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

Nursing Assistants in San Marcos, CA: the local picture
The nearest Medicare-certified nursing homes to San Marcos are Village Square Healthcare Center in San Marcos (1.7 mi), Valley Vista Post Acute in Escondido (4.8 mi), Meadowbrook Village Christian Retirement Community in Escondido (4.9 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).
San Marcos has about 1,809 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
San Marcos compared with San Diego County and California
| Census figure | San Marcos | San Diego County | California |
|---|---|---|---|
| Residents 85 or older | 1.9% | 1.8% | 1.9% |
| Residents 65+ with a disability | 36% | 31% | 33% |
| Residents 65 or older | 13% | 15% | 16% |
| Residents 65+ in households who live alone | 25% | 22% | 23% |
| Residents 65+ below the poverty line (approx.) | 14% | 9.5% | 12% |
| Households with no vehicle | 3.5% | 5.5% | 7.1% |
| Median income, households headed by someone 65+ | $63,304 | $78,324 | — |
Older residents in towns around San Marcos
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Lake San Marcos, CA | 2.3 mi | 2,192 | 393 |
| Harmony Grove, CA | 2.9 mi | 132 | 15 |
| Escondido, CA | 5.5 mi | 21,596 | 2,914 |
| Vista, CA | 5.6 mi | 12,926 | 1,333 |
| Carlsbad, CA | 6.6 mi | 21,458 | 2,311 |
| Hidden Meadows, CA | 6.9 mi | 1,458 | 141 |
Nursing homes near San Marcos
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Village Square Healthcare Center | San Marcos, CA | 1.7 mi | 4 of 5 | 118 | (760) 471-2986 |
| Valley Vista Post Acute | Escondido, CA | 4.8 mi | 4 of 5 | 59 | (760) 745-1842 |
| Meadowbrook Village Christian Retirement Community | Escondido, CA | 4.9 mi | 5 of 5 | 19 | (760) 746-2500 |
| Escondido Post Acute | Escondido, CA | 5.2 mi | 5 of 5 | 180 | (760) 747-0430 |
| Redwood Terrace Health Center | Escondido, CA | 5.5 mi | 5 of 5 | 59 | (760) 747-4306 |
| Ocean View Post Acute | Escondido, CA | 5.7 mi | 4 of 5 | 120 | (760) 741-6109 |
Home health agencies serving San Marcos
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Trio Home Health Care Of San Diego Inc | Encinitas, CA | 7.9 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (760) 632-8746 |
| Archer Health Inc | Carlsbad, CA | 9.2 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 689-5049 |
| Advantage Health Systems | San Diego, CA | 15 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (858) 433-0469 |
| 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 |
Straight-line miles from the center of San Marcos. 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 San Marcos
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 28% of the $5,275 monthly median income of San Marcos 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 San Marcos: common questions
What nursing homes are near San Marcos?
The closest Medicare-certified nursing homes are Village Square Healthcare Center in San Marcos (1.7 mi, 4 of 5 overall); Valley Vista Post Acute in Escondido (4.8 mi, 4 of 5 overall); Meadowbrook Village Christian Retirement Community in Escondido (4.9 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in San Marcos?
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 28% of the $5,275 monthly median income of San Marcos 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 San Marcos
Nursing Assistants in nearby cities
- Nursing Assistants in Lake San Marcos, CA
- Nursing Assistants in Harmony Grove, CA
- Nursing Assistants in Escondido, CA
- Nursing Assistants in Vista, CA
- Nursing Assistants in Carlsbad, CA
- Nursing Assistants in Hidden Meadows, CA
- Nursing Assistants in Encinitas, CA
- Nursing Assistants in Rancho Bernardo, CA
- Nursing Assistants in Fairbanks Ranch, CA
- Nursing Assistants in Bonsall, CA
- Nursing Assistants in Oceanside, CA
- Nursing Assistants in Rancho Santa Fe, CA
- Nursing Assistants in Solana Beach, CA
- Nursing Assistants in Valley Center, CA
- Nursing Assistants in Del Mar, CA
- Nursing Assistants in Poway, CA
Other care in San Marcos
- Companion Care in San Marcos
- Dementia Care in San Marcos
- Respite Care in San Marcos
- Live-In Caregivers in San Marcos
- Post-Surgery Care in San Marcos
- Senior Transportation in San Marcos
- Home Health Aides in San Marcos
- Personal Care in San Marcos
- Overnight Caregivers in San Marcos
- 24-Hour Home Care in San Marcos
- Mobility Assistance in San Marcos
- Parkinson’s Care in San Marcos
- Stroke Recovery Support in San Marcos
- Disability Care for Adults in San Marcos
- Hospice Support in San Marcos
- Senior Meal Preparation in San Marcos
- Senior Housekeeping in San Marcos
- Medication Reminders in San Marcos
- Veterans’ Home Care in San Marcos
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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