24-Hour Home Care in South Lake Tahoe, CA

Local figures

24-Hour Home Care in South Lake Tahoe, CA: the local picture

4.1%

of residents 65+ have difficulty dressing or bathing (5.3% in El Dorado County)

295

residents 85 or older (1.4% of all residents)

27%

of residents 65+ report a disability (29% in El Dorado County)

$59,803

median yearly income of households headed by someone 65+

156 South Lake Tahoe residents 65 or older have difficulty dressing or bathing (4.1%; 5.3% in El Dorado County), and 568 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 295 residents are 85 or older (1.4% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Barton Hospital D/P SNF in South Lake Tahoe (1.5 mi) and Gardnerville Health & Rehabilitation Center in Gardnerville (12 mi).

South Lake Tahoe compared with El Dorado County and California

Census figure	South Lake Tahoe	El Dorado County	California
Residents 65+ with difficulty dressing or bathing	4.1%	5.3%	9.3%
Residents 65+ with serious difficulty walking	15%	16%	22%
Residents 65+ with serious difficulty remembering	5.1%	7.1%	9.1%
Residents 85 or older	1.4%	2.5%	1.9%
Residents 65+ in households who live alone	31%	22%	23%
Residents 65+ below the poverty line (approx.)	8.4%	6.6%	12%
Median income, households headed by someone 65+	$59,803	$78,067	—

Older residents in towns around South Lake Tahoe

Town	Distance	Residents 65+	Self-care difficulty (65+)
Minden, NV	12 mi	1,032	0.0%
Gardnerville Ranchos, NV	13 mi	3,333	3.3%
Gardnerville, NV	13 mi	1,864	8.1%
Indian Hills, NV	15 mi	1,813	6.2%
Johnson Lane, NV	17 mi	2,495	4.1%
Carson City, NV	20 mi	12,383	6.5%

Home health agencies serving South Lake Tahoe

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Marshall Home Care	Diamond Springs, CA	48 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(530) 626-2900
Barton Healthcare System Home Health	South Lake Tahoe, CA	0.8 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(530) 542-3171
Alpine Home Health Services LLC	Sacramento, CA	82 mi	2.5 of 5	—	(916) 426-7410
Maxim Healthcare Services, Inc	Roseville, CA	69 mi	not rated	nursing, medical social work	(916) 771-7444

Nursing homes near South Lake Tahoe (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Barton Hospital D/P SNF	South Lake Tahoe, CA	1.5 mi	4 of 5	48	(530) 543-5885
Gardnerville Health & Rehabilitation Center	Gardnerville, NV	12 mi	1 of 5	60	(775) 782-6620
Mountain View Health And Rehabilitation	Carson City, NV	18 mi	2 of 5	146	(775) 883-3622
Sierra Basin Post Acute	Carson City, NV	20 mi	5 of 5	80	(775) 443-4800

Straight-line miles from the center of South Lake Tahoe. 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 South Lake Tahoe

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, 247% of the $4,984 monthly median income of South Lake Tahoe 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 South Lake Tahoe: common questions

How much does 24-hour home care cost in South Lake Tahoe?

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, 247% of the $4,984 monthly median income of South Lake Tahoe 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 South Lake Tahoe

More senior care near South Lake Tahoe

24-Hour Home Care in nearby cities

Other care in South Lake Tahoe

More for South Lake Tahoe 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.