The 10 Best Home Care Agencies for Seniors in San Francisco County, CA for 2025

"Our caregiver Veronica is outstanding! She is hardworking, conscientious, and dedicated. We are very grateful to Arcadia and Veronica for their help! We give Veronica 10 stars!"

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 such as: grooming, bathing, toileting, dressing, walking, grocery shopping, meal preparation, light housekeeping, and laundry 24-hour on-call Registered Nurse Medication deliveries to patient's Free assessments by a RN Food grocery pickup On-going care management by a Registered Nurse at no extra charge

"My mother doesn't like anybody, but she seems to get along with the people from Home Instead Senior Care. They know what they're doing. There are some people who are better suited to handle her negative inclinations and gently get her to do what she needs to do. They're there all day cooking for her, doing her laundry, helping her get up and around, accompanying her when walking, doing general assistance like getting out of bed, and cleaning her up when she soils herself. It's been a month and a half. However, it is very pricey."

"I love the team. Happiness expertly coordinates caregivers WITHOUT A GAP - Making sure that you are stress free. The amazing caregivers including Cyprean, Debora Sonora Adra and Kevin, are always professional kind and wonderful to work with, The process is easy It is about the people and I will say, these people are WONDERFUL, Highly recommend this service"

Founded more than 25 years ago in Omaha, Nebraska, Home Instead provides individualized, compassionate care to aging adults with the goal of helping them live independently for as long as possible. The company has more than 1,200 locations worldwide and employs more than 100,000 Care Professionals. Its team is trained to provide attentive, professional care, including companionship, personal care, medication reminders, transportation, meal prep, and housekeeping assistance. Home Instead Care Pros who specialize in dementia care for seniors living with conditions such as Alzheimer’s or Parkinson’s disease. When a client’s condition begins to decline, Home Instead Care Pros can offer compassionate end-of-life support. Families working with Home Instead are consistently happy with this agency’s service. Many agree that the Care Pros provide pleasant, responsive care and go the extra mile to ensure that Clients feel safe, secure, and independent. What You Need to Know About Home Instead Founded in 1994 in Omaha, Nebraska More than 1,000 locations in over 10 countries around the world Offers in-home personal care, nursing care, dementia care and companionship for seniors Home Instead is known for its kind, well-trained Care Pros and individualized care plans Provides a la carte services including meal preparation and transportation who seniors who don’t require comprehensive in-home support Uses technology to keep clients connected with Care Pros and loved ones and to promote in-home safety What Home Care Services Does Home Instead Provide? Personal Care Services With a dedication to preserving the dignity and independence of clients, Home Instead’s Care Pros provide personal care services that include: Help with mobility, including standing, grooming, walking, and getting in and out of bed Medication reminders Assistance with activities of daily living (ADLs), including bathing, dressing, and toileting Grocery shopping and assistance with other errands Light to moderate housekeeping assistance, including laundry Transportation to and from appointments or visits with loved ones Regular companionship Personalized care plans are provided for every client. These plans include detailed information about the client’s condition and needs, as well as an outline of the services that are to be provided to the client. In some cases, personal care services may be combined with other services, including dementia or nursing care, depending on the clients’ health. Alzheimer’s and Dementia Care Home Instead employs experienced, trained Care Pros who are able to provide person- focused dementia care for seniors who are living with Alzheimer’s disease, Parkinson’s disease, or other forms of dementia. These Care Pros offer personal care services, along with the following: Assistance in establishing a stable daily routine Meal preparation Positive reinforcement Assistance with social skills Transportation to and from appointments, errands, and visits with loved ones Care Pros in this role take time to understand clients’ life histories and to focus on the person they were before dementia. Just as with the company’s personal care services, each dementia care client undergoes a comprehensive assessment and is assigned a care plan. This plan is reviewed regularly and adjusted to meet changing needs. Hospice Support When a senior is nearing the end of their life, hospice support can be there to ensure the comfort of them and their family members. Hospice support Care Pros can help with hygiene, medication administration, and basic housekeeping for seniors, as well as provide nutritious meals and supportive care for family members, enabling loved ones to spend as much time with seniors as possible as they approach their final days or hours. Meal Prep & Home Helper Home Instead offers basic housekeeping and meal preparation services for seniors who require a little extra help around the house. The company’s Meal Prep & Home Helper service can include assistance with tasks such as laundry, dusting, and vacuuming, as well as the preparation of nutritious meals that meet any dietary requirements set forth by clients’ healthcare providers. Transportation Home Instead provides safe transportation to and from clients’ destinations. Aging adults may use this service when they need help running errands such as grocery shopping or picking up a prescription, or when they’d simply like to spend the day shopping or visiting with friends. Transportation services from Home Instead can be arranged at predetermined drop-off and pick-up times, or Care Pros can accompany aging adults on errands and provide assistance and care throughout. Companionship Many aging adults face isolation and loneliness. This is especially true for those who’ve lost a spouse or who don’t have family close by. Home Instead Care Pros strive to build meaningful connections with clients. Companions visit seniors regularly on a schedule that works best for the client. These visits offer seniors a time to enjoy meaningful conversation while engaging in a game of cards, a puzzle, time outdoors, or other activities. What People Are Saying About Home Instead Clients and family members often speak highly of this agency’s dementia Care Pros and the attentive, compassionate care they provide to seniors. One family member provided a five- star review of the company, saying, “They have all been kind, caring, and attentive to my mom’s ever-changing needs that go along with her dementia. They have been with us and for us every step of the way. I would recommend them to anyone.” Other clients point to the meaningful relationships they’ve formed with Care Pros. One client said, “The lady who comes and helps me is wonderful. We get along really well and she is really nice. we also have a lot of fun together,” while another client’s family member provided a raving review of Home Instead, saying, “It was wonderful dealing with the staff. Charlene was extremely helpful and very accommodating to our needs and schedule. She worked very long and hard to make sure that everything was in order and everything would run very smoothly. She is still in contact with us and helping us in any way she can.” How Much Does Home Instead Charge for Home Care? Home care costs vary based on several factors, including the type of services required, how often one needs assistance, and the timing of the services (i.e., overnight vs. daytime care). Where you live also has a significant impact on the cost of home care, as national chains scale their local prices to the cost of living in a given area. When planning for home care costs, keep in mind that the national average cost is about $26 per hour, though prices in your location may be higher or lower. You can contact a Family Advisor to learn more about home care costs and payment options in your area. Who Should Consider Home Instead? Home Instead’s Care Pros are dedicated to preserving the dignity and independence of aging adults who need help managing daily tasks. This company is an excellent care option for those in need of services such as: Personal care: Seniors who need help with ADLs, including medication management, grooming, and mobility, can benefit from the help of Home Instead’s Care Pros. Dementia care: Home Instead Care Pros can provide specialized care for seniors who are living with Alzheimer’s disease or other forms of dementia. Care Pros have been specially trained to provide personal care and enhanced services that increase the quality of life for these seniors. Companionship: Care Pros are dedicated to helping seniors fend off loneliness by building meaningful, fun relationships through their companionship services. Hospice care: When seniors are nearing the end of their life, Home Instead’s Care Pros can provide support to ensure the comfort of seniors and their family members. How to Get Started with Home Instead Contact a Family Advisor for more information about Home Instead’s offerings in your area and to connect with a local home care provider. Our knowledgeable Family Advisors can provide one-on-one guidance to help you find the best home care service for your needs and budget, all at no cost to you. No matter where you are in the process of choosing a home care provider, a Family Advisor can help.

