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

Local figures

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

10%

of residents 65+ have difficulty dressing or bathing (11% in Los Angeles County)

291

residents 85 or older (2.7% of all residents)

24%

of residents 65+ report a disability (34% in Los Angeles County)

$78,036

median yearly income of households headed by someone 65+

235 Sierra Madre residents 65 or older have difficulty dressing or bathing (10%; 11% in Los Angeles County), and 331 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 291 residents are 85 or older (2.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Huntington Drive Health And Rehabilitation Center in Arcadia (2.7 mi) and Pasadena Park Healthcare And Wellness Center in Pasadena (2.8 mi).

Sierra Madre compared with Los Angeles County and California

Census figure	Sierra Madre	Los Angeles County	California
Residents 65+ with difficulty dressing or bathing	10%	11%	9.3%
Residents 65+ with serious difficulty walking	15%	23%	22%
Residents 65+ with serious difficulty remembering	6.8%	10.0%	9.1%
Residents 85 or older	2.7%	1.9%	1.9%
Residents 65+ in households who live alone	26%	22%	23%
Residents 65+ below the poverty line (approx.)	9.7%	15%	12%
Median income, households headed by someone 65+	$78,036	$64,269	—

Older residents in towns around Sierra Madre

Town	Distance	Residents 65+	Self-care difficulty (65+)
Arcadia, CA	2.6 mi	11,341	15%
East Pasadena, CA	2.7 mi	1,257	20%
Monrovia, CA	3.8 mi	5,518	7.4%
East San Gabriel, CA	4.0 mi	4,317	7.5%
Mayflower Village, CA	4.3 mi	1,350	11%
South Monrovia Island, CA	4.4 mi	751	14%

Home health agencies serving Sierra Madre

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Practicare Home Health Agency	Arcadia, CA	2.9 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(626) 821-4880
Executive Home Health, Inc	Pasadena, CA	6.9 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(626) 227-6218
Dell Home Health Care, Inc	La Crescenta, CA	12 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(818) 621-8379
Home Health Of Ventura Inc	Chatsworth, CA	32 mi	5 of 5	—	(626) 655-8702
Caregenics Home Health, Inc.	Pasadena, CA	2.5 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(626) 314-5575

Nursing homes near Sierra Madre (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Huntington Drive Health And Rehabilitation Center	Arcadia, CA	2.7 mi	1 of 5	99	(626) 445-2421
Pasadena Park Healthcare And Wellness Center	Pasadena, CA	2.8 mi	2 of 5	99	(626) 463-4105
Arcadia Care Center	Arcadia, CA	3.3 mi	2 of 5	164	(626) 445-2170
Monrovia Gardens Healthcare Center	Monrovia, CA	3.4 mi	1 of 5	96	(626) 358-4547

Straight-line miles from the center of Sierra Madre. 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 Sierra Madre

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, 189% of the $6,503 monthly median income of Sierra Madre 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 Sierra Madre: common questions

How much does 24-hour home care cost in Sierra Madre?

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, 189% of the $6,503 monthly median income of Sierra Madre 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 Sierra Madre

More senior care near Sierra Madre

24-Hour Home Care in nearby cities

Other care in Sierra Madre

More for Sierra Madre 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 Sierra Madre, CA