Home Health Aides in Costa Mesa, CA: Hire In-Home Help

Local figures

Home Health Aides in Costa Mesa, CA: the local picture

243

Medicare-certified home health agencies list Costa Mesa 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

14,577

residents 65 or older (13% of Costa Mesa)

32%

of residents 65+ report a disability (29% in Orange County)

243 Medicare-certified home health agencies list Costa Mesa 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.

Costa Mesa has about 14,577 residents aged 65 or older, 32% of whom report a disability.

Costa Mesa compared with Orange County and California

Census figure	Costa Mesa	Orange County	California
Residents 65+ with a disability	32%	29%	33%
Residents 65 or older	13%	16%	16%
Residents 85 or older	1.8%	2.2%	1.9%
Residents 65+ in households who live alone	28%	20%	23%
Residents 65+ below the poverty line (approx.)	8.6%	10%	12%
Residents 5+ who speak a language other than English at home	37%	46%	44%
Median income, households headed by someone 65+	$78,700	$84,615	—

Older residents in towns around Costa Mesa

Town	Distance	Residents 65+	65+ with a disability
Fountain Valley, CA	3.8 mi	11,640	31%
Newport Beach, CA	4.9 mi	20,259	22%
Santa Ana, CA	5.2 mi	35,609	31%
Huntington Beach, CA	5.7 mi	37,904	26%
Midway City, CA	6.9 mi	1,391	50%
Tustin, CA	7.4 mi	10,353	27%

Medicare-certified home health agencies serving Costa Mesa

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Specialized Home Health Services	Costa Mesa, CA	1.0 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(818) 500-3929
Stable Home Health, Inc	Fountain Valley, CA	3.8 mi	5 of 5	—	(714) 248-1269
Acacia Hh&P Of Southern California, LLC	Irvine, CA	4.9 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(949) 335-5515
24/7 Care At Home - Home Health	Westminster, CA	7.6 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(714) 622-5334
A-1 Home Health Care	Huntington Beach, CA	8.7 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(714) 375-8900
St. Rose Of Lima Healthcare Provider, Inc.	Lake Forest, CA	13 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(714) 777-5931
Livingstone Home Health Services, Inc	Buena Park, CA	15 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(714) 994-6329
Excell Home Care Inc	Paramount, CA	22 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(562) 988-3370

Straight-line miles from the center of Costa Mesa. 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 Costa Mesa

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 22% of the $6,558 monthly median income of Costa Mesa 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 Costa Mesa: common questions

Which home health agencies serve Costa Mesa?

Medicare lists 243 certified agencies whose service area includes Costa Mesa ZIP codes. The highest-rated on Medicare’s quality stars include Specialized Home Health Services (5 of 5), Stable Home Health, Inc (5 of 5), Acacia Hh&P Of Southern California, LLC (5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Costa Mesa?

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 22% of the $6,558 monthly median income of Costa Mesa 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 Costa Mesa

More senior care near Costa Mesa

Home Health Aides in nearby cities

Other care in Costa Mesa

More for Costa Mesa 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 Costa Mesa, CA