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.
On Lok PACE 30th Street Center doesn’t feel like a typical healthcare provider. It’s more like a lively neighborhood hub where older San Franciscans find both medical care and real community. Walk in on any weekday and you’ll see a mix of activities: fitness classes, gardening in the courtyard, art workshops, and shared meals that go beyond just nutrition—they’re a chance to connect. The staff includes primary care doctors like Dr. Teresa Pham and Dr.
Serving Seniors Care is a small, locally run home care agency tucked into a professional building just off Gellert Blvd. This isn’t a big franchise—it’s a family-style operation, led by Raquel Heck, who’s been at the helm for about a decade. They focus on keeping older adults in Daly City and nearby neighborhoods comfortable at home, offering both non-medical help (like meal prep, bathing, and companionship) and some home health services.
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.
Elite Care Home Health stands out for its practical, flexible approach to in-home support. They offer both non-medical help—like meal prep, light housekeeping, and personal care—and skilled home health services, including nursing and therapy after surgery or illness. What’s notable is their Medicare certification, which means they meet federal standards and can work with your doctor if your loved one needs post-hospital care.
Irish Referral Agency stands out in San Francisco because it’s not a traditional home care company—it’s a referral agency. That means they focus on connecting families with independent, qualified caregivers rather than employing staff directly. This setup gives families more flexibility and often keeps hourly rates a bit lower than some full-service agencies (recent listings put their rates between $34–$40 per hour).
Comfort Keepers in Alameda is the kind of agency people call when they want help that’s hands-on but not overbearing. Their caregivers step in for everything from making breakfast and handling laundry to helping with bathing, mobility, and even getting folks to and from doctor appointments. The team includes caregivers who are employees (not contractors), and they’re bonded, insured, and go through background checks, TB testing, and training.
Senior Alternatives stands out for how they blend hands-on home care with high-level care management—it's not just about sending someone to help with daily tasks. Their team includes Masters-level geriatric care managers, which is rare, and these folks actually work alongside the in-home caregivers. That means families get both day-to-day support and someone who can see the bigger picture, like coordinating with doctors or helping with tough decisions as conditions change.
If you're looking into TrueCare24 for your parent, here's what I've found after digging into reviews and details. TrueCare24 isn't a small local agency—it's a larger network that connects families to caregivers for both non-medical home care and home health services. That means they can help with things like bathing, dressing, meal prep, light housekeeping, and even some health monitoring at home.
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.
Senior Helpers in El Cerrito is one of those agencies families often turn to when their loved one wants to stay at home but needs a bit more help than neighbors or relatives can provide. They send caregivers to help with daily routines—things like bathing, dressing, meal prep, and keeping the house tidy. They also offer companionship, which can mean anything from playing cards to going for a walk or just having someone around to talk to.
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.
All Quality Home Care Services stands out in Richmond mostly for its flexibility and the range of care options it offers. They provide both non-medical home care and home health care, so families can get help with daily routines—like bathing, meals, and companionship—as well as skilled nursing or therapy if that's needed. Their pricing is pretty transparent, with rates ranging from $25 to $41 per hour, which is right in line with local averages.
All Ways Caring HomeCare on Callan Ave is one of those agencies you hear about from neighbors when someone needs a little extra help at home. They send caregivers out to local homes—mostly for seniors, but also for adults with disabilities—helping with things like bathing, getting dressed, meal prep, rides to appointments, and just having someone around for conversation or a walk.
1070 Marina Village Pkwy Suite 206, California 94501
Home Care (Non-medical)
FirstLight Home Care of Alameda is a local agency that helps seniors and adults with non-medical needs right in their own homes. Families often mention that the staff is attentive and responsive, and they appreciate that the office takes time to match caregivers to each client's personality and preferences. The team helps with things like bathing, dressing, meal prep, errands, and companionship—so it's not just about physical care, but also making sure people feel connected and supported.
