El Paso, Texas
2416 Montana Ave, El Paso, TX 79903
(915) 842-8195
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Private Caregiver vs. Licensed Home Care Agency in El Paso, TX: What Families Should Know

Comfort Keepers In-Home Care in El Paso, Texas.


When a loved one begins needing assistance at home, many El Paso families consider hiring a private caregiver directly. At first glance, this may seem flexible or less expensive. However, few families fully understand the legal, financial, and safety responsibilities involved.

Before making this important decision, it’s critical to understand the difference between hiring privately and working with a licensed home care agency like Comfort Keepers El Paso.


What Happens When You Hire a Private Caregiver?

When you hire privately, you typically become the employer. This responsibility may include:

Payroll & Tax Compliance

Families may be required to:

  • Withhold Social Security and Medicare taxes

  • File payroll taxes properly

  • Issue tax documentation

Failure to comply can result in IRS penalties.

Workers’ Compensation & Liability Exposure

If a privately hired caregiver is injured in your home, you may be financially responsible for medical costs and lost wages.

If allegations of theft, neglect, or disputes arise, families must handle investigations and legal matters independently.

No Backup Coverage

If a caregiver calls out sick, quits unexpectedly, or simply fails to show up, families are left scrambling — often during already stressful situations.

No Professional Oversight

Private caregivers operate without agency supervision. There is typically no structured care plan, ongoing performance monitoring, or quality assurance.

For families managing complex care needs, this can become overwhelming.


The Comfort Keepers Difference in El Paso

Comfort Keepers El Paso is a licensed Personal Assistance Services (PAS) agency regulated by Texas Health and Human Services.

That means we operate under strict compliance standards designed to protect clients and families.

When you choose Comfort Keepers, you receive:

Licensed & Regulated Care

We meet Texas HHS standards for home care services.

Bonded & Insured Caregivers

  • Workers’ compensation coverage

  • General liability insurance

  • Agency bonding protections

Families are not the employer — we are.

Thorough Screening & Background Checks

All caregivers undergo:

  • Criminal background screening

  • Reference checks

  • Structured onboarding and training

Personal Care Services

Unlike many private sitters, we provide hands-on assistance including:

  • Bathing and grooming

  • Toileting and incontinence care

  • Mobility and transfer support

  • Meal preparation

  • Light housekeeping

  • Transportation

  • Alzheimer’s and dementia care

Care Planning & Supervision

We develop personalized care plans and maintain ongoing oversight to ensure consistency and safety.

Reliable Scheduling & Backup Support

If a caregiver is unavailable, we coordinate coverage — so your loved one is never left without care.

24/7 Live Support

A real person is available at all times for urgent needs or changes in condition.


Cost vs. Risk: What Should You Consider?

While private caregivers may advertise lower hourly rates, families must weigh:

  • Payroll tax obligations

  • Insurance exposure

  • Lack of workers’ compensation

  • No guaranteed backup

  • No regulatory oversight

  • No structured accountability

For short-term or minimal supervision, private arrangements may work.

For ongoing personal care, complex health needs, dementia support, or situations requiring reliability and accountability, working with a licensed agency provides greater protection and peace of mind.


Making the Right Decision for Your Family

Choosing in-home care is one of the most important decisions a family will make.

The goal is not simply affordability — it is safety, dignity, reliability, and professional oversight.

Comfort Keepers El Paso provides structured, licensed, and insured home care services throughout El Paso and surrounding communities.

If you would like to discuss your loved one’s needs and understand your options, we are available 24/7 to provide guidance.

📞 Contact Comfort Keepers El Paso for a confidential consultation.