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 Ave,
Santa Rosa, CA


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.

At Home Caregivers Of the North Bay
7665 Redwood Blvd. #200
Novato,CA 94945
415.898.HOME (4663)
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. Transportation 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

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 Nursing & Home Care Services is a dual licensed nursing and home care agency serving Sonoma, Marin, and Napa counties under the direction of Dr. Lucy Andrews a gerontology and dementia expert. We are locally owned and operated and have provided care to those in need in our communities for the last 14 years. We offer Personal Care attendants, Certified Nurse Assistants and Home Health Aides who complement our skilled Registered Nurses and Dementia protection program created by Dr. Andrews.

We are compliant with all state and federal laws and screen our staff at the local state and federal level. We provide ongoing staff training program that are offered to aides in the community. We offer a free in home safety evaluation and needs assessment and determine with you, and your family care needs. We can fill medi-sets (pill boxes) manage medication administration, provide nurse visits to Physician appointments and provide geriatric care management and advocacy services. We offer a unique Dementia program based on Dr. Andrews’ work and evidence from the latest research in dementia and Alzheimer’s disease. We believe that in addition to providing care we must advocate for our patients and clients and are actively involved in advocating at the state and national level. Dr. Andrews serves on the Board of Directors for both the California Association for Health Services at Home (CAHSAH) and is the Vice Chair of the National Association for Home Care and Hospice Association (NAHC). Rates for non-medical home care aide services start at $27.50 and services are available around the clock.

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:
1030 2nd Street, Ste. 5
Santa Rosa, CA 95407
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 $27-$30 per hour. Live-in 24-hour shift costs are $625 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 $35 per hour, 2 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 @ $30 per hour (3 hour minimum), and 24 hour care starts at $567 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 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 $28.95- 31.95.Daily live-in rates $24.95 per hour. 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 $25-$29 an hour (4 hour minimum). 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.

Kindred at Home
185 N. Redwood Drive, Suite 150
San Rafael, CA 94903
Fax: 415.492.8401
Tel: 415.499.1406

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 $30 an hour (4 hour minimum). 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.

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: $26.00 an hour (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. $30-$32 per hour with a 4-hour minimum, and $460 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.

Senior Helpers North Bay
1100 Trancas St., Suite 214
Napa, CA 94558

Senior Helpers North Bay is a care management company providing care management, transitional care, placement and non-medical home care. FREE assessments and safety checks. Based on visit we make recommendations are made based on needs. Employees are insured, bonded, background checked and trained for various situations. A patented training dementia training program called GEMs is used for all caregivers. $28 per hour (3 hour minimum) $35 per hour (anything over 9 hours in a day). $550 for 24 hours (includes overtime).

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

A private duty, non-medical home care agency. Provides in-home care at $29.50/hour (4 hour minimum). 12-hour shift is $318, 24-hour shift is $660, and Nightime Awake shift, 10pm-6am, is $33.50/hour. 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.

Visiting Angels
Living Assistance Services
Sonoma – Napa – Solano
Fax: 707.528.2388
Tel: 707.528.0222

Visiting Angels Living Assistance Services, a ‘Diamond Certified’ company, provides personalized non-medical services and is a fully bonded and insured agency under the direction of a Certified Senior Advisor. All caregivers are professionally experienced, thoroughly background checked and drug screened. Agency conducts caregiver supervisory visits and regular client check-ins. Available 24/7. Complimentary in-home assessments and safety checks. Current Service Rates: 2-Hr Visit $80 Flat Fee, 3-Hr Visit $89 Flat Fee, Hourly Care (4+hours) $27/hr., 12-Hr Overnight Sleep Care $23/hr., Awake Care $26. 24-Hour Care starts at $595.00 per day.


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.