AI Rankings · Snapshot 25 Sep 2026
Top home health and hospice agencies in California, ranked by ChatGPT answers
We asked ChatGPT the questions buyers ask. HealthFlex Home Health & Hospice came up most, in 13 of 24 answers.
Since 17 Sep 2026: Pathways Home Health and Hospice climbed 35 spots · California Home Health new to the shortlist
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Methodology
How this ranking is made
What this is
A dated record of what ChatGPT said. We asked ChatGPT (web search on, location United States) 8 buyer questions about home health and hospice agencies in California, 3 times each: 24 answers, collected on 25 Sep 2026. The ranking counts which companies those answers named, and where.
How we count
Answer Share is the share of answers that name a company at least once. Answer Rank is its average position when named (#1 = named first). Question Reach is how many of the 8 questions it appears for. Leader, Niche Pick, Recognized and On the Radar describe ChatGPT's answers, not the company.
How we review it
Before each weekly publish, written rules and automated checks match every named company to its own website. Where the website can't be verified, we show the company without a link. Where its location can't be verified for this market, we mark it. Names we can't match to a real business are left out. Some identity matches (for example, two names for one business) are reviewed by our team. No company is added, removed or reordered to favour anyone.
What this is not
- Not a recommendation, endorsement or certification by ProjectA.
- Not a review or rating of quality, safety, licensing, pricing or suitability for any purpose.
- Not affiliated with, sponsored by or endorsed by OpenAI. ChatGPT is a trademark of OpenAI.
- Not a prediction: AI answers change over time and between users.
- Not advice. Verify any business yourself before relying on it.
- Not paid placement. No company can pay to appear, to be removed, or to change its position.
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ProjectA sells AI-visibility services to businesses, which may include companies shown here. Being or becoming a client has no effect on these results or on any removal request.
Accuracy
Quoted answers are ChatGPT's words, reproduced as recorded on the date shown; they may contain errors we don't verify. The ranking reflects that snapshot only.
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Company names and marks belong to their owners and are used only to identify them.
The Answer Map
Where the 20 most-named home health and hospice agencies sit in ChatGPT's answers
Bubble size = buyer questions it shows up for
The takeaway
HealthFlex Home Health & Hospice is the only Leader in ChatGPT's answers in California.
It is named in at least half of ChatGPT's answers and lands near the top.
1 Leaders8 Niche Picks1 Recognized10 On the Radar
Hover or tap a bubble, name or ⓘ for details. The labels describe how ChatGPT answers, not how good a company is.
ChatGPT's Shortlist
Which home health and hospice agencies does ChatGPT name most in California?
Home health and hospice agencies deliver skilled medical care at home under a doctor's orders: nursing, physical and occupational therapy, wound care, and hospice care for people at the end of life.
| # | vs last week | Company | Answer Share | Weekly trend | Named in | Answer Rank | Question Reach | On the map |
|---|---|---|---|---|---|---|---|---|
| 1 | No change | HealthFlex Home Health & Hospice | 54.2% | 13 of 24 | #2.7 | 6 of 8 | Leaders | |
| 2 | No change | Crossroads| Home Health & Hospice no website found yet | 54.2% +4.2 pts | 13 of 24 | #6.8 | 6 of 8 | Recognized | |
| 3 | No change | Bristol Hospice | 41.7% −4.2 pts | 10 of 24 | #6.5 | 5 of 8 | On the Radar | |
| 4 | ▲ 1 | Solace Healthcare, Inc no website found yet | 37.5% +4.2 pts | 9 of 24 | #4.1 | 5 of 8 | On the Radar | |
| 5 | ▲ 1 | Miracle Home Health Care, Inc | 33.3% | 8 of 24 | #4.6 | 3 of 8 | On the Radar | |
| 6 | ▲ 3 | Agape Hospice & Palliative Care | 33.3% | 8 of 24 | #5.9 | 4 of 8 | On the Radar | |
| 7 | ▼ 3 | 21st Century Home Health Services | 29.2% −8.3 pts | 7 of 24 | #1.3 | 4 of 8 | Niche Picks | |
