Home Health Aides in Selma, 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 Selma for free and hire a caregiver directly, with no agency mark-up.

Home Health Aides in Selma, CA: the local picture
58 Medicare-certified home health agencies list Selma 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.
Selma has about 3,178 residents aged 65 or older, 36% of whom report a disability.
Selma compared with Fresno County and California
| Census figure | Selma | Fresno County | California |
|---|---|---|---|
| Residents 65+ with a disability | 36% | 39% | 33% |
| Residents 65 or older | 13% | 13% | 16% |
| Residents 85 or older | 0.8% | 1.4% | 1.9% |
| Residents 65+ in households who live alone | 25% | 24% | 23% |
| Residents 65+ below the poverty line (approx.) | 26% | 14% | 12% |
| Residents 5+ who speak a language other than English at home | 53% | 44% | 44% |
| Median income, households headed by someone 65+ | $40,386 | $55,987 | — |
Older residents in towns around Selma
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Kingsburg, CA | 4.2 mi | 2,601 | 39% |
| Parlier, CA | 4.7 mi | 1,280 | 39% |
| Fowler, CA | 4.9 mi | 783 | 34% |
| Reedley, CA | 9.4 mi | 2,629 | 36% |
| Sanger, CA | 9.5 mi | 2,834 | 38% |
| Easton, CA | 11 mi | 299 | 51% |
Medicare-certified home health agencies serving Selma
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Ardent Home Health Of Fresno | Fresno, CA | 19 mi | 5 of 5 | nursing, physical therapy, medical social work, home health aides | (559) 408-5945 |
| Silverline Staff Home Health | Fremont, CA | 146 mi | 5 of 5 | — | (925) 476-5350 |
| 1ST Choice Home Healthcare Fresno Inc | Fresno, CA | 19 mi | 4.5 of 5 | — | — |
| Janus Home Health, Inc. | Glendale, CA | 185 mi | 4.5 of 5 | — | (818) 660-6804 |
| Adventist Health Home Care Services | Hanford, CA | 17 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (559) 585-3425 |
| St Mary's Home Health Services, Inc | Fresno, CA | 17 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (559) 221-9919 |
| Saint Agnes Home Health And Hospice | Fresno, CA | 19 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (559) 450-5112 |
| Blossom Home Health | Fresno, CA | 22 mi | 4 of 5 | — | (559) 430-5895 |
Straight-line miles from the center of Selma. 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 Selma
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 44% of the $3,366 monthly median income of Selma 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 Selma: common questions
Which home health agencies serve Selma?
Medicare lists 58 certified agencies whose service area includes Selma 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 Selma?
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 44% of the $3,366 monthly median income of Selma 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 Selma
Home Health Aides in nearby cities
- Home Health Aides in Kingsburg, CA
- Home Health Aides in Parlier, CA
- Home Health Aides in Fowler, CA
- Home Health Aides in Del Rey, CA
- Home Health Aides in Reedley, CA
- Home Health Aides in Sanger, CA
- Home Health Aides in Easton, CA
- Home Health Aides in Sunnyside, CA
- Home Health Aides in Dinuba, CA
- Home Health Aides in Mayfair, CA
- Home Health Aides in Tarpey Village, CA
- Home Health Aides in Orange Cove, CA
- Home Health Aides in Hanford, CA
- Home Health Aides in Riverdale, CA
- Home Health Aides in Fresno, CA
- Home Health Aides in Orosi, CA
Other care in Selma
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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