In Depth, Home Care Agency Reviews

Every care agency is different and offers different types of care.

Home Instead Review

Home Instead Senior Care Review

“See how in-home senior care is better.

Overall Rating – 9.9/10

Company Details

Summary

Home Instead​®​​​​ offers an individualized approach to keep seniors safe and sound at home, instead of anywhere else.

Name: Home Instead Senior Care
Website: www.homeinstead.com
Address: Headquarters Location – 13323 California St. Omaha, NE 68154
Phone #: (888)331-1023

Customer Ratings

Level of Skilled Services Available – 9.9/10
Care Agency Customer Service – 9/10 90
Quality of Services – 9/10 90
Pricing/Cost – 9.4/10 94
Overall – 9.3/10 93

Care Intended For:

Home Instead offers a wide variety of care services, from Companion Care to Life Care and Skilled Nursing, aimed at the elderly population.

About Home Instead Home Care

Home Instead Review

Home Instead focuses on the individual. We understand that each individual has their own healthcare and assistance needs. We prioritize each senior’s safety, creating a care plan that works for them and allows them to thrive at home. The mission to focus on the individual has come from personal experience, so you can expect to work with caregivers who know what you and your loved one are going through. Each Home Instead CAREGiver receives intensive training and will show your loved one the care they deserve.

More and more seniors are making it a point to stay at home longer. This allows them to enjoy the environment that they have come to know, while maintaining their privacy. Because seniors often have multiple medical conditions, assistance is often needed. Whether your loved needs help with cooking, cleaning, getting to and from medical appointments, or managing their medications, in-home care services can fill those needs.

With over 20 years of dedicated experience and more than 600 Home Instead locations all over the world, you can trust the dedicated staff at Home Instead to provide your loved one with the personalized and attentive care that you would give them. Home Instead was founded out of the need for assistance for an aging grandparent. While the grandparent preferred to stay at home where she was comfortable, her growing need for assistance made it difficult on the rest of the family.

While the Home Instead corporate office is located in Nebraska, there are corporate-owned and franchise locations all over the country. Wherever your loved one feels most comfortable, the caregivers at Home Instead are here for them.

Services Offered

Personal Home Care

  • Respite care
  • Home care aide
  • Companion care
  • Household assistance
  • Elder care
  • Meal preparation and cooking
  • Transportation to and from medical appointments
  • Medication management
  • Light housekeeping
  • Daily errands
  • Assistance with bathroom needs
  • Different types of physical therapy including occupational therapy

Companion Care

  • Outdoor recreation and entertainment
  • Social interactions and outings
  • Hobby assistance and crafting
  • Recalling history and memories

Private-Duty Nursing and 24 Hour Home Care

  • Skilled nursing 24 hours by registered nurses
  • Both 24-hour and shift and hourly services are available

Transportation Assistance

  • Doctors and medical appointments
  • Running errands
  • Grooming appointments
  • Medication drop off and pick up
  • Counseling appointments

Alzheimer’s & Dementia Care

  • Memory programs
  • Comfortable care that allows your loved one to maintain dignity
  • Family memory care training
  • Speech therapy

No matter where you’re located, we are here to assist you.

We simplify the process of finding affordable, quality non-medical caregiver agencies anywhere and provide reliable information about in-home care services and helpful resources for elderly seniors wanting to live at home but needing assistance to do so safely.

What is the difference between personal home care and private-duty nursing care?

While some seniors require assistance with medical tasks like dressing wounds and using medications, not all do. For this reason, Home Instead divides its caregiving into different categories. This makes it easier for you to determine the specific caregiving needs that your loved one will benefit from most. Check the Home Instead location nearest you to get a better understanding of which services are available there.

Your experience with Home Instead is completely personalized, including the caregiving services, staff, and even your ideal schedule.  The service at Home Instead is all about what works for you and your loved one.

