Are you comparing apples to apples?

A Closer Look at Home Care

“Home care” has become a catch phrase to include everything from dog walking and house cleaning to high tech nursing. Home health care encompasses a wide range of medical and non-medical services offered to patients in their own home. There are a variety of services offered such as assistance with activities of daily living, skilled nursing care and physical therapy.

Will you have some medical needs when you return home?

If a patient is in need of medical attention once they return home from a hospital or rehab stay, the patient will be referred to a skilled home health agency. Many of these agencies accept Medicare as well as traditional medical insurance. Each patient is then assigned to a team of nurses, therapists and social workers. This team designs a plan of care for the patient and oversees their care. Medicare or the patient’s secondary insurance company will provide funds for a period of time based on the patient’s diagnosis. A nurse or therapist will visit the patient’s home anywhere from a few times a day to once per week, depending on the diagnosis. In order to receive skilled home health care from a nurse or therapist, a patient must have a doctor’s order. They do not provide ongoing assistance with activities of daily living such as: feeding, bathing, dressing, transferring, toileting or help with safely moving about the house.

Will you need help with your daily routine when you return home?

If a patient is in need of assistance with activities of daily living, as listed above, non-medical home care is highly recommended in order to prevent a re-hospitalization. A private- duty home care agency may be needed if a patient is in need of daily or weekly help with hygiene, personal care or even assistance keeping up the home.

Are you comparing apples to apples when looking at home care providers?

There are 3 different types of companies that provide in-home assistance.

  • Licensed Private Duty Home Health Agencies: Patient care is assessed and supervised by a Registered Nurse. Home health aides and certified nursing assistants provide companionship as well as personal care and are trained to assist with Alzheimer’s and dementia care. This type of agency has a nurse on-call at all times, performs regular supervisory checks on their employees and patients as well as holds liability and workers compensation insurance. All caregivers are employees of the agency, not sub-contractors. Look for a license number that begins with “HHA”.
  • Nurse Registries: Nurse Registries provide assistance with companionship and personal care, however, all caregivers working for a nurse registry are independent contractors and the registry is not responsible for directing the care they provide to their patients. The patient is responsible for monitoring and managing the caregivers time, duties and performance. A registry does not supervise independent contractors. Caregivers are responsible for obtaining their own liability and workers compensation insurance and are not supervised or managed. Look for a license number that begins with “NR”.
  • Homemaker / Companion Agencies. These agencies are not licensed to provide any type of medical or hands-on care. Since services are not medical, there are no requirements for supervision by a skilled nurse. Companion agencies are often lower priced than Home Health Agencies and can be an excellent solution when a client is in need of assistance with meal preparation, shopping, light housekeeping and companionship. When hands-on assistance is needed, companion agencies are not permitted to provide this service and employees may or may not be sub-contractors with minimal to no supervision. Look for a license number that begins with “HC”.

Written by: Jenee Mendillo, Bayshore Home Care

Published Date: May 8, 2017

What Others Are Saying About Bayshore Home Care

  • I was apprehensive about engaging a service here not being familiar with the companies and concerned about my wife’s care while I was away working but it has worked out beyond our expectations. We both felt 100% secure and confident that [our caregiver] would properly…

    Lorenzo P.

  • To our friends at Bayshore: Congratulations for being among the best Tampa Bay companies to work for! We are on the receiving end of your great company and very much appreciate the care you provide.

    Rebecca J.

  • There is just no way that I can express my appreciation for what you have done for my Aunt over the years. With me being out of state, I cannot tell you what a Godsend you all have been and how you have cared for…

    Barbara C.

  • I want to thank you for making it possible for my mother to live at her home. Your caregiver made sure my mother took her medication, got nourishment, and made sure she was safe and comfortable.

    John V.

  • I want to thank the staff of Bayshore for the fine service provided to my father over the past four years while he was in his home and then a resident in an assisted living facility. Everyone was very responsive to my requests and always…


  • Whether our residents need help with medications, bathing, companionship or just someone to lend a loving ear, the entire Bayshore team always responds promptly and has proved to us time and time again that they truly care.

    Senior Living Community
    Executive Director

  • Without Bayshore Home Care and the care and companionship they provided, I fear that my client would have been institutionalized. Your caregivers enabled my client to live in her home and enjoy a greatly enhanced quality of life as she was provided with the proper…

    Elder Law Atty.
    Pinellas County

  • Thank you so much for the caregivers you have provided for us. As you know, my husband had a very difficult post- operation period. I think that he has turned a corner now and is improving daily. The care that your staff provided made a…

    Janice M.

  • I really value the fact I do not have to worry about my mom while she is in your care. I also really value the socialization she is getting from your caregivers.

    Dean W.

  • The caregiver you sent us is a great communicator and provides a great loving environment for my Grandparents.

    Stacy M.