Serving Seniors Across Alameda & Contra Costa Counties, Including Berkeley, Oakland, and Walnut Creek

When an aging loved one begins to need regular assistance, the impact is felt across the entire family. Providing high-quality home care requires more than compassion—it calls for a team that understands the emotional, physical, and cognitive changes involved.

At Senior Alternatives, every client begins with a comprehensive in-home assessment conducted by a masters-level Care Manager—not just a generic “case manager.” These highly trained professionals lead the care planning process, identifying medical needs, home safety concerns, and the best caregiver fit. This level of clinical oversight ensures that your loved one receives the right care from the start, and that your entire family feels supported throughout this important transition.

Compassionate Care from a Trusted, Experienced Team  

Our caregivers are the heart of our agency, many of whom have been with us for several years, bringing not only extensive experience but also deep compassion to every client they serve. They are dedicated professionals who treat each client like family, going above and beyond to ensure comfort, dignity, and personalized care. Our team is proud to work closely with our in-house Care Managers, forming a strong, collaborative partnership that allows us to address the full scope of our clients’ needs—physically, emotionally, and socially. It’s this trusted team dynamic and shared commitment to excellence that makes our caregivers love what they do and why our clients feel truly cared for. We place a lot of emphasis on ensuring that there is great chemistry between the caregiver and the client.

Our flexible scheduling options mean that home care can be arranged with as little as 24 hours’ notice. Whether your loved one requires care for as little as 4 hours per week or needs comprehensive, around-the-clock support, we have the appropriate services available. Our goal is to strike the perfect balance between ensuring your loved one’s independence and maintaining their safety and overall wellness. With our expertise and commitment to excellence, you can be confident that every aspect of your loved one’s care is managed with precision and heartfelt dedication.

Personalized Geriatric Care Management

Getting a plan of care in place and implemented can be very challenging: often the client is not open to receiving care or making changes. Using a social work agency model, our care managers guide and support the family to ensure that the client gets the help they need to thrive.

All members of our interdisciplinary team are Masters-level geriatric specialists who have years of experience working in areas of dementia, hospice, chronic medical conditions, and disabilities. In addition, we have developed relationships with reputable physicians, nurses and other geriatric professionals and utilize these experts as appropriate.

Based on information gathered during an initial assessment, the Care Manager develops a care plan to address areas of concern. Recommendations may include: home care; symptom management for dementia and mental illness; managing family caregiver stress; alternative living arrangements; socialization plans; medical appointments. In addition, the Care Manager can serve as the liaison between health care providers, social service agencies, the client, and involved family members. Care plans are regularly monitored for effectiveness and adjusted to address changing needs.

Why Choose Senior Alternatives

Experienced Professionals

With decades of experience and a team of masters-level geriatric specialists, Senior Alternatives brings deep clinical expertise to every home care plan.

Informed Families

We keep families informed at every stage of care, providing regular updates and expert guidance so you’re never left guessing.

Consistency & Quality

Our Care Managers help keep everyone on your care team aligned —ensuring dependable, high-quality support your family can trust.

Reviews From Real Customers

Their team has been very supportive of my 96 year old mother and our family. They are flexible and reasonably prices and very responsive. I recommend them highly.

Teresa Colwell

I have referred many clients to Senior Alternatives with wonderful results. Families feel seen, heard, and taken care of. I am so grateful for their professionalism and dedication to our senior community!

Elizabeth McDonald

My mother needed assistance getting to and from the airport, and I was recommended this place by her retirement community. Every thing from my initial contact with the company to their assistance with my mother was excellent, professional and very caring. They got her to the airport and thru security in plenty of time and were there to pick her up when she returned. After her trip, she repeated to me several times how grateful she was to have their help.

William Jewell

I used Senior Alternatives when I moved back to the East Bay to spend more time with my aging father. While I was still living in New Jersey, I realized that I needed someone located close to Piedmont to assist with both the big picture as well as day to day home care issues. At the time, my father had early signs of Alzheimer’s as well as prior medical conditions. I had been told to look for a firm with both care management as well as home care, and looked at a number of companies. I chose Senior Alternatives based on the extensive experience and Masters’ level degrees of their care managers. They also pointed out their integration of care management and home care by pairing social workers with the home care being provided by the home care aides. I could not have been happier. My father got better medical care since they advocated and monitored everything, and they were able to adjust his medications and get him on some special ones for Alzheimer’s, which improved his quality of life, and reduced his dementia symptoms, too. Plus, they had excellent, sweet home care aides, and as my father’s Alzheimer’s got worse they were well-trained to be able to manage him. Toward the end, the care managers helped us deal with end of life decisions, enabling us to spend our remaining time focusing on him and not stressing out.

