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

Local figures

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

11%

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

2,991

residents 85 or older (2.9% of all residents)

33%

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

$79,791

median yearly income of households headed by someone 65+

1,851 San Mateo residents 65 or older have difficulty dressing or bathing (11%; 8.3% in San Mateo County), and 3,448 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 2,991 residents are 85 or older (2.9% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Brookside Skilled Nursing Hospital in San Mateo (1.2 mi) and San Mateo Medical Center D/P SNF in San Mateo (2.2 mi).

San Mateo compared with San Mateo County and California

Census figure	San Mateo	San Mateo County	California
Residents 65+ with difficulty dressing or bathing	11%	8.3%	9.3%
Residents 65+ with serious difficulty walking	20%	18%	22%
Residents 65+ with serious difficulty remembering	10%	8.6%	9.1%
Residents 85 or older	2.9%	2.5%	1.9%
Residents 65+ in households who live alone	29%	21%	23%
Residents 65+ below the poverty line (approx.)	13%	9.0%	12%
Median income, households headed by someone 65+	$79,791	$103,766	—

Older residents in towns around San Mateo

Town	Distance	Residents 65+	Self-care difficulty (65+)
Hillsborough, CA	2.6 mi	2,262	4.6%
Foster City, CA	3.3 mi	5,759	9.0%
Belmont, CA	3.3 mi	3,813	12%
Burlingame, CA	3.5 mi	4,983	8.8%
San Carlos, CA	4.8 mi	4,894	5.1%
Millbrae, CA	5.7 mi	4,599	7.1%

Home health agencies serving San Mateo

Agency	Office	Distance	CMS quality stars	Services listed	Phone
American Carequest	Burlingame, CA	3.2 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(415) 885-9100
Cvh Care	South San Francisco, CA	9.1 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 690-1930
Truemed, Inc	South San Francisco, CA	9.1 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(650) 588-8331
A1 Pro Home Health Inc.	San Leandro, CA	14 mi	5 of 5	—	(510) 738-0888
Care First Home Health, LLC	San Leandro, CA	14 mi	5 of 5	—	(510) 878-9288

Nursing homes near San Mateo (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Brookside Skilled Nursing Hospital	San Mateo, CA	1.2 mi	5 of 5	96	(650) 349-2161
San Mateo Medical Center D/P SNF	San Mateo, CA	2.2 mi	1 of 5	345	(650) 573-3678
Belmont Healthcare Center	Belmont, CA	3.7 mi	5 of 5	74	(650) 591-9601
Peninsula Post-Acute	Burlingame, CA	4.4 mi	4 of 5	62	(650) 652-3969

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

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, 185% of the $6,649 monthly median income of San Mateo 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 Mateo: common questions

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

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, 185% of the $6,649 monthly median income of San Mateo 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 Mateo

More senior care near San Mateo

24-Hour Home Care in nearby cities

Other care in San Mateo

More for San Mateo 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 Mateo, CA