What Home Care Agencies are Charging for Services in Marin and Sonoma Counties

While most would prefer a family member or someone they know take care of them, this may not always be the best thing. While promises are made, commitments can be difficult to keep. If caregiving is absolutely necessary, many find that hiring outside assistance with a regular schedule is the most reliable solution. That way, family members can remain as family, and others can be counted on to do the work.

There are many choices in hiring help at home. Many will hire privately, that is, pay out-of-pocket for help on an “as-needed” basis. There are many different ways to find caregivers. Some senior centers maintain lists, there are other sources from discharge planners, physicians offices and hospice agencies. Remember, too, that if you hire privately, you work out the hours, rate of pay, etc….and, you’re also an employer and must abide by IRS rulings for tax purposes.

Here’s a brief rundown on the types of agencies in Sonoma and Marin Counties.


These agencies provides services that are 100% covered by Medicare and Medi-Cal. The service must be ordered by a physician. However, clients still have a personal choice of any agency. There are certain requirements for care, for one, you must be homebound and in need of skilled care. This would translate to a nurse or physical, occupational or speech therapy. This is also a time and visit limited service. Some aide service can be available, if there’s a skilled need. This is a service NOT covered by long term care insurance. Born To Age does not list the prices these agencies charge because the costs are directly reimbursed by Medicare. Client is not billed for services.

Healthy Living at Home

1320 Willow Pass Rd. Ste 715
Concord, CA 94520
Michelle Kahler

Kindred at Home

185 N. Redwood Dr., Ste. 150
San Rafael, CA 94903
Santa Rosa Office:
1260 N. Dutton, Ste 100
Santa Rosa, CA

Sutter Care at Home
1110 North Dutton Avenue,
Santa Rosa, CA
(707) 535-5600


These agencies can provide both skilled and non-skilled medical care. The services might be covered by long term care, or other insurances, and private pay. The agency is the employer. Caregivers are hired, screened and paid for by the agency. If the caregiver is ill or unable to work, a substitute caregiver is available. The agency pays payroll taxes, worker’s compensation and maintains liability coverage. The agency also determines what the caregiver can and can’t do. There is over a minimum number of hours for service. Care provided by these agencies can include: skilled care, personal care, transportation/errands, meal preparation, medication reminders, light housekeeping, laundry, etc. Shifts can be hourly, live-in or sleepover.

Advocacy Home Nursing
Fox and Associates,
Home Health – Sonoma / Marin Counties
339 College Ave.
Santa Rosa, CA

Advocacy Home Nursing DBA Fox and Associates Home Health is a medical home care agency that also provides non-medical services which includes personal care assistance. Licensed by the State of California to provide services similar to those offered in hospitals and clinics while in the comfort of your own home. Our Personal Care Attendants, Certified Nursing Assistance, and Home Health Aides are supervised by state licensed nurses who also provide the skilled care to help keep you in your home or place of residence. We have been successful in decreasing return visits to the hospital and doctors office. All staff receives screening by the Department of Justice, pass personal background checks, health care screening and regular in-service education. Fox staff also provides unannounced supervisory visits to assure that services are provided according to the care plan developed at start of care. Covered by the state required insurance including Workers Compensation and are a member of California Association for Health Services at Home. After the free initial consultation, the needs are evaluated for the appropriateness of care and we can then provide palliative care, wound care, IV Therapy, blood draws, geriatric nurse care management, and more, in the safety of your home or residence. At no additional charge, all patients/clients receive 24/7 on-call nursing coverage. Partners with all hospice organizations and non-medical home care to provide the highest level of care and provide peace of mind. Nursing services begin at $130 and care giving services begin at $24/hour to $40/hour.

At Home Caregivers Of the North Bay
7665 Redwood Blvd. #200
Novato, CA 94945

891 Second St.
Santa Rosa, CA
707-575-HOME (4663)

At Home Caregivers is a locally owned and operated, full service, employee model agency that pays all taxes, insurance and worker’s compensation insurance for caregivers. Rates range from $24-$28 an hour depending on the needs of the client. “Live-in” 24-hour care ranges from $16.50-$18.50 an hour. Transporation is $26 an hour (using your car, otherwise add $.75/mile). Caregivers are triple-screened, experienced, insured, bonded and supervised. Discounts given. Now licensed by the State of California.

