Home Care

elderly woman with home caregiver
Get advice for understanding senior caregiving options, creating a home care plan and finding a senior caregiver or agency.
man and woman talking to home aid
Most elders would prefer to stay in their own homes, where they know their neighbors and can associate memories...
senior health
Adult day programs are designed for older adults and can be a cost-effective alternative to home care. Adult day programs offer a coordinated program of professional care in settings that can range from...
senior communicating with doctor
As her parents' health declined, Lori LaBey found herself increasingly responsible for managing their medical information. She had to keep track of doctors' appointments, manage medications and be on the...

As more elders are choosing to age in place there is an increasing need for in-home assistance.   There are a variety of home-care options, including both medical and non-medical care.  Medical care is usually provided by a skilled nurse from a Medicare-certified agency, such as the visiting nurses.  Skilled home-care is a Medicare Part B benefit and the person receiving the care is required to be home-bound.  The care is usually short-term following an inpatient hospitalization.  Examples of the type of conditions requiring skilled nursing might be post-surgery wound care, monitoring vital signs for an unstable medical condition or pain medication management.  In addition, physical therapy following a hip or knee replacement is usually a covered benefit.   A physician's order is required for care to be covered by Medicare.

Non-medical care includes personal care, homemaking and companion services.  Personal care includes assistance with the activities of daily living (ADLs) such as eating, bathing, dressing, toileting, and transferring.  Hands-on care is provided by home care or personal care aides who may be certified or licensed by the state.  Companions or homemakers can assist with light housekeeping, grocery shopping, laundry, meal preparation, medication prompting, transportation and socialization.  They do not provide hands-on care and are not usually certified or licensed.  Both personal care and homemaking/companionship are considered non-skilled assistance.  The national average cost for non-skilled care hired through an agency is $18 per hour with a range of $15 - $25 per hour depending on the geographical location.  The average cost of independently hiring a caregiver can lower costs by 10-30%.  There are benefits and drawbacks to both going through and agency or hiring independently.  If you choose to go through a home care agency they do the background checks for you, their workers are usually licensed and bonded, they handle tax and liability insurance, provide supervision and back up coverage.  Agencies usually cost more, have a minimum number of hours required per shift, and you may have multiple caregivers.  Hiring privately gives you more control over who you hire, may be less expensive and may be able to provide more flexibility.  However, hiring independently means that you are responsible for taxes, Social Security withholding, supervision, back up care and liability issues.

