What Home Health and Personal Care Aides earn in Sacramento County, CA
If you are weighing a move or a job offer, start with $34,320: the median annual pay for Home Health and Personal Care Aides in Sacramento County, CA. Spread over a standard 2,080-hour work year, that is $16.50 an hour. Because the wage survey covers the whole Sacramento-Roseville-Folsom, CA metropolitan area, the number reflects employers across the region rather than a single town or a single company.
The mean wage is $35,770, which is 4.2% above the median, a sign that a group of high earners lifts the average. The survey counts about 60,350 people working in this occupation across the Sacramento-Roseville-Folsom, CA metropolitan area, so the estimate rests on a substantial pool of workers. Sacramento County, CA has roughly 1,594,006 residents, according to the population figures used by the rent data.
The salary range, from entry level to top earners
Pay for Home Health and Personal Care Aides in the Sacramento-Roseville-Folsom, CA metropolitan area is not one number. The lowest-paid tenth of workers earn up to $34,320 a year ($16.50 an hour), while the highest-paid tenth earn $38,240 or more ($18.38 an hour). That is a gap of $3,920 between the bottom and the top of the scale. The middle half of workers falls between $34,320 at the 25th percentile and $35,030 at the 75th percentile. A top-tier earner makes 1.1 times what someone at the bottom makes, so experience, certification and employer all matter.
What the hourly rate looks like
Employers quote this occupation by the hour or by the year, so here are both: $16.50 an hour or $34,320 a year at the median for Sacramento County, CA. Before any deductions, that is $2,860 a month, $1,320 every two weeks and $660 each week. After taxes the same job pays $14.10 per hour of take-home income, which is the number that actually has to cover rent and groceries.
How pay in Sacramento County, CA compares
Compared with the California average
Pay in Sacramento County, CA runs $464 below the California average of $34,784, a gap of 1.3%. A worker who moved to a better-paying part of California would, on paper, gain that difference before taxes. Within California, the highest median we track for this job is $37,640 in Santa Clara County, CA.
Compared with the national average
The national employment-weighted average for Home Health and Personal Care Aides is $34,899 across the contiguous United States. At $34,320, Sacramento County, CA pays $579 less, which is 1.7% below that benchmark. Keep in mind that a higher salary only helps if living costs do not rise faster, which is why the cost sections below matter as much as the headline number.
Where this job ranks in Sacramento County, CA
Among the 573 occupations with published wages in Sacramento County, CA, Home Health and Personal Care Aides ranks number 573 by median pay, ahead of about 0% of them.
From gross pay to take-home pay
Three separate tax bills sit between the gross salary and the bank account: federal income tax, FICA, and state income tax. For Home Health and Personal Care Aides earning the Sacramento County, CA median of $34,320, they add up to $5,000. The result is $29,320 of take-home pay a year ($2,443 a month), based on a single filer using the standard deduction.
Put another way, of every $100 earned, about $15 goes to taxes and $85 reaches the paycheck. The overall effective tax rate is 14.6%.
Federal income tax
After the $15,750 standard deduction, taxable income is $18,570. Federal brackets are marginal, so only the slice of income above each threshold is taxed at the higher rate; the last dollars of this salary fall in the 12% bracket. The resulting federal income tax is $1,990, an effective 5.8% of gross pay, well below the 12% marginal rate because the lower brackets are cheaper.
Social Security and Medicare (FICA)
Payroll taxes are a flat percentage of wages. Social Security takes 6.2% up to a wage base of $176,100, which costs $2,128 on this salary. Medicare takes 1.45%, or $498. FICA totals $2,625, which is 7.6% of gross pay.
State income tax in California
California income tax on this salary is $385 a year, or 1.1% of gross pay, after the state's own deductions and exemptions are applied. That is 19% of the federal income tax bill, and it comes out to $32 a month. Local taxes such as county or city income taxes are not included, so a few jurisdictions may withhold slightly more.
A cross-check with IRS data for Sacramento County, CA
IRS Statistics of Income data for Sacramento County, CA show an average adjusted gross income of $85,973 per return and an average effective federal income tax rate of 12.8% across all filers. Filers in the $25,000 to under $50,000 bracket, where this salary falls, paid an average of 5.3%, compared with the 5.8% estimated here for a single filer taking the standard deduction. Gaps between the two reflect filing status, dependents, credits and other income, none of which a single-person wage estimate includes.
Cost of living in Sacramento County, CA
Take-home pay only means something next to what life costs. We price four basics for one adult in Sacramento County, CA: a one-bedroom apartment, food, home energy and gasoline. All of them are converted to annual figures first, then compared with the $29,320 of take-home pay.
