Home Health Aides in Rancho Santa Margarita, CA

Local figures

Home Health Aides in Rancho Santa Margarita, CA: the local picture

90

Medicare-certified home health agencies list Rancho Santa Margarita 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

5,652

residents 65 or older (12% of Rancho Santa Margarita)

34%

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

90 Medicare-certified home health agencies list Rancho Santa Margarita 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.

Rancho Santa Margarita has about 5,652 residents aged 65 or older, 34% of whom report a disability.

Rancho Santa Margarita compared with Orange County and California

Census figure	Rancho Santa Margarita	Orange County	California
Residents 65+ with a disability	34%	29%	33%
Residents 65 or older	12%	16%	16%
Residents 85 or older	1.6%	2.2%	1.9%
Residents 65+ in households who live alone	20%	20%	23%
Residents 65+ below the poverty line (approx.)	6.0%	10%	12%
Residents 5+ who speak a language other than English at home	28%	46%	44%
Median income, households headed by someone 65+	$84,479	$84,615	—

Older residents in towns around Rancho Santa Margarita

Town	Distance	Residents 65+	65+ with a disability
Coto de Caza, CA	2.5 mi	2,426	18%
Las Flores, CA	3.6 mi	330	8.5%
Mission Viejo, CA	3.7 mi	20,905	27%
Lake Forest, CA	4.7 mi	12,776	26%
Ladera Ranch, CA	6.3 mi	1,678	18%
Laguna Hills, CA	6.3 mi	6,169	26%

Medicare-certified home health agencies serving Rancho Santa Margarita

Agency	Office	Distance	CMS quality stars	Services listed	Phone
St. Rose Of Lima Healthcare Provider, Inc.	Lake Forest, CA	5.1 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(714) 777-5931
Acacia Hh&P Of Southern California, LLC	Irvine, CA	14 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(949) 335-5515
Excell Home Care Inc	Paramount, CA	37 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(562) 988-3370
Acacia Home Health Services	Glendale, CA	54 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(818) 241-2200
Hamlin Home Health Care Inc	La Crescenta, CA	56 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(747) 264-1994
Providence At Home With Compassus Home Health, Orange County South	Irvine, CA	14 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(949) 490-7760
Accentcare Home Health Of California, Inc	Newport Beach, CA	16 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(949) 250-0133
Hoag Home Health	Newport Beach, CA	16 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(714) 560-8177

Straight-line miles from the center of Rancho Santa Margarita. 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 Rancho Santa Margarita

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 21% of the $7,040 monthly median income of Rancho Santa Margarita 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 Rancho Santa Margarita: common questions

Which home health agencies serve Rancho Santa Margarita?

Medicare lists 90 certified agencies whose service area includes Rancho Santa Margarita ZIP codes. The highest-rated on Medicare’s quality stars include St. Rose Of Lima Healthcare Provider, Inc. (5 of 5), Acacia Hh&P Of Southern California, LLC (5 of 5), Excell Home Care Inc (5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Rancho Santa Margarita?

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 21% of the $7,040 monthly median income of Rancho Santa Margarita 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 Rancho Santa Margarita

More senior care near Rancho Santa Margarita

Home Health Aides in nearby cities

Other care in Rancho Santa Margarita

More for Rancho Santa Margarita 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.