While most would prefer a family member or someone they know take care of them, this may not always be the best thing. While promises are made, commitments can be difficult to keep. If caregiving is absolutely necessary, many find that hiring outside assistance with a regular schedule is the most reliable solution. That way, family members can remain as family, and others can be
counted on to do the work.
There are many choices in hiring help at home. Many will hire privately, that is, pay out-of-pocket for help on an “as-needed” basis. There are many different ways to find caregivers. Some senior centers maintain lists, there are other sources from discharge planners, physicians offices and hospice agencies. Remember, too, that if you hire privately, you work out the hours, rate of pay, etc….and, you’re also an employer and must abide by IRS rulings for tax purposes.
Here’s a brief rundown on the types of agencies in Sonoma and Marin Counties.
HOME HEALTH CARE AGENCIES
These agencies provides services that are 100% covered by Medicare and Medi-Cal. The service must be ordered by a physician. However, clients still have a personal choice of any agency. There are certain requirements for care, for one, you must be homebound and in need of skilled care. This would translate to a nurse or physical, occupational or speech therapy. This is also a time and visit limited service. Some aide service can be available, if there’s a skilled need. This is a service NOT covered by long term care insurance. Born To Age does not list the prices these agencies charge because the costs are directly reimbursed by Medicare. Client is not billed for services.
St. Joseph Home Care Network
170 B Professional Center Dr.
Rohnert Park, CA 94923
707-547-5460
Sutter VNA & Hospice
1110 N. Dutton Ave.
Santa Rosa, CA 95401
707-535-5700
Sutter VNA & Hospice
4000 Civic Center Drive, Suite 190
San Rafael, CA 94903
415-492-4600
PRIVATE DUTY HOME CARE AGENCIES
These agencies can provide both skilled and non-skilled medical care. The services might be covered by long term care, or other insurances, and private pay. The agency is the employer. Caregivers are hired, screened and paid for by the agency. If the caregiver is ill or unable to work, a substitute caregiver is available. The agency pays payroll taxes, worker’s compensation and maintains liability coverage. The agency also determines what the caregiver can and can’t do. There is over a minimum number of hours for service. Care provided by these agencies can include: skilled care, personal care, transportation/errands, meal preparation, medication reminders, light housekeeping, laundry, etc. Shifts can be hourly, live-in or sleepover.
At Home Nursing
1000 Apollo Way, Suite 105
Santa Rosa, Ca. 95407
(707) 546-8773
athome@sonic.net
www.athomenursing.com
At Home Nursing provides both Personal Care Attendants (PCA’s) and licensed care & Nurse Case Management. The agency has been in business since 1998. Certified
by CAHSAH (California Association for Health Services at Home) for PCA services, state licensed Home Health Agency providing skilled nursing services, filling Medi-Sets
& providing geriatric Case Management services. All staff are bonded, insured, background checked, reference checked & tested. Matches personalities and skill level need of
clients to caregivers. Caregivers are our employees. Free in-home assessment. Nurse completes the assessment, maintains this client and supervises the caregivers on an
ongoing basis. 24-hour Nurse Manager On Call for management and support of all cases and caregivers. Rates start at $24.95 per hour and also provide Sleep Shifts, 12 hour
shifts (at no overtime) & Live-Ins. No minimum hours for care & provides task level services at both The Lodge of Paulin Creek & Oakmont
Gardens. Work with with MSSP, Linkages, IHSS, Redwood Caregivers, the VA, Council on Aging & the various Hospices.
At Your Service Homecare
1221 Farmer’s Lane, Suite C
Santa Rosa, CA
707-573-1003
At Your Service Home Care is a home care agency in Marin and Sonoma Counties since 2003. . Caregivers provide in-home care services and specialize in dementia and Alzheimer’s as well as Hospice care. All care staff are bonded, insured, with extensive background checks completed. Service starts with a complementary in-home assessment by a licensed nurse. The rates start at $23.00 per hour or $285.00 per day for a live in shift. The agency is accredited by California Association for Health Services at Home (CASAH). Locally owned and operated by Lucy Andrews, M.A. in Health Administration.
