In-Home Dementia and Alzheimer's Care in San Francisco, 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 San Francisco for free and hire a caregiver directly, with no agency mark-up.
Dementia Care in San Francisco, CA: the local picture
San Francisco has about 21,406 residents aged 85 or older among 146,510 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.
35% of residents 65 and older report a disability. The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
31% of older San Francisco 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.
San Francisco compared with California
| Census figure | San Francisco | California |
|---|---|---|
| Residents 85 or older | 2.6% | 1.9% |
| Residents 65 or older | 18% | 16% |
| Residents 65+ with a disability | 35% | 33% |
| Residents 65+ in households who live alone | 31% | 23% |
| Residents 65+ below the poverty line (approx.) | 17% | 12% |
| Residents 5+ who speak a language other than English at home | 44% | 44% |
| Median income, households headed by someone 65+ | $67,096 | — |
Older residents in towns around San Francisco
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Tamalpais-Homestead Valley, CA | 29 mi | 2,232 | 153 |
| Mill Valley, CA | 30 mi | 3,287 | 398 |
| Kentfield, CA | 30 mi | 1,766 | 249 |
| Fairfax, CA | 30 mi | 1,735 | 73 |
| Marin City, CA | 30 mi | 537 | 66 |
| Broadmoor, CA | 30 mi | 724 | 15 |
Hospices serving San Francisco
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Crossroads Home Health & Hospice | San Francisco, CA | 30 mi | (415) 682-2111 |
| By The Bay Health | Larkspur, CA | 31 mi | (415) 927-2273 |
| Kaiser Foundation Hospital Hospice-San Francisco | San Francisco, CA | 31 mi | (415) 666-1080 |
| Madrona Hospice Care Inc | San Rafael, CA | 32 mi | (628) 243-0550 |
Straight-line miles from the center of San Francisco. 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 San Francisco
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 26% of the $5,591 monthly median income of San Francisco 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 San Francisco: common questions
How much does dementia care cost in San Francisco?
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 26% of the $5,591 monthly median income of San Francisco 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 San Francisco
Dementia Care in nearby cities
- Dementia Care in Tamalpais-Homestead Valley, CA
- Dementia Care in Mill Valley, CA
- Dementia Care in Kentfield, CA
- Dementia Care in Fairfax, CA
- Dementia Care in Marin City, CA
- Dementia Care in Broadmoor, CA
- Dementia Care in Ross, CA
- Dementia Care in Strawberry, CA
- Dementia Care in San Anselmo, CA
- Dementia Care in Sausalito, CA
- Dementia Care in Daly City, CA
- Dementia Care in Larkspur, CA
- Dementia Care in Sleepy Hollow, CA
- Dementia Care in Pacifica, CA
- Dementia Care in Corte Madera, CA
- Dementia Care in Montara, CA
Other care in San Francisco
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.
Find dementia care in San Francisco
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