| 8 | No change | Alameda Care Hospice no website found yet | 29.2% −4.2 pts | 7 of 24 | #4.7 | 3 of 8 | On the Radar | |
| 9 | ▼ 2 | Caring Cove Home Health Care, Inc | 25.0% −8.3 pts | 6 of 24 | #4.2 | 3 of 8 | On the Radar | |
| 10 | ▲ 3 | ProHealth Home Care | 20.8% | 5 of 24 | #3.0 | 2 of 8 | Niche Picks | |
| 11 | ▲ 1 | Bella Terra Home Health and Hospice no website found yet | 20.8% −4.2 pts | 5 of 24 | #6.6 | 3 of 8 | On the Radar | |
| 12 | ▼ 2 | R.C. Hospice Care, Inc no website found yet | 20.8% −4.2 pts | 5 of 24 | #8.6 | 3 of 8 | On the Radar | |
| 13 | New | California Home Health no website found yet | 16.7% | 4 of 24 | #2.8 | 3 of 8 | Niche Picks | |
| 14 | ▲ 2 | Aura Home Health | 16.7% −4.2 pts | 4 of 24 | #5.5 | 2 of 8 | On the Radar | |
| 15 | ▲ 10 | Healthways Home Health Services, Inc. | 16.7% | 4 of 24 | #11.3 | 2 of 8 | On the Radar | |
| 16 | ▲ 35 | Pathways Home Health and Hospice no website found yet | 12.5% +8.3 pts | 3 of 24 | #2.7 | 3 of 8 | Niche Picks | |
| 17 | ▲ 3 | Sequoia Home Health & Hospice | 12.5% −4.2 pts | 3 of 24 | #2.7 | 1 of 8 | Niche Picks | |
| 18 | ▲ 1 | Adventist Health Home Care Services | 8.3% −8.3 pts | 2 of 24 | #1.5 | 2 of 8 | Niche Picks | |
| 19 | ▲ 7 | Health Link Home Health Agency | 8.3% −4.2 pts | 2 of 24 | #1.5 | 2 of 8 | Niche Picks | |
| 20 | ▼ 6 | Butte Home Health & Hospice | 8.3% −12.5 pts | 2 of 24 | #2.0 | 1 of 8 | Niche Picks |
Ranked by Answer Share, the share of ChatGPT's answers that name the company. Answer Rank is where it shows up when named (#1 = named first). Question Reach is how many of the 8 buyer questions it appears for. "vs last week" compares with the 17 Sep 2026 snapshot: spots gained (▲) or lost (▼), and the change in Answer Share.
Not on ChatGPT's shortlist? Find out why in a free AI visibility audit.Buyer questions
What do buyers ask ChatGPT about home health and hospice agencies in California?
The 8 questions we ask ChatGPT, each asked 3 times.
Overall, HealthFlex Home Health & Hospice is named most. But ask “Which home health and hospice agencies in California are best for patients coming home after a hospital stay?” and 21st Century Home Health Services comes up in 3 of 3 answers.
In ChatGPT's words
How ChatGPT describes the top three
#1 · HealthFlex Home Health & Hospice
“HealthFlex Home Health & Hospice — Bay Area/Northern California; provides skilled nursing and PT/OT/speech services and also has hospice capabilities.”
#2 · Crossroads| Home Health & Hospice
“Crossroads| Home Health & Hospice — Offers home health and hospice services, including care coordination programs.”
#3 · Bristol Hospice
“Bristol Hospice - Northern Los Angeles — Glendale; serves Los Angeles County and provides hospice wherever the patient resides.”
Where ChatGPT gets its information
The websites behind the answers
To show up on this list, these are the sites ChatGPT is reading.
| Website | Times cited | Share |
|---|---|---|
| medicare.gov | 15 | 24% |
| cms.gov | 7 | 11% |
| careconsidered.com | 7 | 11% |
| data.cms.gov | 5 | 8% |
| prohealth.us | 5 | 8% |
| hhadata.com | 2 | 3% |
| empresshealthcare.com | 2 | 3% |
| physchoicehh.com | 2 | 3% |
| dhcs.ca.gov | 1 | 2% |
| eternallifehospice.com | 1 | 2% |
| Page cited | Times |
|---|---|
| Home Health Star Ratings | CMS cms.gov | 6 |
| Find Healthcare Providers: Compare Care Near You | Medicare medicare.gov | 5 |
| Home Health Agencies in California — CMS Ratings Compared | Care Considered careconsidered.com | 5 |
| Home Health Care Agencies | Provider Data Catalog data.cms.gov | 4 |
| Find Healthcare Providers: Compare Care Near You | Medicare medicare.gov | 3 |
| Find Healthcare Providers: Compare Care Near You | Medicare medicare.gov | 2 |
| Medicare Home Health Agencies in California | HHAdata | HHA Data hhadata.com | 2 |
| Empress Healthcare INC – Courtesy, Compassion, Care empresshealthcare.com | 2 |
| Physicians Choice° physchoicehh.com | 2 |
| Home Health Agency Quality Of Patient Care Star Rating | Medicare medicare.gov | 2 |
The receipts
Every answer, word for word
One full ChatGPT answer for each buyer question, unedited.
