Anyone else experiencing issues with unreliable caregivers through Home Care Agency?

I feel it most likely comes down to pay. It isn’t right that the client gets subpar service but caregivers don’t get paid a lot. Sad for the clients and the caregivers. The agency makes the money.

I have seen several people posting and they mention Care.com and have been pleased with the people that have been hired.
I hired through the local Community College. 2 people that were in the Nursing program and had completed their CNA Certification and were waiting for the next semester to begin. I told them I would be willing to schedule them around their class schedules. (this works if you are flexible with your own schedule) I have to say they were the 2 best caregivers I had. I also had some through an agency and never had a problem.

after having multiple caregivers from agencies...I had really had it. Some showed up with the attitude that everything had to be run to please and suit them (usually fired by my Dad within the hour) or were late and just sat around texting friends (Fired by my Dad the same day).

I found a wonderful caregiver. Professional. She wouldn’t work for less than$18 per hour. Since I was required by the LTC insurance company to only hire licensed professionals...and Colorado will only issue a license to agencies...I had to use an agency.

so, I spoke with the owner of the agency and said that they would hire this woman and pay her $18 per hour. This was easy money in their pocket...no training, no issues with managing her, etc. otherwise, I would shop around till I found and agency that would hire her.

she worked full time as caregiver for my Dad. The insurance company paid the bill every 2 weeks.

I am really an advocate for looking to friends, social groups, church, etc. to find a caregiver. Maybe it was just my luck to find such a gem....but, it is the only thing that worked for me.

I can offer my understanding. A lot of agency workers are not of the right mindset to be working independently. Their "supervisor" is also fairly unsupervised. Someone still needs to advocate on the patient's behalf and this can be time-consuming and draining! People will say "just hire home care" or "can't you get a visiting nurse?" but that does not always provide what we think it will provide and it's very costly. If insurance pays for any of it, it won't be enough in many cases.

The agency we used for my mom was an absolute nightmare! Mom was left alone (a total invalid) for hours with no family member notified, retirement check stolen, backstabbing each other caregivers, DRAMA like you absolutely wouldn’t believe. It was awful! I don’t even know how the company managed to stay in business. We had much better luck hiring privately, people who weren’t even CNA’s. Seriously.

My Dad was paying $35 an hour for a reputable agency. The agency sent young employees who texted their entire shift. One even stalked my brother via text trying to date him! We couldn't be there to supervise, and my parents were kind of "deer in the headlights". What a cluster@#%&!!! I am leery of agencies.

Yes, this is exactly why I had to move my mom into assisted living. Managing the home care people and caring for my mom when the care givers were not there in my free time was a full time job on top of my actual full time job. The final care giver was amazing and perfect, but she could not work all the hours we needed her. Others, well, some were good, but moved on and others were absolutely horrible, did nothing, and complained about my asking them to do their job. I understand that the low pay discourages people and it is a very difficult job emotionally. For my mom not much physical effort was needed, but the repitition and confusion my mom had was draining. One of the agancies, though, had only seniors who were working to augment their social security, so the pay was okay for them. For younger workers, the wages are not enough to manage their lives. The system is broken.

Try a different agency. There are several out there that hire and control their staff better.

Thanks for the enlightening answers. I had talked to one of the caregivers from the last agency and she said some of the caregivers will clock in to a client, but not actually go. They'll go shopping or something and then clock out. Most of those clients live alone and don't know the caregiver schedule and don't bother checking with the agency. I know there is a caregiver shortage here in WI and the governor created a caregiver taskforce to try to address it. I think it's only going to get worse.

I worked for 10 dollars an hour to care for my relative recently and even less while going broke to care for another. When caregivers once resented my being there they quit. I then did their jobs of 3 people for 1.8 months. My relative made a remarkable turnaround and got better. I could not save her Mother I tried, but was barred from nursing home for complaining. But I fought for my Mother and she is still in her home. In my life I struggled but I always tried to do my best. I rarely received additional formal training but I tried to advance . I guess thats the business model everyone uses, low pay, tough jobs, weird hours. But I saw one worker make up to 35 hours a week off my relative and gone by 9am and came back at night but there were no time clocks and she could work the entire day somewhere else. In my life, the pay was always lacking but I tried to be a good worker. Eventually I went to college. Not wise to not advance yourself somehow. Home health agencies benefited from workers that refused to learn English they stayed with those agencies. Home health agencies can be reported to Medicaid AHCA buy rarely get penalized from ny experience. They can get away with many different things if you are not vigilant. They dont have time clocks. Some wont tell families their hours they should be working. You have to take a lot of precautions and constantly inventory. Sadly sometimes there could be shortages of HH aides. They want autonomy also. Their companies do not appear to be providing ongoing yearly education like required by hospitals for instance. They have varied standards of cleaning which may be improved upon but most consider it an insult to be suggested a way to improve even the patient care. If they cannot get their way with one family member they will go to another. They will pretend not to understand English and will not follow legal guidelines about medical care and speaking the primary language of the patient and they will converse with vendors, therapists, and rescue and speak other languages in front of you but you cannot understand or contribute input. My Mom has a staff of three it's gotten better, but I was taking care of someone else for 1.5 years and only go to my moms to clean once a week or less. Recently I see them a lot our communication is better. Only one works for an agency. Good luck.

Yes, the main problem for the agencies is finding dependable and trustworthy employees willing to work for barely minimum wage for any length of time. For example, Comfort Keepers in the Denver area currently charges $27/ hour; workers take home maybe13.50/ hour. That’s barely minimum wage here. The disparity is because it costs the agency that much for insurance, overhead, and constantly training new employees. They don’t even offer benefits to caregivers. Perhaps you can now understand why it’s almost impossible to get someone to reliably come for a two hour shift. If it don’t make dollars it don’t make sense .

I only had Council on Aging for 8 hours a month. They had a contract with a local agency. I was told that I had to agree to four hour shifts which meant a worker came every other week. I wanted a two hour shift every week but could not have that. They said workers did not want to accept a job under four hours.

A few workers weren’t good. I asked for a replacement worker. The last worker was an absolute gem! She was very, very caring and dependable.

I think part of the problem is the low pay. Yes, they should do a good job but they make very little money for a tough job and I suppose some workers lose interest in doing a good job. It is frustrating. I hope you will find a suitable worker soon. Don’t hesitate to ask for replacement workers.