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Is $190,000 a year a reasonable cost for 24 hour in-home care?

The agency in question gets my 93 year old dad up at around 10:00 am, dressed and fed breakfast. He requires some perianal care as he is incontenent (but does not have dementia) but they only change his Depend 2x a day. Then they change bed, do laundry and sweep floors. They fix a light dinner and put to bed around 6:30. Seems like a lot to pay for not too much service. I think it should be less if he's in bed. Half the time when he's up, they are playing with their tablets. I wanted the care as he insists on staying in his home but cannot walk anymore. I did not feel he is safe on his own and the state concurs.
Status: Open    Aug 08, 2016 - 07:41 AM


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Aug 11, 2016 - 07:39 AM

I agree that this seems to be a high rate. Most likely, it's the result of the agency scheduling staff on a "shift model", no differently than if they were working in a facility and being paid an hourly wage. One alternative in home care that can save you quite a bit of money is a live-in plan. In such a case, the caregiver is provided with a bed/bedroom, restroom & kitchen access, much as if they were sharing an apartment. Generally, two caregivers would be assigned to a case such as this, working a rotating 3day/4day assignment. The cost is typically a per day charge rather than hourly, and the caregiver is paid on a daily basis also. Costs will vary by area, but a rule of thumb is that you should see about a 25-30% savings over the per-hour model. Caregiver length of say and time dedicated to the client for live-ins is ruled by state & OSHA laws, so that the worker is not overburdened and allowed personal/sleep time (check your local laws!). Consequently, it's not expected that the a caregiver is awake 24hr/day, whereas this is a likelihood when working under a shift assignment. Check with multiple providers as not all agencies offer this form of service. Interview several and make sure you fully understand how their services work prior to hiring. Good luck!

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By firstmate91 on Aug 19, 2016 - 05:51 PM | Like (0)  |  Report

We are charged 22.50 per hour and they go to bed.

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Aug 11, 2016 - 07:40 AM

Rates for this type of service can vary greatly based on many factors such as location, level of care provided, licensing, state requirements, etc. Our agency is located in Houston, TX and our rates for 24 hour care range from $95,000 to $160,000 per year based on type and level of care. I would encourage you to shop around but make sure that the provider has been vetted properly and that they have the necessary insurance to protect you and your father.

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Aug 09, 2016 - 10:12 PM

Hi...$190,000 a year does seem high -- my mother needs 24/7 care (is not bedridden, but can't see well and doesn't walk anymore) and we had a very good agency caring for her for about 6-7 months at a rate of about $12,000 a month. Her back account went from comfortable to WHOA in that short time...I put an ad in a national website that provides caregivers privately and found a few who are good and who we pay less than the $18 per hour the agency charged. It is the last straw, so to speak. We also did a reverse mortgage which is helping. But if mom outlives the reverse mortgage money? No clue what happens then. There will be no funds to pay the caregivers. It sounds like for what the agency is doing for your dad the price IS a bit steep; I do recommend the website (not sure about giving the name, so I won't) as there are MANY people out there looking for this type of work and background checks, etc. are available. I found the process of communicating, interviewing, etc. to be quite easy and in the end, worthwhile. My mother's caregivers do a lot of hands-on care as she cannot stand very long nor walk or go to the bathroom/shower herself. They prepare her meals, do some housekeeping, give her her meds, take her to and from bathroom, clean her after she uses bathroom, get her washed/dressed in the a.m. and put to bed at night. I provide transport to MD appointments but the aide comes along as my mother has to be in a wheelchair upon exiting the car. This is all very tiring and expensive but again the search via the website and successful hiring of a few people to round out the schedule has cut the monthly expense down to about $8,000. It's still expensive but I have my own home and responsibilities and cannot dedicate huge amounts of time and energy to meeting mom's needs. I hope this helps you to figure out what other options you may have.
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By firstmate91 on Aug 19, 2016 - 05:50 PM | Like (0)  |  Report

Wish we could get reviews on various agencies. Thanks for the response.

By Angel on Aug 22, 2016 - 07:05 AM | Like (0)  |  Report has reviews of both home care agencies as well as other senior care communities.

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