Certified Nursing Assistants (CNAs) for Home Care in Madera Ranchos, CA
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Madera Ranchos for free and hire a caregiver directly, with no agency mark-up.
Nursing Assistants in Madera Ranchos, CA: the local picture
The nearest Medicare-certified nursing homes to Madera Ranchos are North Point Healthcare & Wellness Centre LP in Fresno (9.0 mi), The Terraces At San Joaquin Gardens Village in Fresno (9.3 mi), Madera Rehabilitation & Nursing Center in Madera (9.8 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).
Madera Ranchos has about 76 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Madera Ranchos compared with Merced County and California
| Census figure | Madera Ranchos | Merced County | California |
|---|---|---|---|
| Residents 85 or older | 2.5% | 1.3% | 1.9% |
| Residents 65+ with a disability | 44% | 40% | 33% |
| Residents 65 or older | 26% | 12% | 16% |
| Residents 65+ in households who live alone | 17% | 24% | 23% |
| Residents 65+ below the poverty line (approx.) | 6.2% | 16% | 12% |
| Households with no vehicle | 2.2% | 7.3% | 7.1% |
| Median income, households headed by someone 65+ | $127,083 | $44,830 | — |
Older residents in towns around Madera Ranchos
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Bonadelle Ranchos, CA | 3.0 mi | 828 | 5 |
| Parksdale, CA | 8.0 mi | 279 | 25 |
| Old Fig Garden, CA | 9.8 mi | 1,143 | 185 |
| Fresno, CA | 11 mi | 67,512 | 7,783 |
| Madera, CA | 12 mi | 6,515 | 868 |
| Madera Acres, CA | 13 mi | 1,484 | 49 |
Nursing homes near Madera Ranchos
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| North Point Healthcare & Wellness Centre LP | Fresno, CA | 9.0 mi | 5 of 5 | 99 | (559) 320-2200 |
| The Terraces At San Joaquin Gardens Village | Fresno, CA | 9.3 mi | 5 of 5 | 54 | (559) 430-8202 |
| Madera Rehabilitation & Nursing Center | Madera, CA | 9.8 mi | 1 of 5 | 176 | (559) 673-9228 |
| Horizon Health & Subacute Center | Fresno, CA | 9.8 mi | 2 of 5 | 180 | (559) 321-0883 |
| Willow Creek Healthcare Center | Clovis, CA | 10 mi | 3 of 5 | 159 | (559) 323-6200 |
| Madera Care Center | Madera, CA | 11 mi | 4 of 5 | 64 | (559) 673-9278 |
Home health agencies serving Madera Ranchos
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Ardent Home Health Of Fresno | Fresno, CA | 9.6 mi | 5 of 5 | nursing, physical therapy, medical social work, home health aides | (559) 408-5945 |
| Concordia Health Care Provider, Inc | La Verne, CA | 228 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (626) 281-7400 |
| Saint Agnes Home Health And Hospice | Fresno, CA | 9.6 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (559) 450-5112 |
| St Mary's Home Health Services, Inc | Fresno, CA | 11 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (559) 221-9919 |
Straight-line miles from the center of Madera Ranchos. 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 Madera Ranchos
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 14% of the $10,590 monthly median income of Madera Ranchos 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 Madera Ranchos: common questions
What nursing homes are near Madera Ranchos?
The closest Medicare-certified nursing homes are North Point Healthcare & Wellness Centre LP in Fresno (9.0 mi, 5 of 5 overall); The Terraces At San Joaquin Gardens Village in Fresno (9.3 mi, 5 of 5 overall); Madera Rehabilitation & Nursing Center in Madera (9.8 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Madera Ranchos?
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 14% of the $10,590 monthly median income of Madera Ranchos 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 Madera Ranchos
Nursing Assistants in nearby cities
- Nursing Assistants in Bonadelle Ranchos, CA
- Nursing Assistants in Parksdale, CA
- Nursing Assistants in Old Fig Garden, CA
- Nursing Assistants in Fresno, CA
- Nursing Assistants in Madera, CA
- Nursing Assistants in Madera Acres, CA
- Nursing Assistants in Mayfair, CA
- Nursing Assistants in Clovis, CA
- Nursing Assistants in Tarpey Village, CA
- Nursing Assistants in Sunnyside, CA
- Nursing Assistants in Kerman, CA
- Nursing Assistants in Yosemite Lakes, CA
- Nursing Assistants in Easton, CA
- Nursing Assistants in Coarsegold, CA
- Nursing Assistants in Sanger, CA
- Nursing Assistants in Fowler, CA
Other care in Madera Ranchos
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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