24-Hour Home Care in North Highlands, CA

Local figures

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

18%

of residents 65+ have difficulty dressing or bathing (9.7% in Sacramento County)

556

residents 85 or older (1.2% of all residents)

47%

of residents 65+ report a disability (36% in Sacramento County)

$33,032

median yearly income of households headed by someone 65+

1,026 North Highlands residents 65 or older have difficulty dressing or bathing (18%; 9.7% in Sacramento County), and 1,753 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 556 residents are 85 or older (1.2% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Sacramento Post-Acute in Sacramento (1.8 mi) and College Oak Nursing And Rehabilitation Center in Sacramento (1.9 mi).

North Highlands compared with Sacramento County and California

Census figure	North Highlands	Sacramento County	California
Residents 65+ with difficulty dressing or bathing	18%	9.7%	9.3%
Residents 65+ with serious difficulty walking	31%	24%	22%
Residents 65+ with serious difficulty remembering	18%	10%	9.1%
Residents 85 or older	1.2%	1.8%	1.9%
Residents 65+ in households who live alone	31%	26%	23%
Residents 65+ below the poverty line (approx.)	18%	11%	12%
Median income, households headed by someone 65+	$33,032	$68,898	—

Older residents in towns around North Highlands

Town	Distance	Residents 65+	Self-care difficulty (65+)
Foothill Farms, CA	1.7 mi	4,438	8.5%
Antelope, CA	3.1 mi	5,849	5.8%
Carmichael, CA	3.8 mi	15,946	9.2%
Rio Linda, CA	3.9 mi	2,471	9.3%
Citrus Heights, CA	4.8 mi	16,036	11%
Arden-Arcade, CA	4.9 mi	16,486	11%

Home health agencies serving North Highlands

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Truemed Sacramento	Fair Oaks, CA	6.1 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(916) 379-7790
Compassionate Home Health, Ltd	Roseville, CA	7.7 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(916) 677-1711
Healing Touch Home Health Care Inc	Rancho Cordova, CA	9.9 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(916) 476-5840
Caringhand Home Health Solutions, Inc	Sacramento, CA	15 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(916) 476-3205
Freedom Home Health And Hospice Care Services, Inc	Marysville, CA	35 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(530) 742-4800

Nursing homes near North Highlands (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Sacramento Post-Acute	Sacramento, CA	1.8 mi	4 of 5	99	(916) 331-4590
College Oak Nursing And Rehabilitation Center	Sacramento, CA	1.9 mi	3 of 5	120	(916) 481-7434
Manzanita Healthcare Center	Carmichael, CA	2.3 mi	5 of 5	99	(916) 331-8513
Eskaton Village Care Center	Carmichael, CA	2.7 mi	4 of 5	35	(916) 974-2060

Straight-line miles from the center of North Highlands. 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 North Highlands

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, 447% of the $2,753 monthly median income of North Highlands 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 North Highlands: common questions

How much does 24-hour home care cost in North Highlands?

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, 447% of the $2,753 monthly median income of North Highlands 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 North Highlands

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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.