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I had just hired Home Instead Senior Care in Bel Air Maryland for my brother who needed care. Before hiring Home Instead Senior Care my first question was, "How would you know if your employee will be clocking in since their way of doing things does not involve clocking in on the customer phone." I was informed by Kim that Home Instead can see where they are at all times. So I hired them and they sent over a caregiver Laura and she apparently was clocking in on her phone then leaving the house then coming back to clock out at the end of her shift. She would do certain chores but then leave for the remainder of the required hours.
We caught her doing this when a nurse arrived at the house and asked where the caregiver was to my brother and he responded she left. Nurse contacted my sister and I was then contacted. I called my brother's cell phone and ask to speak with the nurse. I asked her, "What time did she arrive?" and she said she arrived at 12:30 and nobody meaning caregiver was there. The caregiver Laura was supposed to be there from 10 to 2.
I contacted Home Instead in Bel Air Maryland and spoke with Emily and she verified that Laura clocked in at 10 and is still there at the house and I informed her that that was not true because we have a nurse at the house and Laura is nowhere to be found. Then I contacted Laura by text and asked her to clock in and out using my brother's cell phone and my sister was there at the house waiting for her to come back if she was coming back and sure enough she drove up the driveway and then text me saying she's clocking out. My brother then informed me that she has been doing this ever since we hired her meaning leaving the house in between hours of clocking in and clocking out and we were billed recently of those days with full hours 10 to 2.
My sister and I managed to contact the bank on time to stop the automatic withdrawal of $786 however I did notice another charge of $186 that was withdrawn on March 8th and there is no invoice backup as to why we were charged this amount. I am requesting a full refund and in the process of finding a lawyer. Home Instead is a scam business and they are trying to take advantage of the disabled and seniors' inability to remember and use it against us. I am here to inform others to not use Home Instead because they are not in the business of caring for your loved one but out to get your money.
Also having the conversation with Emily of Home Instead it didn't sound like she was surprised. In fact she was even defending the employee by saying that she had an emergency and that her daughter was out of gas and needed help. I just drew from that conclusion that they had previously been doing this before and knew all about how their employees work and they don't care about it. My advice. PLEASE DON'T LET Home Instead CARE FOR YOUR LOVED ONES BECAUSE THEY DON'T CARE ABOUT THEM AND IT'S ALL ABOUT MAKING A BUCK. NO COMPASSION. NO TRUST.
Home Instead lies about everything, from background of caregivers, to age and experience. They will say a caregiver has worked for them for a long time and then when the caregiver shows up she says it is her first day to work for Home Instead. Age is misrepresented and caregivers are up to many, many years older than patients are told and they don't feel up to doing much other than sit. The caregivers who have worked for them before are dissatisfied with the company and say they are interviewing with other agencies but would like to work independently. The company is low paying but charges top prices for the caregivers. I do not recommend this company as I had bad experiences with them.
From the moment I met with Becky from Home Instead I felt that she had my father's best interest in mind. The next day, both she and our potential caregiver, Brittany, visited with my dad and they made a plan and a schedule for in home visits. My father really appreciated Brittany's help and company. I really appreciated Becky's help finding insurance based PT and OT. She went out of her way to make sure that my dad had follow-up care. I would recommend Home Instead to anyone who needs to plan elder-care for a parent. They are professional, kind, and caring.
Two of the seven different caregivers Home Instead sent us bonded well with the patient, actually gave him happiness in the last months of his life. And so when I requested these two special caregivers HOME INSTEAD would not allow them to return. Instead they sent other caregivers who actually made the patient's last months hellish. I am shocked by the cruelty of this company. It is supposed to be a service and yet they are crueler and detrimental. It was extremely hurtful and frustrating to an already difficult situation. STAY AWAY from HOME INSTEAD.
Well, they lasted a total of 1 1/2 times visit. I met with one person initially and did some sort of interview time thing in my home. I thought this person was fairly pleasant and easy to talk to. So the next time he came back with another worker (They seemed to be some sort of "package deal".) His agenda was to barge into my home, and personal, sacrosanct space, and re-make it according to "his image & liking". He seemed a tad confused, and thought he lived there. Not me! This is so disrespectful! And the other person's agenda was to sit down and never really get up again the entire time or do anything helpful or useful. Alas, we have run into this similar situation many times, with each type of "home health care" we have hired.