Bill Wernecker

Alexis from Senior Alternatives provided outstanding in-home care for my mother during the last months she was able to continue living in her own home. Alexis quickly became a reliable and valued extension of our family and friends support network at that critical time.

Charde

I have utilized the services of Senior Alternatives professionally and personally over the last 23 years. Janet Brush, the founder, is one of the smartest people in our industry. Professionally, I refer residents and their families to Senior Alternatives for geriatric care management, companion care, and licensed care. Personally, Senior Alternatives provided an amazing caregiver (Gwen) for my best friend as she hospiced at home with glioblastoma. The extra support my friend and her husband received gave them both great quality of life in her last month. Thank you Senior Alternatives!

Janet Thompson

During a time when it was challenging to find an in-home caregiver, we were so pleased with the reliable and compassionate care that our mom received from Alexis with Senior Alternatives. Their entire team – from assessment to billing – used a person-centered, accessible & responsive approach to meeting their client’s/family members’ needs.

Mitzi Richardson

I reached out to Senior Alternatives after my mom had a bad fall in May and needed in-home caregivers. I can go on and on detailing how everyone at Senior Alternatives has been absolutely amazing for countless reasons throughout this unexpected journey my family is on. However, what I believe is their signature quality, which is woven into everything they do, is their compassion. The Dalai Lama has said “Compassion is the wish to see others free from suffering.” It is patently clear everyone at Senior Alternatives has that same wish, and it guides them in all they do.

Amy F

My very dear friend needed my help finding care last year after a fall. I was hoping to find an organization that could help her with all the healthcare challenges she was facing, that were impossible for me to do as I live far from the Bay Area. Senior Alternatives was recommended to me, due to its deep knowledge of geriatric care, connections in the community and highly talented care team. From the very first call, I knew they were exactly what I was looking for–the ability to immediately provide my friend with caregivers, and then find her assisted living, and coordinate the move to her new home. The caregivers Senior Alternatives provided, which were a must at night at the thinly staffed rehab facility, provided excellent care, and were kind, reliable and flexible. Anna Le Mon coordinated my friend’s care, and she went above and beyond. She helped me with the many forms that needed to be completed for the assisted living apartment, the intake requirements, etc. It was a daunting task but Anna was there for me every step of the way. Her knowledge of the process and longstanding relationship with the assisted living provider made it so much easier. The day my friend moved to her new assisted living apartment there were certain items, for reasons beyond our control, that had not been delivered or set up. Anna picked up the items for me and set up the room. I was nearly in tears when she shared a video with me of how nice the apartment looked. If I weren’t thousands of miles away, I would have done what Anna did, but Anna stepped into my shoes, and I am so grateful.

Martha Lindsay

We had an emerging need where we needed quick assistance before a weekend. The folks at Senior Alternatives made it very easy to get started, and they found us a caregiver within hours who met and exceeded our needs. Highly recommend you contact them if in need.

Steve Coons

Senior Alternatives has been a life-saver for my family. They do a full assessment of needs, and assign staff to meet those needs. They are extremely responsive, flexible, accommodating, and caring.

David Isaacson

My mom has used Senior Alternatives twice now when her husband became very ill, the first time for a total of 5 weeks. The level of care was exceptional. The same 3-4 care givers rotated on a 24 hour basis leading to continuity of care. Each care giver was responsible, knowledgable and unobtrusive in the home. For my mom, who needed help with her husband, she found the care givers to be very pleasant and really helpful. We highly recommend this organization. They were so easy to deal with!

Leslye A. (on Yelp)

During the 2+ years that I relied on Senior Alternatives to provide home care for my husband, I was never disappointed in their level of commitment to our needs. In every way, and every department, the staff has been caring, kind and responsive. I recognize the challenges that the care giving industry faces and how that contributes to turn-over. That said, I was never sent a care giver that I didn’t feel comfortable with or would have wanted replaced. I was never left without the care I requested. And a number of the caregivers they sent us became beloved members of our extended family. Navigating a difficult time, I could not have asked for more from the agency. Always ready to support us and our needs, they were an enormous help. We felt truly cared for, even loved. Based on my experience, you cannot go wrong in engaging Senior Alternatives!

Gail Light