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Home care in Sacramento, CA that leads with the heart.


Helping older adults live the life they love in the place they call home.

I'm interested in home care services for:

4.9 rating on Google (52 reviews)
(916) 920-2273
A Home Instead Care Pro with an adult.

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Why we’re the most trusted home care service in Sacramento:

We’ve been caring for Sacramento since 1998, providing over 2.1 million hours of in-home care for more than 2,000 local families. Most clients begin receiving care within 48 hours, with a care plan that fits their life and a consistent caregiver that they come to know and trust.


Here’s why so many families choose us:


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    Skilled & Trusted Caregivers

    We handpick every Care Pro for their skills, compassion, and professionalism—each one thoroughly vetted, trained, and ready to deliver exceptional care.

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    Flexible & Consistent Care

    Need help during the day? Overnight care? Weekend coverage? We offer flexible options, on-time visits, and reliable care from Care Pros you know and trust.

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    Matches Made to Last

    Because strong relationships lead to better care, we take time to find a Care Pro who’s the right fit—not just for the job, but for the person.

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    Proven Expertise

    Behind every Care Pro is a team of experienced home care advisors, gerontologists, and specialists working to ensure you receive care that’s thoughtful, informed, and personal.

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    Customized Care Plans

    Care isn’t one-size-fits-all. We partner with you to create a personalized care plan that grows and adapts as your needs change.

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    Unmatched Experience

    Founded in 1994, Home Instead has helped older adults around the world age safely and with dignity at home, using a time-tested approach built on connection and compassion.

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    Connected Care

    With our user-friendly care platform, you can get real-time updates, track care tasks, and manage care from anywhere—making home care less stressful and more connected.

Read our local Google reviews

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Peter O.

"Our family has had a very positive experience with Home Instead since they started providing caregivers for my mother in November 2024. The care managers have been very responsive and quick to respond requests and keep me updated if there are any scheduling issues as they work to resolve them. Overall, the care professionals themselves have been very good. My mother especially likes the two she has now, Helen and Irma, both of whom are timely, friendly, accommodating and competent. She says they are fun to talk with and nice to be with. She tends to be picky, so this is high praise!"

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Peggy M.

"Home instead took care of my husband with a great caregiver named Michelle. Since his passing, I am now having my own great care provided by home instead. My caregiver Savannah is a warm, caring and very smart young lady. With this great care, I am able to stay in my home."

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Dave M.

"AWESOME Complete caregivers! Professional, Compassionate, Knowledgeable. Management team is attentive, communicative, professional, adapting to the need of the customer. Caregivers have been most professional, attentive, caring, adapting to needs! We required care 24/7, NO negative issues, always a great experience under the circumstances! We have experienced 4 caregiver agencies, Honor- Home Instead has been head & shoulders above the rest! KUDOS!!😊🙏🙏🙏"

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Joyce K.

"Our entire family is so grateful that my 94 year old mom has Cathy Flowers as her caregiver. My mom is still very active and full of life. Her health and vitality are very important to all of us and especially now that we cannot be with her. Cathy provides healthy meals, friendship and a connection to the outside world. My mom loves to share her stories and Cathy is a caring listener. We are also thankful that Cathy is there to keep her safe and is able to help with errands and personal needs."

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Joan R.

"I have been very satisfied with the competency and compassion my mother receives from her caregiver and Home Instead. Cathy F. has given my family relief in knowing that my other's needs are being met while also providing her with caring companionship. Thank you"

Trusted help for those everyday needs.


We know it’s the little things that often make life easier. That’s why our approach to senior care includes help with daily tasks and routines, like cooking meals, shopping, and even folding laundry.


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    Light Housekeeping & Meal Prep

    We help with household tasks like laundry, vacuuming, and meal preparation to ensure a clean, safe, and nurturing environment.

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    Transportation & Errands

    We offer safe rides to just about anywhere around town. Have an appointment at Sutter Medical Center, or need groceries from Welco Supermarket? We help seniors stay active and connected.

Helpful FAQs

If you're beginning to feel concerned about a loved one's safety, memory, or ability to manage daily tasks, you're not alone. Families throughout Sacramento—from Arden-Arcade to Elk Grove—ask this same question every day.

Sometimes the signs are subtle. Other times, they follow a health event or hospital visit. In either case, recognizing the need for in-home care isn't about taking something away—it's about adding the right kind of support to help your loved one stay independent.

Here are common signs that it may be time:

  • Missed medications or confusion about routines
  • Difficulty with bathing, dressing, or walking safely
  • Isolation from friends or favorite activities
  • Changes in hygiene or home cleanliness
  • Caregiver burnout or feeling overwhelmed



At Home Instead Sacramento, we’ve helped thousands of local families navigate this decision with empathy and clarity.



Not sure how to start the conversation? Download our What’s Next Toolkit for helpful tips and checklists.



A free consultation is a great way to explore next steps—no pressure.

Caregiving is an act of love—but it’s also a lot to carry alone. If you’re managing your loved one’s appointments, meals, and safety, you may already be feeling the toll.

That’s where we come in.

Home Instead Sacramento offers support that fits your routine—so you can step back from being “on call” 24/7 and focus more on quality time.