Confidence Home Care, Inc.
Marina Bay at
Richmond, CA 94804
Phone: 510 235 0198
Fax: 510 439 2786
info@confidencehomecare.com
Confidence Home Care provides non-medical home care services in Contra Costa County and Marin
Counties. Rates start at $21 per hour. All caregivers are criminal background, credit and work history checked. Companionship, personal care, and homemaker and light
housekeeping services.
Heart of Humanity Health Services
1400 Grant Avenue, Suite 203
Novato, CA
415-898-4278
Heart of Humanity Health Services is a state licensed agency with 30 years of experience in home care. Offer medical/skilled nursing and home care services for types of care
including hospital recovery, hospice care, Stroke, Alzheimer’s Disease, Parkinson’s Disease, Cancer recovery, Orthopedic care, companionship, medication reminders or any
care to help improve lifestyle. Service clients in Marin, Napa, Sonoma and San Francisco. Caregiver rates are $23.75 – $27 per hour, no visit minimum; Under 4 hours is $26/
hr. A visit rate is $55 and sleepover is $180 for a 10-hour shift. Live-in rate is $280/24 hour shift. A home visit by a nurse is $160/hour and hourly rates range from $45-$55 an hour. Case management service is $140-$160 a visit. All employees are bonded, insured, finger printed and drug screened.
Hired Hands Home Care
84 Galli Dr.
Novato, CA 94949
415-884-4393
6640 Redwood Rd., Suite 204
Rohnert Park, CA
707-584-5400
Hired Hands Home Care is family owned and operated, full service Homecare Company that has been providing caregiving services for over 15 years. Caregivers are available on a flexible hourly, overnight, and live-in basis. Hourly care starts @ $24.00 per hour, and 24 hour care starts at $310. Bill rates include all Caregiver wages, State and Federal taxes, professional liability insurance, bonding, and Workers’ Comp., as well as ongoing case management. Serve the entire North Bay, with offices in Marin, Sonoma, & Napa counties. Complimentary case management ensures the highest level of stability and quality of care. Call today for a complimentary Needs Assessment and Home Safety Evaluation.
Home Helpers
21 Golden Gate Dr., Suite A
San Rafael, CA 94901
415-451-0100
Home Helpers is a home care agency providing assistance for seniors, new or expecting parents, or people recovering from an injury or illness. Caregivers are screened, insured, bonded, supervised and experienced. Free in-home assessments, safety checks and care plans. Both owners are actively involved in day-to-day operations and client
care management. Rates start at $26 per hour for companionship & homemaker services. Offer 12-hour overnight shifts starting at $200 per hour and 24hour or live-in rates starting at $295 per day.
Home Instead Senior Care
www.HISC392.digbro.com
www.homeinstead.com
6050- Commerce Blvd. #210
Rohnert Park, CA 94928
707-586-1516 Sonoma County Office
707-586-1656 FAX
2- Commercial Blvd. #101K
Novato, CA 94949
415-883-6260 Marin County Office
Home Instead Senior Care is a locally owned & operated private duty non-medical home care agency since 1998. Services are customized to the individuals specific needs.
Free care consultation / evaluation at home or hospital. ALL CAREGivers are experienced, carefully screened, criminal back ground checks competed, drug tested, references
checked, trained by the on going Home Instead University training courses. We are bonded & insured for your safety. Care begins with the correct matched CAREGiver to
your loved one. Rates begin at $25 dollars an hour (2 hr min. in most cases) and up depending on the level of care. Live-in care begins at $330 per day.
Homewatch CareGivers of the North Bay
7665 Redwood Blvd., #200
Novato, CA 94945
415-898-5768
707-996-5768
Homewatch CareGivers is the oldest privately owned Home Care Agency in America. Companion care ranges from $20-25 an hour. Personal care with caregivers ranges from $22-27 an hour. Night shift (sleepless 12 hours) ranges from $240-260. Livein, 24-hour care starts at $275. RN nursing visit is $90 an hour. Transportation is available at $24 an hour (they use your car, otherwise, add $.75/mi.), with a three hour minimum. Discounts apply for long-term cases. Caregivers are triple-screened, experienced, insured, bonded and supervised. Free assessments, written care plans, free home safety inspections and monthly quality assurance evaluations. Also offer a Care Management tool, the ultimate client book.
