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Your loved one can develop a trusting relationship with his or her caregiver. Likewise, the caregiver will get to know your loved one, including his or her everything from a favorite lunch to preferred hobbies and pastimes.

  • Individualized attention
  • Care around the clock at a surprisingly affordable rate
  • Constant companionship and care with no interruptions to patient’s routine
  • Retain independence and dignity
  • Feel safer in familiar surroundings
  • Family and friends can easily visit
  • A bond and rapport are established with a regular caregiver
  • Continuity of their daily routines
  • Peace of mind knowing your loved one has consistent quality care
  • Quality Living and Home Comfort

 Live In care well suited for those:

  •  With limited mobility, prone to falling, or need frequent transfers
  • Recovering from a sickness or illness
  • Suffering from dementia / Alzheimer's
  • Who are isolated or withdrawn
  • Who feel inundated with their daily responsibilities
  • Who are currently living in an independent living facility and would like additional care so they don’t have to move to assisted living
  •  With family members living out of state that cannot help


Not all older adults need live-in care. Many just need help in the evening or morning hours, just on the weekdays or just weekends, or just for transportation to doctor appointments.   Whatever the need, Adaptable Home Care is totally adaptable to your needs, and is happy to provide care whenever and wherever needed.

 North East Ohio Live-in Caregiver Options

Traditionally there are 4 different options for hiring a caregiver in Northeast Ohio, this sheet is a brief summary of the differences between those options.  While this deals with federal law, state law, and tax law this is not intended to be nor should it be taken to be legal advice.  Please seek the advice of an attorney or accountant for more specific information regarding your situation.   Learn More: Employment Law & Social Security
Options Summary

One

 The first and oldest option is hiring someone on your own with no help from an agency.  You find these people through the list maintained by the local hospital, running an advertisement in a local newspaper or on-line, or by word of mouth.  You call them, interview them, negotiate a pay rate, hire them, and pay them their salary directly.  If the caregiver is sick or takes vacation, you are responsible for finding a replacement caregiver for that shift. If the caregiver or the person receiving care is harmed in any way, the client and or caregiver will need to take responsibility.

Two

 The second option is using an “independent contractor” agency.  (These are also known as registries or placement agencies.)  With this option you call an agency that has already recruited caregivers.  The agency does their best to match you with caregivers who are available for your location, the type of care, and hours you need.  They contact the caregivers, negotiate the rate for the work, and connect you with the caregiver.  If the caregiver is sick or takes vacation, the agency will do their best to find a replacement caregiver.  You employ the caregiver directly, they are your employee. Therefore, you issue them a paycheck and issue the agency a check for their fee - this is called a 2 check system. 

Three

 The third option is the same as the second, except the home care company charges a one-time fee rather than an ongoing fee. 

Four

 The fourth option is using a “Private Duty” agency.  This option starts out working the same as the independent contractor option.  The agency has already done the caregiver recruitment.   The agency does their best to match you with caregivers who are available for the location and the type of care.  To accomplish this goal, the agency will send a representative to your home to help you assess your needs and the safety of the home.  The agency will also make periodic reassessments to ensure the proper level of care is being provided.  If the assigned caregiver is sick or takes vacation, the agency will do their best to find a replacement caregiver for that shift.  In this option, the caregiver is an employee of the agency.  The agency bills you a set amount and handles all employment issues for its employees including payroll tax, workers compensation, unemployment insurance, personal and general liability, personal bond, etc…

 

 Who Is Responsible For What:

 
Client Hiring Direct
Independent Contractor Agency
Private Duty Agency
Finding Caregivers
Client
Agency
Agency
Interviewing Caregivers
Client
Agency
Agency
Negotiating Caregiver Salary
Client
Agency
Agency
Hiring Caregivers
Client
Client-Agency
Agency
Background Check
Optional-Client
?
Agency
Drug Screening
Optional-Client
?
Agency
Finding Replacement Caregivers
Client
Agency
Agency
Ongoing Evaluation and Drug Testing Caregivers
Client
Client
Agency
Paying Caregiver
Client
Client
Agency
Paying Medical Bills for On-the-Job Injuries
Client
?
Agency
Ohio Tax Withholding
Client-Caregiver
Client-Caregiver
Agency
Federal Tax Withholding
Client-Caregiver
Client-Caregiver
Agency
Payroll Tax
Client-Caregiver
Client-Caregiver
Agency
Federal & State Unemployment Insurance
Client
Client
Agency
Workers Compensation Insurance
Client
Client
Agency
Liability for Caregiver Theft
Client
?
Agency
General Liability Insurance
?
?
Agency
Obtaining State Business License
?
?
Agency
Supervision of Caregiver
Client / Family
?
Agency

 

 Adaptable Home Care Live-in Options

1)    Placement agency: $3000 / Placement Fee
2)    Independent Contractor (2 check system) $145 / day
3)    Private Duty – Caregiver as Adaptable Home Care Employee $195 / day
 
Competition $190 – 250 / day
 
You need to do the cost / benefit to determine which option fits best with your specific situation

Call 330-523-7137 to schedule a free consultation to see if live-in care is for you.
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