“What are the best home health and hospice agencies in California?”
Places ChatGPT showed
- HealthFlex Home Health & Hospice · 4.9★ · Home health care service
- Adventist Health Home Care Services · Medical clinic
- Healing Touch Home Health Care Inc. · 3.0★ · Home health care service
- Select Care Home Health Services, Inc · Home health care service
- Compassionate Care Home Health, Hospice, and In-Home Care - HQ · 4.4★ · Home health care service
- Crossroads| Home Health & Hospice · 3.7★ · Home health care service
- Solace Healthcare, Inc. - Home Health & Hospice Care · 5.0★ · Home health care service
- Hollywood Home Health, Hospice, and Palliative Care Services · 4.4★ · Home health care service
There is no single “best” home health or hospice agency for every patient in California. The right choice depends heavily on where in California you live, the medical condition, insurance (especially Medicare Advantage networks), staffing availability, and whether you need short-term skilled home health or hospice/end-of-life care.
A good way to compare agencies is to look at:
- CMS (Medicare) quality ratings and patient/family survey results through Medicare Care Compare. CMS uses quality measures and patient survey data; star ratings are only one part of evaluating care.
- Whether the agency is Medicare-certified (for Medicare-covered home health or hospice).
- Response time, nurse availability, communication with family, and experience with the specific diagnosis.
Some California agencies that are frequently considered during searches include:
Home health agencies (skilled nursing, PT/OT, recovery at home)
- HealthFlex Home Health & Hospice — Provides home health and hospice services in parts of Northern California and the Bay Area.
- Adventist Health Home Care Services — Listed among California agencies with high CMS quality ratings in available datasets.
- Healing Touch Home Health Care Inc — Listed among California agencies with high CMS quality ratings in available datasets.
- Select Care Home Health Services Inc — Listed among California agencies with high CMS quality ratings in available datasets.
- Compassionate Care Home Health, Hospice, and In-Home Care — Provides home health and hospice services in Central California.
Hospice agencies (comfort-focused care and family support)
- HealthFlex Home Health & Hospice — Provides hospice and home-based care services in Northern California markets.
- Crossroads| Home Health & Hospice — Offers home health and hospice services, including care coordination programs.
- Solace Healthcare, Inc. - Home Health & Hospice Care — Provides both home health and hospice services in Kern County.
- Hollywood Home Health, Hospice, and Palliative Care Services — Provides home health, hospice, and palliative care services in the Los Angeles area.
Questions to ask before choosing
- Are you Medicare-certified?
- What are your CMS quality ratings and patient/family survey results?
- How quickly can a nurse visit after referral?
- Is there a nurse available after hours?
- How do you communicate updates to family members?
- Do you have experience with this condition (cancer, dementia, stroke, heart failure, wound care, etc.)?
- Which hospitals, physicians, and Medicare Advantage plans do you work with?
If you tell me the California city or county and whether you need home health (rehab/skilled nursing) or hospice, I can narrow this to agencies that actually serve that area.
“Which home health and hospice agencies in California are best for patients coming home after a hospital stay?”
Places ChatGPT showed
- 21st Century Home Health Services · 4.7★ · Home health care service
- HealthFlex Home Health & Hospice · 4.1★ · Home health care service
- Compassionate Care Home Health, Hospice, and In-Home Care - HQ · 4.4★ · Home health care service
- Caring Cove Home Health Care, Inc · 5.0★ · Home health care service
- Aura Home Health · 5.0★ · Home health care service
- Sea Coast Hospice Care · 5.0★ · Hospice
- R.C. Hospice Care, Inc · 4.8★ · Hospice
If the patient is coming home after a hospital stay, I’d separate the decision into home health versus hospice, because they serve very different purposes.
- Home health is generally for recovery or management of an illness/injury at home—typically skilled nursing and/or PT, OT, speech therapy, etc., when ordered and eligibility requirements are met. Medicare's Care Compare data lets you compare agencies on outcomes such as timely starts of care, improvement in mobility, medication management, and potentially preventable hospitalizations.
- Hospice is for someone with a terminal illness when the focus has shifted toward comfort and quality of life rather than curative treatment. Medicare reports separate hospice quality and caregiver-experience information.
California agencies worth putting on your comparison list
I wouldn't call any agency universally "best" because availability, insurance/network participation, distance from the patient, staffing, and the patient's diagnosis can matter more than a statewide reputation. But these are examples I would investigate:
- 21st Century Home Health Services — Northern California; Medicare-certified and offers nursing, rehabilitation and home-based recovery services.
