Listed by Caring.com in its 2022 Senior Living Report, San Francisco, California, is both an ultramodern city and one with significant historical heritage. Gold Rush architecture and the city’s classic trolley car system coexist with state-of-the-art medical facilities such as UCSF Medical Center, a research and teaching hospital that has been recognized as one of the best hospitals in the country.

To help them to be able to remain in their homes and live happily and comfortably, San Francisco residents can hire home care services for help with activities of daily living, such as housekeeping, light meal preparation, personal care and errands. Home health care is also available and entails medical services that licensed professionals can provide in a senior’s own home, such as certain types of physical and occupational therapy. The average monthly cost of home care in San Francisco is $6,864, according to the 2021 Genworth Cost of Care Survey — but prices vary depending on the rates charged by individual providers and how many hours per week the senior needs the service.

Below we’ve compiled a comprehensive directory of every home care provider in San Francisco– complete with services offered and reviews from families who’ve actually used the service. In addition to our in-depth provider listings, we’ve compiled resources to help seniors and their families to access all the tools they need to age in place safely and gracefully.

Directory of Home Care Services in San Francisco, CA

2019, 2020, 2021, 2022, 2023

Gentiva Personal Care – Daly City

355 Gellert Blvd., Suite 110, Daly City, CA, 94015

Gentiva Personal Care, formerly Kindred at Home, provides personal home care assistance to families in California, Arizona and Texas. We assist people who struggle with prolonged illness, recovery fro … (read more)
Gentiva Personal Care, formerly Kindred at Home, provides personal home care assistance to families in California, Arizona and Texas. We assist people who struggle with prolonged illness, recovery fro … (read more)
Get Pricing See Details
2019, 2020, 2021, 2022, 2023

2017, 2018, 2019, 2021

Family Matters In-Home Care

2155 S. Bascom Ave. Suite 116, Campbell, CA, 95008

Carol from Family Matters helped my mother and family through a really rough time. She organized expert, loving care from her professional caregivers. She made sure my mom had 24/7 care after a fall … (read more)
Carol from Family Matters helped my mother and family through a really rough time. She organized expert, loving care from her professional caregivers. She made sure my mom had 24/7 care after a fall … (read more)
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2017, 2018, 2019, 2021

2021, 2022, 2023

Right at Home Burlingame, CA

433 Airport Blvd., Suite 109, Burlingame, CA, 94010

We trust the person that comes in. We have more freedom to come and go. They have incredible staff, they are very personable, and they are trustworthy.
We trust the person that comes in. We have more freedom to come and go. They have incredible staff, they are very personable, and they are trustworthy.
Get Pricing See Details
2021, 2022, 2023

2022, 2023

Care Plus Provider LLC

7567 Amador Valley Blvd., Suite 203, Dublin, CA, 94568

My Mother, who has two auto immune diseases that have left her very disabled, was given two remarkable women as care takers by Care Plus Providers. They are both very capable and sympathetic personali … (read more)
My Mother, who has two auto immune diseases that have left her very disabled, was given two remarkable women as care takers by Care Plus Providers. They are both very capable and sympathetic personali … (read more)

Best Home Care, Inc

26236 Industrial Blvd, Hayward, CA, 94545

While I was out-of-state on a long planned vacation my mother experienced some life changing situation requiring around the clock home care. I contacted Best Home Care and I was very pleased with the … (read more)
While I was out-of-state on a long planned vacation my mother experienced some life changing situation requiring around the clock home care. I contacted Best Home Care and I was very pleased with the … (read more)

Senior Helpers of San Francisco and the Peninsula

36 42nd Avenue, San Mateo, CA, 94403

I chose Senior Helpers of San Francisco and the Peninsula for my husband and they’re really good. I am very pleased. The communication is excellent and the caregivers are very good. The scheduling was … (read more)
I chose Senior Helpers of San Francisco and the Peninsula for my husband and they’re really good. I am very pleased. The communication is excellent and the caregivers are very good. The scheduling was … (read more)

ameriCARE San Francisco

120 Divisadero Street, San Francisco, CA, 94117

ameriCARE San Francisco is a family-owned and operated home care agency serving all the San Francisco Bay Area. <p></p> We are a new kind of in-home care. We believe it’s time the senior home car … (read more)
ameriCARE San Francisco is a family-owned and operated home care agency serving all the San Francisco Bay Area. <p></p> We are a new kind of in-home care. We believe it’s time the senior home car … (read more)

