About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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Top Home Care Agencies in Fresno, California

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The top three home care agencies in Fresno, California, are Home Instead - Fresno, CA, Seniors Helping Seniors of Greater Fresno and Valley Home Care - Fresno. Fresno is a premier destination for seniors seeking high-quality home care in a vibrant, age-friendly community. With 45 home care agencies in the Fresno area, families have access to a wide range of personalized in-home support options.

The average hourly rate for home care services in Fresno is approximately $32. Seniors in Fresno have access to a host of nonprofit and government-provided services to support aging in place, including meal delivery, home accessibility modifications, and local senior center programming.

Home Care Agencies near Fresno, CA

Showing 31 home care providers
Last Updated: 7/19/25
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Photo of Home Instead - Fresno, CA
55 Photos available
5 reviews
[name removed] is not very friendly. [names removed] receive top ratings from my family. [name removed] is very quick to respond with schedule updates as well as notes to caregivers. We already recommended...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Our motto "To us, it's personal®" is more than just words. It's a principle that permeates everything we do. It guides us as we provide personalized care, build relationships, and enhance the lives of seniors and their families’ right here Fresno, CA.We've been there. We understand. Neither...
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Photo of Valley Home Care - Fresno
44 Photos available
4 reviews
The home care aides were each well trained, professional yet showed extreme care for [name removed] and other member of our household. They dressed appropriately. Services were tailored to [name removed}...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
At Valley Home Care, we strive to distinguish our agency as the clear, obvious choice of families who want the highest possible standard of senior home care.We know your loved ones are special. So are our caregivers. No other home care agency in the Central Valley invests more time, effort and...
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Photo of Around The Clock Companion Care - Fresno , CA
11 Photo available
2 reviews
We have only been using Around the Clock Companion Care minimally at this point as needed, but from the use we have gotten it has been a really good match for our needs. They have been very responsive, and...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Around The Clock Care is locally owned and operated.The owners of Around The Clock Care have been in the senior care business for over 23 years,operating and managing Assisted Living Facilities.In addition, they own and operate a licensed Medicare Certified and JCAHO Accredited Home Health Agency...
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Photo of Grandma Joan's Live-In Care Consulting and Recruiting
66 Photos available
57 reviews
I was in a real pinch to find the right care giver and "home manager" for my parents. Mom suffers from dementia and suddenly Dad, her main caregiver, had a stroke. Almost overnight, we needed immediate...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
About our Consulting and Recruiting ServicesGrandma Joan is an award-winning consulting and recruiter service that has been helping discerning families recruit, screen, and hire premium live-in caregivers since 2010.We act as the family’s private 3rd party recruiters, finding and screening the...
Photo of Auspice In Home Care and Transport
11 Photo available
10 reviews
My wife is getting very good care and I am very satisfied with the results from this agency. The staff are on time and prompt when needed. We have a clear communication and the staff clean up after...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
'Auspice'  is a Latin term for an omen or an individual that aids and assists a patron in their time of need.    Auspice Home Care Solutions, LLC provides non-medical home care services to individuals living wherever they call home.  We offer cost-effective...
4 reviews
They did a great job of being flexible to our needs. Both in scheduling and level of services. Communication was also excellent. Yes, we would absolutely recommend Senior Helpers to other families based on...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
1 review
They are very helpful and eligible and I felt comfortable asking questions and they answered my questions accurately.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
1 review
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
1 review
The staff that was sent out, were always so pleasant and my Mom really liked them and they in return, said my Mom was really sweet. The only thing I think needs improvement is the communication between the...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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1 review
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
We Are Comfort Keepers™ Our Family Is Here To Give Comfort To Your Family. Nothing is more important than helping people to live, independent and dignified lives within the comfort of their own homes. Comfort Keepers has been dedicated to providing the kind of non-medical in-home care that helps...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Licensed to Provide Total Care Solutions!Maxim Healthcare Services, Inc. is one of America’s most trusted home healthcare providers. Our company wide commitment to quality care has fueled our growth to more than 230 branch offices across the nation. We are licensed to provide a range of...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of The Well-Being Group
11 Photo available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Photo of Home Instead Senior Care
11 Photo available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Home Instead Senior Care enables the elderly to live independently. It’s at home where quality of life is enhanced without the stress of interrupted routines and changes in daily habits. Our non-medical CAREGivers provide one-on-one support and interaction that reduce feelings of isolation and...
Photo of Valley Home Care
11 Photo available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.

How much does home care cost in Fresno, California?