Home Care Resources By State
Alabama-Home Care Home Care is the preferred choice for a growing number of Americans facing a care dilemma. Home care often refers to a range of care and health services administered in a senior's...
Alaska - Home Care It's a tough moment when we realize that our aging loved ones require daily help to fulfill even the most basic needs. Because many seniors prefer to stay in their homes, tasks such...
Arizona - Home Care Many families choose to place their elderly loved ones in a senior care facility, but for others, this may not be the route they would like to take. For those families who are not...
Arkansas-Home Care For many seniors, declining health makes it difficult for them to complete household tasks and maintain their personal care. Eventually, it becomes impossible for them to continue living...
California - Home Care California has a lot of options when it comes to senior care. When having to move to a facility is not necessary, not an option, or just not a favorable idea, various types of Home...
Colorado - Home Care Some seniors are comfortable living in their own home and wish to remain there for as long as possible. They are not ready for a senior care facility, but still need some assistance...
Connecticut - Home Care When an aging senior reaches a point where they cannot or choose not to live alone, many families elect to find a senior care facility. But if a senior would like to live at home...
Delaware - Home Care As your loved one ages, routine tasks may become more difficult without assistance. If they are still safe at home, but just require a little help, Home Care becomes a great option...
Florida-Home Care What is Home Care? If your parent prefers to "age in place," , Home Care is a great option. Home care offers two types of assistance - skilled medical care and non-medical...
Georgia - Home Care As a loved one ages, there often comes a time when senior care or assistance must be discussed. Some families choose to find an assisted living facility or nursing homes, while others,...
Hawaii - Home Care Many seniors prefer to stay in their homes, but require more attention and assistance than perhaps family and friends can give them on a daily basis. Tasks such as cooking, cleaning,...
Idaho-Home Care Idaho recognizes the emotional and financial burden institutionalized care places on seniors and their families. For so many seniors, their declining health makes it difficult for them...
Illinois - Home Care As you sift through the different housing options for your loved one, one option might appeal to you more than nursing homes or assisted living: Home Care. Home care can range from...
Indiana - Home Care Whether for medical reasons, safety reasons, or for the peace of mind of the rest of the family, there may come a time when a senior is not able to live at home independently. In many...
Iowa - Home Care When deteriorating health prevents an aging loved one from living independently, difficult decisions must be made. Assisted living facilities and nursing homes are the choice for many,...
Kansas - Home Care As a loved one ages, there often comes a time when they are no longer able to live completely independently. At this juncture, there are a few decisions that must be explored, most...
Kentucky - Home Care When a senior reaches a point where living at home is no longer a safe options, many families begin discussing other living options. Some choose nursing homes or assisted living facilities,...
Louisiana - Home Care When a senior can no longer live alone safely, many families begin to investigate options to keep their loved one safe and happy. Not all families are comfortable with facility care...
Maine - Home Care As a senior ages, one of the most difficult decisions families face is how, and if, a senior can live independently at home. If your loved one needs help with their Activities of Daily...
Maryland - Home Care When a senior wants to live at home, but needs some assistance with daily tasks, in-home care becomes a great option. Home care exists in two types, medical and non-medical, and there...
Massachusetts - Home Care One of most difficult decisions seniors and their families have to make is whether or not an aging family member will be able to live independently in his or her own home. If...
Michigan-Home Care While some families find nursing homes or assisted living facilities the best match for their aging loved one, many families prefer to allow their senior relative to "age in place"...
Minnesota - Home Care As a senior ages, very often a time comes when they can no longer live at home safely or without some help. Senior care facilities are a good option for some families at this point,...
Mississippi - Home Care When a family finds their loved one can no longer live safely at home, many begin to look at senior care facilities like nursing homes or assisted living facilities. Some families...
Missouri - Home Care If a senior can no longer safely live at home alone, many families feel that a senior care facility is the only remaining option. However, for families who think their senior would...
Montana - Home Care For many families, the best senior care option is found through a nursing home or assisted living facility, but for some this is not the most desirable option. For families who want...
Home Care Get the home care option that is right for you. As more elders are choosing to age in place, there is an increasing need for in-home assistance.  There are a variety of home-care options...
Nebraska - Home Care When a senior wants to "age in place," or live at home for as long as possible, many families are finding Home Care as an alternative to senior care facilities. For seniors...
Nevada - Home Care When a senior can no longer live at home alone, a family has several housing options from which to choose. But many seniors would prefer to remain at home and, for them, a facility...
New Hampshire - Home Care Families with aging seniors often reach a point where they must find an alternative to their loved one living alone. Many families elect to find a senior care facility, but for...
New Jersey - Home Care If your loved one's health is declining, you may need to look into getting help with their everyday needs. Especially if that person prefers to stay at home, home care may be...
New Mexico - Home Care Many of us find it difficult to imagine leaving our homes, yet thousands of seniors are required to do just that every year for medical reasons. For many seniors, in-home care is...
New York - Home Care When a loved one can no longer live independently, families often have to consider other are the best option for some individuals, but others prefer to stay at home and have skilled...
North Carolina - Home Care Many seniors prefer to age at home, but as they get older, many do need help with daily tasks. For seniors who choose not to enter a facility, the best option is Home Care....
North Dakota - Home Care When a family decides a senior is no longer able to live alone, the next decision is often a struggle. Many seniors would prefer to remain at home and not live in a nursing home...
Ohio - Home Care Most seniors would prefer to spend their elder years in the comfort of their own home surrounded by familiar faces and places. For those who prefer this scenario over institutionalized...
Oklahoma - Home Care When an aging senior reaches the point when they can no longer safely live alone, their family has a number of choices. Some families elect to find a senior care facility, but for...
Oregon - Home Care Many seniors are reluctant to leave the comforts of their own home and move into an unfamiliar residential care facility. This transition is not necessary for all seniors-some elect...
Pennsylvania - Home Care When a senior is not ready to move into an assisted living facility or a nursing home, but requires some assistance with daily tasks, Home Care is a suitable option. Visiting...
Rhode Island - Home Care Many families decide to explore home medical care for their loved ones who require daily medical attention. Some families choose to find a nursing home or assisted living facility,...
South Carolina - Home Care Many families elect to find a senior care facility when an aging senior reaches a point where they cannot or choose not to live alone. But if a senior would like to live at...
South Dakota - Home Care When a senior can no longer safely live at home alone, many families decide to find a senior care facility. Some seniors want to remain at home as long as possible, however, and...
Tennessee - Home Care For many seniors, the thought of staying in their own homes as long as they safely can is one that is ideal. But as seniors age and find they need help with daily tasks, some families...
Texas - Home Care As a loved one ages, it often becomes apparent that they can no longer thrive while living on their own. In many cases, and for different reasons, families of seniors do not wish to...
Utah - Home Care One of most difficult decisions seniors and their families have to make is whether or not an aging family member will be able to live independently in his or her own home. If your loved...
Vermont - Home Care When a senior wants to continue living home, but is starting to require some assistance with daily tasks, Home Care can be a great option to help your senior "age in place."...
Virginia - Home Care If your loved one wants to stay at home as long as is possible, but requires assistance with daily tasks, Home Care is an option. Visiting nurses or aides perform tasks ranging from...
Washington D.C. - Home Care A Home Instead Senior Care Study found that 86% seniors want to continue living at home for as long as possible. Many seniors wish to remain in the comfort of their own home...
Washington - Home Care For many seniors, Home Care is a happy median between moving into a senior care facility and relying on friends and family to care for them at home. While some families employ in-home...
West Virginia - Home Care Aging seniors sometimes reach a point when they can no longer safely live alone. When this time comes many families look into senior care facilities, but if a senior prefers...
Wisconsin - Home Care While many seniors want to age at home, some do require a little extra assistance with daily tasks. When this time comes many families elect to find a senior housing facility, but...
Wyoming - Home Care When a senior would like to live at home, but does need assistance, Home Care can be a great alternative to nursing homes to help your senior "age in place." Read the article...
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