- HealthFlex Home Health & Hospice — Bay Area/Northern California; provides skilled nursing and PT/OT/speech services and also has hospice capabilities.
- Compassionate Care Home Health, Hospice, and In-Home Care - HQ — Fresno/Central California; offers home health, hospice and non-medical caregiving, which can be useful when a patient's needs evolve.
- Caring Cove Home Health Care, Inc — Southern California; Medicare-certified home health with nursing, rehabilitation and supportive services.
- Aura Home Health — East Bay; Medicare-certified home health serving patients recovering from illness, injury or surgery.
- Sea Coast Hospice Care — San Diego area; hospice-focused care in the home and other residential settings.
- R.C. Hospice Care, Inc — Sacramento/Rancho Cordova area; hospice and palliative-care services.
What I'd ask the discharge planner
For someone leaving a hospital, these questions are often more useful than simply asking for the agency with the highest online rating:
- Can you start care within 24–48 hours of discharge?
- Does the agency accept the patient's exact Medicare Advantage/commercial insurance plan?
- Will an RN visit first, and how quickly?
- Can they provide PT, OT and/or speech therapy if needed?
- Who do we call evenings, nights and weekends if the patient's condition changes?
- How does the agency handle medication reconciliation after discharge?
- How frequently will the nurse initially visit?
- If the patient's condition deteriorates, can the agency transition from home health to hospice?
- What geographic area does the agency actually serve, and are there enough clinicians available in that area?
Medicare's current data are particularly useful here: for example, one California agency's Care Compare record reports 100% timely starts of care and 100% timely completion of physician-recommended medication actions, illustrating the kind of individual measures I'd examine rather than relying solely on a single star rating.
If you tell me the California city/ZIP code, the patient's insurance (Original Medicare vs. Medicare Advantage and the plan name), and whether they need home health or hospice, I can narrow this down to the agencies actually serving that area and compare their current Medicare quality data.
“Which home health agencies in California provide skilled nursing and physical therapy at home?”
Places ChatGPT showed
- Health Link Home Health Agency · 4.7★ · Home Health Care
- Muir Home Health · 3.0★ · Home Care Service
- Care In Touch Home Health Agency · 5.0★ · Home health care service
- Stat home health Inc. · 5.0★ · Home health care service
- Miracle Home Health Care, Inc · 4.7★ · Home health care service
- Med Care Plus Home Health · 4.9★ · Home health care service
- Seaport Home Health · 5.0★ · Home health care service
- AHC Home Health & Hospice of Sacramento · 5.0★ · Home health care service
- California Home Health · 5.0★ · Home health care service
- Danny's Home Health Care of Modesto · 5.0★ · Home health care service
Yes. California has a large number of Medicare-certified home health agencies that provide skilled nursing (SN) and physical therapy (PT) in the patient’s home. Current directories list more than 3,000 Medicare-certified agencies statewide, although not every agency serves every ZIP code.
Here are examples by region:
- Bay Area / East Bay: Health Link Home Health Agency — Walnut Creek; provides skilled nursing and PT and serves Contra Costa County and surrounding communities.
- East Bay: Muir Home Health — Concord; provides skilled nursing, PT and other rehabilitation services.
- Fremont / South Bay: Care In Touch Home Health Agency — provides skilled nursing, PT, OT and other home-health services.
- Los Angeles / San Fernando Valley: Stat home health Inc. — Northridge; skilled nursing, PT, OT and speech therapy.
- Los Angeles: Miracle Home Health Care, Inc — skilled nursing and PT/OT/speech therapy.
- Pasadena: Med Care Plus Home Health — skilled nursing and physical therapy.
- Southern California: Empress Healthcare Inc. is Medicare-certified and serves Los Angeles, Ventura, Orange, Riverside and San Bernardino counties, with both skilled nursing and physical therapy.
- San Diego County: Seaport Home Health — Carlsbad-based agency providing skilled nursing and rehabilitation services.
- Sacramento: AHC Home Health & Hospice of Sacramento — Medicare-certified, with skilled nursing and PT/rehabilitation.
- Central Valley: California Home Health — Fresno; Medicare-certified and provides skilled nursing and physical therapy.
- Modesto: Danny's Home Health Care of Modesto — provides in-home skilled nursing and therapy.
Another example is Physicians Choice Home Health in Torrance, which explicitly lists skilled nursing, physical therapy, occupational therapy and speech therapy.
If you're choosing one
The most important issue is where the patient lives, because an agency may provide SN and PT but not cover the patient's particular ZIP code. Medicare also recommends checking that the agency is Medicare-certified, provides the specific services needed, can accommodate the physician's orders, and explains coverage and out-of-pocket costs.
