HOME CARE PRICING.

Clear rates. Real peace of mind.

Home care pricing in San Diego. Know your rate in one call — no home visit needed.

Vicky From All Heart And A Senior Speaking By Phone About Home Care

Standard rates for most San Diego County locations

Choose the support that fits your schedule.

SHORT VISITS.

Under 4 hours

$178

per visit

Individual care • Visits of 1–3.5 hours
Couples care: $198 per visit
HOURLY CARE.

4 to under 8 hours

$48

per hour

Individual care • Flexible daily support

EXTENDED SHIFTS.

8–12 hours

$40

per hour for the first 8 hours

Hours beyond 8 billed at 1.5×

Base rates shown. Location, caregiver qualifications, care for two people and additional staffing may affect your quote. Your exact rate is confirmed during your first call.

LOCATION MATTERS.

North County pricing

Your address can affect your rate.

Rates in some North County communities start higher because of caregiver travel time and fuel costs. We confirm the rate for your specific address and shift length by phone.

This may apply in Del Mar, Encinitas, Solana Beach, Carlsbad, Carmel Valley, Poway, San Marcos, Rancho Santa Fe, 4S Ranch and Oceanside.

Call (619) 736-4677
No home visit needed for pricing.

Need care day and night?

Two caregivers working consecutive 12-hour shifts.

$1,032 / day

Individual 24-hour care

$1,152 / day

Couples 24-hour care

No separate overtime charge. Base daily rates shown; location, qualifications and additional staffing may affect your quote. Your exact daily rate is confirmed by phone.

INCLUDED WITH YOUR CARE.

What your rate includes

PLAN WITH CONFIDENCE.

A few details worth knowing

Our standard hourly rates apply across most of San Diego County. Some North County communities start at a higher rate to fairly compensate caregivers for the additional drive time and fuel cost involved in reaching those areas. This includes neighborhoods such as Del Mar, Encinitas, Solana Beach, Carlsbad, Carmel Valley, Poway, San Marcos, Rancho Santa Fe, 4S Ranch, and Oceanside.

If your community is in or near one of these areas, the higher rate may apply. Because rates depend on the specific neighborhood and shift length, we provide them by phone rather than listing them online. Call (619) 736-4677 to verify whether North County pricing applies to your address — we’ll give you your exact rate within minutes, no in-home visit required.

Many seniors value their independence and prefer not to have someone in their home for extended periods — but they still need help with meals, medication reminders, appointments, or daily check-ins.

For families balancing care needs with a loved one’s desire for privacy, we offer per-visit care for visits under four hours.

Per-visit rate (under 4 hours): $178 per visit

This rate applies whether care is provided for 1, 2, 3, or 3.5 hours. It accounts for caregiver travel, scheduling, and fair compensation for shorter shifts — while respecting your loved one’s preference for brief, focused support.

Your exact rate is always confirmed during your first call — clearly, calmly, and without pressure.

Why per-visit pricing makes sense:

Shorter visits require the same travel time and coordination as longer shifts, but with less working time for caregivers. The per-visit structure ensures fair compensation while giving your loved one the independence they value.

Visits under four hours are billed as a flat per-visit rate. Once a visit reaches four hours, standard hourly pricing applies — often providing better value for families needing extended daily care.

Couples Care (under 4 hours): $198 per visit

When one caregiver supports two people during a short visit, the rate is $198 per visit to reflect the added responsibility and care coordination involved.

When one caregiver supports two people in the same household:

An additional hourly fee applies to reflect the increased level of responsibility and care coordination.

We’ll explain this clearly during your call and confirm the exact rate before any care begins.

Care in skilled nursing facilities, hospitals, assisted living communities, and memory care facilities uses the same client rate structure as care in a private home. There is no separate facility rate increase.

The location still affects how we coordinate caregiver assignments and coverage. Our team plans for:

  • Caregiver staffing and safe care requirements
  • Mandatory meal and rest break coverage
  • Facility compliance and documentation standards
  • Coordination with facility staff and protocols

Your exact rate will be confirmed during your call based on your specific care setting and schedule.

Shorter visits require caregivers to travel to your home for a limited number of working hours. With San Diego’s gas prices and commute times, this creates higher per-hour costs for the caregiver — which is reflected in the rate.

Longer shifts allow caregivers to spend more continuous time with your loved one while reducing repeated travel. That efficiency benefits everyone: caregivers earn more for their day, and families receive a lower hourly rate for extended care.