At Home Nursing
1378 A Corporate Center Parkway
Santa Rosa, Ca. 95407
(707) 546-8773

At Home Nursing provides Home Care Aides (HCA’s), Licensed shift care, Skilled Nursing Visits & Nurse Case Management. In business since 1998, the Agency is locally nurse owned & managed. Certified by CAHSAH (California Association for Health Services at Home) for Home Care Aide services & State licensed as a Home Health Agency, we provide Skilled Nursing Services, fill Medi-Sets & provide Geriatric Case Management services. Staff are employees, bonded, insured, background checked, reference checked, finger printed & tested. Agency matches personalities and skill level needs of clients to caregivers. Free in-home assessment by a Nurse. Nurse Care Manager provides ongoing supervision of the caregivers. 24- hour Nurse Manager On Call for management and support of all cases and caregivers. Rates start at $26.00 per hour. Also provide 12 hour shifts & Live-Ins. No minimum hours for care. Private duty sitter (one on one) services also provided in facilities for peace of mind. The Agency works with MSSP, Linkages, IHSS, Redwood Caregivers, APS, the VA, Council On Aging & various Hospices. We are also contracted with numerous private insurances & are able to bill Long Term Care Insurances because we are a licensed Agency.

At Your Service Home Care

1221 Farmers Lane, Suite A
Santa Rosa, CA 95405

At Your Service Home Care is a locally owned home care agency. Staff design a care plan based on needs. Healthy brain program is designed to ease the apprehension associated with Alzheimer’s and dementia. Offer fully trained personal care attendants who are background checked, insured, and bonded.. Owner Lucy Andrews RN, Doctoral student has designed a healthy brain program for every stage of aging in lifestyle and care needs. Lucy is a board member of both state and national home health associations and helps set policy for the industry working to ensure there are services which are affordable and accessible to all. Rates are from $24- 30/hour for para-professional services and may vary depending on need and location. Will contract with the Veterans Administration and most LTC insurance companies. Offers nursing service.

First Light Home Care
Marin County:
4340 Redwood Highway
Suite F-130
San Rafael, CA 94903
Phone 415 521 5860
Fax 415 521 5863
Sonoma County:
3585 Round Barn Boulevard
Suite FHLC – 1
Santa Rosa, CA 95403
Phone 707 501 9830

First Light Home Care is a locally owned and operated full service company that employs and certifies all caregivers. Caregivers are thoroughly screened, selected, trained, insured, and bonded. Caregivers are Alzheimer’s and Dementia trained. Caregivers participate in on-going training and have at least two years of solid professional experience. They have been background checked, drug screened, have a verified and clean DMV record with up to date auto insurance. All have the right to work in the USA. Caregivers are available on an hourly, live-in or overnight schedule basis. Free of charge case management needs assessment and home safety evaluation. Pays all workers’ compensation, liability insurance and payroll taxes. Hourly care rates range from $24-$28 per hour. Live-in 24-hour shift costs are $550 per day. RN services available to support all its clients, families and caregivers. Reasonable discounts for long term care cases. Transportation to and from doctor’s appointments, shopping or running errands $28 per hour, 4 hour minimum. (.58 per mile, first 10 miles free). Works with Veterans to help them receive their aid and attendance benefits. Offers services to seniors, mothers to be, persons with intellectual and physical disabilities and to everyone needing personal care, companion care, respite care, dementia care, rehabilitative care and travel companion services. FREE ONLINE FAMILY LEARNING CENTER for the health and well-being of a loved one, online at flc. ipced.com/FirstLightNorCal today! For a free home care assessment call 415- 521-5860 or 707-501-9830.

Hired Hands Home Care
10 Commercial Blvd., Suite 102
Novato, CA 94949

2901 Cleveland Ave., Suite 203
Santa Rosa, CA 95403

Hired Hands Homecare is a family owned and operated, full service homecare company, providing a wide range of caregiving services for over 20 years. All Caregivers are our employees, and are thoroughly screened, insured, and bonded. Caregivers available on a flexible hourly, overnight, and live-in basis. Hourly care starts @ $27.00 per hour, and 24 hour care starts at $535.50 per 24-hour shift. Serving the entire North Bay, with offices in Marin, Sonoma, & Napa counties. Complimentary case management, needs assessment, and home safety evaluation provided at no cost. Members of the National Private Duty Association (NPDA), the California Association for Health Services at Home (CAHSAH) and the Better Business Bureau (BBB).

