
In Home Care
A Safer, Happier, More Independent Life
Compassionate, non-medical care in the comfort of home. From everyday tasks to meaningful companionship, in-home care helps your loved one stay independent while giving your family peace of mind.

What Is Senior In-Home Care?
Not sure if your loved one qualifies?
Our senior care advisors are here to help you understand your options
When Is the Right Time for Senior In-Home Care?
Families usually wait for a crisis. The better moment is when small warning signs start stacking up:
- ✓Falls, near-falls, or unsteadiness on stairs
- ✓Weight loss, spoiled food in the refrigerator, or skipped meals
- ✓Missed medications or confusion about the pill organizer
- ✓Declining hygiene, unwashed laundry, or a house that is no longer kept up
- ✓Missed appointments, unpaid bills, or unopened mail
- ✓Isolation after the loss of a spouse, or giving up driving
- ✓Discharge home from a hospital or rehab stay
- ✓A family caregiver who is exhausted, missing work, or burning out
Starting with a few hours a week has real advantages. Your loved one gets used to having help while they can still take part in choosing the caregiver, and the agency learns the household before a crisis forces a much larger commitment.
What Services Does Senior In-Home Care Provide?
Personal care
Bathing, showering, grooming, dressing, toileting and incontinence care, transfers, mobility assistance, and fall prevention.
Household support
Meal planning and cooking, light housekeeping, laundry, changing linens, and keeping walkways clear.
Health-related support
Medication reminders, monitoring for changes in condition, accompaniment to medical appointments, and communication with family and physicians.
Errands and transportation
Grocery shopping, pharmacy pickups, and transport to appointments, church, or social events.
Companionship
Conversation, games, walks, hobbies, and help staying connected with family — often the part families undervalue and seniors value most.
Specialized care
Dementia and Alzheimer's support, post-hospital and post-surgical recovery, respite for family caregivers, and end-of-life support alongside a hospice team.
Skilled Nursing Care
Caregivers cannot administer injections, change sterile dressings, or perform other skilled nursing tasks. Those require a licensed nurse through a home health agency.

Who Pays for Senior In-Home Care?
Most in-home care is private pay. In the Los Angeles area, agency rates generally run from about $35 to $45 per hour; week costs roughly $3,000 to $3,900 a month. Around-the-clock care typically exceeds $20,000 a month — the point at which an assisted living, board and care, or memory care becomes a more affordable option. Funding sources include:
Private funds
Savings, pensions, Social Security, family contributions, or a reverse mortgage
Long Term care insurance
Most policies cover licensed in-home care once a benefit trigger is met
IHSS (In-Home Supportive Services)
A county-administered Medi-Cal program that pays a caregiver, often a family member, for eligible low-income seniors. The county assesses authorized hours
Medi-Cal managed care
Some plans now offer personal care and homemaker services as a Community Support under CalAIM
VA Aid and Attendance
A monthly pension benefit for qualifying wartime veterans and surviving spouses, plus VA homemaker and home health aide programs
Medicare
Pays for intermittent skilled home health, not ongoing custodial care. Some Medicare Advantage plans include limited in-home support benefits.
Medicare does not pay for board and care. It covers short-term skilled nursing and rehabilitation after a qualifying hospital stay, not long-term residential care.
The Average Cost Per Hour of In-Home Care

Los Angeles
~$40/hour
$35-$45/hour

Orange
~$40/hour
$35-$45/hour

San Bernardino
~$36/hour
$32-$42/hour

Riverside
~$36/hour
$32-$42/hour
Licensed Agency rates; 3-4 hours minimum shift is typical
The Benefits of Senior In-Home Care

Staying home
Familiar surroundings support memory, sleep, and mood, especially for someone with dementia.

One-to-one attention
A caregiver serves one person, not a building full of residents.

Flexibility
Hours scale up or down as needs change, with no move required.

Cost control
Part-time help is far cheaper than any residential option.

Family relief
Adult children get reliable coverage and a professional set of eyes on their parent.

Continuity
The same caregiver notices changes early and builds real trust.

How Golden Pathways Helps You Find the Right In-Home Care
Golden Pathways is a senior care advisory and referral service based in Pasadena, serving Los Angeles, Orange, Ventura, San Bernardino, and Riverside counties. Home care agencies all sound alike on their websites. The differences that matter — caregiver turnover, supervision, scheduling reliability, dementia experience, bilingual staff, minimum shifts — only surface once you know what to ask.
Our Senior Care Advisors assess what level and schedule of help is actually needed, connect you with licensed Home Care Organizations we know and trust, and help you compare rates and funding options. If in-home care stops being practical or affordable, we walk you through board and care, assisted living, and memory care alternatives.
Our service is free to families — we are compensated by the communities we partner with.
What Families Are Saying
Mauricio was absolutely awesome! He went above and beyond and was an absolute pleasure to deal with. He was instrumental in getting my...
Absolutely amazing experience!!!! I'm that person who researches for weeks until I find the right product, so you can imagine when it...
I have used Golden Pathways for all of my patients who need placement. Mauricio is my go to as he is extremely knowledgeable and has...
Finding senior care for my father felt overwhelming until we met the team at Golden Pathways. Extremely patient and thorough.
Professional, compassionate, and attentive to every detail. They helped us navigate every option with complete clarity.
I can't thank them enough. They matched my mother with a wonderful community within days.
The guidance we received was priceless. Mauricio answered all our questions and helped us make the right decision.
Warm, dedicated advisors who genuinely care about finding the right environment for your loved one.
Exceptional service from start to finish. Highly recommend to anyone seeking senior living placement.
Explore Senior In-Home Care Communities
Call For Availability & Pricing
Allara Senior Living
Rancho Cucamonga, CA
Call For Availability & Pricing
Siena Villas
Pasadena, CA
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Oakmont of San Gabriel
San Gabriel, CA
Call For Availability & Pricing
The Pavilion at Arcadia
Arcadia, CA
Explore In Home Care Options Today
Our local advisors make senior care simple and stress-free. Call, email, or request a free consultation