This isn’t a pricing strategy. It’s simply how home care works when you account for real travel costs and fair caregiver compensation.

We’ll always explain your home care pricing in San Diego clearly so you can choose the schedule that fits your family’s needs and budget.

For families needing continuous 24-hour support, we offer a daily package with two caregivers working consecutive 12-hour shifts. The quoted daily rate has no separate overtime charge.

  • 24-hour home care: $1,032/day (no overtime)

Care is provided by two caregivers working consecutive 12-hour shifts. The same client pricing structure applies in private homes and facilities.

  • Couples 24-hour care: $1,152/day (no overtime)

When one caregiver supports two people during 24-hour care, an additional $5 per hour applies — bringing the total to $48/hour or $1,152 per day.

Home and facility care use the same client rates. North County location adjustments, required caregiver qualifications, or additional staffing may affect your quote. Your exact daily rate is confirmed during your call.

Base client rates may be adjusted for required caregiver qualifications, care for two people, or additional staffing. We confirm the complete quote before care begins.

Caregivers with CNA or HHA certification can be matched at no additional cost when available. If all assigned caregivers must hold a CNA or HHA certification, an additional $5 per hour applies.

YOUR QUESTIONS ANSWERED.

Common pricing questions

Clear answers to help you plan care with confidence.

First Questions Families Ask

Just call (619) 736-4677. You’ll speak with a live care coordinator who can provide your exact rate within minutes — no transfers, no voicemail, no pressure.

No. We believe in complete transparency. There are no hidden fees, no surprise add-ons, and no unexpected charges. The rate we quote is the rate you’ll see in writing.

We do not require a four-hour minimum visit. Visits under four hours have a base flat charge of $178 for one person or $198 for couples care, rather than an hourly charge.

From four to under eight hours, the base individual rate is $48/hour. For eight to twelve hours, the first eight hours are $40/hour and additional hours are billed at 1.5 times that rate. Couples care adds $5/hour to these hourly rates. Location, required qualifications and additional staffing may affect the quote.

Per-visit pricing applies to care visits under four hours in a private home or facility. The base charge is $178 per visit for one person or $198 per visit for couples care, whether the visit lasts 1, 2, 3, or 3.5 hours.

Once a visit reaches four hours, hourly pricing applies. North County location adjustments, required caregiver qualifications, or additional staffing may affect your quote. We confirm the full rate during your first call.

Yes. Our standard starting deposit is refundable and equals one week of scheduled care. The Office team confirms the amount and any approved alternative arrangement before care starts.

The deposit is refunded when care services end, subject to the terms of your agreement.

Understanding Your Pricing Structure

Shorter visits require caregivers to travel to and from your home for a limited number of working hours. With San Diego commute times and fuel costs, this increases the per-hour cost of care.

Longer shifts reduce repeated travel and allow caregivers to earn more consistently throughout the day — which allows us to offer a lower hourly rate for extended care.

This isn’t a pricing tactic.
It’s simply how home care works when caregivers are paid fairly.

No. Our standard hourly rates apply seven days a week, including weekends. There are no weekend surcharges.

Yes — on certain major holidays, caregiver hours are billed at time and a half to fairly compensate caregivers who work those days.

Holiday rate applies only to the following holidays:

If care is scheduled on one of these holidays, we’ll always explain the rate in advance — no surprises.

When a caregiver uses their own vehicle for client errands, appointments or other care-related transportation, the current Office pricing tool lists an additional $0.70 per mile.

This is separate from the caregiver’s ordinary commute to and from your home. No caregiver-vehicle mileage charge applies when the client’s vehicle is used. Split-shift travel charges require Office review. We confirm any applicable charges before care begins.

Our standard hourly rates apply across most of San Diego County. Some North County communities — including Del Mar, Encinitas, Solana Beach, Carlsbad, Carmel Valley, Poway, San Marcos, Rancho Santa Fe, 4S Ranch, and Oceanside — start at a higher rate to fairly compensate caregivers for the additional drive time and fuel cost involved in reaching those areas.

If your community is in or near one of these neighborhoods, the higher rate may apply. Because rates depend on the specific address and shift length, we provide them by phone rather than listing them online.

Call (619) 736-4677 and we’ll confirm whether North County pricing applies to your address — your exact rate within minutes, no in-home visit required.

Specific Care Scenarios

Yes. We offer 24-hour home care for families who need continuous, around-the-clock support.

