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

Local figures

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

10%

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

8,552

residents 85 or older (1.6% of all residents)

36%

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

$64,777

median yearly income of households headed by someone 65+

7,472 Sacramento residents 65 or older have difficulty dressing or bathing (10%; 9.7% in Sacramento County), and 17,490 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 8,552 residents are 85 or older (1.6% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Mid-Town Oaks Post-Acute in Sacramento (0.3 mi) and Saylor Lane Healthcare Center in Sacramento (0.4 mi).

Sacramento compared with Sacramento County and California

Census figure	Sacramento	Sacramento County	California
Residents 65+ with difficulty dressing or bathing	10%	9.7%	9.3%
Residents 65+ with serious difficulty walking	24%	24%	22%
Residents 65+ with serious difficulty remembering	9.4%	10%	9.1%
Residents 85 or older	1.6%	1.8%	1.9%
Residents 65+ in households who live alone	29%	26%	23%
Residents 65+ below the poverty line (approx.)	13%	11%	12%
Median income, households headed by someone 65+	$64,777	$68,898	—

Older residents in towns around Sacramento

Town	Distance	Residents 65+	Self-care difficulty (65+)
Fruitridge Pocket, CA	2.5 mi	801	12%
Lemon Hill, CA	3.5 mi	1,426	9.1%
West Sacramento, CA	4.4 mi	6,426	11%
Parkway, CA	4.8 mi	1,927	13%
Arden-Arcade, CA	5.1 mi	16,486	11%
La Riviera, CA	6.1 mi	1,466	5.1%

Home health agencies serving Sacramento

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Caringhand Home Health Solutions, Inc	Sacramento, CA	6.0 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(916) 476-3205
Truemed Sacramento	Fair Oaks, CA	13 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(916) 379-7790
Healing Touch Home Health Care Inc	Rancho Cordova, CA	14 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(916) 476-5840
Compassionate Home Health, Ltd	Roseville, CA	17 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(916) 677-1711
Freedom Home Health And Hospice Care Services, Inc	Marysville, CA	41 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(530) 742-4800

Nursing homes near Sacramento (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Mid-Town Oaks Post-Acute	Sacramento, CA	0.3 mi	3 of 5	100	(916) 321-9440
Saylor Lane Healthcare Center	Sacramento, CA	0.4 mi	4 of 5	42	(916) 457-3500
Mckinley Park Care Center	Sacramento, CA	0.6 mi	4 of 5	86	(916) 452-3592
University Post-Acute Rehab	Sacramento, CA	0.8 mi	5 of 5	59	(916) 452-6631

Straight-line miles from the center of Sacramento. 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 Sacramento

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, 228% of the $5,398 monthly median income of Sacramento 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 Sacramento: common questions

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

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, 228% of the $5,398 monthly median income of Sacramento 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 Sacramento

More senior care near Sacramento

24-Hour Home Care in nearby cities

Other care in Sacramento

More for Sacramento 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 Sacramento, CA