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

Local figures

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

14%

of residents 65+ have difficulty dressing or bathing (8.9% in Madera County)

868

residents 85 or older (1.3% of all residents)

50%

of residents 65+ report a disability (39% in Madera County)

$42,581

median yearly income of households headed by someone 65+

883 Madera residents 65 or older have difficulty dressing or bathing (14%; 8.9% in Madera County), and 2,201 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 868 residents are 85 or older (1.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Madera Care Center in Madera (1.0 mi) and Madera Rehabilitation & Nursing Center in Madera (2.0 mi).

Madera compared with Madera County and California

Census figure	Madera	Madera County	California
Residents 65+ with difficulty dressing or bathing	14%	8.9%	9.3%
Residents 65+ with serious difficulty walking	35%	24%	22%
Residents 65+ with serious difficulty remembering	11%	9.0%	9.1%
Residents 85 or older	1.3%	1.5%	1.9%
Residents 65+ in households who live alone	23%	21%	23%
Residents 65+ below the poverty line (approx.)	21%	14%	12%
Median income, households headed by someone 65+	$42,581	$64,480	—

Older residents in towns around Madera

Town	Distance	Residents 65+	Self-care difficulty (65+)
Madera Acres, CA	3.3 mi	1,484	10%
Parksdale, CA	3.8 mi	279	13%
Bonadelle Ranchos, CA	11 mi	828	2.3%
Madera Ranchos, CA	12 mi	777	0.1%
Chowchilla, CA	13 mi	1,898	12%
Kerman, CA	17 mi	1,610	7.0%

Home health agencies serving Madera

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Ardent Home Health Of Fresno	Fresno, CA	20 mi	5 of 5	nursing, physical therapy, medical social work, home health aides	(559) 408-5945
Silverline Staff Home Health	Fremont, CA	111 mi	5 of 5	—	(925) 476-5350
Telfair Home Health Care	Glendale, CA	218 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(818) 539-5244
1ST Choice Home Healthcare Fresno Inc	Fresno, CA	20 mi	4.5 of 5	—	—
Progressive Home Health Care	Modesto, CA	68 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(209) 505-1035

Nursing homes near Madera (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Madera Care Center	Madera, CA	1.0 mi	4 of 5	64	(559) 673-9278
Madera Rehabilitation & Nursing Center	Madera, CA	2.0 mi	1 of 5	176	(559) 673-9228
Palms Care Center	Chowchilla, CA	15 mi	3 of 5	65	(559) 665-4826
Chowchilla Memorial Healthcare District	Chowchilla, CA	15 mi	4 of 5	29	(559) 665-3781

Straight-line miles from the center of Madera. 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 Madera

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, 347% of the $3,548 monthly median income of Madera 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 Madera: common questions

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

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, 347% of the $3,548 monthly median income of Madera 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 Madera

More senior care near Madera

24-Hour Home Care in nearby cities

Other care in Madera

More for Madera 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 Madera, CA