Home Instead Senior Care
6050 Commerce Blvd., Suite 107
Rohnert Park, CA 94928

Home Instead Senior Care is family owned and provides senior homecare services, companionship, help with groceries and errands, household chores and medication reminders. Specialize in Alzheimer’s, dementia care and hospice care. Services can be for a few hours a week or 24-hour home care starting at $27.80/hr – $75 for 2 hour minimum shift only. Caregivers are thoroughly screened (criminal background checked through Department of Justice (DOJ) and the FBI Live Scan Fingerprinting), extensively trained, insured and bonded, and matched.

Home Well Senior Care
77 Mark Dr., Suite 33
San Rafael, CA 94903

HomeWell Senior Care provides quality and compassionate hourly or live-in care for seniors and others looking for care at home. HomeWell Personal Assistants are comprehensively screened, including multiple reference checks, criminal and driving records checks, have at least 1,000 hours of professional caregiving experience. (All payroll and insurance matters.) Hourly rate range is $24.95- 29.95.Daily live-in rates $325-369 NO MINIMUMS! Caregivers are Alzheimer’s and Dementia trained, and many are CNAs and HomeHealth Aides. Bonded and insured Free consultations, assessments, comprehensive care plans and supervisor visits.

Interim Healthcare of Santa Rosa
2200 Range Ave., #102
Santa Rosa, CA 95403

Since 1966, Interim HealthCare has been providing services to seniors to keep them safe and comfortable in their homes. We believe in continuity of care for our clients and do our best to match our caregivers’ strengths with the clients’ needs. We can accommodate three-hour visits to 12-hour shifts and do not charge clients overtime. Rates start at $24.50 an hour. Our home care aides are state-registered, licensed, bonded and insured, and they are our employees. We accept long-term care insurance and are contracted with the Veterans’ Administration, and work with local agencies, such as the Redwood Caregiver Resource Center and the Council on Aging. Please call for a complimentary visit. (707) 200-2260.

Precious Home Companion

1280 Boulevard Way, Suite 104
Walnut Creek, Ca 94595
925-939-0197 or 800-321-6655

Serving Contra Costa, Alameda, Marin, Napa, Solano, Sacramento Counties. A member of Better Business Bureau, and 2008-2009 Gilbert Guide approved agency. Since 1990, Precious Home Companion is a full-service home care agency. All caregivers are payrolled, insured, bonded,with Worker’s Compensation and criminally background checked. Services include personal care, including assistance in bathing, grooming, dressing, exercise and homemaking services such s light housekeeping, meal preparation and errand services. Medication management, pre/post surgery services, memory care, hospice care and companionship. Rates start at $20/hour for Live-Out Program; Live-In Program starts at $200/day, and Sleepover starts at $150/night. Free assessment. 24-hour client phone support.

Kindred at Home
185 N. Redwood Drive, Suite 150
San Rafael, CA 94903
Fax: 415-492-8401

Santa Rosa Office:
1260 N. Dutton, Ste 10
Santa Rosa, CA

Kindred at Home is a full service home health agency, offering both medical and non-medical home care to Bay Area families for over 20 years. Services range from skilled nursing and rehabilitative therapy to private duty personal care and household assistance, with non-medical rates starting at $26-$28 an hour. The company is CHAP accredited and Medicare-certified, and all employees are highly trained, screened, bonded, and insured. Clinicians are licensed, and professional case managers coordinate care with physicians and other healthcare providers. Services include nursing care, physical and occupational therapy, extended care, home health aides, medication management, and the full range of personal care assistance, transportation and companionship.

Right at Home – Sonoma County
The Surgery / Medical Center
1111 Sonoma Ave. Ste. 324
Santa Rosa, CA 95405

Locally owned and operated, we are a full service agency certified by the state. Three Registered Nurses on staff to ensure needs are being managed. All professionally trained Caregivers are also State certified, meet all the state training requirements and are background checked through the FBI and DOJ. Handle all employee taxes, workers compensation and liability insurance. Specialize in Dementia and are approved by the Alzheimer’s association essentiALZ program, help with Parkinson Care, provide transitional care from the hospital and rehab centers, and work with Hospice to provide end of life support. Each case is managed by nurses and are available 24/7. Services are tailored. Companion care rates start at $26/hr. Personal Care at $28/hr. Provide 12-hour Overnight care at $245 and 24-hour rates start at $525. 2 hour visit rates are also available. Caregivers can transport.

