In-Home Health Services 

716.810.9020 | FAX 716.810.9022


What types of caregivers are available to me and how do they differ?


Provides supervision and safety, transportation, assistance around the home, and companionship or friendly visits at home or in a facility.

Personal Care Aide/PCA

In addition to those services provided by Companions, Personal Care Aides also assist with dressing, bathing, grooming, meal preparation, and light housekeeping.

Home Health Aide/HHA

Home Health Aides, licensed in the State of New York, provide the same services as Personal Care Aides.

Certified Nursing Assistant/CNA

As indicated by their title, Certified Nursing Assistants are certified by New York State to provide all services described above, in addition to all activities of daily living (ADLs) and medication assistance.

Nursing Services/LPN or RN

Nurses provide medical services ordered by a physician, such as monitoring vital signs and medication assistance; Registered Nurses can also conduct health assessments.

What is the difference between “skilled” and “unskilled” medical care?

Unskilled (non-medical) care generally refers to companion and personal care activities, such as bathing, grooming, dressing, as well as assistance with meal preparation, light housekeeping, and running errands. It could also include medication reminders, assistance with ambulation, and transportation to medical appointments. These types of services are typically provided by Personal Care Aides (PCA), Home Health Aides (HHA) or Certified Nursing Assistants (CNA), and are available from a few hours to 24-hours a day.

Skilled medical care is provided by licensed professionals, including nurses, physical, occupational, speech and respiratory therapists, mental health professionals and hospice care. Skilled medical services are ordered by a physician, and care follows a specific plan under the supervision of a physician, registered nurse or therapist for a determinate period of time based on medical need. Skilled medical care in the home can provide a comforting alternative to a hospital or nursing home stay.

Skilled care is typically covered by insurance, while non-skilled services are generally paid privately.

How much does it cost to hire an in-home caregiver?

Cost is dependent on a number of variables, such as hours of engagement, length of engagement, proximity to the caregiver’s home and services required.

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