Care is provided by two caregivers working 12-hour shifts, which helps ensure attentiveness, safety, and caregiver well-being. This structure allows for consistent, reliable care without gaps.

We’ll help you determine whether 24-hour care or extended daily shifts are the best fit for your needs and budget — and explain the difference clearly before you decide.

Our 24-hour package uses two caregivers working consecutive 12-hour shifts and a base daily rate of $1,032 for one person or $1,152 for couples care.

Ordinary 8–12-hour shifts are quoted differently: the first 8 hours use the base hourly rate, and hours beyond 8 are billed at 1.5 times that rate. The 24-hour package instead provides one predictable daily charge, with no separate overtime charge.

Location, required qualifications, and additional staffing may affect your quote. We explain the full cost before care begins.

The 24-hour package provides a predictable daily care charge. We compare it with your requested hourly schedule and confirm any location, qualification or staffing additions before you decide.

In most cases, we recommend 24-hour care instead of live-in care — because it’s often the better option for families.

Live-in care typically requires paying for a caregiver’s overnight hours, even when they’re sleeping. When that cost is factored in, live-in care can be more expensive without providing the same level of alert, consistent support.

With 24-hour care:

Our goal is to recommend the option that makes the most financial and practical sense — not simply offer every model available.

We’re always happy to explain the difference so you can make an informed decision.

When the same caregiver is scheduled for a split shift (for example, a morning and evening visit on the same day), travel time and mileage may apply between the shifts.

This is because California law requires employers to compensate caregivers for work-related travel time and mileage incurred between assignments during the same workday.

What this means:

If a split shift is part of your care plan, any applicable travel time or mileage will be explained in advance so you know exactly what to expect.

Your rate remains the same unless your schedule, location, or care needs change. If an adjustment is ever needed, it’s discussed clearly and in advance.

Your rate covers professional home care — not just caregiver hours.

What you get:

Your quote reflects the care schedule and staffing you need. If two caregivers must work at the same time, the quote includes both caregivers’ charges. Full-assist transfer needs require an Office assessment to confirm safe staffing and equipment.

Special Requirements & Qualifications

Yes. Many members of our caregiving team already hold a Certified Nursing Assistant (CNA) or Home Health Aide (HHA) certification. When available, we’re happy to match families with these certifications at no additional cost.

If a client requires that all caregivers assigned must hold a CNA or HHA certification, an additional $5 per hour applies. This reflects the higher wages required to fairly compensate these employees, who are often in high demand by hospitals and skilled nursing facilities.

We’ll always explain this clearly during your call and confirm any applicable rate adjustments before care begins — no surprises.

Get a clear answer today.

Tell us the schedule and support you need. We’ll confirm your rate.

If you decide to continue, we’ll arrange a free in-home care assessment. You’ll already know your rate before that visit.

Veteran-owned • Nurse-led • Serving San Diego since 2014

Additional FAQ's on Digital Home Care System

How does bill splitting work?

Yes. HITRUST CSF Certified security—same gold standard hospitals use. More secure than paper.

Extremely rare (99.9% uptime), but caregivers can work in offline mode if connectivity is temporarily lost. Care continues without interruption. Documentation syncs automatically when connection returns.

Caregivers document throughout their shift in real-time. Notes are typically finalized and visible in Family Room within minutes of the caregiver clocking out.

We can set up Family Room accounts for as many family members as you want—local siblings, children in other states, anyone you authorize. Everyone sees the same information. No limit on number of accounts.

Yes. Family Room includes secure document storage. Upload medical records, insurance cards, POLST forms, medication lists, doctor’s instructions, photos—anything important. All authorized family members can access these documents. No more searching for forms.

We update the digital care plan immediately, and all caregivers receive instant notification of changes. This is one of the biggest advantages over paper—updates reach everyone simultaneously, not gradually over days or weeks.

Absolutely. Family Room is a tool for families who want it, not a replacement for human connection. We’re always reachable by phone at (619) 736-4677. Many families use both—portal for quick updates, phone calls for detailed conversations.

We train every caregiver on the WellSky mobile app before their first shift. The app is intuitive—designed specifically for caregivers, not engineers. If someone can text and use GPS navigation, they can use our caregiver app. And we provide ongoing support.

Yes. The Family Room care calendar shows upcoming shifts with caregiver names and times. You’ll know exactly who’s coming and when. No more surprise caregiver switches.

Use the two-way messaging feature in Family Room. Send your message, and the caregiver receives an instant notification on their mobile app. They’ll see it and can respond or confirm receipt immediately.

