San Mateo, California

In-Home Personal Care in San Mateo, CA

Hands-on help with bathing, dressing, toileting and grooming, at home and on the person’s own schedule. Post what you need in San Mateo for free and hire a caregiver directly, with no agency mark-up.

A younger man supporting an older man's arm as they walk through a bright living room
Local figures

Personal Care in San Mateo, CA: the local picture

11%
of residents 65+ have difficulty dressing or bathing (8.3% in San Mateo County)
20%
of residents 65+ have serious difficulty walking or climbing stairs (18% in San Mateo County)
2,991
residents 85 or older (2.9% of all residents)
90
Medicare-certified home health agencies list San Mateo ZIP codes in their service area

About 1,851 San Mateo residents aged 65 or older have difficulty dressing or bathing (11%; 8.3% in San Mateo County). The Census Bureau calls this a self-care difficulty, and it is what personal care is for.

3,448 have serious difficulty walking or climbing stairs (20%), so many personal care visits also mean help getting to the bathroom or shower safely.

2,991 of the 17,563 older residents are 85 or older; needs for hands-on help rise with age.

San Mateo compared with San Mateo County and California

Census figureSan MateoSan Mateo CountyCalifornia
Residents 65+ with difficulty dressing or bathing11%8.3%9.3%
Residents 65+ with serious difficulty walking20%18%22%
Residents 85 or older2.9%2.5%1.9%
Residents 65+ with a disability33%28%33%
Residents 65+ in households who live alone29%21%23%
Residents 65+ below the poverty line (approx.)13%9.0%12%
Median income, households headed by someone 65+$79,791$103,766—

Older residents in towns around San Mateo

TownDistanceResidents 65+Self-care difficulty (65+)
Hillsborough, CA2.6 mi2,2624.6%
Foster City, CA3.3 mi5,7599.0%
Belmont, CA3.3 mi3,81312%
Burlingame, CA3.5 mi4,9838.8%
San Carlos, CA4.8 mi4,8945.1%
Millbrae, CA5.7 mi4,5997.1%

Home health agencies with aides serving San Mateo

AgencyOfficeDistanceCMS quality starsServices listedPhone
American CarequestBurlingame, CA3.2 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(415) 885-9100
Cvh CareSouth San Francisco, CA9.1 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(510) 690-1930
Truemed, IncSouth San Francisco, CA9.1 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(650) 588-8331
Grace Community Home Health Inc.Mountain View, CA17 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(650) 784-0082
Care In Touch Home Health AgencyFremont, CA19 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(510) 651-8500
National Home Health Services-West, IncFremont, CA19 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(415) 812-2955

Straight-line miles from the center of San Mateo. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a personal care aide can help with

  • Bathing or showering, with a shower chair if needed
  • Dressing and undressing
  • Toileting and incontinence care
  • Grooming: hair, shaving and oral care
Cost

What personal care costs in San Mateo

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 22% of the $6,649 monthly median income of San Mateo 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 personal care aide

The Census Bureau asks whether a person has difficulty dressing or bathing, which it calls a self-care difficulty; it is the clearest sign that someone needs personal care. Medicare does not pay for personal care when it is the only care needed (Medicare.gov), but many state Medicaid programs do for people who qualify.

Questions worth asking: How do you protect a client’s dignity during bathing and toileting? Are you trained in safe transfers? Can you keep the same morning or evening hours each day? More in our personal care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Personal Care in San Mateo: common questions

How much does personal care cost in San Mateo?

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 22% of the $6,649 monthly median income of San Mateo 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).

What is the difference between personal care and companion care?

Companion care is company and help around the house. Personal care is hands-on help with the body: bathing, dressing, toileting and grooming. Many caregivers offer both; say in your posting which you need.

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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