Cities with more seniors typically provide additional resources to satisfy their older citizens, and St. Helena, where the 65+ age group is almost a third of the population, is no exception. More than 20 home care agencies in the city deliver non-medical support to seniors struggling with everyday living tasks, such as housekeeping. They shouldn’t be confused with home health care agencies, which provide home-appropriate medical care. The 2021 Genworth Cost of Care Survey results reveal that the median fee for home care services in St. Helena is $6,435, which is around 5.2% more than the national average — an increase many seniors are prepared to pay to reside in the beautiful Napa Valley.
Below we’ve compiled a comprehensive directory of every home care provider in the St. Helena area – complete with services offered and reviews from families who’ve actually used the service. In addition to our in-depth provider listings, we’ve compiled resources to help seniors and their families to access all the tools they need to age in place safely and gracefully.
Directory of Home Care Services in Saint Helena, CA
479 Mason Street, Vacaville, CA, 95688
I could probably use a little more time.
It’s nice to have someone come in to help meet our needs.
I could probably use a little more time.
It’s nice to have someone come in to help meet our needs.
190 South Orchard Avenue Suite B105, Vacaville, CA, 95688
I’m working with Gentiva Personal Care for my husband. He is disabled. They send a person out four hours a week. She takes over for me for that day and she does a really good job. They’ve got really g
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I’m working with Gentiva Personal Care for my husband. He is disabled. They send a person out four hours a week. She takes over for me for that day and she does a really good job. They’ve got really good people. She washes my husband’s clothes. She folds them up and put them away in the drawers. She does all the dishes and vacuums. They take care of the house and the area that I would have to take care of for my husband’s sake. They’re very good at it. One time my caregiver called the office, and they sent somebody else. There was no problem with that. She is always on time, and she never leaves early. She’s working from the moment she gets there to the time she leaves. She is really good. The staff in the office are very efficient. They’ve been very nice and very sweet. However, I had a little bit of trouble scheduling. They don’t want me to not have anybody come. They have to have somebody come one way or the other because they need their money. This had only happened once, and things worked out fine.
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I’m working with Gentiva Personal Care for my husband. He is disabled. They send a person out four hours a week. She takes over for me for that day and she does a really good job. They’ve got really g
… (read more)
I’m working with Gentiva Personal Care for my husband. He is disabled. They send a person out four hours a week. She takes over for me for that day and she does a really good job. They’ve got really good people. She washes my husband’s clothes. She folds them up and put them away in the drawers. She does all the dishes and vacuums. They take care of the house and the area that I would have to take care of for my husband’s sake. They’re very good at it. One time my caregiver called the office, and they sent somebody else. There was no problem with that. She is always on time, and she never leaves early. She’s working from the moment she gets there to the time she leaves. She is really good. The staff in the office are very efficient. They’ve been very nice and very sweet. However, I had a little bit of trouble scheduling. They don’t want me to not have anybody come. They have to have somebody come one way or the other because they need their money. This had only happened once, and things worked out fine.
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3429 Broadway St, Suite C-7, Vallejo, CA, 94590
Home Instead provides at home care for my husband giving me respite.
They arrive on time letting me be able to make and keep appointments.
Our caregiver is always professional but has such a ca
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Home Instead provides at home care for my husband giving me respite.
They arrive on time letting me be able to make and keep appointments.
Our caregiver is always professional but has such a caring way about her that after just three visits, my husband struggled to tell me she is such a nice person. You can’t imagine how wonderful it felt to know he was happy.
The agency took great care in finding just the right caregiver for us .
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Home Instead provides at home care for my husband giving me respite.
They arrive on time letting me be able to make and keep appointments.
Our caregiver is always professional but has such a ca
… (read more)
Home Instead provides at home care for my husband giving me respite.
They arrive on time letting me be able to make and keep appointments.
Our caregiver is always professional but has such a caring way about her that after just three visits, my husband struggled to tell me she is such a nice person. You can’t imagine how wonderful it felt to know he was happy.
The agency took great care in finding just the right caregiver for us .
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231 E Alessandro Blvd Ste 199 Ste A , Riverside, CA, 92508
Easy Home Care – offers the most Compassionate and Professional home care services for all Non-medical Seniors and Disabled Adults living in their homes, We accept Alzheimer’s and Dementia Patients. W
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Easy Home Care – offers the most Compassionate and Professional home care services for all Non-medical Seniors and Disabled Adults living in their homes, We accept Alzheimer’s and Dementia Patients. With competitive rates and offering a minimum of 4-24 HR. Care. Our Owner has been in the Senior home care business for 40 + years, and hires the best professional CNA’s, and Caregivers, that are background, and Referenced checked.
