Home Instead Senior Care

time icon 8 min read update icon Sept. 20, 2019
9 Ratings - Write Review
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Home Instead Senior Care offers non-medical care to seniors of any age.

As part of the aging process, it is natural to begin to lose mobility and even the energy to keep up with housework and meal preparation. It's difficult to accept the inevitable, but when that time comes, you want to be able to trust your caregiver and the organization that they work for. Home Instead Senior Care offers in-home care services to people at any point in the aging process. 

The company provides personal services, such as bathing and dressing, companionship and help around the home, care of patients with dementia, transitional care services and hospice support. Home Instead has a strong commitment to quality services and excellent caregiving.

Grandfolk Scoring
Cost 10/10
Ease 10/10
Customer support 10/10
Caregiver 10/10
Medication support 6/10
Warranty 10/10
Cancellation 10/10
Private insurance 5/10
What is the cost of the service?
Depends on level of care needed, hours per week and location
Is the service easy to use?
Yes, just set up a meeting to begin
Customer support
When is customer service available?
Support is available 24/7
Is one caregiver assigned to my loved one?
Yes, the goal is to encourage a good relationship
Medication support
Can the company administer medications?
No, but the caregiver can give reminders
What if my needs change?
The caregiver can be changed if one isn’t working out
Is it easy to cancel the service?
If changes are necessary, the company is very flexible
Private insurance
Can the company help with insurance matters?
You may have to deal with insurance yourself, but ask just to be sure
Age Score:
50-64 Years
65-74 Years
75-84 Years

Home Instead Senior Care offers non-medical support to seniors of any age. Its mission is to provide aging adults the support they need to age with greater hope and success. The founders, Paul and Lori Hogan, had a perspective that aging should be a time of hope and family, so they focused the company’s mission to enhance the lives of aging adults. In addition, Home Instead feels a responsibility to give back. It does its best to contribute to better senior communities. This giving back includes community grants to support non-profit organizations dedicated to enhancing the lives of older adults. 

The company also provides disaster relief payments within the Home Instead franchise network to victims of disasters that may devastate a community. Home Instead speaks to the needs of seniors of any age.

Health Score:
Great Health
Good Health
Fair Health
Poor Health

Home Instead Senior Care specializes in non-medical support for seniors. For seniors in good health, there may not be a need for this service. However, if the senior is in relatively good health but is not eating nutritional meals, this service would be a great advantage. A caregiver could assist in providing meals that are nutritious. 

As a senior’s health begins to fail, there may be a need for in-home nursing care or transfer to a nursing home. Personal caregiving can be provided at home to support grooming, bathing, incontinence care and mobility assistance. The company has pioneered specialized care for dementia patients. 


  • The Hogans created two organizations to improve and enhance the lives of older adults: the Home Instead Senior Care Foundation and the Home Instead Center for Successful Aging.
  • Care provided 24/7/365.
  • Members of the executive team participate in many organizations and conferences that aim to enhance the lives of seniors. 
  • A strong spirit of giving and serving has been woven into the business.
  • The company is involved in community service programs (Hilarity for Charity and Be a Santa to a Senior) that support seniors.
  • The company has pioneered special training for support of Alzheimer’s patients.


  • Although the corporate website has many links to other organizations for various types of support, there is a lack of material on the services provided, how a plan is developed and the screening of hired workers. This information is available on franchise sites.
  • As with all in-home care, this type of care is not covered by Medicare.
  • The care provided by Home Instead is a little more expensive than other services, but the company believes there is a distinct difference in quality of care.

Bottom Line:

Home Instead Senior Care has risen to the top of the heap in comparison to other in-home care services. The co-founders, Paul and Lori Hogan, have expanded the program to more than 14 countries, exporting their care model to other senior communities. There are over 1,100 franchises around the U.S. Paul Hogan is a founding member of the Home Care Association of America and has been a delegate to the White House Conference on Aging. The Hogans’ personal faith and values seem to drive their interest in and support of aging adults. Their mission is to offer excellent support to seniors that will enhance their lives. 

The company offers non-medical care to seniors of any age. This care can be anything from companionship and home help to personal services, as well as support for dementia patients. It has a commitment to quality of care, and shows it by providing a comprehensive education for its caregivers. Home Instead pays its caregivers a little more than other companies, because it believe that quality care warrants it. 

