Home Health Aides in San Mateo, CA: Hire In-Home Help

Local figures

Home Health Aides in San Mateo, CA: the local picture

90

Medicare-certified home health agencies list San Mateo 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

17,563

residents 65 or older (17% of San Mateo)

33%

of residents 65+ report a disability (28% in San Mateo County)

90 Medicare-certified home health agencies list San Mateo 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.

San Mateo has about 17,563 residents aged 65 or older, 33% of whom report a disability.

San Mateo compared with San Mateo County and California

Census figure	San Mateo	San Mateo County	California
Residents 65+ with a disability	33%	28%	33%
Residents 65 or older	17%	18%	16%
Residents 85 or older	2.9%	2.5%	1.9%
Residents 65+ in households who live alone	29%	21%	23%
Residents 65+ below the poverty line (approx.)	13%	9.0%	12%
Residents 5+ who speak a language other than English at home	47%	46%	44%
Median income, households headed by someone 65+	$79,791	$103,766	—

Older residents in towns around San Mateo

Town	Distance	Residents 65+	65+ with a disability
Hillsborough, CA	2.6 mi	2,262	18%
Foster City, CA	3.3 mi	5,759	33%
Belmont, CA	3.3 mi	3,813	29%
Burlingame, CA	3.5 mi	4,983	23%
San Carlos, CA	4.8 mi	4,894	21%
Millbrae, CA	5.7 mi	4,599	27%

Medicare-certified home health agencies serving San Mateo

Agency	Office	Distance	CMS quality stars	Services listed	Phone
American Carequest	Burlingame, CA	3.2 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(415) 885-9100
Cvh Care	South San Francisco, CA	9.1 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 690-1930
Truemed, Inc	South San Francisco, CA	9.1 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(650) 588-8331
A1 Pro Home Health Inc.	San Leandro, CA	14 mi	5 of 5	—	(510) 738-0888
Care First Home Health, LLC	San Leandro, CA	14 mi	5 of 5	—	(510) 878-9288
Grace Community Home Health Inc.	Mountain View, CA	17 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(650) 784-0082
Care In Touch Home Health Agency	Fremont, CA	19 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 651-8500
National Home Health Services-West, Inc	Fremont, CA	19 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(415) 812-2955

Straight-line miles from the center of San Mateo. 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 San Mateo

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 $6,649 monthly median income of San Mateo 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 San Mateo: common questions

Which home health agencies serve San Mateo?

Medicare lists 90 certified agencies whose service area includes San Mateo ZIP codes. The highest-rated on Medicare’s quality stars include American Carequest (5 of 5), Cvh Care (5 of 5), Truemed, Inc (5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in San Mateo?

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 $6,649 monthly median income of San Mateo 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 San Mateo

More senior care near San Mateo

Home Health Aides in nearby cities

Other care in San Mateo

More for San Mateo 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 San Mateo, CA