In Fresno, home care services average around $32 per hour, according to A Place for Mom’s proprietary data.[01] This rate is typical for seniors who need part-time support with daily activities such as meal preparation, mobility assistance, or companionship. Fresno’s overall cost of living is about 9% higher than the national average, and housing is about 5% higher.[02]

For people who need continuous or daily care, alternative senior living options such as assisted living, a residential care facility for the elderly, memory care, or adult day care may offer more cost-effective solutions.

Average cost of home care in Fresno, CA

Average hourly rate
$32/hr
Average overnight rate
$33/hr
Average weekend rate
$34/hr

Average monthly cost of home care vs. senior living in Fresno, CA

44 hours of home care/wk
$6,054/mo
$4,294/mo

Compare the costs of aging in place against senior living

Use our cost calculator to compare your loved one’s current living and home care expenses against the cost of senior living in Fresno.

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How to pay for home care in Fresno

Most families in Fresno rely on a combination of private and public resources to cover the ongoing expenses of home care.

Private pay options

The most common way to pay for home care is through personal or family savings, income from retirement accounts, or Social Security benefits. In some cases, adult children contribute to expenses as part of a family care plan. Other payment sources include:

  • Home equity. For homeowners, tapping into home equity can be a practical way to pay for care. Options include selling the home, downsizing to a smaller home, or taking out a reverse mortgage. Seniors can use reverse mortgages to convert a portion of their home’s value into cash without having to sell or move.
  • Long-term care insurance. If a senior has a long-term care insurance policy, it may reimburse or directly pay for home care services. Coverage details vary, so it’s important to understand any waiting periods, daily benefit caps, and qualifying criteria before relying on this source.
  • Life insurance. Some life insurance policies can be converted into long-term care benefits or sold for their current value in what’s known as a life settlement. This approach can provide an immediate cash source for care needs.

Medicare

Medicare can cover certain home health care services in Fresno, provided specific eligibility criteria are met.[03] Medically necessary part-time or intermittent skilled nursing care, physical therapy, occupational therapy, speech-language pathology services, and limited home health aide services that are part of a care plan are eligible for Medicare coverage. Also, a doctor must certify that the recipient is homebound and requires skilled care, and services must be provided by a Medicare-certified home health agency.

Medicare won’t cover:

  • 24/7 care at home
  • Meals delivered to the home
  • Homemaker services (such as shopping, cleaning, and laundry) that aren’t related to a care plan
  • Personal care (such as bathing and dressing) when this is the only care needed

Medicare resources in Fresno

For assistance with Medicare-related home health services in Fresno, contact the following organizations:

For general information and assistance with Medicare, visit Medicare.gov.

Medicaid

Medicaid, also known as Medi-Cal in California, may help cover home care services in Fresno. California’s Medicaid program offers options to support home care, including:[04]

  • In-Home Supportive Services (IHSS). This program delivers nonmedical assistance such as bathing, dressing, meal preparation, and mobility support to those who are aged, blind, or disabled. To qualify, applicants must be Medi-Cal eligible and require support to safely remain at home.[04]
  • Multipurpose Senior Services Program (MSSP) and the Home and Community-Based Alternatives Waiver. These programs support comprehensive care coordination for seniors who need a nursing home level of care but prefer to live at home.[05]

Medicaid resources in Fresno, CA

For assistance with Medicaid applications and information on home care services in Fresno, consider the following resources:

VA benefits

Veterans and their surviving spouses who reside in Fresno may be able to use VA benefits to cover the costs of home care services. These programs can provide financial assistance for various in-home care options, ensuring that veterans receive the support they need while remaining in their homes:

  • Aid and Attendance (A&A). The Aid and Attendance benefit provides additional monthly payments to eligible wartime veterans and surviving spouses who receive a VA pension and require assistance with daily activities.[06] These funds can be used to pay for in-home care services. To apply, visit VA.gov to download Form 21-2680. The completed form can be uploaded online, mailed in, or submitted in person at the nearest regional benefit office in Oakland.
  • Homemaker and Home Health Aide Care. This program offers trained professionals to assist veterans with personal care needs, allowing them to remain in their homes. Services include help with activities like bathing, dressing, and meal preparation. Eligibility is determined by a VA health care provider, and services are coordinated through the local VA medical center. To apply, contact a VA social worker in California for next steps.[07]
  • Veteran Directed Care (VDC). The VDC program allows eligible veterans to manage their own care services, including hiring personal care aides. This self-directed approach provides flexibility in choosing caregivers and tailoring services to individual needs. Enrollment is coordinated through the local VA medical center’s social work department.​ To access the program, reach out to your loved one’s VA social worker.[08]

Resources for Veterans in Fresno

Veterans in Fresno, and their family members, can get help with VA benefits at the following locations:

Resources in Fresno that help seniors age in place

From in-home care services to transportation and home modification assistance, the following organizations provide essential support to help older adults maintain independence and quality of life in their own homes.