If you give me the California city or ZIP code, plus the insurance (Medicare, Medi-Cal, Medicare Advantage, or private insurance), I can narrow this to agencies that serve that specific area and provide both skilled nursing and PT.
“Which home health and hospice agencies in California respond fastest after a hospital discharge?”
Places ChatGPT showed
- HealthFlex Home Health & Hospice · 4.1★ · Home health care service
- HealthFlex Home Health & Hospice · 5.0★ · Home health care service
- Sequoia Home Health & Hospice · 3.8★ · Home health care service
- Compassionate Care Home Health, Hospice, and In-Home Care - HQ · 4.4★ · Home health care service
- Hollywood Home Health, Hospice, and Palliative Care Services · 4.4★ · Home health care service
- AMAVI Home Health and Hospice Care Services, Inc. · 4.2★ · Home health care service
- Solace Healthcare, Inc. - Home Health & Hospice Care · 5.0★ · Home health care service
There isn’t a reliable statewide public ranking of “fastest response after hospital discharge.” CMS does publish a home-health measure for whether care was initiated in a timely manner, but that is not the same as a guaranteed response time or same-day start.
For California, agencies worth calling first—based on publicly available evidence of 24/7 intake/support, transitional-care services, or reports of prompt post-discharge scheduling—include:
- HealthFlex Home Health & Hospice — Bay Area/Peninsula. Its public information specifically describes post-hospital transitions, and reviews mention prompt scheduling after hospital/SNF discharge.
- HealthFlex Home Health & Hospice — San Jose/South Bay. Offers transitional-care support after hospitalization and has 24/7 contact availability.
- Sequoia Home Health & Hospice — Santa Clara County/East Bay. Advertises 24/7 home-health and hospice support.
- Compassionate Care Home Health, Hospice, and In-Home Care — Fresno/Central California. Advertises 24-hour availability and provides both home health and hospice.
- Hollywood Home Health, Hospice, and Palliative Care Services — Los Angeles area. Offers transitional care specifically aimed at moving patients from hospital/SNF back home.
- AMAVI Home Health and Hospice Care Services — East Contra Costa. Specifically describes service for patients returning home after hospitalization and has 24-hour availability listed.
- Solace Healthcare, Inc. — Bakersfield/Kern County. Provides both home health and hospice.
What I'd ask the intake coordinator: “If the hospital sends the referral today, can you confirm acceptance today, and when can the RN make the first visit—today, within 24 hours, or later?” Also ask whether they have weekend admission, whether the patient's insurance is in-network, and whether they have staffing available in the patient's ZIP code.
CMS's current data can also be used to compare agencies on timely initiation of care, quality outcomes, and patient experience; CMS refreshes these data periodically.
If you give me the California ZIP code (or city) and whether you mean home health, hospice, or either, I can narrow this to agencies serving that exact area and compare their documented timely-start performance and current availability.
“What are the most reliable home health and hospice agencies in Southern California?”
Places ChatGPT showed
- Miracle Home Health Care, Inc · 4.7★ · Home health care service
- Only Care Home Health · 4.9★ · Home health care service
- Top Home Care South Bay · 5.0★ · Home health care service
- WAYS Home Care & Health Agency, LLC · 4.7★ · Home health care service
- SoCal Golden Care Home Health · 5.0★ · Home health care service
- Agape Hospice & Palliative Care · 4.9★ · Hospice
- Hospice and Palliative Care of California · 4.8★ · Hospice
- Lakeside Hospice Care · 4.9★ · Hospice
- Unique Hospice and Palliative Care · 4.9★ · Hospice
- SoCal Hospice Care Inc · 5.0★ · Hospice
- RIVA Hospice of California · 5.0★ · Hospice
- Del Rosa Hospice and Palliative Care · 5.0★ · Hospice
If by “reliable” you mean strong quality data, Medicare certification, good patient/family experience, and an established local presence, I’d start with agencies that can be verified through Medicare Care Compare, rather than relying on online reviews alone. Medicare’s current data were updated in 2026 and include quality measures and patient/family surveys.
Home health agencies worth investigating
- Miracle Home Health Care, Inc — Los Angeles; 4.7/5 from 398 local reviews.
- Only Care Home Health — Pasadena; 4.9/5 from 85 reviews.
- Top Home Care South Bay — Torrance; 5.0/5 from 25 reviews.
- WAYS Home Care & Health Agency, LLC — Inglewood; 4.7/5 from 42 reviews.
