Portland, Oregon
975 SE Sandy Blvd., Suite 110, Portland, OR 97214
(503) 462-1455

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Call (503) 462-1455 | 975 SE Sandy Blvd., Suite 110, Portland, Oregon 97214 Coronavirus update
975 SE Sandy Blvd., Suite 110, Portland, Oregon 97214 Coronavirus update

Types of Home Care

Exploring The Different Types Of Home Care in Portland, OR

Comfort Keepers in home caregivers are trained to provide various senior care services

Professional home care services may be the most adequate care option for seniors, allowing your senior mom or dad to age with dignity and maintain independence. Choosing the best care solution for your loved one is not as easy as it may seem as there are plenty of legal and other factors you need to consider. The information below can help you gain a better understanding of how things work in the caregiving industry.

Summary of Home Care Services

Nowadays, many care agencies and independent in home caregivers provide customized care plans, featuring a mixture of general services that may include the following:

  • Personal care, consisting of activities such as bathing, grooming, toileting, and incontinence care
  • Homemaking and companion care, including housekeeping, laundering, meal preparation, running errands, medication reminders, incidental transportation, and companionship
  • Specialized care services, such as 24-hour home care, transitioning home, dementia care, and end of life care

Business Structures of Different Home Care Options

Within the US, home care providers operate as employment-based agencies, registries, and independent in home caregivers.  

Employment-based agencies

Employment-based agencies can be corporations or subsidiaries and franchises that operate under the corporate umbrella. Opting for employment-based care providers offers many benefits for clients and their senior family members. The good news is that agencies take care of all the background details, meaning you will have no additional or hidden costs. Let’s take a look at some of the benefits of hiring in home caregivers from an employment-based agency:

  • Thorough screening and reference checks, making sure the candidate fits all the requirements for the position.
  • Caregivers are treated as employees rather than contractors, meaning they are bonded and insured by workers’ compensation.
  • All personnel receives training and necessary certificates.
  • Agencies are properly manned and can provide replacements when the primary caregiver is unavailable.


Registries run background checks and manage and offer vast databases of available caregivers, but they are not the ones who employ them, nor do they provide training and overseeing. In some ways, registries act more like a “middleman,” matching clients with professional caregivers. In many cases, registry in home caregivers are contract laborers with different arrangements. This means that the cost of employment taxes, deductions, and insurance policies may befall on the client. Prior to hiring a registered caregiver, we strongly advise you to ask the following questions:

  • Who is responsible for the caregiver’s employment taxes and associated fringe costs?
  • Will background checks on the caregiver be performed and who will oversee their work?
  • What training and certification does the caregiver have?

Independent Caregiver

This can be basically anyone who does not belong to any company, organization or registry – a close friend of the family, someone who is active within the local community or someone who advertises in the local papers. An independent caregiver’s employer is the client who hires them. Moreover, the client is fully responsible for all the employment taxes, insurances, and other fringe costs. They are also the ones who check the caregiver’s background, experience, license, and references.

If you require any additional information, do not hesitate to call our Portland, OR, office today. Comfort Keepers caregivers are employed, bonded, and insured by the local Comfort Keepers franchise.