Top Home Care Agencies in Fresno, California
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
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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 monthly cost of home care vs. senior living in Fresno, CA
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.
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:
- Fresno-Madera Agency on Aging
2520 W. Shaw Lane, #101A
Fresno, CA 93711
Phone: 559-214-0299
Email: admin@fmaaa.org - Valley Caregiver Resource Center
5363 N. Fresno St.
Fresno, CA 93710
Phone: 800-541-8614
Email: info@valleycrc.org
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:
- Fresno County Department of Social Services
The Fresno County Department of Social Services can help with Medi-Cal applications.
Phone: 855-832-8082
- Medi-Cal Managed Care Health Care Options
California’s Department of Health Care Services aids with enrolling or changing Medi-Cal managed care plans.
Phone: 800-430-4263
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:
- VA Regional Benefit Satellite Office at Fresno
855 M St.
1st Floor, Suite 150
Fresno, CA 93721
Phone: 800-827-1000
- Fresno County Veterans Service Office
1320 E. Shaw Ave.
Fresno CA, 93710
Phone: 559-600-5436
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.
- Habitat for Humanity Greater Fresno Area
Habitat for Humanity helps in making homes more accessible.
4991 E. McKinley Ave., Suite 123
Fresno CA, 93727
Phone: 559-237-4102
- City of Fresno – Senior Recreation Program
The Senior Recreation Program offers informational workshops, various activities, and hot meals at multiple locations around Fresno.
Phone: 559-621-6727
- Catholic Charities Diocese of Fresno – Senior Companion Program
This program provides companions who can help with shopping, do light household tasks, and offer friendship.
Phone: 559-237-0851
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
A Place for Mom. (2025). A Place for Mom proprietary data.
PayScale. (2024). Cost of living in Fresno, California.
U.S. Centers for Medicare and Medicaid Services. Home health services. Medicare.gov.
California Department of Social Services. In-Home Supportive Services (IHSS) program.
California Department of Health Care Services. Multipurpose Senior Services program.
U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.
U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.
U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.
California Department of Social Services. (2016). Home Care Services Consumer Protection Act overview.
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