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

Local figures

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

7

Medicare-certified home health agencies list San Miguel 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

1,126

residents 65 or older (28% of San Miguel)

20%

of residents 65+ report a disability (30% in Contra Costa County)

7 Medicare-certified home health agencies list San Miguel ZIP codes in their service area; the highest-rated are below, and 5 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 Miguel has about 1,126 residents aged 65 or older, 20% of whom report a disability.

San Miguel compared with Contra Costa County and California

Census figure	San Miguel	Contra Costa County	California
Residents 65+ with a disability	20%	30%	33%
Residents 65 or older	28%	17%	16%
Residents 85 or older	2.9%	2.0%	1.9%
Residents 65+ in households who live alone	9.7%	23%	23%
Residents 65+ below the poverty line (approx.)	0.0%	7.4%	12%
Residents 5+ who speak a language other than English at home	10%	38%	44%
Median income, households headed by someone 65+	$137,215	$90,014	—

Older residents in towns around San Miguel

Town	Distance	Residents 65+	65+ with a disability
Walnut Creek, CA	1.1 mi	20,671	31%
Saranap, CA	2.1 mi	1,047	16%
Alamo, CA	2.5 mi	3,620	24%
Contra Costa Centre, CA	2.9 mi	544	31%
Lafayette, CA	4.5 mi	5,381	22%
Pleasant Hill, CA	5.1 mi	6,027	31%

Medicare-certified home health agencies serving San Miguel

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Dignity Health Home Health	Santa Maria, CA	221 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(805) 739-3830
Aevum Home Health	San Luis Obispo, CA	197 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(805) 586-3427
Mission Home Health Of Central Coast	Grover Beach, CA	207 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(805) 927-1212
Choice Home Health Care	Monterey, CA	91 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(831) 657-1998
Central Coast Home Health Inc	San Luis Obispo, CA	197 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(805) 543-2244
Community Home Health, Inc.	Arroyo Grande, CA	207 mi	2.5 of 5	—	(805) 602-2932
Trinity Home Health, LLC	Pismo Beach, CA	204 mi	not rated	—	(805) 936-5005

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

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 13% of the $11,435 monthly median income of San Miguel 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 Miguel: common questions

Which home health agencies serve San Miguel?

Medicare lists 7 certified agencies whose service area includes San Miguel ZIP codes. The highest-rated on Medicare’s quality stars include Dignity Health Home Health (4.5 of 5), Aevum Home Health (3 of 5), Mission Home Health Of Central Coast (3 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in San Miguel?

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 13% of the $11,435 monthly median income of San Miguel 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 Miguel

More senior care near San Miguel

Home Health Aides in nearby cities

Other care in San Miguel

More for San Miguel 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 Miguel, CA