This company operates as a franchise, so there will be variability between offices. Many of the offices have A+ ratings and are accredited by the Better Business Bureau, but this isn’t true for all franchise locations. Do your homework before engaging in an agreement with this company, and you should do well.

Frequently Asked Questions:

What types of homecare services are provided?

Home Instead assists seniors with the daily activities of living. These can include things like bathing, dressing, incontinence care, mobility assistance, companionship, meal prep, medication reminders, grocery shopping and light housekeeping. Home Instead can also assist with specialized care for dementia patients, as well as with hospice support.

How are applicants screened for employment?

Each caregiver is required to submit to a drug screening, and they are bonded and insured. Each caregiver completes a comprehensive, multi-phased training program before they can work with a senior. 

How will I know if the care has been provided?

Each time the caregiver meets with the senior, they complete a ‘daily care log’ which lists the activities that the senior and caregiver did together. This is left at the senior’s home, so the family can review it. Home Instead also uses a system that requires the caregiver to check in with their phone when they arrive to provide care. Finally, the franchise owner will make unannounced visits to see how the relationship is working.

More Information:

Product Details

Overview: Home Instead Senior Care provides in-home senior care that can include personal care such as grooming, companionship services and assistance for some health conditions, such as diabetes, arthritis and heart disease. These supports are non-medical in nature. A caregiver can be hired to assist with meal preparation or to help the senior set up a safe home environment to discourage falls. Some franchises offer respite care and hospice support services. You should check with your local Home Instead office for a list of the services provided.

Package Details: Each senior and family is considered individually to develop a specific care package. Services are paid by the hour. Depending on where the senior resides, the hourly rate will vary. There is no contract for services, and changes can be made as necessary.

Other Services: None.

Additional Company Details

Contract Details: The franchise owner will meet with the senior and their family to discuss the senior’s needs. This is the consultation. The owner will make a recommendation for the number of hours that a caregiver should visit. This may be negotiated with the family if the cost is too high or more hours seem to be needed. The caregiver will be identified and can start as soon as the next day. Home Instead asks the family to sign a service agreement, which covers certain situations. For example, some clients may want to hire a caregiver directly. In this case, the caregiver’s services must be ‘bought out’ from Home Instead. Bills are sent twice/month for payment. The company can arrange to split the bill if that is the desire of the family.

Warranty: If the senior and the family are not happy with the care provided, the franchise will find another caregiver. It is helpful if the senior and family can be specific about why they were unhappy.

Accreditations: The company was featured on Forbes' 2017 Best Employers List. Many of the franchise offices have a Better Business Bureau rating of A+ and are accredited by the BBB. However, not all franchise offices are accredited, nor do they all achieve excellent ratings. Paul and Lori Hogan, co-founders of the company, received the "E" award from the U.S. Department of Commerce in May 2008 for their work exporting the home care business model on a global scale. The award was presented by President George W. Bush. 

Company Details: Home Instead Senior Care was created in 1994 by Paul Hogan and his wife Lori in Omaha, Nebraska. They started the business after having difficulty finding home care for Paul’s grandmother, who lived to be over 100. From this experience, they found a mission to help others with aging loved ones. Home Instead now has over 1,000 franchises in the U.S. and around the world, and is the largest senior home care organization in the world. 

Paul Hogan, co-founder of Home Instead, was a delegate to the White House Conference on Aging in 2005, and was named Entrepreneur of the Year in 2006 by the International Franchise Association. He is founding board member of the Home Care Association of American and the Home Instead Senior Care Foundation. This foundation provides financial support to nonprofits dedicated to improving quality of life for seniors. In 2009, Home Instead partnered with the University of Nebraska Medical Center as anchor donors for the Home Instead Center for Successful Aging, a center for medical services, education, activities and research dedicated to seniors. 

Co-founders Paul and Lori have also written a book, published by McGraw-Hill, called Stages of Senior Care, which helps seniors and their families make informed decisions about senior care.


Home Instead Senior Care, Inc.
13323 California St.
Omaha, NE 48154
Tel: 800-640-3914
Website: https://www.homeinstead.com/

Donna McDurfee - Senior Advisor

Donna is senior researcher with Grandfolk® providing in-depth product and service reviews to empower senior buying decisions.

For parent
48 Years

I love working with Home Instead Senior Care. The entire process has been easy and professional but most of all, we absolutely love our caregivers. The office is available any time, day or night, to address our needs. We are so lucky that we found Home Instead as their caregivers are a blessing to our family.