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Call for a Free Assessment, Veterans Discounts for New Patients.
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Easy Home Care – offers the most Compassionate and Professional home care services for all Non-medical Seniors and Disabled Adults living in their homes, We accept Alzheimer’s and Dementia Patients. W
… (read more)
Easy Home Care – offers the most Compassionate and Professional home care services for all Non-medical Seniors and Disabled Adults living in their homes, We accept Alzheimer’s and Dementia Patients. With competitive rates and offering a minimum of 4-24 HR. Care. Our Owner has been in the Senior home care business for 40 + years, and hires the best professional CNA’s, and Caregivers, that are background, and Referenced checked.
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Call for a Free Assessment, Veterans Discounts for New Patients.
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1802 Soscol Ave, Napa, CA, 94559
10 Commercial Blvd, Suite 102, Novato, CA, 94949
They want to take care of me so they work things out and they do my housekeeping.
They call and let me know if someone can’t come so, the communication.
They want to take care of me so they work things out and they do my housekeeping.
They call and let me know if someone can’t come so, the communication.
1431 Oakland Blvd., Walnut Creek, CA, 94596
They help me by doing everything that I want them to do.
I like that they are dependable. I never have any problems of any kind.
They help me by doing everything that I want them to do.
I like that they are dependable. I never have any problems of any kind.
3144 G St. Suite. 125-209, Merced, CA, 95340
The caregivers from A Step Above Caregiving, LLC pretty much do what we ask them to do. We have caregivers over during the night and they give her showers, wash her hair, and make sure she doesn’t fal
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The caregivers from A Step Above Caregiving, LLC pretty much do what we ask them to do. We have caregivers over during the night and they give her showers, wash her hair, and make sure she doesn’t fall. They also check her blood sugar and give her snacks according to what her blood sugar is. They do light houskeeping, like they pick up any soiled diapers and do laundry. The caregivers are really good. We like both of them that come right now. Their scheduling and billing is good. Shelly is the owner and she’s great. She’s really good to communicate with and really helpful.
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The caregivers from A Step Above Caregiving, LLC pretty much do what we ask them to do. We have caregivers over during the night and they give her showers, wash her hair, and make sure she doesn’t fal
… (read more)
The caregivers from A Step Above Caregiving, LLC pretty much do what we ask them to do. We have caregivers over during the night and they give her showers, wash her hair, and make sure she doesn’t fall. They also check her blood sugar and give her snacks according to what her blood sugar is. They do light houskeeping, like they pick up any soiled diapers and do laundry. The caregivers are really good. We like both of them that come right now. Their scheduling and billing is good. Shelly is the owner and she’s great. She’s really good to communicate with and really helpful.
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2910 Camino Diablo, Suite 140, Walnut Creek, CA, 94597
Can’t say enough about this company. On late notice they showed up to take care of my mom and dad. It was a Sunday evening that my mom got discharged and they were able to help us get great care from
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Can’t say enough about this company. On late notice they showed up to take care of my mom and dad. It was a Sunday evening that my mom got discharged and they were able to help us get great care from my parents.
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Can’t say enough about this company. On late notice they showed up to take care of my mom and dad. It was a Sunday evening that my mom got discharged and they were able to help us get great care from
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Can’t say enough about this company. On late notice they showed up to take care of my mom and dad. It was a Sunday evening that my mom got discharged and they were able to help us get great care from my parents.
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1968 S. Coast Hwy Ste 3995, Laguna Beach, CA, 92651
I go through them to take care of my mother, she has had dementia for 4 years and they have been there every step of the way, they stay the night with her and are there for EVERYTHING! They are very r
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I go through them to take care of my mother, she has had dementia for 4 years and they have been there every step of the way, they stay the night with her and are there for EVERYTHING! They are very reliable I don’t know what I would do with out these woman absolutely amazing!
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I go through them to take care of my mother, she has had dementia for 4 years and they have been there every step of the way, they stay the night with her and are there for EVERYTHING! They are very r
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I go through them to take care of my mother, she has had dementia for 4 years and they have been there every step of the way, they stay the night with her and are there for EVERYTHING! They are very reliable I don’t know what I would do with out these woman absolutely amazing!
