The 10 Best Home Care Agencies for Seniors in Washington County, OR for 2025

"I was a client and hired Home Instead for my mother as she was discharged from the hospital. I made a phonecall from the hospital before discharge and someone met me at my mom’s facility as soon as we arrived. My mom was an extreme fall risk so I opted for 24/7 care for the weekend. They were efficient, compassionate and had caregivers in place by that evening! There is no price or value on the peace I had to go home knowing my mom had excellent care. The weekend was booked fully by the next day and I popped in alot. Every single caregiver was high quality and well informed before walking in the door. At the end of the weekend, I ended up extending care and again they came through quickly without missing a beat. I ended our contract after 17 days and cannot recommend Home Instead enough! I will use again in a heartbeat! So grateful for their efficient administration, communication, and amazing caregivers"

"We've got people from Home Instead Senior Care - West Portland & Lake Oswego coming in six days a week to help her. They clean her up and make her bed and maybe make a meal. They come for four hours a day to help her dress and activities of daily living. I've been pleased with all of the caregivers, they're very kind and attentive. They go out of their way and my mom likes them a lot. The service is so much better than the last agency we used. We've had them for a couple of months now and they've been on top of things. They deliver appropriately, so I've been happy with all of that."

"110% recommend this company. The care we received for our mother was exceptional. The owner Don went out of his way to find the best caregiver to match up personality wise with our mom and our family. Our caregiver was an incredible person with exceptional skills that went way beyond standard care."

For nearly 20 years, TheKey—formerly Home Care Assistance—has delivered quality in-home care, supporting older adults with a wide range of needs and age-related conditions. We’ve provided millions of hours of care to families just like yours. Today, we’re the country’s leading provider of premium in-home care, offering an even broader range of care services. We have the best caregivers ready to help—so you can live well in the home you love.