You might be ready for help if:

  • You’re juggling work, family, and caregiving
  • Your loved one’s needs are growing beyond what you can manage
  • You’re feeling burned out or unsure how to keep up
  • You want peace of mind knowing your loved one has consistent, professional support

Whether it’s companion care in South Land Park, personal care in Natomas, or dementia support near Mercy General, our Care Pros are trained to step in where you need it most.

You don’t have to wait for a crisis. Many families start with just a few hours a week.

Schedule a consultation Or download our What’s Next Toolkit to help you think it through.

It depends on your loved one’s preferences and needs—but for many Sacramento families, in-home care offers the best combination of flexibility, comfort, and personalized support.

Most older adults want to stay in the home they love—whether that’s a family home in Pocket-Greenhaven or an apartment near American River Parkway. In-home care makes that possible.

Home care vs. assisted living:

Assisted living requires a move and adjustment to a shared setting. In-home care offers:

  • One-on-one attention in a familiar environment
  • Custom routines with no schedule restrictions
  • The ability to keep pets, photos, and comforts of home
  • Continuity with a trusted Care Pro

Home care vs. hiring privately:

Private caregivers may seem affordable—but they make you the employer. You’re responsible for taxes, liability, scheduling, and backup if they cancel.

With Home Instead Sacramento, you get:

  • Vetted, trained, and insured Care Pros
  • 24/7 local support
  • Backup coverage and flexible scheduling
  • No long-term contracts

Not sure what’s best for your family? Let’s walk through it together.

In-home care gives your loved one the ability to age where they’re most comfortable—at home—with customized support that fits your needs and lifestyle.

Here’s what to expect with Home Instead Sacramento:

  1. We start with a conversation. We’ll visit your home (from Elk Grove to Midtown) to learn more about your situation, routines, preferences, and concerns.
  2. We create a personalized care plan. Based on your goals, we’ll suggest the right services—help with dressing, bathing, errands, meal prep, dementia support, or 24-hour care.
  3. We match you with a Care Pro. We’ll pair your loved one with a trained, compassionate Care Pro who matches their needs and personality. Many of our Care Pros speak Spanish or Tagalog and specialize in dementia and chronic condition care.
  4. We begin care—often within 48 hours. Your Care Manager stays in touch to ensure everything is working—and makes adjustments as your needs change.
  5. You’re never alone. Our office provides 24/7 support and backup coverage if your regular Care Pro is unavailable.

At Home Instead, we call our caregivers Care Pros—because they bring skill, dedication, and genuine heart to every visit.

Here’s what makes our Sacramento Care Pros different:

  • Carefully selected and trained. Every Care Pro completes background checks, drug screening, and hands-on training in personal care, dementia support, and safety.
  • Matched with care. We look at your loved one’s interests, routine, and preferences to find a Care Pro who fits—not just on paper, but in personality.
  • Reliable and backed by a full care team. We manage everything—scheduling, insurance, training, and taxes—so you can focus on what matters most.
  • Professional, consistent, and present. From a gentle hand during a shower to a walk in the neighborhood, our Care Pros show up with empathy and respect.

Want to meet the people behind our care? Get to know our Sacramento team

With a 4.9-star rating and over 40 local reviews, Home Instead Sacramento has earned a reputation as one of the most trusted names in home care across the region.

Since 1998, we’ve delivered over 2.1 million hours of care to families throughout Sacramento, Elk Grove, and surrounding neighborhoods.

Why local families choose us:

  • Personalized care plans—no long-term contracts
  • Fast starts—often within 48 hours
  • Care Pros matched for skill, reliability, and warmth
  • 24/7 support from a locally owned team
  • Strong relationships with hospitals like UC Davis and Sutter Medical

From short-term respite to long-term dementia care, our goal is simple: to help your loved one stay safe, connected, and independent at home.

The cost of home care depends on how often you need support and what services are included. At Home Instead Sacramento, we’ll help you create a plan that fits your schedule and your budget—with no long-term contracts.

Most services are billed hourly, so you only pay for what you need. Whether it’s a few hours a week or 24-hour care, we’ll walk you through the options.

Common ways families pay for care:

  • Private pay (flexible, no restrictions)
  • Long-term care insurance
  • Veterans benefits, including Aid & Attendance
  • Health savings accounts (HSAs) or retirement savings



We’ve helped hundreds of families access insurance benefits and navigate VA support. And we’re happy to do the same for you.

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Serving Sacramento and the surrounding area.


Since 1998, Home Instead has been part of the community, providing quick access to top-rated home care in Sacramento.


Proudly caring for communities near you:

Camino, Folsom, Antelope, Elk Grove, Fair Oaks, Carmichael, Galt, Orangevale, Sacramento, Granite Bay, Mather, Citrus Heights, Rancho Cordova, Diamond Springs, El Dorado Hills, El Dorado County, Georgetown, Placerville, Pollock Pines, Shingle Springs, Davis, Woodland, and Dixon, CA

…to name a few.


Get started with the most trusted home care in Sacramento.


Searching for reliable, compassionate home care or home care near Sacramento? We’re here to listen and help you through every step of the decision-making process.

Call Home Instead Sacramento at (916) 920-2273 or request a free consultation to begin creating a personalized care plan.

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Get to Know a Care Pro


Tammy N, Home Instead Sacramento


“After caring for my parents, I realized how hard it is to find good care. With my real estate career winding down, I chose to help others. I feel fulfilled when clients appreciate my help and share their lives with me. Listening is everything.” — Tammy N.