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3723 Haven Ave Suite 122, Menlo Park, CA, 94025
Love At Home Senior Care is a warm and compassionate Company.
The team is thoughtful, thorough, proactive, detail oriented, communicative and honest. They handle all aspects of Care with a Heart and
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Love At Home Senior Care is a warm and compassionate Company.
The team is thoughtful, thorough, proactive, detail oriented, communicative and honest. They handle all aspects of Care with a Heart and warmth response. I can definitely highly recommend Love At Home Senior Care for your loved one.
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Love At Home Senior Care is a warm and compassionate Company.
The team is thoughtful, thorough, proactive, detail oriented, communicative and honest. They handle all aspects of Care with a Heart and
… (read more)
Love At Home Senior Care is a warm and compassionate Company.
The team is thoughtful, thorough, proactive, detail oriented, communicative and honest. They handle all aspects of Care with a Heart and warmth response. I can definitely highly recommend Love At Home Senior Care for your loved one.
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7665 Redwood Blvd, # 200, Novato, CA, 94945
I interviewed several agencies and At Home Caregivers were the best ones. They’re doing very well. We have three different caregivers during the week. We got a couple that we did not like and we’ve as
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I interviewed several agencies and At Home Caregivers were the best ones. They’re doing very well. We have three different caregivers during the week. We got a couple that we did not like and we’ve asked to replaced them and they have. So we’re happy with the ones that we have now. They’re doing a good job.
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I interviewed several agencies and At Home Caregivers were the best ones. They’re doing very well. We have three different caregivers during the week. We got a couple that we did not like and we’ve as
… (read more)
I interviewed several agencies and At Home Caregivers were the best ones. They’re doing very well. We have three different caregivers during the week. We got a couple that we did not like and we’ve asked to replaced them and they have. So we’re happy with the ones that we have now. They’re doing a good job.
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2290 Diamond Blvd Ste 205, Concord, CA, 94520
All Valley Home Care has helped my dad for over 5 months now and my dad has never been happier. His caregiver is very loving and caring I highly recommend this Agency!
All Valley Home Care has helped my dad for over 5 months now and my dad has never been happier. His caregiver is very loving and caring I highly recommend this Agency!
77 Mark Dr., Ste. 33 , San Rafael, CA, 94903
George was great.
George was great.
58 Mahogany Dr , South San Francisco, CA, 94080
the caregiver for my mom is from Aslec home care aide. they treated my mom and I like family member. So sad not to work with them because my mother pass away last year. i myself will hire them next t
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the caregiver for my mom is from Aslec home care aide. they treated my mom and I like family member. So sad not to work with them because my mother pass away last year. i myself will hire them next time I need there service. I like Gina1 And Gina 2
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the caregiver for my mom is from Aslec home care aide. they treated my mom and I like family member. So sad not to work with them because my mother pass away last year. i myself will hire them next t
… (read more)
the caregiver for my mom is from Aslec home care aide. they treated my mom and I like family member. So sad not to work with them because my mother pass away last year. i myself will hire them next time I need there service. I like Gina1 And Gina 2
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831 Alamo Dr , Suite 4A, Vacaville, CA, 95688
I have caregivers coming in for my husband. They’re from Americare. They’re very good. They’re sending us very good CNAs. They have done a good job so far. We have been using them since September 1st.
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I have caregivers coming in for my husband. They’re from Americare. They’re very good. They’re sending us very good CNAs. They have done a good job so far. We have been using them since September 1st. I especially like that they seem to be conscientious about providing good care for my husband and they do provide good service. We’re very satisfied with them.
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I have caregivers coming in for my husband. They’re from Americare. They’re very good. They’re sending us very good CNAs. They have done a good job so far. We have been using them since September 1st.
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I have caregivers coming in for my husband. They’re from Americare. They’re very good. They’re sending us very good CNAs. They have done a good job so far. We have been using them since September 1st. I especially like that they seem to be conscientious about providing good care for my husband and they do provide good service. We’re very satisfied with them.