Founded more than 25 years ago in Omaha, Nebraska, Home Instead provides individualized, compassionate care to aging adults with the goal of helping them live independently for as long as possible. The company has more than 1,200 locations worldwide and employs more than 100,000 Care Professionals. Its team is trained to provide attentive, professional care, including companionship, personal care, medication reminders, transportation, meal prep, and housekeeping assistance. Home Instead Care Pros who specialize in dementia care for seniors living with conditions such as Alzheimer’s or Parkinson’s disease. When a client’s condition begins to decline, Home Instead Care Pros can offer compassionate end-of-life support. Families working with Home Instead are consistently happy with this agency’s service. Many agree that the Care Pros provide pleasant, responsive care and go the extra mile to ensure that Clients feel safe, secure, and independent. What You Need to Know About Home Instead Founded in 1994 in Omaha, Nebraska More than 1,000 locations in over 10 countries around the world Offers in-home personal care, nursing care, dementia care and companionship for seniors Home Instead is known for its kind, well-trained Care Pros and individualized care plans Provides a la carte services including meal preparation and transportation who seniors who don’t require comprehensive in-home support Uses technology to keep clients connected with Care Pros and loved ones and to promote in-home safety What Home Care Services Does Home Instead Provide? Personal Care Services With a dedication to preserving the dignity and independence of clients, Home Instead’s Care Pros provide personal care services that include: Help with mobility, including standing, grooming, walking, and getting in and out of bed Medication reminders Assistance with activities of daily living (ADLs), including bathing, dressing, and toileting Grocery shopping and assistance with other errands Light to moderate housekeeping assistance, including laundry Transportation to and from appointments or visits with loved ones Regular companionship Personalized care plans are provided for every client. These plans include detailed information about the client’s condition and needs, as well as an outline of the services that are to be provided to the client. In some cases, personal care services may be combined with other services, including dementia or nursing care, depending on the clients’ health. Alzheimer’s and Dementia Care Home Instead employs experienced, trained Care Pros who are able to provide person- focused dementia care for seniors who are living with Alzheimer’s disease, Parkinson’s disease, or other forms of dementia. These Care Pros offer personal care services, along with the following: Assistance in establishing a stable daily routine Meal preparation Positive reinforcement Assistance with social skills Transportation to and from appointments, errands, and visits with loved ones Care Pros in this role take time to understand clients’ life histories and to focus on the person they were before dementia. Just as with the company’s personal care services, each dementia care client undergoes a comprehensive assessment and is assigned a care plan. This plan is reviewed regularly and adjusted to meet changing needs. Hospice Support When a senior is nearing the end of their life, hospice support can be there to ensure the comfort of them and their family members. Hospice support Care Pros can help with hygiene, medication administration, and basic housekeeping for seniors, as well as provide nutritious meals and supportive care for family members, enabling loved ones to spend as much time with seniors as possible as they approach their final days or hours. Meal Prep & Home Helper Home Instead offers basic housekeeping and meal preparation services for seniors who require a little extra help around the house. The company’s Meal Prep & Home Helper service can include assistance with tasks such as laundry, dusting, and vacuuming, as well as the preparation of nutritious meals that meet any dietary requirements set forth by clients’ healthcare providers. Transportation Home Instead provides safe transportation to and from clients’ destinations. Aging adults may use this service when they need help running errands such as grocery shopping or picking up a prescription, or when they’d simply like to spend the day shopping or visiting with friends. Transportation services from Home Instead can be arranged at predetermined drop-off and pick-up times, or Care Pros can accompany aging adults on errands and provide assistance and care throughout. Companionship Many aging adults face isolation and loneliness. This is especially true for those who’ve lost a spouse or who don’t have family close by. Home Instead Care Pros strive to build meaningful connections with clients. Companions visit seniors regularly on a schedule that works best for the client. These visits offer seniors a time to enjoy meaningful conversation while engaging in a game of cards, a puzzle, time outdoors, or other activities. What People Are Saying About Home Instead Clients and family members often speak highly of this agency’s dementia Care Pros and the attentive, compassionate care they provide to seniors. One family member provided a five- star review of the company, saying, “They have all been kind, caring, and attentive to my mom’s ever-changing needs that go along with her dementia. They have been with us and for us every step of the way. I would recommend them to anyone.” Other clients point to the meaningful relationships they’ve formed with Care Pros. One client said, “The lady who comes and helps me is wonderful. We get along really well and she is really nice. we also have a lot of fun together,” while another client’s family member provided a raving review of Home Instead, saying, “It was wonderful dealing with the staff. Charlene was extremely helpful and very accommodating to our needs and schedule. She worked very long and hard to make sure that everything was in order and everything would run very smoothly. She is still in contact with us and helping us in any way she can.” How Much Does Home Instead Charge for Home Care? Home care costs vary based on several factors, including the type of services required, how often one needs assistance, and the timing of the services (i.e., overnight vs. daytime care). Where you live also has a significant impact on the cost of home care, as national chains scale their local prices to the cost of living in a given area. When planning for home care costs, keep in mind that the national average cost is about $26 per hour, though prices in your location may be higher or lower. You can contact a Family Advisor to learn more about home care costs and payment options in your area. Who Should Consider Home Instead? Home Instead’s Care Pros are dedicated to preserving the dignity and independence of aging adults who need help managing daily tasks. This company is an excellent care option for those in need of services such as: Personal care: Seniors who need help with ADLs, including medication management, grooming, and mobility, can benefit from the help of Home Instead’s Care Pros. Dementia care: Home Instead Care Pros can provide specialized care for seniors who are living with Alzheimer’s disease or other forms of dementia. Care Pros have been specially trained to provide personal care and enhanced services that increase the quality of life for these seniors. Companionship: Care Pros are dedicated to helping seniors fend off loneliness by building meaningful, fun relationships through their companionship services. Hospice care: When seniors are nearing the end of their life, Home Instead’s Care Pros can provide support to ensure the comfort of seniors and their family members. How to Get Started with Home Instead Contact a Family Advisor for more information about Home Instead’s offerings in your area and to connect with a local home care provider. Our knowledgeable Family Advisors can provide one-on-one guidance to help you find the best home care service for your needs and budget, all at no cost to you. No matter where you are in the process of choosing a home care provider, a Family Advisor can help.

"We started my mom with Home Instead near the end of last year. Since getting Jessi as her caregiver my mom is thriving! Communication is great and my mom feels Jessi truly cares about her."

