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CENSUS PLACE DATA 2024 · COST DATA 2025

In-Home Care in Fresno, California

Fresno, CA has 41 licensed in-home care agencies listed on ElderCareCosts. The median estimated cost is $7,525/mo. That's roughly in line with the California state median. Compare providers below, or request a personalized shortlist to start your search.

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Starting tier, Fresno

$3,420/mo

About 20 hours a week: a common starting point for a new home-care client

Full-time care (44 hrs/week, survey standard)

$7,525/mo

● Fresno $7,525 at 44 hrs/wk ○ National median $6,769 at 44 hrs/wk

Modeled estimate · 2025 survey adjusted by metro wagesEstimate, not a quoteDownload CSV
See all 41 providers →Compare costs →
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Three steps

1. Call the county aging agency

Free: (559) 214-0299 (Fresno-Madera Area Agency on Aging)

2. Shortlist 3 options

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3. Prepare for the assessment

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What senior care costs in Fresno

Fresno figures as of 2025. Method and sources below.

Median costs for in-home care in Fresno versus California and the middle state nationally. The 25th and 75th percentile rows are the modeled range explained on the methodology page; in the national column they are percentiles across state medians. Figures are estimates, not quotes.

In-Home Care cost comparison (2025)
In-Home CareFresnoCaliforniaNational
25th percentile—$7,281/mo$6,221/mo
Median$7,525/mo$7,627/mo$6,769/mo
75th percentile—$8,290/mo$7,627/mo

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A dash means the underlying source can't support that figure for this area. We leave the cell empty rather than estimate around it.

Source: Modeled estimate · 2025 survey adjusted by metro wages (opens in a new tab)
Download CSVMethodology
Why is this number different on other websites? Many directories quote a community's "starting at" rent, before care fees. This figure is the state survey median adjusted by wages in the surrounding metro area, so nearby cities in the same metro share it. It is an estimate to plan against, not a quote; ask each provider for its own number in writing. Our methodology →

What home care really costs by the hour

The $7,525 monthly figure assumes 44 hours of care a week. The survey standard. At Fresno's implied rate of about $39 an hour:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$3,420
44 hrs/weekMost of every weekday$7,525
24/7 (168 hrs/week)Round-the-clock coverage~$28,732

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Ways families typically pay

  • Private pay (savings, income, home equity)
  • Long-term care insurance
  • VA Aid & Attendance for eligible veterans and surviving spouses
  • Medicaid home- and community-based services (HCBS) waivers, where eligible. Rules vary by state

Medicare generally does not cover long-term custodial care. State-specific Medicaid waiver guides are coming soon.

Nearby: Old Fig Garden $7,525 · Mayfair $7,525 · Calwa $7,525 · Tarpey Village $7,525 · West Park $7,525

What can you afford?

Every family starts with a number. Here's what different monthly budgets realistically cover in Fresno, grounded in local medians on this page.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Fresno runs about $2,010/mo at the median. Income-restricted affordable senior housing is often the real under-$2,500 path when eligibility fits. Fresno lists 11 such properties in our directory. Call the county aging agency at (559) 214-0299 for free navigation help. Medicaid/waiver paths can stretch a tight budget when eligibility fits.
Affordable senior apartments →
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care often lands in this band (full survey month for in-home care is $7,525). Local assisted living median is $6,906/mo. Small homes can sit below that midpoint. Ask about waiver programs if Medicaid may apply.
Medicaid & waiver paths →
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Fresno assisted living median ($6,906/mo) comfortably. Or near-full-time home care around the $7,525/mo survey month.
How families pay →
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Fresno run about $12,004/mo at the median. Round-the-clock home care usually costs more. Compare before deciding.
How families pay →
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Tell us how you plan to pay and we'll match you with local options. Free. Every figure on this page stays visible either way.
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Every licensed in-home care agency: 41

A note on counting: we show 41 licensed in-home care agencies listed for Fresno proper. Other sites show bigger numbers when they count a wide radius. Nearby options are linked below, labeled by city.

How we rank these: we don't. Listed by verification date, newest first.

Providers appear with their government data: license status, capacity, inspection history, and a CMS star rating where the service has one. The order is the date we last verified each record, newest first. Nobody pays to appear, and nobody pays to move up. If a listing says "Sponsored," a provider paid for that placement and the label says so.

Looking for a transparent sort by CMS stars, inspection records, and staffing? That is a separate data ranking, not an editorial pick.

Most listings publish no price. The Fresno in-home care median is $7,525/mo, an estimate; ask each agency for its own number in writing.

Sponsored placements, when they appear, are always labeled. How we make money →

Compare agencies you choose
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Also serving Fresno

In-home care comes to the home, so agencies based one town over often serve Fresno; their licensed office is simply in a different city. These 6 are based nearby, listed by office location, nearest first. They are separate from the licensed-in-Fresno count above. Always confirm they cover your address.

Ordered by distance from Fresno, never by who pays. Office location is shown on every card. How we make money →

Include a nearby agency in your Fresno shortlist
Check Compare on any nearby agency above, then continue. Selection before consent.
Choose nearby agencies →

In the last 365 days: 390 newly licensed · 16 closed. Counts come from our ingestion diffs, not a complete state registry dump.

Free local help worth saving

Fresno has an estimated population of 545,970. About 67,512 residents (12%) are age 65 or older. Fresno is located in Fresno County, California. The median household income is $70,991. Our directory currently lists 41 licensed in-home care agencies in Fresno. Estimated median cost in Fresno is $7,525 per month, compared with $7,627 per month statewide in California.

Source: US Census Bureau (ACS) · Updated Jul 2026.GOV

These services are public and free. We list them before anything we could earn from.

Free national starting points. Official sites only; we do not scrape these directories.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. Official info only. How Aid & Attendance works →

Questions families ask

How many in-home care agencies are listed in Fresno, CA?

We currently list 41 licensed in-home care agencies in Fresno, CA.

What does in-home care cost per hour in Fresno?

Based on the modeled median, in-home care in Fresno runs about $39 an hour. A 20-hour week runs about $3,420/month.

Is in-home care in Fresno more expensive than the rest of California?

Fresno's median in home care cost is about 1% lower than the California state median.

Want a Fresno shortlist?

Tell us needs and budget once. We email you licensed options with the cost data we publish, the same day. Data stays free either way.

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Reading up first? In-Home Care across California → · In-Home Care cost breakdown → · Adult Day Care vs In-Home Care →

Assessment scheduled this week? Print our checklist: what to ask during your in-home assessment, what to notice, and the license paperwork to request. Free, no email required. Optional send-to-email when you want it on your phone.

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Trust & methodology

How to cite this page

Cite this: According to ElderCareCosts' 2026 index, in-home care in Fresno, CA costs $7,525/month (median), at the 44-hour-a-week survey standard.

APA: ElderCareCosts Research. (2026). In-Home Care in Fresno, CA. ElderCareCosts. Retrieved September 18, 2026, from https://www.eldercarecosts.com/in-home-care/california/fresno/

Chicago: ElderCareCosts Research. "In-Home Care in Fresno, CA." ElderCareCosts. Last modified August 10, 2026. Accessed September 18, 2026. https://www.eldercarecosts.com/in-home-care/california/fresno/.

These figures may be quoted and reproduced with attribution and a link back to this page. No permission needed. Methodology · Data sources · Who produces this · Corrections

In-Home Care in Fresno: 2026 Costs & Licensed Providers