Understanding 24 Hour Care

Taking care of a loved one 24 hours a day can feel overwhelming, especially if you have other responsibilities such as work or a family. It is also important for caregivers to take care of themselves and that means getting a good night of rest. When caregiving tasks require around-the-clock care, 24-hour in-home care might be an option for you and your loved one. Home Instead offers both part and full-time, asleep, and awake overnight care. This means that you can rest and renew your energy, which allows you to spend more quality time with your loved one.

What is Home Care?

Home care allows individuals to maintain their independence while in the comfort of their own home. Instead of moving to a nursing home or rehabilitation center, the patient can receive the care they require at home. Home care may be an option for seniors with chronic medical needs or individuals who are post-surgery and need assistance until they have recovered.

The services offered with home care might include:

  • Physical mobility around the house
  • Assistance with meal planning and cooking
  • Assistance with household tasks like cleaning
  • Medication management
  • Assistance with medical tasks (wound care, injections, etc).

Home services are often customized to the individual and their needs. While one individual might need assistance with meal planning and shopping, another might need assistance with getting around their house. The goal of in-home care is to help seniors recover or manage life on their own without having to move to an inpatient residence.

In-home care services are available to any individual who requires daily assistance. However, in order to utilize insurance coverage, certain criteria might need to be met. Home services can also be used to provide respite to family caregivers. Long-term caregiving can feel overwhelming and tiring and the compassionate caregivers at Home Instead can step in to give everyone a much-needed break. Home care hospice is also an option for individual experiencing chronic pain or fatigue from an ongoing condition like dementia, Alzheimer’s, or cancer.

Home Instead offers caregiving services for all types of needs, both medical and not. By scheduling a consultation with a Home Instead representative, you can easily choose a caregiving plan that works for you and your families’ needs.

 

Balanced Care Method and In-Home Care

Home Instead closely follows the balanced care method. This is a type of caregiving that focuses on the entirety of the individual, rather than their individual restrictions. In-home care services should focus on more aspects than recovery. It should also include things like a healthy diet, physical activity, and mental stimulation. 

While some seniors might need assistance with completing these different aspects, the caring staff at our home care agency can assist. Our caregivers are trained to not only manage the daily tasks of the individual, but to also encourage them to thrive, both physically and mentally. Care agencies are in a unique position to further the wellbeing of each patient.

Choosing the Right Home Care Agency

Choosing the right home care agency requires careful research and consideration. In addition to evaluating the individual needs of your loved one, it is also important to consider the procedures and qualifications of the home care agency. The goal of in-home care services is to provide your loved one with safe and accommodating care. You can learn a lot about senior care agencies by evaluating reviews.

It can also be helpful to speak directly with any agencies that you are considering. Choose an agency that is willing to answer your questions and walk you through the process. Request information from agencies that you are interested in regarding pricing, scheduling, hiring practices, and emergency protocols. Choosing the right home care agency is an important decision and the right agency will provide you with all the resources you need to make your decision.

No two individuals are the same. Visiting Angels understands the diverse needs of each one of its clients and offers care that is completely customized and focuses on the health and safety of its clients. Visiting Angels is committed to their clients and their families. The organization works around your schedule and your needs, making Visiting Angels a leader in the private duty home care industry.

Visiting Angels also offers specialized care for individuals with unique needs. Caregivers are available with different types of certifications including from the National Association for Home Care and Hospice and even Certified Hospice and Palliative Nursing Care Assistant. Whatever your loved one’s needs are, chances are, Visiting Angels can offer you a solution that helps.

How Much Does Home Instead Senior Care Cost?

The cost of in-home care services varies from location to location. Additionally, the type of caregiving services you need can also affect cost. Home Instead aims to offer not only personalized services to seniors and their families, but also affordable ones. Finances shouldn’t have to prevent your loved one from receiving the care they need.