They are all fly by night to say the least. And that seems to be their best quality! Alas... When I last spoke with the "team leader", he commented that things "were not getting done". Exactly. That is why we hired you! Well, go figure... huh? Do not allow these strange strangers into your home. There is nothing in it but a huge amount of hassle and regret on the part of the client. By the way, all these agencies are extremely confused, and they are topsy turvy to the point they are (somehow) convinced that you work for them, not the actually of the situation! I attempted to give the appropriate feedback to this company, but they had zero interest in hearing anything I said, doing the tasks required or in any way, shape, or form being professional, productive or useful. Do not hire this company! Stay away! What an upsetting, awful experience for us, the clients!
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I do not know anyone that likes or would tolerate a parade of strangers through their home but evidently that's the way Home Instead, does business. In the last 8 months, we have had 5 different people come and go from this company. What does it take to find one person that will do the job of just sitting, watching, and occasionally helping. The job is easy and indoors! They started out just fine for the first couple of months but then a different person every other day started showing up.
I had an interview with this company’s Fort Collins branch last week and was offered a position. I received a phone call today saying that after speaking with my references, I wouldn’t be a good fit to their company. I then contacted all of my references and NOT ONE of them was contacted by Home Instead on my behalf. Dishonest administration. I would avoid them at all costs.
My mother has been receiving Home Instead care in Ohio. She resides in the Cleveland area. The family thought of Home Instead for her. However, the caregiver who has been serving her for the last 2 plus years has been lazy and cannot meet her needs. Also, she does not communicate with her office or return calls from clients. She also wants to help herself with personal items. Her name is Jackie and she is based out of the Oakwood village, Ohio office. So, that being said if your loved one is in need of senior care I would strongly look elsewhere for a better service with better staff. These part-time people are not very reliable and are worthless.
They don't pay miles like they say in handbook. My niece has been there 3 1/2 months and still hasn't got paid for them. They keep telling her someone else is in charge of that. The workers inside the office don't communicate with each other. And the schedule are so screwed up. They expect you to work when you are sick. They don't care about you or client. Would not recommend this company.
Needed help with my mother quickly, so we hired Home Instead Grass Valley. Want to let people know that you have to feed the caregivers on top of paying a high rate. Additionally, the caregivers did not shower my mother for 9 days and when I asked to reduce the price because they had not performed the basics, they refused and were rude. Home Instead is expensive and unprofessional.
I called Home Instead in Saratoga Springs, NY last year. I needed someone to stay home with my Dad so that my Mom could get out of the house and feel comfortable that he was safe while she was gone. From the beginning I had a positive feeling about the people they employ. The woman that met with us to setup services was very professional, yet relaxed enough that I didn't feel pressure to sign the contract the day we met. She followed up with me to see if I had any questions, and again didn't seem to pressure me to sign.
When my family finally made a decision and I called the office she seemed genuinely happy to hear from me. They sent a woman named Brenda to care for my Dad. Brenda has been with my Dad for over a year now, just a few times a week. She is kind, caring, funny, and most importantly - seems to really enjoy spending time with my Dad. He looks forward to his Brenda time each week. My Mom gets to visit with her friends, shop, or whatever and feels confident that Dad's having a good time with Brenda. We couldn't be happier.
I hired this agency in Albany NY for a period of several weeks. Two different employees stole from me during this time. One stole personal property and another took cash from my purse. Instead of the agency discussing this with their employees, they said I must be mistaken. I would caution anyone hiring from this company. They only pay their employees $10 an hour and yet collect $25 from the clients. So, I can understand the employees needing extra money but stealing is not the way to go.
In 2009 - I hired HISC for my elderly father to drive him to occasional doctor appointments. Eventually I hired a live-in caregiver from an altogether different company until he needed to move into a nursing home and passed away early February 2015. In 2013 - I hired HISC for myself when I needed a driver (using my car) to take me to my appointments following my own foot surgery. The service for my father was adequate as was mine. ALL bills received were PAID IMMEDIATELY for both my father and for me.