Home care laws and regulations in California

California’s home care laws and regulations help ensure that home care agencies operate safely and ethically, providing peace of mind to clients and their families.[09]

Licensing and accreditation

In California, home care agencies (also called home care organizations or HCOs) must be licensed by the California Department of Social Services (CDSS) under the Home Care Services Consumer Protection Act. This law mandates that all HCOs meet specific standards to operate legally.

Home care aides employed by these organizations must be registered with the CDSS Home Care Aide Registry. This registration process involves fingerprinting, background checks, and completion of training requirements.[09]

Hiring practices

Licensed home care agencies in California are required to conduct comprehensive background checks on home care aides, verifying their registration with the CDSS, and ensuring they have completed the necessary training.

Agencies must also comply with California labor laws, which cover aspects such as fair wages, working hours, and employee rights. These laws are enforced to protect both the caregivers and the clients they serve.

How to choose the right home care agency in Fresno

Selecting a home care agency in Fresno involves careful consideration. Key factors include understanding pricing, caregiver qualifications, agency compliance history, and client feedback.

Request detailed pricing information

It’s important to request a comprehensive breakdown of fees, including any additional charges for specialized care or after-hours services. Ensure the agency provides transparent billing practices and clarifies what services are covered at each rate.

Ask about caregiver training and expertise

Verify that an agency’s caregivers meet state training requirements and inquire about additional training in areas such as dementia and mobility assistance. Understanding the caregivers’ qualifications ensures they are equipped to meet your loved one’s specific needs.

Look up inspection and complaint history

Reviewing an agency’s compliance history can provide insight into their service quality. Look up agency information, including inspection reports and substantiated complaints, using the Cal Health Find Database.

Read home care reviews

Client reviews offer valuable perspectives on an agency’s reliability and caregiver performance. Look for reviews that mention experiences with staff, responsiveness, and overall satisfaction. Reading multiple reviews can help identify consistent strengths or concerns across different agencies.

Frequently asked questions about home care in Fresno

Home Instead - Fresno, CA, Seniors Helping Seniors of Greater Fresno and Valley Home Care - Fresno are the top-rated Home Care facilities near Fresno, CA. These Home Care facilities received the highest rankings based on verified family reviews. See full list of communities.

The average cost of Home Care in Fresno is {{ zipAverageCost }} per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.

Home care is provided by an aide who comes to a senior’s home to help with daily chores and activities of daily living. It can be offered anywhere a senior calls home — including a house, senior apartment, independent living, or assisted living. Learn more about home care.

Home care services are customizable to a senior’s unique needs. Services can include companionship, help with chores like cooking and housekeeping, or assistance with activities of daily living, like toileting and bathing. Explore home care services in more detail.

Home care provides nonmedical services for seniors who require assistance with daily tasks like housework, bathing, dressing, and transportation. In contrast, home health care is prescribed by a doctor and includes services like skilled nursing care and therapies, health monitoring, and medication administration that are provided by licensed medical professionals. Read more about home care vs. home health care.

References

  1. A Place for Mom. (2025). A Place for Mom proprietary data.

  2. PayScale. (2024). Cost of living in Fresno, California.

  3. U.S. Centers for Medicare and Medicaid Services. Home health services. Medicare.gov.

  4. California Department of Social Services. In-Home Supportive Services (IHSS) program.

  5. California Department of Health Care Services. Multipurpose Senior Services program.

  6. U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

  7. U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

  8. U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

  9. California Department of Social Services. (2016). Home Care Services Consumer Protection Act overview.

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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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1.

A Place for Mom. (2025). A Place for Mom proprietary data.

2.
3.

U.S. Centers for Medicare and Medicaid Services. Home health services. Medicare.gov.

4.

California Department of Social Services. In-Home Supportive Services (IHSS) program.

5.

California Department of Health Care Services. Multipurpose Senior Services program.

6.

U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

7.

U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

8.

U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

9.

California Department of Social Services. (2016). Home Care Services Consumer Protection Act overview.