Home Well Senior Care
300 Professional Center Dr.,
Suite 324
Novato, CA 94947
415-599-4333
HomeWell Senior Care provides quality and compassionate hourly or live-in care for seniors and others looking for care at home. HomeWell Personal Assistants are comprehensively screened, including multiple reference checks, criminal and driving records checks, have at least 1,000 hours of professional caregiving experience. (All payroll and insurance matters.) Rates from $21.95/hr to $26.95/hr for hourly care, and $11.50-$12.50/hr for live in/24 hour care. Caregivers are Alzheimer’s and Dementia trained, and many are CNAs and HomeHealth Aides. Bonded and insured Free consultations, assessments, comprehensive care plans and supervisor visits.
Seniors At Home
600 Fifth Avenue
San Rafael, CA 94901
415-507-0564
Info@SeniorsAtHome.org
www.SeniorsAtHome.org
Seniors At Home services include a free home care assessment, attendant care 4 to 24 hours a day, on-call RN and staffing coordinator, and complete care coordination. Attendants are trained and supervised, bonded and insured, and background screenings are performed. Home care rates are $24-26 per hour and $250-270 per live-in shift. Skilled nursing visits are $150. Palliative and End of Life Care consultations are available to clients at no charge. Additional services include Healthcare Advocacy, Care Management, Counseling, Money Management, Conservatorships, Spiritual Care, Volunteer Services, Transportation Services, Caregiver Support, and Holocaust Survivor
Services. Scholarships for Home Care, Healthcare Advocacy, and Care Management may be available for low-income seniors. Additional services offered by Seniors At Home
included Care Management, Counseling, Money Management and Conservatorships, Spiritual Care and Volunteer Services.
Senior Helpers
802 B St.
San Rafael, CA 94901
707-251-1540 415-460-9967
Provides services in Napa, Marin,
Sonoma and Solano Counties.
www.seniorhelpers.com
This is a private duty, non-medical home care agency. Rates range from $20-25 an hour, three-hour minimum. Live in rate, $350. Free home safety and assessment on
intake. Caregivers are screened, multi-state/county background checks, fingerprint check, drug testing, and reference checks. Also examine personality, likes, dislikes,
determining the best match for seniors. Competency testing and education performed on an ongoing basis. All staff are supervised.
Sequoia Senior Solutions
191 Lynch Creek Way, Suite 102
Petaluma, CA 94954
Sonoma and Mendocino Counties
(707) 763-6600
Napa and Lake Counties
(707) 254-7660
Marin County
(415) 259-0331
A private duty, non-medical home care agency. Provides in-home care at $24.50 an hour. Evening Rate, $27.00 an hour from 8 pm to 8am. Minimum 2-hour shift. Live
in care, $345/day. In-home free assessments and safety checks. Accepts checks, cash, major credit cards and insurance. Employees are bonded, insured, drug tested
and criminal background checked. All are monitored and supervised. Transportation at IRS rate if caregiver’s car is used.
Sonoma Home Care
Sonoma: 707-938-7371
Petaluma: 762-7371
A locally-owned, CAHSAH-certified non-medical home care agency serving Sonoma and Napa Counties. Companion/homemaking services range from $24-26 an hour, sliding scale based on hours per week. Personal care is $25-28 an hour, advanced services, $30-34 an hour, Sleep over rate is $185 per day, Live in rate is $299-$350 per day. Time and a half if charged for holidays or over 8 hours in one day. A mileage charge of 65 cents a mile will be added for all transportation services where the caregiver must use their own vehicle. Couples assistance is $3 extra an hour. Pet care assistance is $2 extra an hour, or $20 extra per day for live in or sleepover.