Fast forward, (4) four years later... to September 2017... Imagine my surprise when I received a phone call from Home Instead Senior Care "Fran" SEVEN YEARS after we used them for my (now) deceased father and FOUR YEARS later for myself. My initial thought was maybe they were looking for me to use them as a reference; because I could think of no other reason they would call! Imagine my astonishment and increasing anger I felt when Fran falsely stated "we've been sending you invoices and haven't heard from you". I was in shock trying to process what this woman was claiming since I had NOT received any bill or communication from HISC since 2013!!
And I know I personally pay all bills immediately upon receipt and keep very good records, so I became frustrated and angered as Fran was falsely claiming to have been "unsuccessfully trying to reach me" (even though I verified they had my correct address, phone #, email, etc). The $ dollar amount Fran claimed on the phone for myself was $54.00 from 2013. I told her I owe them nothing and paid all my bills when they were received and it is not my problem if they have very bad bookkeeping!
Now, four years later, my husband and I just moved in late April 2017 to another state to "down-size" into a small home in a retirement community. The post office has been successfully forwarding all our mail correctly to our new address. My frustration grew as my mind wandered how now I am burdened by trying to "prove" this was paid four years ago!! I offered my new address and asked her to send me an "invoice" of this bill. Since moving and down-sizing we got rid of 50% of our possessions and the old designated binder I kept for HISC records were not something I kept from 2009 & 2013! Important things like taxes and other relevant important documents moved with us, but holding onto HISC binder from 2009 & 2013 did NOT make the cut when deciding what was absolutely necessary to take into our new small home.
So I became increasingly mad to be accused of owing something I knew I didn't owe and spent HOURS trying to find my old checkbook registers to find proof of paying this to them in 2013. Thankfully I found one old bank electronic bank statement showing proof of payment from my checking account. Unfortunately I closed my other checking account I had often used to pay medical bills and cannot access old statements which is a huge hassle. I'm thinking how ridiculous that this company is obviously in financial trouble and probably was audited for their illegal billing practices and poor book-keeping... and are bogusly calling very old clients to try and collect money they do not owe.
On September 7, 2017 I received an envelope in the mail from Fran from HISC with the "promised invoice". INSTEAD it is a poor ledger, no invoices and the amount Fran said on the phone was not anywhere to be found in this vague on this four-lined ledger. I am disgusted and frustrated and will write to them stating I owe them nothing and all bills were paid with a copy of my payment. I want no further correspondence and consider this to be harassment and illegal. Keeping in mind Fran's initial claim they have been sending me invoices when I NEVER got any bill since 2013 which was paid. THIS makes me mad and would NOT RECOMMEND THIS COMPANY TO ANYONE AFTER THIS FRAUDULENT CLAIM.
We were searching for home care for our 96 year old mother and hired Home Instead Senior Care from Sandwich MA. who provided us with a person to assist with mom's daily routine of meal prep, bathing, and household chores. Her schedule was Monday and Friday from 9 until noon. She started on July 31. On Friday August 18th HISC called and said the aid was not going to be there on Monday the 21st as scheduled but would be there Friday as scheduled. HISC couldn't send a replacement until Thursday the 24th. This left us scrambling to find coverage for that shift. We later found out my mother's aid was sent to another job that day.
That left us worried that they would do it again. Then, HISC texted us to tell us that the aids regular shift on Monday would be overtime due to the labor day holiday. There was nothing in the paperwork about overtime and we were never told about overtime at either time the nurse came to review the service and to meet my mother and inspect the home. We found Home Instead to be unreliable and a little shady. Watch out. They sell snake oil.
The good, the bad, and the very bad... think twice before calling them... I have thought long and hard about posting here. After thinking though I thought it best to let others know about our service from Home Instead Senior Care in Windsor, Ontario, Canada. First, we find that 1/2 the staff are not qualified and unreliable. The other half are not bad, and a small mix of those ones are good caregivers overall who do care. We have had so many that seem to not have any experience whatsoever. Put in a home that they are not qualified to handle. But I understand that as if you look on their website for help wanted... you see this...**No previous experience necessary** as a Caregiver.
The male owner does not seem to be in touch with his workers. We have had missed appointments, last min cancellations and just not showing up. On top of that it seems the caregivers get to pick and choose who they want to work for, when they want to work. We have as well had items... go missing. I think it is fair to say that upper management can be to blame here for most of these issues. Lack of training perhaps. Poor judgement as to who they hire maybe. In the end we fired them/stopped service not too long ago.