- SoCal Golden Care Home Health — Irwindale; 5.0/5, though based on only 4 reviews.
There are also numerous Southern California agencies with 5-star CMS quality ratings, including agencies in Los Angeles, Orange County, Riverside, San Diego and surrounding areas. A third-party directory aggregating CMS data currently lists, for example, Acacia Hh&P of Southern California in Irvine and 24/7 Care at Home–Home Health in Westminster among agencies with high CMS ratings.
Hospice agencies worth investigating
- Agape Hospice & Palliative Care — Torrance; 4.9/5 from 170 reviews.
- Hospice and Palliative Care of California — Pasadena; 4.8/5 from 36 reviews.
- Lakeside Hospice Care — La Habra; 4.9/5 from 34 reviews.
- Unique Hospice and Palliative Care — Arcadia; 4.9/5 from 19 reviews.
- SoCal Hospice Care Inc — North Hollywood; 5.0/5 from 19 reviews.
- RIVA Hospice of California — Riverside; 5.0/5 from 14 reviews.
- Del Rosa Hospice and Palliative Care — Rancho Mirage; 5.0/5 from 31 reviews.
For hospice, I would put more weight on CMS's family-caregiver survey and quality measures than Google ratings. Medicare specifically provides information about family experience, quality of care, conditions treated, levels of care, and certification.
How I'd narrow it down
Before choosing, check these five things:
- Medicare certification and current CMS quality data.
- Patient/family survey results, not just the overall star rating.
- Coverage area and response time — especially whether they can reliably serve the particular city.
- Staffing — ask whether nurses, aides, therapists, and hospice clinicians are employees or contractors and how often the same people will visit.
- After-hours coverage — for hospice in particular, ask exactly what happens at 2 a.m. when symptoms worsen.
Medicare notes that a 4- or 5-star home-health quality rating indicates performance above the average of agencies on the measured care practices/outcomes, but it also recommends looking at the individual measures rather than relying on the overall star rating alone.
Southern California is huge, though, and the best choice can change substantially between, say, San Diego, Orange County, Los Angeles, the Inland Empire, and Ventura. If you give me the city or ZIP code and whether you need home health, hospice, or both, I can narrow this to about 5 agencies and compare their Medicare quality ratings, patient/family ratings, ownership, services, and local reviews side-by-side.
“Who are the best home health and hospice agencies in Northern California?”
Places ChatGPT showed
- 21st Century Home Health Services · 4.7★ · Home health care service
- Health Link Home Health Agency · 4.8★ · Home Health Care
- HealthFlex Home Health & Hospice · 4.1★ · Home health care service
- HomeAssist Home Health Services · 5.0★ · Home health care service
- By The Bay Health · 3.6★ · Non-profit organization
- Health Link Hospice · 4.7★ · Hospice
- Angel Palliative Care & Hospice, Inc. · 5.0★ · Hospice
- Suncrest Hospice - Daly City · 4.8★ · Hospice
- Alameda Care Hospice · 4.7★ · Hospice
- CPMC Coming Home Hospice · 4.7★ · Medical Center
If by “best” you mean agencies worth putting on a shortlist based on Medicare quality data, patient/family experience, reputation, and breadth of service, there are several strong Northern California options. I would not treat any single star rating as a definitive winner: CMS itself recommends looking at multiple measures and the specific services needed.
Home health
For skilled nursing, PT/OT, wound care, medication management, and post-hospital recovery, I’d investigate:
- 21st Century Home Health Services — Burlingame-based, Medicare-certified, with a particularly broad Northern California footprint. Its listed service area includes the Bay Area plus Sacramento, Placer, Yolo, Monterey and other counties.
- Health Link Home Health Agency — San Francisco/Peninsula provider offering nursing, rehabilitation and home-health aide services.
- HealthFlex Home Health & Hospice — Burlingame/Peninsula agency offering skilled nursing and therapy; the agency reports a 5-star CMS home-health rating.
- HomeAssist Home Health Services — Daly City-based Medicare-certified agency serving San Francisco and San Mateo County.
- Sutter Care at Home — particularly worth investigating if you're in the broader Sacramento/Northern California Sutter system. Current CMS data should be checked for the specific local branch because performance can vary by agency location.
CMS's current home-health dataset was released July 15, 2026 and includes quality ratings, timely-start measures, functional outcomes and other agency-level measures.
Hospice
For hospice, I'd put these on the initial comparison list:
- By The Bay Health — a long-established nonprofit serving the Bay Area with hospice, palliative care, home health and bereavement services. This is particularly relevant if you want an organization that can support patients across different stages of serious illness.
