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
Michelle Kahler

Professional Health Care At Home
185 N. Redwood Dr., Ste. 150
San Rafael, CA 94903

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

Sutter Care at Home
100 Rowland Way, Suite 215
Novato, CA 94945
(415) 209-7700

Healing at Home
A Service of Sonoma Valley Hospital
1151 Broadway, Suite 101
Sonoma, CA 95476


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.

Acclaim Professional Healthcare
4340 Redwood Hwy, Suite A14
San Rafael, CA 94903

Acclaim Professional is celebrating 13 years of service. Complimentary evaluations prior to starting service, LVN’s and R.N.s on staff to oversee healthcare needs. Caregivers are bonded, insured, covered by Worker’s Compensation. Criminal background checks, fingerprinting/live scan, TB and physical clearance. Must pass a skills test. Provides assistance with daily activities, meals, light housekeeping, personal care, exercise, medication reminders/. Provide respite services, palliative care, companionship and sitter services. Provide 2-12 hours of care with no overtime. Live in care starts at $280 a day, depending on level of care needed. Fees start at $55 for two hour minimum, to a range of $22-26 per hour. also depending on level of care. Coordinate with long term care insurances.

Alegre Home Care
Sonoma County:
101 Brookwood Ave. Suite 205
Santa Rosa CA 95404
(707) 703-1195

Marin County:
4340 Redwood Highway, Suite F123
San Rafael, CA 94903
(415) 578-7471

Locally owned, serving seniors and the disabled for over 20 years. A full service agency that employs trained and supervised caregivers. One-hour to 24-hour care or Live-In care services. Rates starting at $335/day for live-in and $28/hr. for hourly care. All employees are bonded, insured and employed by the agency. Complimentary consultation.

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

1405 Marina Place
Rohnert Park, CA

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 needs of client. “Live-in” 24-hour care ranges from $14.50-$16.50 an hour. Transportation $25 an hour ( using your car otherwise, add $.75/mi), with a three hour minimum. Caregivers are triple-screened experienced, insured, bonded and supervised. Discounts given in long-term cases. Free assessments, care plans, home safety inspections and monthly quality assurance evaluations! Tell us you found us in Born to Age and receive a free client book!

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

At Home Nursing provides Personal Care Attendants (PCA’s), licensed shift care, skilled nursing visits & Nurse Case Management. In business since 1998. Locally nurse owned and managed. Certified by CAHSAH (California Association for Health Services at Home) for PCA services, State licensed Home Health Agency providing skilled nursing services, filling Medi-Sets & providing Geriatric Case Management services. Staff are employees, bonded, insured, background checked, reference checked & tested. Agency matches personalities and skill level need of clients to caregivers. Free in-home assessment by a nurse. Nurse Care manager maintains the client & supervises the caregivers on an ongoing basis. 24-hour Nurse Manager On Call for management and support of all cases and caregivers. Rates start at $24.95 per hour. Also provide Sleep Shifts, 12 hour shifts (at no overtime) & 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 & the various Hospices. It is also contracted with numerous private insurances.

First Light Home Care
4340 Redwood Highway
Suite F-130
San Rafael, CA 94903
Phone 415 521 5860
Fax 415 521 5863

First Light Home Care is a locally owned and operated full service company. Caregivers are thoroughly screened, selected, trained, insured, and bonded. Caregivers are Alzheimer’s and Dementia trained. All caregivers participate in on-going training and have at least two years of 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 U.S. Caregivers are available on an hourly, live-in or overnight schedule basis. Free case management needs assessment and home safety evaluation. Workers’ Compensation, Liability Insurance and Payroll Taxes paid. Hourly care rates range from $24-$27 per hour. Livein 24-hour shift $325-$375. On staff RN services available. Discounts for long term care cases. Rides to M.D. appointments, shopping or running errands available at $24/hr, 3 hour minimum. (.56 per mile, first 10 miles free). Works with veterans to help with aid and attendance reimbursements. Services to seniors, mothers to be, persons with intellectual and physical disabilities and to everyone who needs personal care, companion care, respite care, dementia care, rehabilitative care and travel companion services.

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 @ $26.00 per hour, and 24 hour care starts at $350. 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 $26.50/hr with a 2 hour minimum. 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.

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 as light housekeeping, meal preparation and errand services. Medication management, pre/post surgery services, memory care, hospice care and companionship. Rates start at $18/hour for Live-Out Program; Live-In Program starts at $180/day, and Sleepover starts at $150/night. Free assessment. 24 hour client phone support.

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

Professional Healthcare 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 $24 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, full service, employee model agency and have 2 RN case managers. Pays all state and federal taxes, professional liability insurance, and Workers’ Comp. All caregivers are bonded, drug tested, criminal background checked, reference checked and must pass a competency test. Caregivers are monitored and supervised with Nurse Manager on-call 24/7. Companion care rates start at $24/ hr. Personal Care rates start at $26/ hr. Overnights rates start at $240 and 24 hour rates start at $575. One-hour and 2-hour rates are also available. Caregivers are approved to transport when needed.

Senior Resources @ Home
6637 Oakmont Drive, Suite B
Santa Rosa, CA 95409
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 2 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 safer, healthier, more independent lives in their own homes. 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. Home care rates are $60 for two-hour express care, $24-46 for hourly care (4-24 hours/day), and $320 per live-in shift. Skilled nursing visits are $150. 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 $25 an hour, with a four-hour daily minimum and 12-hour per week minimum. Can provide hourly awake shifts 24 hours a day. Livein care is also available for $285 a day. 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 long-term 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 bonded and insured agency, directed by a Licensed Clinical Social Worker, and Case Managed by a Licensed Vocational Nurse. Caregivers are thoroughly background checked and drug screened. Agency conducts caregiver supervisory visits and regular client check-ins. Available 24/7. Free in-home assessments and safety checks. No Minimum. 2015 rates: Live in/24-hour $384/day. Overnight (sleep) $22/hr. Hourly 4-12 hours, $26 per hour. 2-hour Bath visit $75. 3-hour “Angel Visit” $84.


These agencies provide non-medical 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.

Americare (Sonoma)
1517 Farmer’s Lane
Santa Rosa, CA 95405
Serving Sonoma and Napa Counties
Amy McElwain: (707) 317-1117

AmeriCare offers a selection of caregivers matched to specific needs. Clients can help choose their personal caregiver, determine hours and days worked, and work with the caregiver in making a plan that works best for everyone. There are no minimum hours or long term contracts. Companionship services are $22/hr for 3 or more hours, $25/hr for less than three hours. Personal care services (grooming, bathing, ambulation, etc) are $24-$27/hr. 12-hour shift is $240, and 24-hour shift is $300. All caregivers are screened to include a criminal and driving record check, references checked, verified for legal work status and state certifications.

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

Provides a list of experienced, screened home health aides.