Pacifica, California

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.

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Local figures

Dementia Care in Pacifica, CA: the local picture

571
residents 85 or older (1.5% of all residents)
7,612
residents 65 or older (20% of Pacifica)
23%
of residents 65+ report a disability (28% in San Mateo County)
6+
Medicare-certified nursing homes within 25 miles

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 figurePacificaSan Mateo CountyCalifornia
Residents 85 or older1.5%2.5%1.9%
Residents 65 or older20%18%16%
Residents 65+ with a disability23%28%33%
Residents 65+ in households who live alone21%21%23%
Residents 65+ below the poverty line (approx.)7.5%9.0%12%
Residents 5+ who speak a language other than English at home26%46%44%
Median income, households headed by someone 65+$105,808$103,766—

Older residents in towns around Pacifica

TownDistanceResidents 65+Residents 85+
San Bruno, CA2.8 mi7,596864
Montara, CA4.1 mi92652
Millbrae, CA4.2 mi4,599913
Broadmoor, CA5.9 mi72415
Burlingame, CA6.3 mi4,983884
El Granada, CA6.4 mi1,14082

Nursing homes near Pacifica

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Linda Mar Care CenterPacifica, CA1.8 mi5 of 559(650) 359-4800
Pacifica Nursing And Rehabilitation CenterPacifica, CA3.2 mi5 of 568(650) 993-5576
San Bruno Skilled NursingSan Bruno, CA3.5 mi4 of 545(650) 583-7768
Golden Heights HealthcareDaly City, CA4.7 mi5 of 5102(650) 755-9515
Golden Pavilion HealthcareDaly City, CA4.7 mi2 of 5239(650) 994-3200
Millbrae Care CenterMillbrae, CA4.8 mi2 of 5140(650) 689-5784

Hospices serving Pacifica

HospiceOfficeDistancePhone
Angel Palliative Care And HospiceSouth San Francisco, CA4.6 mi(650) 590-2530
Alliance HospiceDaly City, CA6.0 mi(650) 000-0000
Helping Hands Home Health Care & Hospice, Inc.Burlingame, CA6.6 mi(650) 286-9000
Medvista Healthcare, IncBurlingame, CA6.6 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 it covers

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
Cost

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.

Before you hire

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.

Questions

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.

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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