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Best Home Care: Caring Stars 2023

America’s Top-Rated Home Care Agencies This Year

The vast majority of seniors desire to stay in their own homes and communities as they age – 3 out of 4 share this opinion. However, the realities of aging (declining mobility, difficulty seeing and hearing, or complications from illnesses) can make aging-in-place increasingly difficult over time. Elderly adults often need help with the essential activities of everyday life, such as preparing meals, getting dressed, safely getting around the home, taking their medication and going to doctor’s appointments.

Initially, many older adults may be able to cope with these increasing needs with support from their loved ones. However, some don’t have that support system, and even those with family nearby can find that the burden becomes too great (caregiver burnout is real!). Finding the right in-home care agency can be life-changing – making all the difference in an elderly person’s ability to remain at home with a high quality of life. Older adults living in senior living communities can also benefit from supplemental care via in-home care agencies, delaying or removing the need to move to a nursing home.

To support seniors and their families in finding the best agencies, we are shining a spotlight on the top-rated in-home care agencies in the nation — the Caring Stars of 2023.  For 2023, there are 389 senior care agencies in in 45 states and the District of Columbia recognized for service excellence, based on consumer ratings and reviews from family caregivers and older adults. These trusted home care agencies received this award based on reviews written by seniors and their families around the nation.

We also rated the top senior living communities: See the Caring Stars of 2023 in Senior Living.

Have questions about Caring.com’s reviews program? Please contact reviews@caring.com.

Need further assistance finding an in-home care provider? Please call: (800) 973-1540

Last Updated: May 23, 2025

Best In-Home Care Agencies By State

Click the states below to see which senior living communities earned the Caring Stars distinction in your state this year.

State

Alabama

Jefferson County    

Lee County    

Mobile County    

California

Alameda County    

Contra Costa County    

Fresno County    

  • Right at Home Fresno
  • Visiting Angels – Fresno, CA

Los Angeles County    

Marin County    

Monterey County    

Orange County    

Placer County    

Riverside County    

Sacramento County    

San Bernardino County    

San Diego County    

San Mateo County    

Santa Barbara County    

Santa Clara County    

Santa Cruz County    

Sonoma County    

District of Columbia

District Of Columbia County

Hawaii

Iowa

Polk County    

Kansas

Johnson County    

Louisiana

Maryland

Mississippi

Harrison County    

Jones County    

Lee County    

Nebraska

Lincoln County    

Madison County    

Sarpy County    

New Mexico

Bernalillo County    

North Dakota

Cass County    

South Carolina

Beaufort County    

Greenville County    

Lexington County    

York County    

South Dakota

Tennessee

Hamilton County    

Knox County    

Madison County    

Montgomery County    

Sullivan County    

Vermont

West Virginia

Berkeley County    

Wisconsin

Dane County    

Kenosha County    

Milwaukee County    

Outagamie County    

Sauk County    

Waukesha County    

Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

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