- Health Link Hospice — San Francisco/Peninsula hospice with an in-home interdisciplinary model.
- Angel Palliative Care & Hospice, Inc. — South San Francisco-based hospice and palliative-care provider serving the greater Bay Area.
- Suncrest Hospice - Daly City — serves San Mateo County and nearby Peninsula communities.
- Alameda Care Hospice — Walnut Creek-based hospice with a stated service area extending across several Bay Area counties.
- CPMC Coming Home Hospice — a different model: residential hospice in San Francisco rather than primarily hospice delivered in the patient's home.
For hospice specifically, CMS refreshed its public reporting data on August 26, 2026, including family-caregiver experience and quality-of-care measures.
One important distinction
Home health and hospice aren't interchangeable. Home health generally provides skilled, medically necessary care intended to help someone recover, maintain function, or manage a condition at home. Hospice is focused on comfort and quality of life for someone approaching the end of life. CMS evaluates them with different quality measures.
Also, “best in Northern California” is too broad for a truly useful recommendation. Coverage, hospital affiliations, insurance contracts, and local branch performance matter enormously.
If you tell me the city/county (e.g. Sacramento, Bay Area, Marin, Sonoma, Napa, Santa Rosa, San Jose, or Redding) and whether you need home health, hospice, or both, I can narrow this to 3–5 agencies and compare their current CMS ratings, patient/family satisfaction, services, coverage area, and ownership.
“Which home health and hospice agencies in California have the best Medicare star ratings?”
Places ChatGPT showed
- HealthFlex Home Health & Hospice · 4.1★ · Home health care service
- 21st Century Home Health Services · 4.7★ · Home health care service
- Solace Healthcare, Inc. - Home Health & Hospice Care · 5.0★ · Home health care service
- 24/7 Care At Home · 5.0★ · Home health care service
- Compassionate Care Home Health, Hospice, and In-Home Care - HQ · 4.4★ · Home health care service
Yes. One important distinction: Medicare gives home health agencies explicit 1–5-star ratings, while hospice agencies are evaluated through a different set of Medicare quality measures, including a Family Caregiver Survey star rating.
For home health, CMS's latest California data were updated July 15, 2026.
California agencies worth looking at
A few California providers that appear in current Medicare/CMS data or have publicly documented high CMS ratings include:
- HealthFlex Home Health & Hospice — Bay Area; the agency states that its home-health operation has a 5-star CMS rating. Its service area includes much of the Bay Area.
- 21st Century Home Health Services — Burlingame-based Medicare-certified home health provider serving multiple Northern California counties.
- Solace Healthcare, Inc. - Home Health & Hospice Care — Bakersfield/Kern County; Medicare/CMS-certified home health and hospice provider.
- 24/7 Care At Home — Orange County; provides both home health and hospice.
- Compassionate Care Home Health, Hospice, and In-Home Care - HQ — Fresno/Central California; provides both services.
But I wouldn't treat the consumer-review ratings above as Medicare ratings. For example, a Google rating of 5.0 isn't the same thing as a Medicare 5-star quality rating. Medicare's home-health star rating is based on clinical quality measures, while its patient-survey star rating is based on HHCAHPS.
Hospice is a little different
For hospice, CMS currently publishes Family Caregiver Survey star ratings along with measures such as communication, timely help, respect, and emotional/spiritual support. The current survey data cover 2023–2025 periods and are updated periodically.
If you're actually choosing an agency for a particular patient, I can make this much more useful: give me the California city or ZIP code and whether you need home health, hospice, or both, and I can pull the current Medicare ratings and give you a side-by-side comparison of the agencies serving that area.
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“Which family-owned or locally owned home health and hospice agencies in California do families and discharge planners trust?”
Places ChatGPT showed
- Compassionate Care Home Health, Hospice, and In-Home Care - HQ · 4.9★ · Home health care service
Yes. If by “trusted” you mean locally/family owned, established in California, and showing concrete signals of family/referral-source satisfaction, rather than simply relying on advertising claims, I’d put the following agencies on a research shortlist.
California agencies worth looking at
- Compassionate Care Home Health, Hospice, and In-Home Care - HQ — Fresno/Central Valley
- California-founded in 2003 and describes itself as community- and family-values driven.
- Reports 20+ years in operation, 50,000+ patients served and coverage across 10 counties.
- Its Fresno location currently has a strong volume of public reviews (4.9/5 from 331 reviews in the business listing).
- Particularly worth investigating if you're looking in the Fresno/Central Valley market.
- ProHealth Home Care — Northern/Central California
- Explicitly describes itself as locally owned, with more than 20 years of operation.