Yes. All notes are searchable. Want to see every mention of “appetite” from the past month? Type it in the search bar and find all relevant notes instantly. No more flipping through pages of handwritten entries.

You can access the complete care history from the day Family Room access began. Review notes from last week, last month, or since care started. Historical data helps identify patterns over time.

Family members cannot delete caregiver documentation—that’s protected and maintained by All Heart for record-keeping purposes. You can delete your own uploaded documents, but we can often recover those if needed within a certain timeframe.

With your authorization, we can provide limited Family Room access to healthcare providers. This allows better coordination between home care and medical teams. You control exactly who has access and what they can see.

Family Room works both ways. You can access it through any web browser (Chrome, Safari, Firefox, Edge) on your computer, or download the mobile app for easier access on your phone or tablet. Your choice.

All authorized Family Room users see the same care information—we can’t create different access levels for different family members. However, you (as the primary contact) control who gets Family Room access in the first place. If family dynamics are challenging, you decide who receives login credentials.

The messaging system shows when messages are delivered and read. You’ll see confirmation that the caregiver received and opened your message. For critical information, you can also call our office to ensure the message was received.

Yes. You can print individual shift notes, date ranges, or specific types of documentation (like Change of Condition reports) directly from Family Room. Useful for doctor appointments or insurance purposes.

If your loved one transitions to hospice, hospital, or another care setting, we can maintain your Family Room access for a transition period so you have complete records. After care ends, we provide a final data export if requested, then access is closed according to your wishes and legal requirements.

Yes. Family Room is accessible from anywhere with internet connection. If you’re traveling abroad, you can still check on your loved one’s care. The system works globally.

Family Room doesn’t support selective information sharing—all authorized users see the same care documentation. For private family communications, you’d need to use personal email, phone, or text outside the Family Room system.

Change of Condition reports automatically alert you when caregivers document significant health changes. For custom alerts (like specific behaviors or situations), talk to our office—we may be able to add special flags to your loved one’s care plan that trigger notifications.

We typically set up Family Room access during your initial care planning meeting, before the first caregiver shift. You’ll have login credentials and a brief tutorial on how to use the portal. Most families are viewing their first shift notes within 24 hours of care beginning.

Complete Security & Privacy Information

HITRUST CSF Certification - What This Means

HITRUST CSF (Common Security Framework) is the most rigorous security certification in healthcare. It's harder to achieve than HIPAA compliance alone. This certification requires:

Why it matters: If it’s secure enough for hospital patient records, it’s secure enough for your loved one’s care information.

Bank-Level Encryption Explained

Data in Storage (At Rest):

Data in Transmission (In Transit):

What this means: Even if someone intercepted the data (extremely unlikely), they would only see scrambled, unreadable information.

Strict Access Controls

Who Can See What

Family Member Access:

Caregiver Access:

Staff Access:

Audit Trail:

HIPAA Compliance - Federal Protection

The Health Insurance Portability and Accountability Act (HIPAA) establishes federal standards for protecting health information. Our compliance includes:

Privacy Rule Compliance:

Security Rule Compliance:

Breach Notification:

Business Associate Agreements:

Continuous Backup & Disaster Recovery

Automated Backups:

Redundancy:

Disaster Recovery Plan:

What this guarantees: Your loved one’s care information is never truly lost. Even if an entire data center were destroyed, complete backups exist elsewhere.

99.9% Uptime Guarantee

What “99.9% uptime” means:

Monitoring:

If the system goes down:

Multi-Factor Authentication (Optional)

For families who want extra security, we can enable multi-factor authentication (MFA):

Mobile Device Security

Caregiver Phones:

Your Devices:

Security Incident Response

In the extremely unlikely event of a security concern:

Digital vs. Paper Security Comparison

Security Concern
Paper Binders
WellSky_Color

Who can read it?

Anyone who enters the home

Only authorized users

Can it be lost?

✔︎ — permanently

✕ — backed up continuously

Can it be damaged?

✔︎ — spills, fires, floods

✕ — stored digitally

Is access tracked?

✕

✔︎ Access logged & audited

Encryption protection?

✕

✔︎ — bank-level encryption

Updates reach everyone?

✕ — printing/distribution delays

✔︎ — instant notification

Survives disasters?

✕

✔︎ — redundant backups

HIPAA compliant?

✕ — difficult to prove

✔︎ — certified & audited

Can be accidentally discarded?

✔︎

✕ — requires a password

Verdict: Digital is significantly more secure than paper in every measurable way.

