Home Health Aides in Madera Ranchos, 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 Madera Ranchos for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in Madera Ranchos, CA: the local picture
44 Medicare-certified home health agencies list Madera Ranchos ZIP codes in their service area; the highest-rated are below, and 4 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.
Madera Ranchos has about 777 residents aged 65 or older, 44% of whom report a disability.
Madera Ranchos compared with Merced County and California
| Census figure | Madera Ranchos | Merced County | California |
|---|---|---|---|
| Residents 65+ with a disability | 44% | 40% | 33% |
| Residents 65 or older | 26% | 12% | 16% |
| Residents 85 or older | 2.5% | 1.3% | 1.9% |
| Residents 65+ in households who live alone | 17% | 24% | 23% |
| Residents 65+ below the poverty line (approx.) | 6.2% | 16% | 12% |
| Residents 5+ who speak a language other than English at home | 14% | 53% | 44% |
| Median income, households headed by someone 65+ | $127,083 | $44,830 | — |
Older residents in towns around Madera Ranchos
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Bonadelle Ranchos, CA | 3.0 mi | 828 | 27% |
| Parksdale, CA | 8.0 mi | 279 | 51% |
| Old Fig Garden, CA | 9.8 mi | 1,143 | 41% |
| Fresno, CA | 11 mi | 67,512 | 40% |
| Madera, CA | 12 mi | 6,515 | 50% |
| Madera Acres, CA | 13 mi | 1,484 | 44% |
Medicare-certified home health agencies serving Madera Ranchos
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Ardent Home Health Of Fresno | Fresno, CA | 9.6 mi | 5 of 5 | nursing, physical therapy, medical social work, home health aides | (559) 408-5945 |
| Silverline Staff Home Health | Fremont, CA | 123 mi | 5 of 5 | — | (925) 476-5350 |
| 1ST Choice Home Healthcare Fresno Inc | Fresno, CA | 9.6 mi | 4.5 of 5 | — | — |
| Unique Care Plus Inc | Chatsworth, CA | 198 mi | 4.5 of 5 | — | (818) 600-1691 |
| Concordia Health Care Provider, Inc | La Verne, CA | 228 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (626) 281-7400 |
| Blossom Home Health | Fresno, CA | 7.2 mi | 4 of 5 | — | (559) 430-5895 |
| Saint Agnes Home Health And Hospice | Fresno, CA | 9.6 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (559) 450-5112 |
| St Mary's Home Health Services, Inc | Fresno, CA | 11 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (559) 221-9919 |
Straight-line miles from the center of Madera Ranchos. 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 Madera Ranchos
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 14% of the $10,590 monthly median income of Madera Ranchos 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 Madera Ranchos: common questions
Which home health agencies serve Madera Ranchos?
Medicare lists 44 certified agencies whose service area includes Madera Ranchos ZIP codes. The highest-rated on Medicare’s quality stars include Ardent Home Health Of Fresno (5 of 5), Silverline Staff Home Health (5 of 5), 1ST Choice Home Healthcare Fresno Inc (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Madera Ranchos?
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 14% of the $10,590 monthly median income of Madera Ranchos 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 Madera Ranchos
Home Health Aides in nearby cities
- Home Health Aides in Bonadelle Ranchos, CA
- Home Health Aides in Parksdale, CA
- Home Health Aides in Old Fig Garden, CA
- Home Health Aides in Fresno, CA
- Home Health Aides in Madera, CA
- Home Health Aides in Madera Acres, CA
- Home Health Aides in Mayfair, CA
- Home Health Aides in Clovis, CA
- Home Health Aides in Tarpey Village, CA
- Home Health Aides in Sunnyside, CA
- Home Health Aides in Kerman, CA
- Home Health Aides in Yosemite Lakes, CA
- Home Health Aides in Easton, CA
- Home Health Aides in Coarsegold, CA
- Home Health Aides in Sanger, CA
- Home Health Aides in Fowler, CA
Other care in Madera Ranchos
- Companion Care in Madera Ranchos
- Dementia Care in Madera Ranchos
- Respite Care in Madera Ranchos
- Live-In Caregivers in Madera Ranchos
- Post-Surgery Care in Madera Ranchos
- Senior Transportation in Madera Ranchos
- Nursing Assistants in Madera Ranchos
- Personal Care in Madera Ranchos
- Overnight Caregivers in Madera Ranchos
- 24-Hour Home Care in Madera Ranchos
- Mobility Assistance in Madera Ranchos
- Parkinson’s Care in Madera Ranchos
- Stroke Recovery Support in Madera Ranchos
- Disability Care for Adults in Madera Ranchos
- Hospice Support in Madera Ranchos
- Senior Meal Preparation in Madera Ranchos
- Senior Housekeeping in Madera Ranchos
- Medication Reminders in Madera Ranchos
- Veterans’ Home Care in Madera Ranchos
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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