CNA Home Care in San Francisco, CA: Nursing Assistants

Local figures

Nursing Assistants in San Francisco, CA: the local picture

0

Medicare-certified nursing homes within 25 miles

$16.50

median hourly wage of home care aides in California (BLS, May 2025); now below the $16.90 minimum

$16.90

California minimum wage per hour

146,510

residents 65 or older (18% of San Francisco)

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).

San Francisco has about 21,406 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

San Francisco compared with California

Census figure	San Francisco	California
Residents 85 or older	2.6%	1.9%
Residents 65+ with a disability	35%	33%
Residents 65 or older	18%	16%
Residents 65+ in households who live alone	31%	23%
Residents 65+ below the poverty line (approx.)	17%	12%
Households with no vehicle	30%	7.1%
Median income, households headed by someone 65+	$67,096	—

Older residents in towns around San Francisco

Town	Distance	Residents 65+	Residents 85+
Tamalpais-Homestead Valley, CA	29 mi	2,232	153
Mill Valley, CA	30 mi	3,287	398
Kentfield, CA	30 mi	1,766	249
Fairfax, CA	30 mi	1,735	73
Marin City, CA	30 mi	537	66
Broadmoor, CA	30 mi	724	15

Home health agencies serving San Francisco

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Cvh Care	South San Francisco, CA	34 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 690-1930
Truemed, Inc	South San Francisco, CA	34 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(650) 588-8331
American Carequest	Burlingame, CA	38 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(415) 885-9100
National Home Health Services-West, Inc	Fremont, CA	60 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(415) 812-2955

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 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

Cost

What CNAs 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 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.

Questions

Nursing Assistants in San Francisco: common questions

How much does CNAs 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).

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 near San Francisco

More senior care near San Francisco

Nursing Assistants 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.

Certified Nursing Assistants (CNAs) for Home Care in San Francisco, CA