Because Home Instead is a highly personalized service, the cost of services ranges. Individuals who require 24/7 care with skilled nursing caregivers can expect to pay more monthly than individuals who need less care and assistance with household tasks. It doesn’t matter if you require one hour, or around-the-clock care, Home Instead has a package for you with both hourly and flat rate coverages. Prices at Home Instead are divided into three levels, which include home helper and companionship, personal care, and specialty care. Each category offers a different level of care, as well as a different type of schedule.

Home Instead accepts insurance, Medicaid, and VA benefits. The best way to calculate cost expectations is to speak with a representative at your nearest Home Instead location.

 

Paying for Home Care

Many families wonder how they will cover the costs of in-home care services. Fortunately, there are a few resources available to cover these costs.

Medicare and In-Home Care Services at Home Instead

Some individuals with Medicare insurance may have home care benefits available. Medicare, a type of federal health insurance, is eligible to some seniors who are 65 years and older. Generally, Medicare will only cover in-home care if you require skilled care, such as skilled nursing or therapy services. Medicare has the following rules:

  • Must be homebound
  • Must be certified by a doctor that skilled nursing is needed
  • Must be re-certified every 60 days that care is needed
  • Medicare must approve the in-home care agency

While traditional Medicare insurance does not cover long-term home care, some participants may be eligible for benefits under Medicare Part A. Additionally, some Medicare Supplement Insurance (Medigap) policies might fill in for some in-home care costs. It is important to note that Medicare will not cover things like 24-hour homecare, household care, custodial care, or meal delivery.

Medicaid and In-Home Care Services at Home Instead

Medicaid, another type of federal insurance, will cover some patients for in-home care services, depending on their location. However, Medicaid generally covers short-term care following a procedure or injury. Some programs do cover long-term in-home care, but they are limited. You will need to check with your state’s individual Medicare provider.

If approved, Medicaid can cover costs including home health care, personal home care, homemaker services, and family and caregiver support. When using Medicaid to cover in-home care services, you can expect the following rules:

  • Must use a Medicaid-certified home agency
  • Must meet your state’s eligibility requirements for community-based services
  • You must have assets below the guidelines set by your state

Home and community-based waivers are sometimes available through Medicaid. These waivers allow for long-term home care, at least until the patient’s condition is stabilized. This program was created with the goal of keeping patients out of nursing homes for as long as possible. Individuals who are eligible for the home-based waiver must:

  • Demonstrated need for care
  • Demonstrate financial eligibility (Low income and few assets)

The income requirements vary by state, so it is important to check with your Medicaid office when determining if Medicaid community waivers are an option for you.

Veterans Benefits and In-Home Care Services at Home Instead

Some veterans might also be eligible for in-homecare services. There are multiple VA programs available including Veteran Directed Care and Aid and Attendance Benefits. In order to eligible, the VA often requires that: 

  • Individual must have served more than 90 days in active duty
  • Must have been active for at least one day during a wartime period

Veterans are eligible for monthly disability payments, which could also include long-term in-home care services. Some veteran’s spouses might also be eligible for veteran’s home care.

PACE and In-Home Care Services at Home Instead

There is another program, called Programs of All-Inclusive Care for the Elderly (PACE) that also aims to keep seniors at home for longer. PACE covers in-home costs like routine checkups, prescriptions, daily living assistance, and home care services. One of the biggest advantages of the PACE program is that they will often cover any costs that you might need beyond the typical ones covered through Medicare or Medicaid.

In order to qualify for PACE, an individual must be:

  • 55 years of age or older
  • Require in-home care
  • Reside in a location with PACE
  • Capability to live at home safely

The PACE program is meant to assist families with caregiving duties. The program expects family members to manage some of the home care assistance, in addition to the professional services from a home care agency.

State Programs and In-Home Care Services at Home Instead

Some states have senior assistance programs that are not related to Medicare or Medicaid and that might make you eligible for in-home care service benefits. Of course, each program and its requirements will vary by state. Find more information and resources on paying for the costs of in-home care by reaching out to your State Health Insurance Assistance Program (SHIP) or Health Insurance Counseling and Advocacy Program (HICAP).

