Home Health Aides in Alpine, CA
Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in Alpine for free and hire a caregiver directly, with no agency mark-up.

Home Health Aides in Alpine, CA: the local picture
52 Medicare-certified home health agencies list Alpine ZIP codes in their service area; the highest-rated are below, and 7 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.
Alpine has about 2,964 residents aged 65 or older, 22% of whom report a disability.
Alpine compared with San Diego County and California
| Census figure | Alpine | San Diego County | California |
|---|---|---|---|
| Residents 65+ with a disability | 22% | 31% | 33% |
| Residents 65 or older | 20% | 15% | 16% |
| Residents 85 or older | 1.2% | 1.8% | 1.9% |
| Residents 65+ in households who live alone | 9.6% | 22% | 23% |
| Residents 65+ below the poverty line (approx.) | 6.0% | 9.5% | 12% |
| Residents 5+ who speak a language other than English at home | 14% | 37% | 44% |
| Median income, households headed by someone 65+ | $102,143 | $78,324 | — |
Older residents in towns around Alpine
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Harbison Canyon, CA | 4.9 mi | 784 | 38% |
| Crest, CA | 7.1 mi | 555 | 28% |
| Lakeside, CA | 8.7 mi | 4,428 | 41% |
| Granite Hills, CA | 9.1 mi | 649 | 34% |
| Winter Gardens, CA | 9.9 mi | 3,014 | 35% |
| Jamul, CA | 11 mi | 1,412 | 38% |
Medicare-certified home health agencies serving Alpine
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Absolute Home Health Inc | San Diego, CA | 23 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (858) 541-2000 |
| Advantage Health Systems | San Diego, CA | 23 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (858) 433-0469 |
| Archer Health Inc | Carlsbad, CA | 40 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 689-5049 |
| Silver Tree Home Health Inc | San Diego, CA | 21 mi | 4.5 of 5 | — | (760) 539-7032 |
| Meridian Home Health | San Diego, CA | 23 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (858) 999-3068 |
| Advanced Home Health San Diego Inc | San Diego, CA | 23 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (858) 673-8880 |
| Aspire Home Healthcare | San Diego, CA | 26 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (858) 755-9600 |
| Vivat Skilled Nursing, Inc | Glendale, CA | 125 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (213) 477-4447 |
Straight-line miles from the center of Alpine. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a home health aide can help with
- Bathing, grooming, dressing and toileting
- Transfers, walking and positioning
- Meals and help with eating
- Medication reminders
What home health aides costs in Alpine
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 $8,512 monthly median income of Alpine 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 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.
Home Health Aides in Alpine: common questions
Which home health agencies serve Alpine?
Medicare lists 52 certified agencies whose service area includes Alpine ZIP codes. The highest-rated on Medicare’s quality stars include Absolute Home Health Inc (5 of 5), Advantage Health Systems (5 of 5), Archer Health Inc (5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Alpine?
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 $8,512 monthly median income of Alpine 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 senior care near Alpine
Home Health Aides in nearby cities
- Home Health Aides in Harbison Canyon, CA
- Home Health Aides in Crest, CA
- Home Health Aides in Lakeside, CA
- Home Health Aides in Granite Hills, CA
- Home Health Aides in Winter Gardens, CA
- Home Health Aides in Jamul, CA
- Home Health Aides in Bostonia, CA
- Home Health Aides in Rancho San Diego, CA
- Home Health Aides in Eucalyptus Hills, CA
- Home Health Aides in San Diego Country Estates, CA
- Home Health Aides in El Cajon, CA
- Home Health Aides in Santee, CA
- Home Health Aides in Casa de Oro-Mount Helix, CA
- Home Health Aides in Spring Valley, CA
- Home Health Aides in Ramona, CA
- Home Health Aides in La Mesa, CA
Other care in Alpine
- Companion Care in Alpine
- Dementia Care in Alpine
- Respite Care in Alpine
- Live-In Caregivers in Alpine
- Post-Surgery Care in Alpine
- Senior Transportation in Alpine
- Nursing Assistants in Alpine
- Personal Care in Alpine
- Overnight Caregivers in Alpine
- 24-Hour Home Care in Alpine
- Mobility Assistance in Alpine
- Parkinson’s Care in Alpine
- Stroke Recovery Support in Alpine
- Disability Care for Adults in Alpine
- Hospice Support in Alpine
- Senior Meal Preparation in Alpine
- Senior Housekeeping in Alpine
- Medication Reminders in Alpine
- Veterans’ Home Care in Alpine
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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