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

Local figures

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

17%

of residents 65+ have difficulty dressing or bathing (8.3% in San Diego County)

1,603

residents 85 or older (1.5% of all residents)

43%

of residents 65+ report a disability (31% in San Diego County)

$55,038

median yearly income of households headed by someone 65+

2,430 El Cajon residents 65 or older have difficulty dressing or bathing (17%; 8.3% in San Diego County), and 4,357 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 1,603 residents are 85 or older (1.5% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Somerset Post Acute Care in El Cajon (0.5 mi) and Parkside Health And Wellness Center in El Cajon (0.8 mi).

El Cajon compared with San Diego County and California

Census figure	El Cajon	San Diego County	California
Residents 65+ with difficulty dressing or bathing	17%	8.3%	9.3%
Residents 65+ with serious difficulty walking	31%	20%	22%
Residents 65+ with serious difficulty remembering	16%	8.4%	9.1%
Residents 85 or older	1.5%	1.8%	1.9%
Residents 65+ in households who live alone	21%	22%	23%
Residents 65+ below the poverty line (approx.)	14%	9.5%	12%
Median income, households headed by someone 65+	$55,038	$78,324	—

Older residents in towns around El Cajon

Town	Distance	Residents 65+	Self-care difficulty (65+)
Bostonia, CA	1.6 mi	2,400	8.3%
Casa de Oro-Mount Helix, CA	2.7 mi	4,223	6.3%
Winter Gardens, CA	3.2 mi	3,014	4.7%
Granite Hills, CA	3.2 mi	649	1.7%
Rancho San Diego, CA	3.6 mi	4,814	12%
Santee, CA	4.0 mi	9,812	8.1%

Home health agencies serving El Cajon

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Health Plus Home Health Care Inc	San Diego, CA	10 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(619) 223-2779
Absolute Home Health Inc	San Diego, CA	10 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(858) 541-2000
Advantage Health Systems	San Diego, CA	13 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(858) 433-0469
Archer Health Inc	Carlsbad, CA	33 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 689-5049
Big Vine Home Health Services, Inc	Stanton, CA	91 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(714) 622-8338

Nursing homes near El Cajon (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Somerset Post Acute Care	El Cajon, CA	0.5 mi	3 of 5	65	(619) 442-0245
Parkside Health And Wellness Center	El Cajon, CA	0.8 mi	5 of 5	52	(619) 442-7744
Magnolia Post Acute Care	El Cajon, CA	0.9 mi	3 of 5	99	(619) 442-8826
Villa Las Palmas Healthcare Center	El Cajon, CA	1.0 mi	3 of 5	151	(619) 442-0544

Straight-line miles from the center of El Cajon. 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 El Cajon

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, 268% of the $4,587 monthly median income of El Cajon 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 El Cajon: common questions

How much does 24-hour home care cost in El Cajon?

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, 268% of the $4,587 monthly median income of El Cajon 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 El Cajon

More senior care near El Cajon

24-Hour Home Care in nearby cities

Other care in El Cajon

More for El Cajon 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 El Cajon, CA