Senior Resources @ Home
1425 N. McDowell Blvd.
Petaluma, CA 94952
Website: www.jtm-esc.org
Contact: (707) 539-9000
Marin County: (415) 583-4789

Senior Resources @ Home is a nonprofit home care program providing Certified Nursing Assistants, Home Health Aides and Professional Caregivers. Handles all employee taxes, workers compensation insurance, and liability insurance. Employees are criminal background checked through the FBI and DOJ and also pass a pre-employment physical. Offers specialized Care Teams with expertise in: Dementia and Alzheimer’s Care, Transitioning to home after discharge from the hospital or skilled nursing facility, Parkinson’s Care, and End of life support. Hourly Rate: $25.00/ hr with a 4 hour minimum. Free home care assessment.

Seniors At Home
600 Fifth Avenue
San Rafael, CA 94901

Seniors At Home
1360 N. Dutton, Suite C
Santa Rosa, CA 95401

Seniors At Home offers a comprehensive range of services to help seniors live at home. Caregivers are available 2 to 24 hours a day to assist with personal care, homemaking, and companionship. Caregivers are bonded and insured, and background screenings are performed. $28-$30 per hour with a 4-hour minimum, and $410 per live-in shift. Skilled nursing visits are $160. With one call, clients have access to all services, including Care Management, Palliative and End-of-Life Care, Counseling, Money Management, Spiritual Care, Volunteer Services, JFCS Rides, Transportation Services, and more.

Sequoia Senior Solutions
1372 McDowell Blvd, Suite S
Petaluma, CA 94954

A private duty, non-medical home care agency. Provides in-home care at $26/ hr, 4 hour minimum. Evening rate, $29/ hr from 8 p.m. to 8 a.m., min. 8 hr shift. Sleepover rate, $22/hr, 12-hour shift and Live in care, $15.50/hr, $372 for a 24-hr shift. In-home free assessments and safety checks. Accepts checks, cash, major credit cards and insurance. Employees are bonded, insured, drug tested, and criminal background checked. All are monitored and supervised. Transportation at IRS rate if caregiver’s car is used.

Sutter Care At Home (Marin Office)
100 Rowland Way
Suite 215
Novato, CA

Sutter Care At Home is a not-for-profit organization providing home health, hospice, medical equipment, and private duty care. An employee-based, fullservice agency, all staff work for Sutter Care At Home. Home care aides have two years or more experience. Home Aides also receive ongoing training and are supervised by nurse or social worker care manager. Home care aide services include: personal care (such as assistance with dressing and bathing), light housekeeping, meal preparation, transportation to appointments and other errands. These services are $26 an hour, with a four-hour daily minimum and 12-hour per week minimum. $31 an hour for less than 4 hours. Can provide hourly awake shifts 24 hours a day. Livein care is also available. All employees are screened, including professional reference verifications, criminal background checks, a driving history, a Social Security trace, and drug testing. Care management services are available at $125 an hour. Sutter Care at Home is a member of the National Private Duty Association (NPDA), which is the nation’s reliable resource for providers of private duty home care. Can assist with longterm care insurance claims and the Aid & Attendance benefit from the Veteran’s Administration. Call today for a free telephone consultation.

Visiting Angels
1120 Montgomery Drive
Santa Rosa, CA 95405
(707) 528-0222 PH
(707) 528-2388 FX

Visiting Angels provides personalized non-medical services, and only hires professionally experienced caregivers. Fully licensed bonded and insured agency. Caregivers are thoroughly background checked and drug screened. Agency conducts caregiver ongoing training, supervisory visits and regular client check-ins. Available 24/7. Free in-home assessments and safety checks. No Minimum. 2016 rates: 24-hour $495/ day. Overnight (sleep) $22/hr. 24-hour Hospice $595/day, Hourly 4-12 hours, $26 per hour. 2-hour Bath visit $75. 3-hour “Angel Visit” $84.


These agencies provide nonmedical caregivers/companions to help with personal care, transportation, meals, baths, light housekeeping, etc. They provide many of the same services as private duty home care agencies, however, the caregiver’s are not employees of the agency. The agency finds and screens the caregiver. The client has the option of interviewing or letting the agency match the appropriate caregiver. The agency assists in negotiating the rate between the client and caregiver, including agency fee. Caregiver earnings are reported to the IRS. Substitute caregivers are available.

Marin Center for Independent Living
710 4th St.
San Rafael, CA 94935

Provides a list of experienced, screened home health aides.