About Elder Options
Locally Owned. Deeply Committed. Here When You Need Us.
In the late 1980s, a new concept in senior care emerged – care management. Over time, this role has evolved into a trusted and essential service, offering expert guidance to older adults and their families as they navigate complex care decisions.
During this transformative period, Carol Heape played a key role in developing a care management program for the El Dorado County Area Agency on Aging (AAA). When funding for the program was discontinued after its first year, Carol recognized the growing need for families searching for support and solutions. In May 1988, she founded Elder Options, becoming the first locally owned care management and home care company in the Sacramento region. Unlike national franchises, Elder Options remains independent, rooted in the community, and dedicated to providing highly personalized care.
For over 37 years, Elder Options has walked alongside families, helping them access the right care at the right time. Our team of experienced care managers serves as trusted advisors, guiding individuals through important decisions, coordinating services, and ensuring each person receives the support they need to thrive – whether at home or in a care community. This commitment to excellence has been recognized with the 2024 and 2025 Readers’ Choice Awards for Best Home Health Care, as well as being named one of the Sacramento Business Journal’s Fastest Growing Businesses in 2025.
As Elder Options has grown, so has its commitment to offering diverse care solutions through a wide range of contracts and professional partnerships. These include:
- Respite Care for children and young adults through Alta California Regional Center.
- Assisted Living Waiver Program (ALWP) for Medi-Cal eligible adults through the Department of Health Care Services (DHCS).
- Long-Term Care Benefits assistance for clients with long-term care insurance.
- MSSP, FCSP, Area Agency on Aging, and Public Guardian Services for eligible clients through El Dorado County Health & Human Services & the Health Collaborative.
- Veterans Home Care for veterans authorized with their local VA Healthcare Center for Home Health Aid & Respite Services.
Our Mission
At Elder Options, we provide compassionate solutions for older adults, individuals with chronic health challenges, and neurodiverse children and adults. Our goal is simple: to help clients and their families experience a life lived fully every day.