This company overfilled by thousands and instead of crediting my card, they send me a check two weeks later. Which was still less 150 that they still owed me. Beware of these people. They are crooks. The service was no better unfortunately. Different persons everyday and sometimes two different people a day, necessitating me to show yet another person where things are. Just recorded phone call from Home Instead. Now they are telling me the remainder of the money owed me is a service fee which was never disclosed and which the girl says they keep. I wouldn't leave a rat to be looked after by these people. If you people value your parents, find another agency to come into their homes other than this one; they are shady, do not pay attention to the client well, and will put exorbitant charges on your credit card. There are a plethora of other agencies out there. Save yourself the headache!
I had my dad in a nursing home and pulled him out due to substandard care. I employed Home Instead to take care of both of them in my house. They worked with us to find the right match of caregivers and my parents. After a few ups and downs with the workers (all issues were resolved to my and my parents' satisfaction) we wound up with 2 workers who came into the house. These workers are caregivers, not CPN's or nurses of any kind. They reminded my parents of medicines, feed them and kept them company in the last year of their lives. Without them, I would not have been able to care for my parents. The women who came into the house were reliable and caring. The owners were wonderful people who worked with me on payment arrangements. I would definitely use them again and in fact have told my daughters that when it's my turn, they should use them.
Unqualified young adults/teenagers that didn't have the professional training required for this type of job. They randomly switch out people you have been working with for months, are constantly changing their workers' schedules so you always feel like you're behold to THEIR schedule instead of the other way around. One worker (a teenage girl) lost my credit card when running errands and when I informed Home Instead, they blamed me for it and tried to minimize the problem. Just unprofessional and unqualified workers.
I am in NH, and have an elderly mother (90) living alone in her own home in NC. Dept of Social Services, in NC recommended Home Instead, said they were great. I believed them. Being 850 miles away, I said ok. Took 3 calls to get Tammy the nurse on the phone. When I FINALLY got her on the phone, I was frustrated, but the conversation went well. She PROMISED that she'd fax me: WHO will be caring for my 90 year old mother. WHAT will be done. WHAT services do they provide? She confirmed my fax, my email address, etc... Next day, nothing. She then told my NC attorney that I yelled at her. Took 3 weeks before I got a very poor account of what was done, and who was with mom. I didn't EVEN KNOW who was in her home. They put my mother at risk. SHAME ON THEM. I'm quite sure there are other agencies out there who actually care.
My husband has dementia, was with the Milford center for a long time, no problems. As the week end caregiver Crystal was always on time, concerned about quality of work and a great person. When Crystal had to be off we were sent a young woman who WAS NOT CAPABLE of doing the job and I had to call my brother in law to come and help us. I called and talked to several people and was switched to a woman whom I believe was either the manager or owner of the franchise. She was not at all nice, and told me that they would no longer do business with us. That was 2 weeks before Christmas... I've given complaining a lot of thought and I believe this is worth conveying to the corporate headquarters and others who might consider hiring this company. No way to conduct business... and no way to treat a good customer... or anyone!
Their slogan is "To Us, It's Personal" but that's far from the truth. They send a different caregiver every day to a client with dementia, not good, and they never check in to see how things are going. I don't understand where the money goes that they charge (which, watch your bill because they tend to overcharge) because they don't pay their caregivers well, and they screw up on scheduling. We requested a specific day for caregiving, and they told us they would cover it, then failed to and said that wasn't their responsibility. When presented with the possibility of losing a client, they said that's ok, they have other clients.
I hired this company to take care of my wife after leaving the hospital after having brain surgery. My wife was classified as high risk. After having physical therapy 5 days a week and myself giving her therapy also on the weekends my wife was able to walk with the walker, able to get up and down on the couch, walking with a cane holding on the counter, able to get on and off the commode. Home Instead on Independence Blvd sent a caretaker over. She left my sandwich meat out which spoiled, peeled a whole head of lettuce to make a sandwich, which all spoiled. I called the company and told them not to send her back again. A few days later this same person showed up again.
My wife walked in to use the commode. The caretaker left her while she was getting on the commode and my wife walker flipped on its side and she took one heck of a fall. Since the fall 14 days ago she is wheelchair bound. This company is nothing but a big ripoff and if you care about your loved one I would stay away from them. I just found out that the same company had a lady working from 7 to 3 pm and the caretaker was sleeping on the couch when her patient got out of bed and fell in the bathtub. Her daughter come by to give him his medicine and found her father in the tub. She went to find the caregiver sound asleep on the couch. These people charge a lot of money and their service is horrible. All you do is babysit them.