Common Security Questions

"What if I forget my password?"

Secure password reset process via email or phone verification. We verify your identity before resetting access.

"Can hackers access the system?"

Multiple layers of security make unauthorized access extremely difficult. Regular penetration testing simulates attacks to identify and fix vulnerabilities before hackers can exploit them.

"What if my phone is stolen?"

Change your password immediately from any other device. The thief would still need your password to access Family Room.

"Can All Heart staff see my credit card information?"

No. Payment processing is handled by a separate, PCI-compliant payment processor. We never see or store your full credit card number.

"What happens to the data if I stop using All Heart?"

Your data is retained according to legal requirements (typically 7 years for healthcare records), then securely deleted. You can request a copy of your data at any time.

This isn’t just secure—it’s among the most secure systems available in healthcare.

Your information is safer in our digital system than it ever was in a paper binder sitting on a kitchen counter.

Complete Care Plan Contents:

Care Goals & Priorities

Emergency Contact Information

Medical Conditions & Health History

Mental Health & Cognitive Status

Medications & Supplements

Mobility & Transfers

Personal Care Routines

Meal Preparation & Dietary Needs

Daily Routines & Schedules

Activities & Engagement

Home Environment Details

Transportation & Driving

Additional Important Information

This comprehensive information ensures every caregiver provides consistent, personalized care from day one.

Tracking health changes that matter.

The Change of Condition form documents significant shifts in your loved one’s health—new symptoms, changes in mobility, behavioral differences, or improvements in their condition. This isn’t about minor day-to-day variations; it’s about meaningful changes that physicians, families, and caregivers need to know about.

Why have a separate form for this?

Instead of searching through weeks of caregiver narratives to find when symptoms started or conditions changed, this form puts all significant health changes in one easy-to-reference place. When doctors ask “when did the difficulty walking begin?” or family members want to understand the progression of a condition, you’ll have clear, dated documentation right at your fingertips.

What gets documented:

Each entry includes:

Why this form matters:

Early detection changes outcomes. When caregivers notice something different—increased confusion, difficulty walking, loss of appetite, or even positive improvements like better mobility—documenting it immediately allows for faster responses.

Your family stays informed about meaningful health changes. Physicians receive accurate updates during appointments instead of relying on memory. Incoming caregivers know exactly what’s changed and what new precautions or assistance your loved one needs.

One form. Complete health timeline. Better care.

Whether tracking a temporary change after a fall or documenting the progression of a chronic condition, the Change of Condition form creates a clear health timeline. This helps everyone—doctors, family members, and our San Diego caregiver team—understand how your loved one’s needs are evolving and respond appropriately.

Proactive monitoring isn’t just good practice. It’s essential senior care.

How the Caregiver Narrative works.

Each caregiver documents their shift using a simple timeline format that captures the essential details of your loved one’s day. This structured approach ensures consistency across all caregivers and makes information easy to find.

What we document in every narrative:

Narrative Format:

Each entry follows this structure:

Why this format works:

This timeline approach provides clear, chronological documentation that’s easy for incoming caregivers to read and understand. Instead of wondering what happened during the previous shift, they can see exactly what your loved one ate, how they felt, what activities they enjoyed, and any health changes observed.

One record. Every shift. Complete continuity.

Whether care is short-term, long-term, or evolving, the Caregiver Narrative ensures nothing gets missed and nothing gets repeated. Your family can review the journal at any time during visits, or we can share photos of recent narratives with long-distance family members who want to stay connected and informed.

Complete transparency and peace of mind, right when you need it.

Your loved one's complete care roadmap, now available digitally.

The All Heart Customized Care Plan is completed during your initial assessment and tailored to your loved one’s specific needs, preferences, mobility level, and safety requirements.

Now fully digital and accessible on every caregiver’s phone.

We’ve gone paperless. Your care plan is accessible through our digital platform—caregivers reference it anytime, anywhere. Updates happen in real-time, so when something changes, every caregiver sees it immediately.

What's included:

Care goals, emergency contacts, medical conditions, mental health & cognitive status, medications & supplements, mobility & transfers, personal care routines, meal prep & dietary needs, daily routines, activities & engagement, and home environment details.

One plan. Every caregiver. Consistent care.

This digital approach ensures every San Diego caregiver has the same accurate, up-to-date information from day one—promoting safety, continuity, and person-centered care.

See how we organize care information. This form becomes your loved one’s digital care roadmap.