"We had the service of Right at Home, run by Dan B., from early February through the middle of May. The service, in my mind, was exemplary. It was absolutely phenomenal. Dan and all of his people, some were better than others, but all of them were very caring for my dad and his partner. They went above and beyond in terms of providing for my dad's need. They would stop and get certain groceries or things that he liked on their way to to stay with him. Surely we paid a dear price for the service, but we got phenomenal service from every one of them. There's Weng, Jhing, Cecille, Lee, Marissa, Teeane, and Teresita. If I missed anybody who was assigned to my dad who I did not name, it's only because of a lack of memory on my part. But they're all phenomenal, there's nobody I would have purposely excluded for any reason. They were all very kind and compassionate. My dad is a difficult person to put up with at 94 years old, and they were very kind to him. Also, Dan B. was very caring and and concerned. He would also stop by on occasion just to visit, just to see how things were going. He'd bring a cheesecake or a milkshake. At the end, I asked him to go ahead and put it on our bill, but he made all the arrangements to get Dad a mobile walker that he could sit down on and lock the wheels. And that was something my dad was seriously needing when he made his transition into the assisted living facility. Their communication was excellent, too. I would get telephone calls and emails and text messages advising me of Dad's state of mind, his condition, and his needs. Not just Dan, but each of of the caregivers as well; they very communicative. They also followed through. I've had no experience other than this with any kind of in-home caregivers. I had some some concerns, but I was put at ease very quickly by how they conducted themselves. Their paperwork was good, and I had no concerns about any aspect of their operation. I'm very quick to criticize if criticism is required or necessary, but I'm also quick to to praise when praise is worthy. And in this case, it definitely was."

"Colleen and her team were incredibly responsive to my mother's changing needs in a time, during COVID, when we really needed her help. The caregivers on the team were all caring and professional."

"I have used Home Instead for various family members over the past 20 years. I have also referred many friends to them. They are extremely understandable with what each individual may or may not need. And the folks that have provided the care have been for the most part, excellent. The current caregiver my aunt has, has been with us 8 years and she is wonderful. Don't know what we'd do without her."

"Thrive Home Care's dedication to fostering a positive and stimulating environment was truly remarkable. They encouraged my mother to engage in various activities and hobbies that she enjoyed, ensuring that her emotional and mental well-being were prioritized alongside her physical health. This holistic approach demonstrated their commitment to enhancing her overall quality of life."

"We are working with Home Instead. They are great and they were able to meet our needs and find us a home care provider which works for both parents. It is more so for my mom but also for my father. It worked out great. When there was a change in the schedule with the caretaker, they immediately stepped in and were able to provide someone else for us immediately. Two weeks ago we needed 4 days of care and that same caretaker is able to step in and give us four days. It is hugely beneficial due to the fact that my mother is dealing with dementia, so having only one person makes life a whole lot simpler. Our needs are immediately responded to. With my mom, they are helping her get dressed, and for my dad, they are helping him prepare morning meals, with light housekeeping and with some laundry. It is part-time, 4 days a week, which has been great."

"From the moment we called to the last day, was nothing but exceptional. They made a perfect fit for my father with the caregivers. They were professional and made a quick connection with our father. The agency was very responsive to every need. Can't say enough. I would use them again, if we have a chance."

"Kindred at Home has been a great addition to the caregiving team for my dad. It took a few tries, but Will and Charles took the time to find the perfect fit for us and our needs. Now they are part of the family and helped celebrate my dad's 99th birthday! We are very thankful for the great service they provide."