Other Home Care Services Payment Options

Fortunately, home care services tend to be more affordable than other senior care options, like a nursing home or rehabilitation center. In fact, the cost of a nursing home can be almost double that of in-home care. While 24-hour care available in a nursing home center might be necessary for some seniors, other seniors only need assistance with minimal daily tasks.

Other methods available to pay for in-home care services might include a reverse mortgage, annuity payments, or family contributions. Additionally, some individuals might have private health insurance coverage that includes in-home care. It is always a good idea to evaluate your coverage and to understand what costs are covered and what costs you are responsible for.

Covering the Costs of Caregiving

Even with the help of a part or full-time caregiver, you might find that you’re still spending a lot of time caring for a loved one, which can be expensive. Whether you have to miss days at work or hire help around the house, the costs of caring for a loved one can get costly. 

There are programs available that help to cover these costs, sometimes paying a caregiver to care for their own loved one. Older adults with Medicaid or VA benefits might be eligible for these individual programs. The available benefits and eligibility vary from state to state, so it is important to look up the specific regulations for your home state.

However, common restrictions include:

  • Caregivers cannot be a spouse or legal guardian
  • A written service plan is required
  • Caregivers must not reside in the house.

The surviving spouse of certain programs might also be eligible for these benefits

Covering Hospice or Palliative Care Costs

The eligibility benefits and requirements available for hospice or palliative care are similar to the coverages available for in-home care. Medicare will generally not cover home care hospice services, but depending on the patient’s condition, might cover in treatment hospice care.

Individuals with Medicaid or VA benefits might qualify for in-home care hospice services, depending on their condition.

Reviews

Home Instead knows what you and your family are going through. In addition to the worry of your loved one’s health and wellbeing, you also want to know that they are being taken care of properly. It is also likely that you and your family have a lot of questions regarding home care services and how they can benefit your loved one. We’re here to answer those questions.

Home Instead offers many resources to help you make the right decision about your loved one’s care. With programs like free caregiver training around Alzheimer’s and Dementia, we help you through the caregiving transition. We also provide both our caregivers and families with the tools and resources needed to support a loved one with memory care difficulties.

Home care can help to alleviate caregiving duties, as long as you trust in your loved one’s caregiver. It is important to take the time to choose a compassionate caregiver that will not only treat your family member as you do, but that is also qualified to meet their individual needs. You will find that Home instead is a highly rated home care agency. 

Home Instead offers multiple CARE programs for individuals with all different needs. Each of these programs is designed to help the family and their loved one. Families often rave about Home Instead’s level of personalized care. They also often approve of the organization’s ability to find the right caregiver for each individual.

“The office staff and caregivers are all very nice and easy to work with! Everyone has been flexible when we’ve had to make changes with our schedule. These services help to make life a little easier!”

“They did a phenomenal job with my mother in often extremely challenging circumstances. To say they went the extra mile is to put it mildly”.

“Home Instead made it a goal to ensure my mom (who was resilient to the idea of a caregiver) was comfortable and happy with her caregiver. The very first day, they had a ton of laughs, and a very fun filled day, and left my mom asking when they were coming back.”

“My dad received excellent care!”

No matter where you’re located, we are here to assist you.

We simplify the process of finding affordable, quality non-medical caregiver agencies anywhere and provide reliable information about in-home care services and helpful resources for elderly seniors wanting to live at home but needing assistance to do so safely.

Careers with Home Instead Senior Care

How much does Home Instead pay their caregivers?