Rent
Housing is the largest line in most budgets. For Sacramento County, CA, HUD sets the Fair Market Rent for a one-bedroom unit at $1,793 a month ($21,516 a year), and at $2,201 for two bedrooms. For Home Health and Personal Care Aides, a one-bedroom absorbs 73.4% of take-home pay and 62.7% of gross pay.
Food
The USDA Thrifty Food Plan (August 2026) puts the cost of a nutritious home-cooked diet for an adult at about $3,436 a year, which is $286 a month or $66.07 a week. That equals 10.0% of gross pay for Home Health and Personal Care Aides in Sacramento County, CA. It is a thrifty budget with no restaurant meals, so treat it as a floor.
Energy and gasoline
Using California residential prices from the Energy Information Administration and national household averages for consumption, electricity costs about $3,378 a year and other home energy such as natural gas about $751, for $4,129 in total. Gasoline in California averages $4.42 per gallon; at about 463 gallons a year (11,106 miles at 24 miles per gallon) fuel adds $2,047.
What is left over
The basics cost $31,127 a year in Sacramento County, CA, but take-home pay for Home Health and Personal Care Aides is $29,320. That is a shortfall of $1,807 a year, or $151 a month, before health care, transportation beyond fuel, debt or savings. Closing the gap would take roughly 128 extra paid hours a year at the take-home hourly rate of $14.10, or a second earner, a cheaper home or a roommate.
Can Home Health and Personal Care Aides afford to live in Sacramento County, CA?
The 30% rent guideline
A common rule of thumb says rent should stay under 30% of gross income. For a gross salary of $34,320 that ceiling is $858 a month. The one-bedroom Fair Market Rent of $1,793 is $935 over it, so rent breaks the guideline. Put as a wage, covering a one-bedroom at the 30% guideline takes $34.48 an hour; the median for Home Health and Personal Care Aides is $16.50, which is 52% below that mark. Another way to see it: at $14.10 of take-home pay an hour, a one-bedroom takes about 29.4 working hours every week.
Splitting a two-bedroom
Sharing a two-bedroom at $2,201 a month means $1,101 each. Compared with renting a one-bedroom alone, that saves $8,310 a year. With a roommate, the yearly margin after the basics becomes $6,503, which turns the shortfall into a surplus.
How fast you can save
With no monthly margin after the four basics, saving requires a change on one side of the ledger: higher pay than the $34,320 median, lower housing costs than the $1,793 one-bedroom rent, or a second income.
Frequently asked questions about Home Health and Personal Care Aides pay in Sacramento County, CA
How much do Home Health and Personal Care Aides make per hour in Sacramento County, CA?
The median is $16.50 per hour, based on $34,320 a year over 2,080 hours. Hourly pay runs from about $16.50 at the 10th percentile to $18.38 at the 90th percentile.
How much do Home Health and Personal Care Aides take home after taxes in Sacramento County, CA?
After federal income tax, FICA and state income tax, the median salary of $34,320 becomes $29,320 a year. That is $2,443 a month, $1,128 every two weeks or $564 a week.
How much tax do Home Health and Personal Care Aides pay in Sacramento County, CA?
Total taxes are $5,000 a year, an effective rate of 14.6%: $1,990 federal income tax, $2,625 FICA and $385 California income tax.
Do Home Health and Personal Care Aides earn more in Sacramento County, CA than elsewhere in California?
No. The local median of $34,320 is -1.3% versus the California average of $34,784, a difference of $464 a year.
Can Home Health and Personal Care Aides afford a one-bedroom apartment in Sacramento County, CA?
A one-bedroom costs $1,793 a month against take-home pay of $2,443, which is 73.4% of take-home pay. That does not meet the 30%-of-gross guideline, which allows up to $858 a month.
What is the monthly budget margin for Home Health and Personal Care Aides in Sacramento County, CA?
Nothing remains: the basics cost $31,127 a year, which is $1,807 more than take-home pay, a monthly shortfall of $151.
What hourly wage covers a one-bedroom in Sacramento County, CA at the 30% guideline?
$34.48 an hour for a full-time schedule, calculated as the $21,516 annual rent divided by 0.30 and by 2,080 hours. The median for Home Health and Personal Care Aides is $16.50.
How we calculated these numbers
Wages are May 2025 medians from the Bureau of Labor Statistics Occupational Employment and Wage Statistics survey for the Sacramento-Roseville-Folsom, CA metropolitan area; hourly-only values are annualized at 2,080 hours. Rents are HUD Fair Market Rents, food costs come from the USDA Thrifty Food Plan, and energy prices come from the Energy Information Administration. County-level tax statistics come from the IRS Statistics of Income.
Taxes use tax-year 2025 federal brackets, FICA rates and the California rules for a single filer with wage income only. Figures are estimates for planning and comparison, not tax or financial advice, and they exclude local income taxes, benefits, retirement contributions and individual circumstances.