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how does live in care work?

Last post 04-13-2010 3:33 AM by Angus Deniel. 7 replies.
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  • 10-29-2008 11:18 AM

    how does live in care work?

    My family is trying to determine if a live in is an option for our parents. My mother has dementia, and at the moment we have 3 caregivers doing shifts, but the cost is too great.  What kind of additional coverage would be needed? Right now, the family is covering 8 am to 8 pm Saturday and Sunday, and this is a strain. How many hours per week would a live-in have off? How many hours in a 24 hour period? Do live-ins typically get vacation?


  • 11-26-2008 9:46 AM In reply to

    Re: how does live in care work?

    Live-in care is provided by many homecare agencies, but not all.  How the service typically works is an aide is provided to the family who will live in the home during the time care is needed.  The aide will be given their own room by the family, and will be allowed 8 hours of sleep a day.  Usually a live-in will work 7 days a week and every 2-3 weeks would get a weekend off, or a few days off, and the agency would bring in another aide to cover for those days off.  If the aide needed to take a longer vacation, the agency would arrange for another aide to provide coverage for the client during that time.  Some home care agencies are flexible when it comes to the room.  If there is a pull-out couch, that can sometimes work too, if there is not an extra bedroom.  Costs range for live in-care, but a good average is probably between $150-$230/day. 

    Some families need 24/7 care, so a live-in situation would not be the best fit.  In that case the agency would most likely employ two caregivers to work 12 hour shifts, or three caregivers working 8 hour shifts to create 24 hour coverage.  I hope this is helpful.

  • 01-19-2009 12:19 PM In reply to

    Re: how does live in care work?

    It has been my experience that a private caregiver is risky.  It depends on the state I imagine, but I'd check into employment laws for a certain amount of time and make sure the person is covered with adequate insurance or you will get stuck if there is an accident.  Some reputatable caregivers who are willing to do this will most likely have this stuff.  Do a background check as well.  There are good people out there who care for seniors but some are not aware of how it affects you financially and tax wise. Ask many questions!  The right person will come!

  • 06-27-2009 1:04 AM In reply to

    Re: how does live in care work?

    If you are from NY please visit and email wit any questions

  • 07-29-2009 10:03 AM In reply to

    • Marcia
    • Not Ranked
    • Joined on 12-30-2008
    • Posts 2

    Re: how does live in care work?

     Jessica, at Visiting Angels of Southfield, we have a different arrangement for live-in care.  We assign 2 aides for the week.  One aide works 3-5 days and the other works the remainder.  We think this arrangement keeps our caregivers refreshed and at the top of their game and reduces the chance of burnout.  They get the opportunity to to go home every week to regenerate, attend to personal business, see friends and family, etc.  The families like it because they get to form a relationship with both caregivers and always know who will be taking care of the parent.


    Marcia Williams, CSA

  • 08-12-2009 1:28 AM In reply to

    Re: how does live in care work?

    Times have changed - for the better, that is - when it comes to hiring private aides directly.

    State licensing for CNA's has become fairly thorough, and standardized, for most states.  For example, in Florida CNA's are tested using the same written and hands-on-demonstration testing used by most states.  State licensing also includes law enforcement checks, including FBI checks as appropriate, and the state maintains a database of licensees that includes, among other things, any disciplinary information. Licensing also includes continuing education (CE) requirements, similar to other licensed professions. 

    Professional liability insurance is now available for individual caregivers.  It's generally affordable (to the extent that the insurance company believes the caregiver to be a good bet), with high 'million dollar' coverage.The person you engage should have a professional liability (malpractice) policy.  That they've obtained, and maintained, insurance coverage for this is a good indicator in itself, as it is with any professional.  If your favorite caregiver doesn't have a policy, you might ask that they obtain one.  If using an agency - if the agency is is saying they are insured, but the individual they are providing has not obtained their own policy, it might be interesting to find out 'why not' (it's quite possible, perhaps likely, that the individual doesn't have the qualifications required by the insurer)

    As to contractor status (versus hiring someone who would be constued to be an 'employee), just use a state-licensed professional who offers services to the general public (and not one 'employer').  To quote the IRS on this "the general rule is that an individual is an independent contractor if (the person for whom the services are performed) has the right to control or direct only the result of the work, and not what will be done and how it will be done or method of accomplishing the result."  

    In other words, use a licensed professional.   The cost will be the same as - or often lower than - other alternatives.

    More on CNA, HHA's and what you can expect in terms of quality:


  • 02-27-2010 4:39 AM In reply to

    Re: how does live in care work?

    You can contact at recaso.Yes
  • 04-13-2010 3:33 AM In reply to

    Re: how does live in care work?

    When a carer lives with his client, it is normally known as live in care work, because the carer lives in with their client for a defined period of time. Live in care work offers great profit especially for a working holiday maker. The live in carer normally works for 8 hours a day for seven days a week to look after the client. away from each other from his/her salary, the live in carer gets free food and accommodation in return for being “on call” for any emergencies for another 5 hours a day. This has been very attractive to a lot of people traveling in England.
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