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Thoughts on pay for a live-in caregiver providing 7 nights a week and four 12 hour shifts a week? My mom sleeps through the night for 12 hours and has moderate dementia.


She will have every Fri-Sun days off and one full weekend off (including nights) a month.


I plan on using homepay payroll and providing a W2. I’ve consulted with the accountant who states a W2 employee costs 9% more than a 1099.


Does anyone else offer sick time and vacation time? If so, how much? Do you let them cash it in if they don’t use it?


Rent and utilities plan to be covered.

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So you are trying to fifure out a fair wage for 132 hour weeks, 3 weeks a month and 108 hours for 1 week a month?

I think you should definitely offer vacation and sick pay. I would not let a caregiver that is working that many hours NOT take the vacation time off. I would even allow them to use sick days for breaks.

This type of schedule can burn the hardiest person to a nub in no time. I would consider finding someone to work 3 full days, around the clock every week, have this person for 4 full days and nobody lives in, they just stay there while on duty.

That is just my opinion because I think counting on one person for too much is not a wise move. Especially, a paid employee.
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I have used a team of caregivers for both parents and an aunt. They set their own schedules and work together covering call outs or needed days off. So much easier and less stress on the family. One family member still supervised the schedules.

Since all elders slept well during the night cameras were installed to monitor. Alerts would notify of action in the homes. Of course if wandering began or someone did not feel well a caregiver was found to spent the night.

I would be hesitant to employee one live in caregiver.
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Check with the state labor board to verify. As I've read from your forum, caregiver employees from private or agencies, are people like us and require their own personal time off for their own family, if any, medical appts., errands and annual vacation off. I think working 12 daily hours for only one employee, live in included, is just too long to work without rest. Is any commuting involved? How about hiring 3 caregivers for round-the-clock care? And do not forget about the 2 days off requirements.
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You will need a back up plan for no shows and callouts
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Seven 12-hour shifts at night and four 12-hour shifts every week except one. That’s 132 hours a week. It doesn’t matter is your mom is asleep or not, the caregiver is required to be there. Hourly caregiver pay is $15/hour and up. That’s $2244 a week. Room and board subtract $200/week. So you’ll need to pay her around $8,000/ month.
That being said 132 hours a week is 3 times as many hours as most people work. And burn-out will come soon IF you can find someone to do it.
I suggest you look for a team, as someone else suggested. No one person can do what your expecting and if your mom has mild dementia it will get worse, usually pretty fast. So having 2 people, maybe even 3 would be best.
I think 1099 is the best and easiest way to do this. It gives scheduling flexibility and saves you tons of red tape and paperwork. And usually caregivers prefer this way. They can write off mileage when she needs to travel [around town] and scrubs and keeping vaccines up to date.
Most of the people on thi forum, including me, have been caregivers 24/7 and know how hard it is do spend that many hours without relief. Good luck. I know you’ll do what’s best for everyone.
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Lizhappens Nov 2022
Right on
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I would hire 2 caregivers - one during the week and the other one weekends .
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I am afraid the compensation will be paid according to "what the traffic can bear" for your area. It also may depend upon whether you have to use an agency or whether or not you can hire trusted and vetted people without paying both your aide and his or her agency. Agencies are charging in my bay area of SF upward from 42.00 and hour I just found out via a friend who has returned home on Hospice care and 24/7 needs. The cost is enormous. She was lucky enough to be able to hire two people trusted who have worked for her before for two 12 hour shifts daily at 20.00 and hour. They are being spelled by friends and family. But wow, the expense of home care is almost prohibitive unless there is some wealth involved or the care needs are very time limited. I sure wish I could tell you more and I surely do wish you the very best of luck.
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I have had aides and other household help. I pay what home health dept at local hospital pays. Currently a CNA is $18.00 per hour. I give sick time and vacation pay after 6 months. I provide health insurance after one year. I do not "buy back" this time. It's "use it or lose it" during the year it is awarded. I have WC and also pay with SS and taxes withheld. It's all expensive, but I believe in being fair or don't hire someone.
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I would like to second what others have said. This is simply too much for one caregiver to handle for an extended period of time. Plus, if you rely on just one person, what happens if they get sick, have their own family demands, get burnt out, etc. And, it is quite possible your Mom may require greater attention as time goes by. My sister slept through the night the first three years she was with us; the last year she was up and wandering all night long. So for the first 3 years, I took the chance and used a baby monitor at night rather than paying for care. This gave me more $$$s for care during the day. I was able to rely on only one caregiver - with backup working on weekends - when they were working an 8am-6 pm day.

Yes, It is more difficult to manage a team of caregivers; there is greater chance for a "failure" to occur related to shift changes which creates a good deal of anxiety. I was able to find a placement agency that added only 10% to the wages of the caregivers. Being in the Midwest, this meant a total hourly wage of about $24/hour. IF someone didn't show up, I usually - but not 100% - could get coverage through the agency. The problem with this, however, was that my sister might not have known the substitute and vice-versa...and the subs weren't trained "my way."

I think that when you opt for home care, you have to realize that, just as with kids, the buck ultimately stops with you. It was stressful at times, but I was willing to assume this role and have absolutely no regrets. My sister passed away just a year ago from seizures associated with her Alzheimers.

Wishing you peace of mind as you begin this journey.
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Lizhappens Nov 2022
Excellent answer and I’m sorry for your loss. You sound like a good loving person.
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I forgot to mention that I also have accounts with 3 agencies as backup.

I have one shift covered by an agency worker. She has been with us about 3 years.

I find it better to have more people working fewer hours. If you are short caregivers, they get burned out.

Almost all of my caregivers are working other jobs and some work two other jobs.

We also give a large Christmas/holiday bonus.
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