In-Home Dementia and Alzheimer's Care in Pacifica, CA
Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Pacifica for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in Pacifica, CA: the local picture
Pacifica has about 571 residents aged 85 or older among 7,612 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.
23% of residents 65 and older report a disability (28% in San Mateo County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
21% of older Pacifica residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.
Pacifica compared with San Mateo County and California
| Census figure | Pacifica | San Mateo County | California |
|---|---|---|---|
| Residents 85 or older | 1.5% | 2.5% | 1.9% |
| Residents 65 or older | 20% | 18% | 16% |
| Residents 65+ with a disability | 23% | 28% | 33% |
| Residents 65+ in households who live alone | 21% | 21% | 23% |
| Residents 65+ below the poverty line (approx.) | 7.5% | 9.0% | 12% |
| Residents 5+ who speak a language other than English at home | 26% | 46% | 44% |
| Median income, households headed by someone 65+ | $105,808 | $103,766 | — |
Older residents in towns around Pacifica
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| San Bruno, CA | 2.8 mi | 7,596 | 864 |
| Montara, CA | 4.1 mi | 926 | 52 |
| Millbrae, CA | 4.2 mi | 4,599 | 913 |
| Broadmoor, CA | 5.9 mi | 724 | 15 |
| Burlingame, CA | 6.3 mi | 4,983 | 884 |
| El Granada, CA | 6.4 mi | 1,140 | 82 |
Nursing homes near Pacifica
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Linda Mar Care Center | Pacifica, CA | 1.8 mi | 5 of 5 | 59 | (650) 359-4800 |
| Pacifica Nursing And Rehabilitation Center | Pacifica, CA | 3.2 mi | 5 of 5 | 68 | (650) 993-5576 |
| San Bruno Skilled Nursing | San Bruno, CA | 3.5 mi | 4 of 5 | 45 | (650) 583-7768 |
| Golden Heights Healthcare | Daly City, CA | 4.7 mi | 5 of 5 | 102 | (650) 755-9515 |
| Golden Pavilion Healthcare | Daly City, CA | 4.7 mi | 2 of 5 | 239 | (650) 994-3200 |
| Millbrae Care Center | Millbrae, CA | 4.8 mi | 2 of 5 | 140 | (650) 689-5784 |
Hospices serving Pacifica
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Angel Palliative Care And Hospice | South San Francisco, CA | 4.6 mi | (650) 590-2530 |
| Alliance Hospice | Daly City, CA | 6.0 mi | (650) 000-0000 |
| Helping Hands Home Health Care & Hospice, Inc. | Burlingame, CA | 6.6 mi | (650) 286-9000 |
| Medvista Healthcare, Inc | Burlingame, CA | 6.6 mi | (510) 398-8688 |
Straight-line miles from the center of Pacifica. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a dementia caregiver can help with
- Keeping a predictable daily routine
- Gentle help with bathing, dressing and toileting
- Meals, hydration and medication reminders
- Calming approaches for sundowning, agitation and repeated questions
What dementia care costs in Pacifica
At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 17% of the $8,817 monthly median income of Pacifica households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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.
What to know before hiring a dementia caregiver
An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.
Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Dementia Care in Pacifica: common questions
What nursing homes are near Pacifica?
The closest Medicare-certified nursing homes are Linda Mar Care Center in Pacifica (1.8 mi, 5 of 5 overall); Pacifica Nursing And Rehabilitation Center in Pacifica (3.2 mi, 5 of 5 overall); San Bruno Skilled Nursing in San Bruno (3.5 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Pacifica?
At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 17% of the $8,817 monthly median income of Pacifica households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 an hour (U.S. Department of Labor table, updated July 1, 2026).
When does someone with dementia need care at home?
Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.
More senior care near Pacifica
Dementia Care in nearby cities
- Dementia Care in San Bruno, CA
- Dementia Care in Montara, CA
- Dementia Care in Millbrae, CA
- Dementia Care in Broadmoor, CA
- Dementia Care in Burlingame, CA
- Dementia Care in El Granada, CA
- Dementia Care in South San Francisco, CA
- Dementia Care in Moss Beach, CA
- Dementia Care in Daly City, CA
- Dementia Care in Brisbane, CA
- Dementia Care in Hillsborough, CA
- Dementia Care in San Mateo, CA
- Dementia Care in Half Moon Bay, CA
- Dementia Care in Belmont, CA
- Dementia Care in Foster City, CA
- Dementia Care in San Carlos, CA
Other care in Pacifica
- Companion Care in Pacifica
- Respite Care in Pacifica
- Live-In Caregivers in Pacifica
- Post-Surgery Care in Pacifica
- Senior Transportation in Pacifica
- Home Health Aides in Pacifica
- Nursing Assistants in Pacifica
- Personal Care in Pacifica
- Overnight Caregivers in Pacifica
- 24-Hour Home Care in Pacifica
- Mobility Assistance in Pacifica
- Parkinson’s Care in Pacifica
- Stroke Recovery Support in Pacifica
- Disability Care for Adults in Pacifica
- Hospice Support in Pacifica
- Senior Meal Preparation in Pacifica
- Senior Housekeeping in Pacifica
- Medication Reminders in Pacifica
- Veterans’ Home Care in Pacifica
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.
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