24-Hour Home Care in Madera Ranchos, CA

Local figures

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

0.1%

of residents 65+ have difficulty dressing or bathing (12% in Merced County)

76

residents 85 or older (2.5% of all residents)

44%

of residents 65+ report a disability (40% in Merced County)

$127,083

median yearly income of households headed by someone 65+

1 Madera Ranchos residents 65 or older have difficulty dressing or bathing (0.1%; 12% in Merced County), and 179 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 76 residents are 85 or older (2.5% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are North Point Healthcare & Wellness Centre LP in Fresno (9.0 mi) and The Terraces At San Joaquin Gardens Village in Fresno (9.3 mi).

Madera Ranchos compared with Merced County and California

Census figure	Madera Ranchos	Merced County	California
Residents 65+ with difficulty dressing or bathing	0.1%	12%	9.3%
Residents 65+ with serious difficulty walking	23%	28%	22%
Residents 65+ with serious difficulty remembering	17%	12%	9.1%
Residents 85 or older	2.5%	1.3%	1.9%
Residents 65+ in households who live alone	17%	24%	23%
Residents 65+ below the poverty line (approx.)	6.2%	16%	12%
Median income, households headed by someone 65+	$127,083	$44,830	—

Older residents in towns around Madera Ranchos

Town	Distance	Residents 65+	Self-care difficulty (65+)
Bonadelle Ranchos, CA	3.0 mi	828	2.3%
Parksdale, CA	8.0 mi	279	13%
Old Fig Garden, CA	9.8 mi	1,143	8.3%
Fresno, CA	11 mi	67,512	12%
Madera, CA	12 mi	6,515	14%
Madera Acres, CA	13 mi	1,484	10%

Home health agencies serving Madera Ranchos

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Ardent Home Health Of Fresno	Fresno, CA	9.6 mi	5 of 5	nursing, physical therapy, medical social work, home health aides	(559) 408-5945
Silverline Staff Home Health	Fremont, CA	123 mi	5 of 5	—	(925) 476-5350
1ST Choice Home Healthcare Fresno Inc	Fresno, CA	9.6 mi	4.5 of 5	—	—
Unique Care Plus Inc	Chatsworth, CA	198 mi	4.5 of 5	—	(818) 600-1691
Concordia Health Care Provider, Inc	La Verne, CA	228 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(626) 281-7400

Nursing homes near Madera Ranchos (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
North Point Healthcare & Wellness Centre LP	Fresno, CA	9.0 mi	5 of 5	99	(559) 320-2200
The Terraces At San Joaquin Gardens Village	Fresno, CA	9.3 mi	5 of 5	54	(559) 430-8202
Madera Rehabilitation & Nursing Center	Madera, CA	9.8 mi	1 of 5	176	(559) 673-9228
Horizon Health & Subacute Center	Fresno, CA	9.8 mi	2 of 5	180	(559) 321-0883

Straight-line miles from the center of Madera Ranchos. 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 Ranchos

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, 116% of the $10,590 monthly median income of Madera Ranchos 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 Ranchos: common questions

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

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, 116% of the $10,590 monthly median income of Madera Ranchos 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 Ranchos

More senior care near Madera Ranchos

24-Hour Home Care in nearby cities

Other care in Madera Ranchos

More for Madera Ranchos 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.