Visiting Angels-Santa Rosa
2245 Montgomery Dr. Suite B-1
Santa Rosa, CA 95405
(707) 528-0222 PH
(707) 528-2388 FX
www.visitingangels.com
adesilver@visitingangels.com
Visiting Angels provides personalized non-medical services, and only hires professionally experienced caregivers. A fully bonded and insured agency, directed by a Licensed
Clinical Social Worker, and Case Managed by a Licensed Vocational Nurse. All caregivers are thoroughly background checked and drug screened. Agency conducts caregiver
supervisory visits and regular client check-ins. Available 24/7. Free in-home assessments and safety checks. 3 Hour Minimum. 2010 rates: Live in/24-hour, $14 per hour,
Overnight (sleep) $17.50 per hour. Hourly 4-12 hours, $23-$30 per hour Angel Visit 3 hours $30 per hour. Transportation is 55.5 cents a mile, using caregiver’s vehicle.
DOMESTIC REFERRAL AGENCIES
These agencies provide nonmedical caregivers/companions to help with personal care, transportation, meals, baths, light housekeeping, etc. They provide many of the same services as private duty home care agencies, however, the caregiver’s are not employees of the agency. There are two types of referral agencies:
1. The agency finds and screens the caregiver, but the client interviews and chooses the caregiver. The client and the caregiver negotiate the rate. The client pays the caregiver directly, and also pays a referral fee to the agency. No substitutes are available.
2. The agency finds and screens the caregiver. The client has the option of interviewing or letting the agency match the appropriate caregiver. The agency assists in negotiating the rate between the client and caregiver, including agency fee. Caregiver earnings are reported to the IRS. Substitute caregivers are available.
At-Home Senior Services
128 Brophy St.
American Canyon, CA 94503
363-4036
Serving Solano and Napa Counties.
This referral agency has caregivers that are bonded, trained and insured. Rates range from $16-18 an hour, with a fourhour minimum shift. Live-in shift ranges
from $230-260 per 24 hour period.
Care Connections
707-823-2555
707-539-6743
415-845-1622
This is a domestic referral service that places only hourly care live-ins. All caregivers are self-employed, independent contractors. Criminal background checked. $150-180 a
day for a 24/7 live-in shift. Hourly $15- 25. Minimum 4 Hours.
Caregiver Referral Sonoma Council on Aging
707-525-0143, ext. 113
707-539-5305
The Sonoma Council on Aging maintains a referral list of caregivers pre-screened with DMV and criminal background checks. Services offered include some light housework, driving, cooking and personal care. Rates are determined by individuals hired. The cost of the list is $150.
Marin Center for Independent Living
710 4th St., San Rafael, CA 94935
415.459.6245
Provides a list of experienced, screened home health aides.
AGING IN PLACE CONCIERGE SERVICES
(Or Assisted Living at Home)
Living Well
1-800-805-7104 ext 3
This is a brand new service that provides all needed to keep someone living safely at home throughout life. Individualized or comprehensive services for less or the same cost of moving into an assisted living facility. Services are available 24/7 in emergencies and on demand. Living Well has 4 levels of membership, depending on a needs assessment. Services include technology, home renovation, safety, 24/7 medical care with access to doctors and nurses, wellness activities, psycho-social and spiritual
well-being, 24/7 caregiver services, live-in support for questions, needs or demands, including running errands, reminders, appointments set-up, traveling, pet assistance, administrative tasks, etc. Monthly dues range from $3,000 to $9,000 a month, depending on level of care. These rates include a la carte services also available as
needed.
Some examples:
Home Care $26/hour,
Housekeeping $22/hour,
Bookkeeping $65/hour,
Personal Assistant $65/hour,
Chauffeur/Escort $65/hour
($55/hour for more than 2 hours),
R.N. $125/hour
Wellness/Activities $55/hour
Dementia Companion $35/hour
Home Maintenance $40/hour
Gourmet Menus $9-20 for one home
delivery portion.
Other services quoted as referred. A complete list of services/prices available at www.livingwellalah.com
