Home Health Aides in Alamo, CA: Hire In-Home Help

Local figures

Home Health Aides in Alamo, CA: the local picture

57

Medicare-certified home health agencies list Alamo ZIP codes in their service area

$16.50

median hourly wage of home care aides in California (BLS, May 2025); now below the $16.90 minimum

3,620

residents 65 or older (25% of Alamo)

24%

of residents 65+ report a disability (30% in Contra Costa County)

57 Medicare-certified home health agencies list Alamo ZIP codes in their service area; the highest-rated are below, and 6 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.

Home health and personal care aides in California earn a median $16.50 an hour (BLS, May 2025), with the middle half between $16.50 and $17.57. That May 2025 figure is below today's $16.90 California minimum wage, so current pay starts at least there.

Alamo has about 3,620 residents aged 65 or older, 24% of whom report a disability.

Alamo compared with Contra Costa County and California

Census figure	Alamo	Contra Costa County	California
Residents 65+ with a disability	24%	30%	33%
Residents 65 or older	25%	17%	16%
Residents 85 or older	3.0%	2.0%	1.9%
Residents 65+ in households who live alone	11%	23%	23%
Residents 65+ below the poverty line (approx.)	2.2%	7.4%	12%
Residents 5+ who speak a language other than English at home	16%	38%	44%
Median income, households headed by someone 65+	$186,167	$90,014	—

Older residents in towns around Alamo

Town	Distance	Residents 65+	65+ with a disability
San Miguel, CA	2.5 mi	1,126	20%
Walnut Creek, CA	3.6 mi	20,671	31%
Danville, CA	3.8 mi	8,655	22%
Saranap, CA	4.1 mi	1,047	16%
Contra Costa Centre, CA	5.4 mi	544	31%
Moraga, CA	6.0 mi	3,327	18%

Medicare-certified home health agencies serving Alamo

Agency	Office	Distance	CMS quality stars	Services listed	Phone
American Home Health Care, LLC	Dublin, CA	11 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 574-0390
A1 Pro Home Health Inc.	San Leandro, CA	12 mi	5 of 5	—	(510) 738-0888
Neogen Care	Pleasanton, CA	13 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 440-1383
National Home Health Services-West, Inc	Fremont, CA	23 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(415) 812-2955
Silverline Staff Home Health	Fremont, CA	23 mi	5 of 5	—	(925) 476-5350
Accentcare Home Health Of California, Inc	San Ramon, CA	7.6 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 734-1604
Cvh Home Health Services	San Ramon, CA	7.6 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 690-1930
John Muir Home Health Services	Concord, CA	8.9 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(925) 674-2560

Straight-line miles from the center of Alamo. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides costs in Alamo

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 9% of the $15,514 monthly median income of Alamo 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 home health aide

Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.

Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Home Health Aides in Alamo: common questions

Which home health agencies serve Alamo?

Medicare lists 57 certified agencies whose service area includes Alamo ZIP codes. The highest-rated on Medicare’s quality stars include American Home Health Care, LLC (5 of 5), A1 Pro Home Health Inc. (5 of 5), Neogen Care (5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Alamo?

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 9% of the $15,514 monthly median income of Alamo 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).

What is the difference between a home health aide and a CNA?

Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.

More near Alamo

More senior care near Alamo

Home Health Aides in nearby cities

Other care in Alamo

More for Alamo 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.

Home Health Aides in Alamo, CA