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

Local figures

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

45

Medicare-certified home health agencies list San Rafael 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

12,299

residents 65 or older (20% of San Rafael)

27%

of residents 65+ report a disability (24% in Marin County)

45 Medicare-certified home health agencies list San Rafael 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 Rafael has about 12,299 residents aged 65 or older, 27% of whom report a disability.

San Rafael compared with Marin County and California

Census figure	San Rafael	Marin County	California
Residents 65+ with a disability	27%	24%	33%
Residents 65 or older	20%	24%	16%
Residents 85 or older	3.5%	2.8%	1.9%
Residents 65+ in households who live alone	33%	30%	23%
Residents 65+ below the poverty line (approx.)	9.4%	7.5%	12%
Residents 5+ who speak a language other than English at home	38%	24%	44%
Median income, households headed by someone 65+	$104,265	$107,563	—

Older residents in towns around San Rafael

Town	Distance	Residents 65+	65+ with a disability
Santa Venetia, CA	1.7 mi	1,238	38%
Larkspur, CA	3.1 mi	3,268	26%
Ross, CA	3.2 mi	491	16%
Corte Madera, CA	3.4 mi	1,892	18%
San Anselmo, CA	3.4 mi	2,745	18%
Kentfield, CA	4.2 mi	1,766	25%

Medicare-certified home health agencies serving San Rafael

Agency	Office	Distance	CMS quality stars	Services listed	Phone
A1 Pro Home Health Inc.	San Leandro, CA	26 mi	5 of 5	—	(510) 738-0888
Care In Touch Home Health Agency	Fremont, CA	43 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 651-8500
Silverline Staff Home Health	Fremont, CA	43 mi	5 of 5	—	(925) 476-5350
Caringhand Home Health Solutions, Inc	Sacramento, CA	64 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(916) 476-3205
Atta Home Healthcare	Modesto, CA	88 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 598-6355
Allegro Home Health, Inc	Larkspur, CA	3.5 mi	4.5 of 5	—	(415) 508-4289
Luxor Care Home Health Services	Vallejo, CA	18 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(707) 561-8008
Healthflex Home Health Services	Oakland, CA	23 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 553-1900

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

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 17% of the $8,689 monthly median income of San Rafael 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 Rafael: common questions

Which home health agencies serve San Rafael?

Medicare lists 45 certified agencies whose service area includes San Rafael ZIP codes. The highest-rated on Medicare’s quality stars include A1 Pro Home Health Inc. (5 of 5), Care In Touch Home Health Agency (5 of 5), Silverline Staff Home Health (5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in San Rafael?

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 17% of the $8,689 monthly median income of San Rafael 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 Rafael

More senior care near San Rafael

Home Health Aides in nearby cities

Other care in San Rafael

More for San Rafael 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 Rafael, CA