24-Hour Home Care in Portola Valley, CA

Local figures

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

0.8%

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

508

residents 85 or older (12% of all residents)

21%

of residents 65+ report a disability (28% in San Mateo County)

$250,001

median yearly income of households headed by someone 65+

14 Portola Valley residents 65 or older have difficulty dressing or bathing (0.8%; 8.3% in San Mateo County), and 138 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 508 residents are 85 or older (12% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are The Sequoias in Portola Valley (1.0 mi) and Vi At Palo Alto in Palo Alto (5.9 mi).

Portola Valley compared with San Mateo County and California

Census figure	Portola Valley	San Mateo County	California
Residents 65+ with difficulty dressing or bathing	0.8%	8.3%	9.3%
Residents 65+ with serious difficulty walking	7.5%	18%	22%
Residents 65+ with serious difficulty remembering	6.6%	8.6%	9.1%
Residents 85 or older	12%	2.5%	1.9%
Residents 65+ in households who live alone	17%	21%	23%
Residents 65+ below the poverty line (approx.)	12%	9.0%	12%
Median income, households headed by someone 65+	$250,001	$103,766	—

Older residents in towns around Portola Valley

Town	Distance	Residents 65+	Self-care difficulty (65+)
Woodside, CA	4.2 mi	1,211	3.1%
West Menlo Park, CA	5.0 mi	476	10%
Los Altos Hills, CA	5.2 mi	2,590	11%
Palo Alto, CA	5.4 mi	13,369	7.6%
Stanford, CA	5.6 mi	692	1.3%
Atherton, CA	6.6 mi	1,793	11%

Home health agencies serving Portola Valley

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Grace Community Home Health Inc.	Mountain View, CA	9.0 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(650) 784-0082
Care In Touch Home Health Agency	Fremont, CA	18 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 651-8500
Silverline Staff Home Health	Fremont, CA	18 mi	5 of 5	—	(925) 476-5350
Atta Home Healthcare	Modesto, CA	74 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 598-6355
Caringhand Home Health Solutions, Inc	Sacramento, CA	87 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(916) 476-3205

Nursing homes near Portola Valley (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
The Sequoias	Portola Valley, CA	1.0 mi	5 of 5	43	(650) 851-1501
Vi At Palo Alto	Palo Alto, CA	5.9 mi	5 of 5	44	(650) 853-5001
The Terraces At Los Altos Health Facility	Los Altos, CA	6.5 mi	4 of 5	30	(650) 948-8291
Atherton Park Post-Acute	Menlo Park, CA	6.5 mi	4 of 5	160	(650) 325-8600

Straight-line miles from the center of Portola Valley. 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 Portola Valley

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, 59% of the $20,833 monthly median income of Portola Valley 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 Portola Valley: common questions

How much does 24-hour home care cost in Portola Valley?

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, 59% of the $20,833 monthly median income of Portola Valley 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 Portola Valley

More senior care near Portola Valley

24-Hour Home Care in nearby cities

Other care in Portola Valley

More for Portola Valley 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.