Was charged for time sitter was not in room with Mother. Gone at least an hour to 3 hrs. Called my mom, sitter did not answer, the phone woke my mom up. Sitter put her to bed around 6pm. This is on 3:15 pm shift to 7pm shift on Feb 5, 2017. Spoke with my mom and sitter was not in bathroom across the hall and she didn't come back to room while I was on phone for at least 20 minutes. My belief is that she went and laid down on couch or went to sit in dining room to talk to others. Assisted Living acted like they didn't want to know the truth either, just wants bill paid so they can use this company again, why I don't know, as they have such lousy ratings. Anyway, I'm paying the bill in Protest as it appears at the moment I have no other recourse. I thought deducting half of that period was more than fair, as I think the sitter wasn't even in there with my mom for half the time. It appears no one wanted to find out where the lady was OR the truth.
I wouldn't recommend working for this company, due to poor training and management! They switch our Clients like they switch their shoes everyday! Management was horrible, I had a flat tire once and I called to tell them I would be late and the lady I was talking to said, "Well I need better notice, this is unacceptable. I should've been the first person you call"... Like what if I was in an accident and couldn't call what were you gonna do then? Then another time a week in advance I had one client they called and changed it, she scheduled me for another lady for the next day early that morning and I was trying to tell her that I had a Dr appt and she says, "Well you're going to have to cancel because I'm not changing it again"... They are beyond inconsistent and inconsiderate!!! I had a client and he said they changed his caregiver every other day and that I was honestly the only consistent caregiver he's had, but like always they moved me again!
The experience of "Jennifer of Clearwater, FL on Jan. 12, 2017" pretty much matches my experience as well. First, note that each Home Instead office is independently owned and operated. They're a chain. I dealt with the folks in Nashua, NH. I needed post-stroke care for my dad, 9 hours a day, 7 days a week. In the first week, Home Instead sent about 10 different caregivers. A few were absolutely outstanding. Several were entirely, totally, and completely unqualified. It was very clear to me that Home Instead was not properly training the people who were sent. That if they CAME to them knowledgeable, they were knowledgeable.
We had one guy assigned who arrived late, and didn’t have the courtesy to introduce himself to my parents or know the protocol to transfer my dad from bed to his wheelchair. Another where the caregiver did her knitting while my wife did took it upon herself to do the urine-soaked laundry. Another caregiver who couldn’t distinguish ordinary orange juice from thickened orange juice, and had no experience with swallowing precautions but said that was OK because she “can read directions.” Can you say: Safety hazard?
What's worse, the management team was absolutely atrocious. They didn't take responsibility, they tried to duck responsibility. But they were VERY quick to remind me that they were going to charge a TWO WEEK termination fee, after providing ONE WEEK of care. I wouldn't use these folks if they were the last agency on earth.
Home Instead Senior Care of Midland, TX. This agency has poorly trained caregivers. My husband came home from the hospital with C-Diff and one of the caregivers went back to the office and told they at their staff meeting that he ** a lot like it was a big joke. This same caregiver informed me that she was just looking for a job when she was hired with this agency. The training for these people is minimal, they hire people just looking for a job which does not say much about their mission. We went through several caregivers before we finally got one that had a medical background but after a few months she left the agency and needless to say we also terminated out contract with them.
This was my first experience in hiring an agency. They were recommended by Hands of Compassion which is the agency that provides skilled nursing services for my husband. At the time I had no experience with any agencies and was new to the challenges of caring for my husband so I went with this agency. The experience can be compared to a nightmare. I would not recommend this agency in Midland, TX at all.
We have had Home Instead for my father for 6 months. We have spent approximately $10,000 for care and most have been fine. I signed up for Home Instead because it was a large company and I was promised when I signed up that I would ALWAYS have a caregiver to help me with my father when I needed one. We have family up North and may need to go at a moment's notice. Today I was called by the woman who runs the local (Morristown, TN) office and told that there would be no caregiver here this evening to help me put my dad to bed. Home Instead has thousands of caregivers in the Knoxville/Eastern TN area but she said she couldn't find me even one. I have no idea how I am supposed to do this all by myself this evening. Don't use Home Instead - this could happen to you!