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131A Stoney Circle, Ste. 500, Santa Rosa, CA, 95401
Wonderful, caring service person on time, pleasant, capable mike (owner took
Personal interest). I would recommend this company to anyone who needs a little help. I will call them again if needed
Wonderful, caring service person on time, pleasant, capable mike (owner took
Personal interest). I would recommend this company to anyone who needs a little help. I will call them again if needed
3188 Jefferson Street, Napa, CA, 94558
The caregivers from Your Home Nursing Services were very caring and assisted my mother during her illness. Very attentive, well groomed and professional.
The caregivers from Your Home Nursing Services were very caring and assisted my mother during her illness. Very attentive, well groomed and professional.
3336 N Texas St,, Fairfield, CA, 94533
I am a current client of this amazing agency. I signed up in April 2020 during the height of the Pandemic for my paretns. I was so afraid for the safety of my Dad really. He was so fragile and I could
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I am a current client of this amazing agency. I signed up in April 2020 during the height of the Pandemic for my paretns. I was so afraid for the safety of my Dad really. He was so fragile and I couldn’t be there for them. Good hands in Home Care helped me so much. I was able to get a great caregiver, whos has been there the entire time. Monday- Friday 8-5;00pm. This was the first time we hired an agency and the best decision we ever made was to go with Good Hands in Home Care. They are professional, kind, compassionate and affordable.
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I am a current client of this amazing agency. I signed up in April 2020 during the height of the Pandemic for my paretns. I was so afraid for the safety of my Dad really. He was so fragile and I could
… (read more)
I am a current client of this amazing agency. I signed up in April 2020 during the height of the Pandemic for my paretns. I was so afraid for the safety of my Dad really. He was so fragile and I couldn’t be there for them. Good hands in Home Care helped me so much. I was able to get a great caregiver, whos has been there the entire time. Monday- Friday 8-5;00pm. This was the first time we hired an agency and the best decision we ever made was to go with Good Hands in Home Care. They are professional, kind, compassionate and affordable.
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2220 Boynton Ave, Fairfield, CA, 94533
My father knew he was dying at that time. Before he actually passed away, he just had a hard time feeling comfortable with anybody. ApexCare put him with four different people trying to find the right
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My father knew he was dying at that time. Before he actually passed away, he just had a hard time feeling comfortable with anybody. ApexCare put him with four different people trying to find the right match and it just didn’t seem to work. It was more of issue with my father than it was with ApexCare. My father was not receptive to having anybody coming to the house, and even though ApexCare was trying to be flexible and offering a variety of different options for what person would be the right fit for him, he was miserable. He would not accept anybody, but ApexCare were more than accommodating.
When I went back to clean out my father’s house, it was obvious that he had them do a lot of organizing of his papers in his office. That was very helpful. Any cleaning up after his passing was very easy with the way that they had organize all of the personal business items. They did a great job in there.
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My father knew he was dying at that time. Before he actually passed away, he just had a hard time feeling comfortable with anybody. ApexCare put him with four different people trying to find the right
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My father knew he was dying at that time. Before he actually passed away, he just had a hard time feeling comfortable with anybody. ApexCare put him with four different people trying to find the right match and it just didn’t seem to work. It was more of issue with my father than it was with ApexCare. My father was not receptive to having anybody coming to the house, and even though ApexCare was trying to be flexible and offering a variety of different options for what person would be the right fit for him, he was miserable. He would not accept anybody, but ApexCare were more than accommodating.
When I went back to clean out my father’s house, it was obvious that he had them do a lot of organizing of his papers in his office. That was very helpful. Any cleaning up after his passing was very easy with the way that they had organize all of the personal business items. They did a great job in there.
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Paying for Home Care in St. Helena, CA
The Cost of Home Care in St. Helena, CA
According to the 2021 Genworth Cost of Care Survey, St. Helena’s monthly fee for home care averages $6,435, which is $334 more than California’s median and $1,478 greater than the country’s norm. Although costlier, it’s not the highest fee in Northern California, as San Jose’s seniors typically pay $7,102. However, more affordable cities are nearby, such as Santa Rosa, where the median is $6,292 per month. Even greater savings are possible for seniors in Vallejo, where the average is $5,958.
The Cost of Home Care vs. Other Senior Care Options in St. Helena, CA
Although home and home health care agencies deliver different services, with the former non-medical and the latter medical, they average the same fee of $6,435 per month. This isn’t as affordable as adult day health’s median of $2,275 or assisted living’s $6,300, but neither of those services is as personalized as home care. The costliest option in St. Helena is nursing home care, where a typical semiprivate room costs around $10,646 per month.