Home Instead caregivers pay ranges based on location and experience level. Individuals who have specific skills and experience tend to make more hourly than an individual with minimal training. Home Instead caregivers tend to make an average of $10.69 per hour, but hourly pay can range between $7.25- $18.15 per hour. Hired caregivers at Home Instead will receive initial and on-the-job training, as well as flexible scheduling.The caregivers at Visiting Angels earn an average of $11.44 per hour, but hourly rates can range between $7.25- $19.05 per hour, depending on location and the caregiver’s level of experience. The caregivers at Visiting Angels are the backbone of the organization and can enjoy ongoing training and a flexible work schedule. Each caregiver at Visiting Angels is bonded, licensed, and insured, making them a valuable part of the organization. Visiting Angels has also won Best Place to Work for the 2016-2017 year, awarded by myCNAjobs and Healthcare Research.

How do I open a Home Instead Franchise?

If you have a passion to assist homebound seniors and their loved ones, then a Home Instead franchise might be right for you. Home Instead currently has over 600 franchises across the United States. Whether you want to begin your own franchise or take over ownership of an existing one, we are ready to welcome you into the Home Instead family.

If you are interested in opening a Home Instead franchise, it can be helpful to gather additional information and resources. Then choose a location and apply to become a franchise owner. You will need to include a financial and background document along with your application. Home Instead also requests that all interested franchise owners participate in a talent interview. This helps Home Instead choose the franchise owners that best fit with the unique mission of the company. 

Home Instead wants each of its franchisees to offer the same compassionate and skilled senior care that they were founded on, so training and support is an important part of the process. Each approved franchise owner will complete in-depth training, both in running the business and in caring for the individuals. Franchise owners will continue to receive support throughout their ownership with ongoing training and invitations to training conferences.

 

How to apply for Home Instead?

Home Instead offers both corporate and franchise employment options. If you’re interested in an administrative support role, then you can apply for an open position directly from their website. If you’re looking to work as a caregiver, then you can locate your nearest franchise and apply directly for a position with them.

Eligible Home Instead candidates must be 18 years or older, have a minimum of six references, and complete the state competency exam. Additional documents needed to work with Home Instead include a level-two screening, driver report, CPR certification, physician statement, and a TB test. You will also need to provide a copy of your driver’s license, social security card, and vehicle insurance. Each caregiver at Home Instead undergoes in-depth training and is bonded to ensure peace of mind.

 

What types of careers does Home Instead offer?

Working for Home Instead, you can make a difference. Home Instead offers all types of employment opportunities including office and administrative employment, business development, individual advocates, and skilled care. Caregivers are also an important part of the home care agency business, responsible for carrying out the mission to thousands of patients. While Home Instead does not require caregivers to have a license, they are required to successfully complete the Home Health Aid State Competency Exam.

More Advice

How Do We Determine Our “Top” Care Agencies?

According to a recent study, 90% or more seniors want to stay in their homes for as long as possible. We recognize the importance of honoring our senior loved ones wishes, while ensuring the peace of mind of their family members. We rate our top care agencies for their high level of professionalism and expertise in home care knowledge and services. These agencies are dedicated to providing an outstanding level of service in all home care solutions they offer. InHomeCare.com awards top home care agencies according to both client and caregiver satisfaction ratings. All of these home care agencies prove that they pride themselves on supplying quality care in every satisfaction category measured by InHomeCare’s rating system. We only recommend the absolute best home care agencies out there – so you can be confident that your loved one will receive nothing but the most exceptional care and service.

How To Find The Best Fit For Your Family

When it comes to in-home care agencies, there is not a “one-size fits all” solution. While reviewing our care agencies, try to keep the needs of your loved one in mind. Do they need memory assistance? Or, are they looking for temporary postoperative care after an injury? Each case is unique, and therefore will require a personalized care plan in order to meet all areas of need. Of course, there are great options out there for everyone, and we do our best at InHomeCare.com to cover all the important information family members and loved ones may need in order to make an educated decision regarding home care services. If you find yourself struggling to decide which home care agency would service your loved one best, make a list of your top choices and contact each of them. By inquiring about services offered, and by asking questions, you should be able to get a clear winner.