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

Local figures

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

10%

of residents 65+ have difficulty dressing or bathing (9.0% in Santa Clara County)

18,094

residents 85 or older (1.8% of all residents)

34%

of residents 65+ report a disability (31% in Santa Clara County)

$82,270

median yearly income of households headed by someone 65+

14,262 San Jose residents 65 or older have difficulty dressing or bathing (10%; 9.0% in Santa Clara County), and 33,047 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 18,094 residents are 85 or older (1.8% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Mission De La Casa in San Jose (1.8 mi) and The Ridge Post Acute in San Jose (4.2 mi).

San Jose compared with Santa Clara County and California

Census figure	San Jose	Santa Clara County	California
Residents 65+ with difficulty dressing or bathing	10%	9.0%	9.3%
Residents 65+ with serious difficulty walking	23%	20%	22%
Residents 65+ with serious difficulty remembering	9.6%	8.6%	9.1%
Residents 85 or older	1.8%	2.0%	1.9%
Residents 65+ in households who live alone	18%	19%	23%
Residents 65+ below the poverty line (approx.)	11%	9.4%	12%
Median income, households headed by someone 65+	$82,270	$92,440	—

Older residents in towns around San Jose

Town	Distance	Residents 65+	Self-care difficulty (65+)
Alum Rock, CA	5.1 mi	1,935	13%
East Foothills, CA	6.0 mi	1,233	5.9%
Cambrian Park, CA	6.9 mi	630	4.6%
Campbell, CA	7.7 mi	7,117	10%
Los Gatos, CA	9.1 mi	6,800	4.0%
Santa Clara, CA	9.7 mi	14,863	8.4%

Home health agencies serving San Jose

Agency	Office	Distance	CMS quality stars	Services listed	Phone
St. Patrick Home Health Providers, Inc	San Jose, CA	5.3 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(886) 282-2057
Helenium Home Health, Inc.	San Jose, CA	7.2 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(408) 326-2971
St Joseph Home Health	Milpitas, CA	11 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(408) 244-5488
Grace Community Home Health Inc.	Mountain View, CA	16 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(650) 784-0082
National Home Health Services-West, Inc	Fremont, CA	18 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(415) 812-2955

Nursing homes near San Jose (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Mission De La Casa	San Jose, CA	1.8 mi	2 of 5	163	(408) 238-9751
The Ridge Post Acute	San Jose, CA	4.2 mi	5 of 5	54	(408) 251-3070
Vista Manor Nursing Center	San Jose, CA	4.8 mi	5 of 5	99	(408) 272-1400
Herman Health Care Center	San Jose, CA	4.8 mi	1 of 5	99	(408) 269-0701

Straight-line miles from the center of San Jose. 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 San Jose

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, 179% of the $6,856 monthly median income of San Jose 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 San Jose: common questions

How much does 24-hour home care cost in San Jose?

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, 179% of the $6,856 monthly median income of San Jose 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 San Jose

More senior care near San Jose

24-Hour Home Care in nearby cities

Other care in San Jose

More for San Jose 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 San Jose, CA