliability and responsiveness stands out. The team provides a range of non-medical support—think help with bathing, dressing, meal prep, and getting to appointments.
Estimated Pricing
$26–$49 / hr

Talk to an advisor

Avatar

Need help caring for an elder loved one? We've got you covered.

  • Free consultation with a Senior Advisor
  • Compare pricing for senior services
  • Comprehensive planning for you loved one
or call us directly at 1-800-22-OLERA

Important things to know about Home Care

Types of Senior Care - Find the Best Care for Your Elderly Loved Ones

Types of Senior Care - Find the Best Care for Your Elderly Loved Ones

Added: May 31, 2023
5 min read
Last modified: Apr 21, 2024
Whether your loved one needs skilled medical care or just a little help in a home-like setting...
Learn more
Paying for Senior Care - Exploring Financial & Assistance Options for Senior Living

Paying for Senior Care - Exploring Financial & Assistance Options for Senior Living

Added: Jun 1, 2023
5 min read
Last modified: Apr 21, 2024
Aside from using personal savings, other ways to pay for long-term care include various...
Learn more
Home Care or Senior Community? Which is Best for Your Love One?

Home Care or Senior Community? Which is Best for Your Love One?

Added: Jun 7, 2023
3 min read
Last modified: Nov 26, 2023
When a loved one can no longer take care of themselves and needs assistance with day-to-day activities such as...
Learn more