Nursing Home Facility (semiprivate room)
Note: Data for St. Helena was unavailable, so data for the nearest city, Napa, was used instead.
Financial Assistance for Home Care in St. Helena, CA
Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.
- Long-Term Care Insurance: Long-Term Care Insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
- Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
- Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
- Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living.Contact the Department of Veterans Affairs to learn more.
- Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.
Free & Low-Cost Home Care Resources in St. Helena, CA
Seniors residing at home in St. Helena needn’t feel they have to cope with challenges alone, as many Napa Valley organizations are dedicated to helping older residents. The resources listed here can help with legal problems, home repairs, meal deliveries and exemptions from some property taxes.
The purpose of the Napa/Solano Area Agency of Aging is to provide services for the region's older adults that help them enjoy their later years in greater safety and comfort. The agency's many free resources include managing senior centers throughout Napa Valley and providing assistance with more practical matters, such as Medicare counseling, legal services and transportation for medical appointments and grocery shopping. It also provides case management services to help seniors plan their long-term care.
St. Helena seniors who own and reside in their homes are eligible for a property tax exemption. As of 2022, it reduces the property's value by $7,000, which equates to savings of $71 annually on property taxes. Disabled veterans and their widows/ers with annual incomes below $67,355 can also claim an additional $149,993 (up to $224,991, depending on the value of the property). To qualify, the vet must be 100% disabled due to their military service, or in the case of widows/ers, their spouse's death must be linked to their time serving their country.
Solano-Napa Habitat for Humanity conducts home repairs for free or at little cost for homeowners on low incomes. The program focuses on fixing building code violations, health and safety issues and improving accessibility for approved applicants with mobility problems. The works carried out depend on the results of a home assessment and may include installing grab bars and ramps, replacing the water heater and repairing the roof.
Community Action of Napa Valley is a nonprofit whose services include preparing and delivering freshly-prepared and nutritionally-balanced meals to homebound adults aged 60 and older. It delivers three meals on Mondays and Wednesdays and two on Fridays, between 10 a.m. and 1 p.m. The suggested donation is $4.50 per meal, although seniors unable to pay will not be refused a meal. The volunteer drivers also make wellness checks at the time of delivery.
Determining Your Loved One’s Need for In-Home Care
Aging can be a difficult process, and loved ones may not always ask for help – oftentimes it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.
Guidelines for Talking About In-Home Care
If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.
Frequently Asked Questions
What types of services can a home care agency in St. Helena provide?
Home care agencies provide non-medical services for seniors who may be too frail to conduct daily living tasks. These include light housekeeping, grocery shopping, transportation for various purposes and preparing meals. The agency’s caregivers can also act as companions to seniors who may otherwise spend the day on their own.
What should I look for in a good home care agency near me in St. Helena?
The first check a senior should make is that the agency they’re considering is licensed by the Home Care Services Bureau. If it isn’t, the prudent thing to do is look for an agency that is, as licensed agencies must comply with high and strictly enforced standards. When contacting an agency, ask lots of questions about its policies and procedures, particularly those linked to staff recruitment, qualifications, experience and training. A good agency should be able to answer these without pause, as they’ll be ingrained into its being. Also, ask around, as there may be friends and acquaintances who have experience with the agency.
How can I find home care agencies near me with availability?
The simplest and quickest way is to visit the Caring.com page for home care in St. Helena. This provides an easy-to-scan list of the agencies operating in the region and star ratings based on reviews. By clicking on each agency’s link, visitors can access specific information, including costs, payment options and availability. They will also be able to read reviews by current and previous clients and their families.
What is a home care plan?
A home care plan is a roadmap for the senior’s care services that includes descriptions of their needs and the services provided to address them. Home care plans are dynamic and typically reviewed every 12 months to ensure they’re suitable for the senior’s current needs. The plan also includes contact details for the senior’s family should the agency need to get in touch urgently.
Who is eligible for the veterans’ home care program?
The veterans’ home care program helps seniors who served in the U.S. military and their spouses age comfortably at home. The program is actually two different services; home care, which is non-medical support for frail seniors, and home health care, which delivers limited medical services to those recovering from illness or surgery. To qualify, the vet must have seen at least 90 days of active duty, with a minimum of one day in a war zone. Vets in St. Helena interested in applying should contact the Veterans Services Department of Napa County.