Care Indeed

890 Santa Cruz Ave, Menlo Park, CA, 94025

Care Indeed was wonderful. They were quick, we got sent the right people, and it was a great experience. We used them for 2 weeks. They helped my friend in bathing, they came every day, and everything … (read more)
Care Indeed was wonderful. They were quick, we got sent the right people, and it was a great experience. We used them for 2 weeks. They helped my friend in bathing, they came every day, and everything … (read more)

Homecare Professionals -Daly City, CA

295 89th Street Suite 107, Daly City, CA, 94105

We have been using their home care services for over 2 years in the care of my wife. Two shifts of 3 hours in the morning to get her cleaned up, dressed , and fed along with some exercises . Then th … (read more)
We have been using their home care services for over 2 years in the care of my wife. Two shifts of 3 hours in the morning to get her cleaned up, dressed , and fed along with some exercises . Then th … (read more)

Little Bit of Help

136 Park St , San Rafael, CA, 94901

Little Bit of Help provides just the help you need, when you need it. We are the Bay Area’s custom-fit elder care provider. Our experienced team delivers personalized support to maximize independenc … (read more)
Little Bit of Help provides just the help you need, when you need it. We are the Bay Area’s custom-fit elder care provider. Our experienced team delivers personalized support to maximize independenc … (read more)

Home Instead – San Mateo, CA

2207 S El Camino Real, San Mateo, CA, 94403

My interactions with the caregivers is vey good. The provide relieve care for me to aid with bed bath, bed cleaning and removal of soiled items, transfer to wheelchair and feeding. They have in the p … (read more)
My interactions with the caregivers is vey good. The provide relieve care for me to aid with bed bath, bed cleaning and removal of soiled items, transfer to wheelchair and feeding. They have in the p … (read more)

Home Instead – San Francisco, CA

1 Daniel Burnham Ct, Suite 307C, San Francisco, CA, 94109

Wonderful caregivers, excellent communication, great service!
Wonderful caregivers, excellent communication, great service!

Supple Senior Care LLC

808 Burlway Road, Suite 3, Burlingame, CA, 94010


Home Instead Senior Care – San Bruno, CA

715 El Camino Real, Suite 205, San Bruno, CA, 94066


Health Professionals, Inc.

7216 Mission Street, Daly City, CA, 94014

Health Professionals, Inc. is committed to providing the most compassionate home care. We provide assistance for clients that need care while remaining in the comfort of their home. Our services will … (read more)
Health Professionals, Inc. is committed to providing the most compassionate home care. We provide assistance for clients that need care while remaining in the comfort of their home. Our services will … (read more)

Medical Care Professionals

363 El Camino Real # 215, South San Francisco, CA, 94080

Specialized care for clients with Alzheimer’s, dementia, and diabetes Hospice care, pain control and management care Transportation for doctor’s appointments, and traveling escort Daily activities … (read more)
Specialized care for clients with Alzheimer’s, dementia, and diabetes Hospice care, pain control and management care Transportation for doctor’s appointments, and traveling escort Daily activities … (read more)

TheKey – Bay Area North

21 Tamal Vista Blvd, Suite 130, Corte Madera, CA, 94925


TheKey – The Peninsula

480 S. California Ave., Ste. 100, Palo Alto, CA, 94306


Herewith Inc. San Francisco, CA

225 Bush Street , San Francisco, CA, 94104

Herewith believes in compassionate support from real people. For our loved ones and for the care professionals that show up for us, day after day. We are proud to have designed a simple, yet powerfu … (read more)
Herewith believes in compassionate support from real people. For our loved ones and for the care professionals that show up for us, day after day. We are proud to have designed a simple, yet powerfu … (read more)

Care America Homecare Services – San Francisco, CA

611 Gateway Blvd. , San Francisco, CA, 94080

Care America Homecare was founded by families who were inspired by the lack of qualified and experienced caregivers for their father during his last days. Their personal experience drove them to estab … (read more)
Care America Homecare was founded by families who were inspired by the lack of qualified and experienced caregivers for their father during his last days. Their personal experience drove them to estab … (read more)

Paying for Home Care in San Francisco, CA

The Cost of Home Care in San Francisco, CA

The average cost of home care in San Francisco is a couple of hundred dollars more than the statewide average of $6,101 and significantly higher than the national average of $4,957. Those in the nearby city of San Jose pay the highest home care costs in California, while Imperial Valley residents in El Centro pay the least. At the northern end of California near the Oregon border, Redding residents pay an average of $6,673 for senior care. Home care costs an average of $5,529 for those in Fresno in the Central Valley.

