Certified Nursing Assistants (CNAs) for Home Care in Alpine, CA
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Alpine for free and hire a caregiver directly, with no agency mark-up.

Nursing Assistants in Alpine, CA: the local picture
The nearest Medicare-certified nursing homes to Alpine are The Royal Home in El Cajon (9.6 mi), Country Hills Post Acute in El Cajon (9.8 mi), Lakeside Special Care Center in Lakeside (10 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.
Aides in California earn a median $16.50 an hour (BLS, May 2025, home health and personal care aides). That May 2025 figure is below today's $16.90 California minimum wage, so current pay starts at least there. California's minimum wage is $16.90 an hour (U.S. Department of Labor table, updated July 1, 2026).
Alpine has about 184 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Alpine compared with San Diego County and California
| Census figure | Alpine | San Diego County | California |
|---|---|---|---|
| Residents 85 or older | 1.2% | 1.8% | 1.9% |
| Residents 65+ with a disability | 22% | 31% | 33% |
| Residents 65 or older | 20% | 15% | 16% |
| Residents 65+ in households who live alone | 9.6% | 22% | 23% |
| Residents 65+ below the poverty line (approx.) | 6.0% | 9.5% | 12% |
| Households with no vehicle | 3.3% | 5.5% | 7.1% |
| Median income, households headed by someone 65+ | $102,143 | $78,324 | — |
Older residents in towns around Alpine
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Harbison Canyon, CA | 4.9 mi | 784 | 62 |
| Crest, CA | 7.1 mi | 555 | 43 |
| Lakeside, CA | 8.7 mi | 4,428 | 443 |
| Granite Hills, CA | 9.1 mi | 649 | 79 |
| Winter Gardens, CA | 9.9 mi | 3,014 | 325 |
| Jamul, CA | 11 mi | 1,412 | 13 |
Nursing homes near Alpine
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| The Royal Home | El Cajon, CA | 9.6 mi | 4 of 5 | 19 | (619) 443-3886 |
| Country Hills Post Acute | El Cajon, CA | 9.8 mi | 1 of 5 | 305 | (619) 441-8745 |
| Lakeside Special Care Center | Lakeside, CA | 10 mi | 5 of 5 | 94 | (619) 561-1222 |
| Cottonwood Canyon Healthcare Center | El Cajon, CA | 11 mi | 3 of 5 | 96 | (619) 444-1107 |
| Granite Hills Healthcare & Wellness Centre, LLC | El Cajon, CA | 11 mi | 2 of 5 | 99 | (619) 447-1020 |
| Bradley Court | El Cajon, CA | 11 mi | 5 of 5 | 56 | (619) 448-6633 |
Home health agencies serving Alpine
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Absolute Home Health Inc | San Diego, CA | 23 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (858) 541-2000 |
| Advantage Health Systems | San Diego, CA | 23 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (858) 433-0469 |
| Archer Health Inc | Carlsbad, CA | 40 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 689-5049 |
| Meridian Home Health | San Diego, CA | 23 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (858) 999-3068 |
Straight-line miles from the center of Alpine. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a nursing assistant can help with
- Bathing, dressing, grooming and toileting
- Safe transfers, repositioning and walking
- Help with eating and fluids
- Taking and noting vital signs if asked
What CNAs costs in Alpine
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 $8,512 monthly median income of Alpine 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 nursing assistant
To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.
Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Nursing Assistants in Alpine: common questions
What nursing homes are near Alpine?
The closest Medicare-certified nursing homes are The Royal Home in El Cajon (9.6 mi, 4 of 5 overall); Country Hills Post Acute in El Cajon (9.8 mi, 1 of 5 overall); Lakeside Special Care Center in Lakeside (10 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Alpine?
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 $8,512 monthly median income of Alpine 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).
Can a CNA give medication?
Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.
More senior care near Alpine
Nursing Assistants in nearby cities
- Nursing Assistants in Harbison Canyon, CA
- Nursing Assistants in Crest, CA
- Nursing Assistants in Lakeside, CA
- Nursing Assistants in Granite Hills, CA
- Nursing Assistants in Winter Gardens, CA
- Nursing Assistants in Jamul, CA
- Nursing Assistants in Bostonia, CA
- Nursing Assistants in Rancho San Diego, CA
- Nursing Assistants in Eucalyptus Hills, CA
- Nursing Assistants in San Diego Country Estates, CA
- Nursing Assistants in El Cajon, CA
- Nursing Assistants in Santee, CA
- Nursing Assistants in Casa de Oro-Mount Helix, CA
- Nursing Assistants in Spring Valley, CA
- Nursing Assistants in Ramona, CA
- Nursing Assistants in La Mesa, CA
Other care in Alpine
- Companion Care in Alpine
- Dementia Care in Alpine
- Respite Care in Alpine
- Live-In Caregivers in Alpine
- Post-Surgery Care in Alpine
- Senior Transportation in Alpine
- Home Health Aides in Alpine
- Personal Care in Alpine
- Overnight Caregivers in Alpine
- 24-Hour Home Care in Alpine
- Mobility Assistance in Alpine
- Parkinson’s Care in Alpine
- Stroke Recovery Support in Alpine
- Disability Care for Adults in Alpine
- Hospice Support in Alpine
- Senior Meal Preparation in Alpine
- Senior Housekeeping in Alpine
- Medication Reminders in Alpine
- Veterans’ Home Care in Alpine
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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