We hired the local Winston Salem HI to sit and aid my mother who has dementia. They had a list of task to be done, cleaning sweeping errands etc. Over and over we would watch through our camera as the personal would come in and sit down on the couch. Only one lady that came did all the things they were supposed to do. They of course blamed my mom and said it was her fault. They were suppose to clean etc and we ending up hiring Molly Maids to clean weekly. We would login to the portal and things on the to do list would be checked but they had not been done. Too many jobs and not enough qualified caregivers. I would not recommend them. The owner was most concerned but was hiring people not competent or caring. Real shame it is such a needed service. We ended up moving mom into assisted living after trying to use HI to let her stay at home.
I hired this company to take care of my mother-in-law after she had hip surgery after broken hip. The sitter they sent us was a felon and stole thousands of dollars from her. The local office in Macon had an attitude and were no help at all reimbursing the money. Thankfully we filed charges and this sitter is back in prison where she belongs!!! Do not use Home Instead... Call themselves Christians...
The service they agreed to provide was never provided. The list of things she was supposed to do was never done. The woman from their company stayed in my house for almost two weeks. Never smiled and a miserable personality. She told me it was her "way". She spent 16 hours every day watching cable TV, the same channel and she never changed it. She tried to do HER laundry but was not able to read the words or directions printed on the washing machine, so she would just start pressing buttons until something would happen. On the occasion that she moved out of my (now hers) reclining chair, it was to either sit outside with her cell phone to speak with friends, or to eat and sleep.
I would get up in the morning to make coffee. She was still in her bedroom and would come out well after the coffee was made. That was too much of a chore for her to do. The only thing she ever cleaned was dishes after her feeding time. After several days I called her boss in an effort to have her removed because she had an attitude and manner that was unbearable, even for my family and friends that visited. She borrowed money from my friend that drove her to a drug store and never paid her back the loan.
When she finally left (thank God) she was carrying two heavy bags that she put into my car that she had not come with. I was curious until I arrived home afterwards. My curiosity was solved. All the packages of frozen chicken and meat purchased from the supermarket the previous day were missing. She took it with her. While I was home ill for the few weeks, I did not wear my jewelry. Instead I left it in my desk top drawer that was right outside the bedroom she used. My bedroom is on the other side of the house and I slept with the door closed. My cousin Tom brought the jewelry to me from the hospital where they had taken it off when I arrived at the emergency room. He gave it to me when I was sitting at my desk. She was standing next to my desk when he handed it to me and I put it into the top drawer because I did not want to put it on just then.
A week after she had been gone I decided to put the jewelry back on so I went to my desk to get the small container that I put the jewelry into that was located in the top drawer. When I opened the drawer there was the container (she saw me put the jewelry into the container). I opened it and there was nothing inside. My girlfriend and I turned the house upside down looking for the jewelry as anybody would when something of that value was missing. I contacted Home Instead and they said that people usually call right away when something like this happens. I asked them "how often does it happen?" They said nothing. There was over $1200.00 due on the balance I owed them. Greg, an owner, told me not to bother paying them and apologized for the incident. My loss exceeded $4,000.00. That jewelry is not replaceable. I guess when she left she took a lot more than food.
Home Instead Senior Care expert review by Shelley Webb
As a worldwide provider with more than 900 franchise offices, Home Instead has a reputation for excellence.
Transportation services: Not every senior needs a home health aide, but many do need help to get to the grocery store or doctor appointments.
Depression treatment: Depression is an epidemic among seniors who seldom leave the house. By training care givers to recognize the signs of depression, Home Instead helps identify the problem at the source to help seniors receive quick treatment.
Several tiered service levels: Where most companies lump companion services and home health aides in to a single category and price point, Home Instead Senior Care allows buyers to choose the exact level of service needed.
Short-term help: Not every person who needs help around the house needs it for the rest of their lives. Sometimes, an injury or illness can make it a short-term requirement, which is why this service can be so helpful.
Educational resources: Find information about a number of different chronic issues that may plague elderly relatives and potential resources for caregivers seeking assistance.
Best for: Primary caregivers, elderly individuals, persons with dementia, persons with a disability, accident victims and terminal patients.
Home Instead Senior Care Company Information
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- Home Instead Senior Care