$6864

San Francisco

$6101

California

$4957

The United States

$7102

San Jose

$3432

El Centro

$6673

Redding

$5529

Fresno

The Cost of Home Care vs. Other Senior Care Options in San Francisco, CA

Adult day care is the least expensive option in San Francisco, but this isn’t for everyone because adult day care programs typically only operate during daytime hours on weekdays. Seniors who need a clinical level of care typically opt for nursing homes, which is more expensive than other types of care. Costs are lower for those in assisted living facilities but rise to $7,150 for home health care, which differs from home care in that it provides home-based medical services, such as physical therapy and wound care. 

$6864

Home Care

$7150

Home Health Care

$1950

Adult Day Health Care

$6319

Assisted Living

$11566

Nursing Home Care (semiprivate room)

Financial Assistance for Home Care in San Francisco, CA

Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.

  • Long-Term Care Insurance: Long-term care insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
  • Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
  • Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
  • Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living. Contact the Department of Veterans Affairs to learn more.
  • Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.

San Francisco Home Care Resources 

Home care services are only one of the pieces needed for seniors to gracefully age in place. There are many services and programs that are low-cost or free, that enable seniors to enjoy an independent lifestyle in the comfort of their own home, such as help with home modifications, meal delivery services, and more. Below, we’ve compiled a few of the most helpful resources in San Francisco:

Meals on Wheels San Francisco

Address: 137 FairFax Ave, San Francisco, CA 94124
Phone Number: (415) 920-1111

Volunteers in the area help senior clients maintain a safe and healthy lifestyle by delivering nutritious meals, including breakfast, lunch and dinner options that can be modified to fit each client’s specific needs. Delivered daily, on weekdays, or twice a week, meals can arrive hot, refrigerated, or frozen depending on the client’s capabilities. The agency also provides volunteer shoppers who can buy groceries and small household items, along with helpful volunteers who can stop by just to change a light bulb, make small furniture repairs and other small projects.

San Francisco Human Services Department of Disability and Aging Services

Address: 2 Gough St, San Francisco, CA 94103
Phone Number: (415) 355-6700

Often referred to as the DAS Benefits and Resources Hub, the agency connects seniors, veterans and individuals with disabilities with a variety of resources, like in-home supportive services, food pantries and LGBT programs. Adult protective services are also available. Applications are accepted online. Representatives can be reached at the provided number and speak the following languages: Spanish, Cantonese, Mandarin, Vietnamese, Japanese and Tagalog. 

Bay Area Legal Aid

Address: 1800 Market Street 3rd Floor, San Francisco, CA 94102
Phone Number: (415) 982-1300

The nonprofit represents clients from a variety of different cultural and social-economic backgrounds in areas of finance, housing preservation and helping individuals apply for the government support they are entitled to. Attorneys can also assist with appealing unlawful terminations of financial aid or wrongful denials for benefits. The agency also has experience handling medical issues, as well as assisting clients with obtaining in-home support services and SSI benefits.  

San Francisco Community Assistance Program

Address: 525 Golden Gate Avenue (at Polk St.), San Francisco, CA 94102
Phone Number: (415) 551-3000

Not only does this agency help senior and low-income residents in San Francisco provide assistance with paying water bills, but they also offer free replacements of old, in-efficient water fixtures. Once approved, customers receive a free evaluation of their home and receive discounts for up to 35% on sewer bills and 15% on water bills. The program can replace faucets, showerheads and toilets, in addition to fixing expensive plumbing issues.

Self-Help for the Elderly

Address: 731 Sansome Street, Suite 100, San Francisco, CA 94111
Phone Number: (415) 677-7600

Serving over 40,000 seniors in Chinatown each year, the non-profit offers a wide variety of senior care services, both in and out of the home, along with resources to help seniors and their caregivers. The organization also provides HICAP services to help seniors better understand their health insurance options and rights.

Determining Your Loved One’s Need for In-Home Care

Aging can be a difficult process, and loved ones may not always ask for help – often times it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.

Checklist for determining the need for in-home care


Guidelines for Talking About In-Home Care

If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.

Talking with Family and Others about a loved one's needs