"My father was in an assisted living facility but needed more care that the facility could provide. Since I live in another state, I contacted HomeInstead to visit him 3x/week for three hours/day over the primary meal period to provide companionship, help with eating, and assisting in moving as needed. All aspects of my experience with HomeInstead was positive, from my initial contact through the wrap-up of their services. Office staff was professional--once they understood what i was looking for they arranged an on-site assessment of my dad's needs. The woman performing the assessment was empathetic, engaging, thorough and very competent. She was able to explain their services to my father and his wife, answering their questions and concerns. She provided more detail to me on billing and scheduling. It took about two weeks to find caregivers who could come on the desired schedule, one for two days/week and the other for one day/week (which we later extended to two days/week). Both caregivers bonded with my father; he was happy to see them. They kept good notes of each visit for me to review, and the case manager would call me at least monthly to review the situation with me. They also noted any issues with the care being provided by the facility and suggested equipment or other actions we could take to make my dad more comfortable. If a caregiver was unable to make their normal meeting, they always let me know 48 hours or more in advance and offered to find a substitute to insure coverage. When my Dad needed to move to a different facility for more care, we arranged to have them continue to come to provide continuity and insure there would be some familiar faces in a new situation. He became very friendly with both and it was a source of comfort for me to have two experienced, professional and empathetic people spend time with my dad. I have no hesitation recommending HomeInstead; all aspects of my interaction with them were positive. I only wished I had learned about them sooner so I could have involved them earlier in my dad's care."

Senior Helpers of Portland/Vancouver is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for those with Alzheimer’s, Dementia, Parkinson’s and other chronic diseases.

"In home care for not just my father but my entire family. He was so knowledgeable and excellent at helping us understand what was happening and what to expect. He really became a member of the family. We trust him in ways we never expected. Wonderful man."

At Griswold Home Care for Vancouver and the surrounding areas, we offer compassionate, full-service in-home care for those who want to live where they love with the support they need. Backed by over four decades of experience and a storied legacy of compassion and integrity, we are proud to be an award-winning pioneer in the non-medical home care industry. Our services include companion care, respite care for family caregivers, personal hygiene assistance, and end-of-life support, along with light housekeeping, meal preparation, transportation for errands and appointments, medication reminders, social engagement, toileting, and bathing. We focus on the people we meet and the meaningful connections we build within our own community, offering support with respect, empathy, and dedicated attention. At the heart of our work are our Care Professionals—the foundation of our success—who help us fulfill our mission to improve the lives of everyone we touch. Call us today to schedule your free home care consultation.

Senior Helpers of Portland/Vancouver is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for those with Alzheimer’s, Dementia, Parkinson’s and other chronic diseases.

"Highly recommend the team at Home Instead. Many thanks to Lucena, Selina, Fran, and Sophia, my dad's caregivers for their assistance and companionship. Also, to Riley for managing the schedule at the drop of a hat. And, to Spencer for alerting me to any issues that the caregivers have noted on any particular day. So thankful to all of you and the service that you provide on a daily basis. Keep up the good work:)"

"Lisa and her team provided excellent care to my spouse with Alzheimers for the last 2 yrs. Sandy was so good with him and became a great friend and advisor to me. Her kind gentle spirit and laid back manner were a perfect fit for us . Valerie was super in providing overnight care , I couldn't have managed without her. Dawn was also provided great service and I believe Chuck loved watching animal programs with her! I can't thank them enough."

"I can’t say enough good things about Caring Heart Health & Home. I did a lot of research into home care companies around Portland to find a good company to care for my folks. Caring Heart had such great reviews, as well as several best of home care ratings and A+ accreditation, and now I see why. They have been fantastic in every way for my family. The company is small enough that the management, nursing and caretaker team work together, are cohesive and informed of what’s going on with my folks, and keep us informed when needed. They are accommodating, very responsive, easy to reach and work with, and deeply care about their clients. It really shows. My folks aren’t easy to please, but they really like their caregivers, because Caring Heart does a great job of choosing caregivers who have compatibility with them, and who truly enjoy being caregivers and it's their career - not a side job or temporary contract. Even better, we will have the same caregivers for as long as we need them, which is so reassuring and makes it so much easier on our family and gives us great peace of mind. I’ve learned in this process that what really matters, is the quality, consistency and genuine caring of the caregivers and the management team, and Caring Heart has that heart. They are dedicated to providing the best care with the same caregivers week to week, who are very reliable. Even better, they are run by nurses, and the Dir of Nursing has been intimately involved in assessing what my step dad needed for care when he came home from the hospital, helped us get prepared for him, and oversees their caregivers. She was fantastic, when he was resistant to the help at first, both with him and with me and my sister. I so appreciate the way this company communicates with their staff and with us. I am also impressed that most of their caregivers, who are all employees, have worked there for many years, some more than 10 years. We are incredibly lucky to have them take care of our folks, and I would give them 10 stars if I could. "