- Six offices and service across 20 California counties; the agency reports a 4.5-star Medicare Care Compare rating and 4.9 Google rating.
- Importantly for discharge planners, it specifically has a referral process for physicians and discharge planners, including insurance/order verification and same-day patient contact.
- This is one of the more interesting options if you want a locally owned organization with a relatively broad geographic footprint.
- Central Coast Home Health & Hospice — San Luis Obispo & Santa Barbara counties
- Explicitly locally owned and operated and a freestanding, rather than hospital-owned or corporate-based, organization.
- Licensed by California, Medicare approved and Joint Commission accredited; it reports 24/7 medical-staff availability and prompt starts of care.
- A local business organization describes the agency as having flexibility and a reputation for qualified medical staff and empathetic hospice/palliative care.
- Particularly relevant for SLO/Santa Barbara discharge planners.
- California Healthcare Management Group — Southern California
- Describes itself as family-owned since 2013 and independently operated.
- Reports Medicare certification and Joint Commission accreditation, with many clinicians having been with the organization since its beginning.
- Worth considering if you're looking for a smaller family-owned home-health operation rather than a large chain.
- Infinity Care Services — Central Valley
- Explicitly describes itself as a family-owned agency, providing home health, hospice and non-medical home care.
- Serves San Joaquin, Stanislaus and Sacramento counties.
- This is another particularly relevant candidate for families/discharge planners in the Central Valley.
- Grace & Glory Hospice — California
- Describes itself as locally owned and nurse-led and says it is CHAP certified and California licensed.
- It specifically emphasizes communication with referring clinicians and describes itself as a referral partner.
- A patient review quoted on its site describes it as a family-owned hospice and identifies one of the owners as a nurse.
- Alliance Home Health & Hospice — Daly City / San Francisco area
- Explicitly describes itself as locally owned and operated.
- Serves San Francisco and surrounding areas and emphasizes communication and family needs.
- Capital Home Health Agency — Los Angeles
- Describes itself as a private, family-owned, Medicare-certified home health agency operating since 1998.
- Provides multidisciplinary skilled home health services in Los Angeles.
One important caveat about “trusted”
I would not equate Google reviews or an agency's own statement that it is “trusted” with objective evidence that discharge planners prefer it. There isn't a clean statewide database that says, “these are California's most trusted family-owned agencies.”
For an actual referral decision, I'd compare each candidate on:
- CMS/Care Compare quality and patient-experience data
- Medicare certification and survey history
- Hospital readmission/outcome measures where available
- Average time from referral to start of care
- Weekend/after-hours admissions
- Hospice RN availability and response time
- Whether the agency accepts the patient's specific Medicare Advantage/Medi-Cal/commercial plan
- Geographic coverage and staffing depth
- Wound care, IV therapy, therapy and other clinical capabilities
- How quickly the agency communicates with the discharge planner after referral
- Family complaints/grievances and how they were resolved
California's HCAI also publishes home-health/hospice utilization and ownership data, which can be useful for distinguishing ownership structures rather than relying solely on an agency's marketing.
If you're doing this for a hospital/discharge-planning program rather than for one family, I can also build you a California-wide shortlist of 15–25 independently/family-owned agencies, organized by region (LA/OC, Inland Empire, Bay Area, Sacramento, Central Valley, Central Coast, San Diego), with CMS ratings, ownership, counties served, hospice vs. home health, review volume, accreditation, and referral responsiveness. That would be much more useful for comparing referral partners.
How AI Rankings work
Real answers, counted
We asked ChatGPT (web search on, United States) each of the 8 buyer questions 3 times: 24 answers, collected 25 Sep 2026.
Answer Share is the share of those answers that name a company at least once. Answer Rank is where the company shows up when it is named (#1 = named first), averaged. Question Reach is how many of the buyer questions it appears for.
On the Answer Map, the lines cross at 50% Answer Share and Answer Rank #3. Leaders are named in at least half the answers and near the top; Niche Picks are named less often but early; Recognized are named often but further down; On the Radar are named some of the time, further down. These labels describe ChatGPT's answers, not company quality.
Every company listed was matched to its own website by written rules and automated checks; some identity matches are reviewed by our team. Names we could not match to a real business are left out. No company is added, removed or reordered to favour anyone, and no company can pay to appear.
Other markets
Home Health & Hospice Agencies: zoom in or out
ChatGPT names different companies nationwide, statewide and city by city.
Nationwide
Other states
Highlighted markets are live. The rest are on the weekly tracking schedule.
ProjectA · AI Rankings
Home Health & Hospice Agencies in California