Hospice Support in San Francisco, CA: Caregivers at Home

Local figures

Hospice Support in San Francisco, CA: the local picture

61

Medicare-certified hospices serve San Francisco ZIP codes

21,406

residents 85 or older (2.6% of all residents)

31%

of residents 65+ in households live alone

35%

of residents 65+ report a disability

Medicare lists 61 hospices whose service area includes San Francisco ZIP codes, the nearest offices being Crossroads Home Health & Hospice in San Francisco (30 mi) and By The Bay Health in Larkspur (31 mi).

42,888 San Francisco residents 65 or older live alone (31% of those in households). Someone on hospice who lives alone usually needs added hours of help between the hospice team’s visits.

San Francisco compared with California

Census figure	San Francisco	California
Residents 85 or older	2.6%	1.9%
Residents 65+ in households who live alone	31%	23%
Residents 65+ with a disability	35%	33%
Residents 65+ with difficulty dressing or bathing	11%	9.3%
Residents 65 or older	18%	16%
Residents 65+ below the poverty line (approx.)	17%	12%
Median income, households headed by someone 65+	$67,096	—

Older residents in towns around San Francisco

Town	Distance	Residents 65+	Live alone (65+)
Tamalpais-Homestead Valley, CA	29 mi	2,232	31%
Mill Valley, CA	30 mi	3,287	30%
Kentfield, CA	30 mi	1,766	22%
Fairfax, CA	30 mi	1,735	29%
Marin City, CA	30 mi	537	26%
Broadmoor, CA	30 mi	724	15%

Hospices serving San Francisco

Hospice	Office	Distance	Phone
Crossroads Home Health & Hospice	San Francisco, CA	30 mi	(415) 682-2111
By The Bay Health	Larkspur, CA	31 mi	(415) 927-2273
Kaiser Foundation Hospital Hospice-San Francisco	San Francisco, CA	31 mi	(415) 666-1080
Madrona Hospice Care Inc	San Rafael, CA	32 mi	(628) 243-0550
Alliance Hospice	Daly City, CA	33 mi	(650) 000-0000
Abl Hospice LLC	Daly City, CA	33 mi	(650) 257-0559

Straight-line miles from the center of San Francisco. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a caregiver for hospice support can help with

Comfort, company and a calm presence
Gentle personal care and repositioning
Small meals and fluids as the person wants
Telling the hospice nurse about changes

Cost

What hospice support costs in San Francisco

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 26% of the $5,591 monthly median income of San Francisco 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 caregiver for hospice support

Under Medicare, hospice is for someone whose doctors certify a life expectancy of six months or less and who chooses comfort care instead of treatment to cure the illness. Medicare does not cover room and board for hospice care at home (Medicare.gov).

Questions worth asking: Have you cared for someone at the end of life? How do you work with a hospice nurse? Can you sit overnight in the last days if needed? More in our hospice support guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Hospice Support in San Francisco: common questions

How much does hospice support cost in San Francisco?

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 26% of the $5,591 monthly median income of San Francisco 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).

Who qualifies for hospice under Medicare?

Someone whose hospice doctor (and regular doctor, if they have one) certifies a life expectancy of six months or less, and who accepts comfort care instead of curative treatment (Medicare.gov).

More near San Francisco

More senior care near San Francisco

Hospice Support in nearby cities

Other care in San Francisco

More for San Francisco 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.

In-Home Hospice Support in San Francisco, CA