Certified Nursing Assistants (CNAs) for Home Care in San Miguel, 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 Miguel for free and hire a caregiver directly, with no agency mark-up.

Nursing Assistants in San Miguel, CA: the local picture
The nearest Medicare-certified nursing homes to San Miguel are Tampico Healthcare Center in Walnut Creek (1.8 mi), Walnut Creek Skilled Nursing & Rehabilitation Cent in Walnut Creek (1.9 mi), La Casa Via Transitional Care Center in Walnut Creek (1.9 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 Miguel has about 115 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
San Miguel compared with Contra Costa County and California
| Census figure | San Miguel | Contra Costa County | California |
|---|---|---|---|
| Residents 85 or older | 2.9% | 2.0% | 1.9% |
| Residents 65+ with a disability | 20% | 30% | 33% |
| Residents 65 or older | 28% | 17% | 16% |
| Residents 65+ in households who live alone | 9.7% | 23% | 23% |
| Residents 65+ below the poverty line (approx.) | 0.0% | 7.4% | 12% |
| Households with no vehicle | 0.7% | 5.2% | 7.1% |
| Median income, households headed by someone 65+ | $137,215 | $90,014 | — |
Older residents in towns around San Miguel
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Walnut Creek, CA | 1.1 mi | 20,671 | 4,063 |
| Saranap, CA | 2.1 mi | 1,047 | 124 |
| Alamo, CA | 2.5 mi | 3,620 | 437 |
| Contra Costa Centre, CA | 2.9 mi | 544 | 43 |
| Lafayette, CA | 4.5 mi | 5,381 | 668 |
| Pleasant Hill, CA | 5.1 mi | 6,027 | 608 |
Nursing homes near San Miguel
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Tampico Healthcare Center | Walnut Creek, CA | 1.8 mi | 4 of 5 | 128 | (925) 933-7970 |
| Walnut Creek Skilled Nursing & Rehabilitation Cent | Walnut Creek, CA | 1.9 mi | 2 of 5 | 180 | (925) 719-8883 |
| La Casa Via Transitional Care Center | Walnut Creek, CA | 1.9 mi | 5 of 5 | 99 | (925) 939-5820 |
| Rossmoor Post Acute | Walnut Creek, CA | 1.9 mi | 4 of 5 | 155 | (925) 975-5000 |
| Tice Valley Post Acute | Walnut Creek, CA | 1.9 mi | 5 of 5 | 120 | (925) 906-0200 |
| Shadelands Post Acute | Walnut Creek, CA | 3.2 mi | 4 of 5 | 59 | (925) 296-5547 |
Home health agencies serving San Miguel
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Dignity Health Home Health | Santa Maria, CA | 221 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (805) 739-3830 |
| Aevum Home Health | San Luis Obispo, CA | 197 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (805) 586-3427 |
| Mission Home Health Of Central Coast | Grover Beach, CA | 207 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (805) 927-1212 |
| Choice Home Health Care | Monterey, CA | 91 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (831) 657-1998 |
Straight-line miles from the center of San Miguel. 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 Miguel
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 13% of the $11,435 monthly median income of San Miguel 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 Miguel: common questions
What nursing homes are near San Miguel?
The closest Medicare-certified nursing homes are Tampico Healthcare Center in Walnut Creek (1.8 mi, 4 of 5 overall); Walnut Creek Skilled Nursing & Rehabilitation Cent in Walnut Creek (1.9 mi, 2 of 5 overall); La Casa Via Transitional Care Center in Walnut Creek (1.9 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in San Miguel?
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 13% of the $11,435 monthly median income of San Miguel 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 Miguel
Nursing Assistants in nearby cities
- Nursing Assistants in Walnut Creek, CA
- Nursing Assistants in Saranap, CA
- Nursing Assistants in Alamo, CA
- Nursing Assistants in Contra Costa Centre, CA
- Nursing Assistants in Lafayette, CA
- Nursing Assistants in Pleasant Hill, CA
- Nursing Assistants in Reliez Valley, CA
- Nursing Assistants in Moraga, CA
- Nursing Assistants in Concord, CA
- Nursing Assistants in Danville, CA
- Nursing Assistants in Clayton, CA
- Nursing Assistants in Orinda, CA
- Nursing Assistants in Pacheco, CA
- Nursing Assistants in Blackhawk, CA
- Nursing Assistants in Vine Hill, CA
- Nursing Assistants in Martinez, CA
Other care in San Miguel
- Companion Care in San Miguel
- Dementia Care in San Miguel
- Respite Care in San Miguel
- Live-In Caregivers in San Miguel
- Post-Surgery Care in San Miguel
- Senior Transportation in San Miguel
- Home Health Aides in San Miguel
- Personal Care in San Miguel
- Overnight Caregivers in San Miguel
- 24-Hour Home Care in San Miguel
- Mobility Assistance in San Miguel
- Parkinson’s Care in San Miguel
- Stroke Recovery Support in San Miguel
- Disability Care for Adults in San Miguel
- Hospice Support in San Miguel
- Senior Meal Preparation in San Miguel
- Senior Housekeeping in San Miguel
- Medication Reminders in San Miguel
- Veterans’ Home Care in San Miguel
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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