24-Hour Home Care in Alamo, CA: Round-the-Clock Care

Local figures

24-Hour Home Care in Alamo, CA: the local picture

3.5%

of residents 65+ have difficulty dressing or bathing (8.1% in Contra Costa County)

437

residents 85 or older (3.0% of all residents)

24%

of residents 65+ report a disability (30% in Contra Costa County)

$186,167

median yearly income of households headed by someone 65+

128 Alamo residents 65 or older have difficulty dressing or bathing (3.5%; 8.1% in Contra Costa County), and 402 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 437 residents are 85 or older (3.0% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Danville Post-Acute Rehab in Danville (2.3 mi) and Tice Valley Post Acute in Walnut Creek (3.4 mi).

Alamo compared with Contra Costa County and California

Census figure	Alamo	Contra Costa County	California
Residents 65+ with difficulty dressing or bathing	3.5%	8.1%	9.3%
Residents 65+ with serious difficulty walking	11%	19%	22%
Residents 65+ with serious difficulty remembering	6.8%	8.5%	9.1%
Residents 85 or older	3.0%	2.0%	1.9%
Residents 65+ in households who live alone	11%	23%	23%
Residents 65+ below the poverty line (approx.)	2.2%	7.4%	12%
Median income, households headed by someone 65+	$186,167	$90,014	—

Older residents in towns around Alamo

Town	Distance	Residents 65+	Self-care difficulty (65+)
San Miguel, CA	2.5 mi	1,126	3.2%
Walnut Creek, CA	3.6 mi	20,671	8.1%
Danville, CA	3.8 mi	8,655	6.9%
Saranap, CA	4.1 mi	1,047	5.4%
Contra Costa Centre, CA	5.4 mi	544	5.5%
Moraga, CA	6.0 mi	3,327	3.0%

Home health agencies serving Alamo

Agency	Office	Distance	CMS quality stars	Services listed	Phone
American Home Health Care, LLC	Dublin, CA	11 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 574-0390
A1 Pro Home Health Inc.	San Leandro, CA	12 mi	5 of 5	—	(510) 738-0888
Neogen Care	Pleasanton, CA	13 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 440-1383
National Home Health Services-West, Inc	Fremont, CA	23 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(415) 812-2955
Silverline Staff Home Health	Fremont, CA	23 mi	5 of 5	—	(925) 476-5350

Nursing homes near Alamo (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Danville Post-Acute Rehab	Danville, CA	2.3 mi	4 of 5	54	(925) 837-4566
Tice Valley Post Acute	Walnut Creek, CA	3.4 mi	5 of 5	120	(925) 906-0200
Walnut Creek Skilled Nursing & Rehabilitation Cent	Walnut Creek, CA	3.5 mi	2 of 5	180	(925) 719-8883
Rossmoor Post Acute	Walnut Creek, CA	3.5 mi	4 of 5	155	(925) 975-5000

Straight-line miles from the center of Alamo. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a 24-hour caregiver can help with

Someone awake and on duty at all hours
Personal care, meals and medication reminders through the day
Help at night without relying on one tired caregiver
Written handover notes between shifts

Cost

What 24-hour home care costs in Alamo

24-hour care is 168 paid hours a week. At $16.90 an hour (the California minimum wage) that is about $12,303 a month in wages before any overtime, 79% of the $15,514 monthly median income of Alamo households headed by someone 65+. Rates are agreed with each caregiver. California's minimum wage is $16.90 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave.

Before you hire

What to know before hiring a 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

24-Hour Home Care in Alamo: common questions

How much does 24-hour home care cost in Alamo?

24-hour care is 168 paid hours a week. At $16.90 an hour (the California minimum wage) that is about $12,303 a month in wages before any overtime, 79% of the $15,514 monthly median income of Alamo households headed by someone 65+. Rates are agreed with each caregiver. California's minimum wage is $16.90 an hour (U.S. Department of Labor table, updated July 1, 2026).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

More near Alamo

More senior care near Alamo

24-Hour Home Care in nearby cities

Other care in Alamo

More for Alamo families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

24-Hour Home Care in Alamo, CA