Thank you for working with us and making a tough time easier, it really was a stress reliever. Your staff were kind, and took great care of dad. We especially appreciated JJ’s gentle and kind heart, and love for dad. We appreciate you helping us in our time of need. you were the extra set of hands that we needed!
In-Home Senior Care
In-home senior care is non-medical support that helps older adults live safely and independently in their own homes. Generations Home Care provides in-home senior care in Spokane, Tacoma, and Bremerton, Washington, and McKinney, Texas, with certified caregivers, no minimum hours, and no long-term contract.
What is in-home care?
In-home care is non-medical help that lets an older adult keep living safely in their own home instead of moving to a facility. A caregiver comes to the house and helps with the parts of the day that have gotten harder: bathing and dressing, meals, medication reminders, errands, getting around safely, and simple company. It rests on one idea, that most seniors do best in the home they know.
How much help you need is up to you. With Generations Home Care, care can be a few hours a week for a little support and companionship, or grow to daily visits and around-the-clock help as needs change, with the same caregivers your loved one already trusts. It is never all-or-nothing, and it can start small.
How is in-home senior care different from home health care?
Home health care is medical care, such as nursing, wound care, speech therapy, occupational therapy, or physical therapy, ordered by a doctor. In-home senior care is non-medical: caregivers help with daily living, safety, meals, errands, and companionship so seniors can keep living at home. Generations Home Care provides non-medical in-home senior care. Many families use both at once, and we work comfortably alongside nurses and therapists.
When is it time to consider in-home care?
Most families call us when something goes wrong and a loved one is hospitalized. Falls are the leading cause of injury and injury death for adults 65 and older, and adverse drug events send more than 600,000 older adults to emergency departments every year. But it is helpful to prepare before an emergency. Some signs that a family member may need more help:
- Meals are getting skipped, or the fridge holds more expired food than fresh
- A fall, or a few close calls, especially in the bathroom or at night
- Medications are missed or doubled up
- Housekeeping and laundry are falling behind
- Dad has stopped driving and misses appointments
- Mom seems lonely, withdrawn, or anxious when you leave
- You are doing so much caregiving yourself that your own health is declining
One of these on its own may just need a conversation. A few together usually mean it is time for some help. Starting with a few hours a week is normal, and most families wish they had started sooner.
How does care start?
Call us or fill out our contact form
Tell us what is going on. A real person from your local office answers, and there is no obligation.
Free in-home assessment
If we can help, we visit your loved one at home, listen, and talk through options. We use this meeting to build a relationship and become a resource for your family, not to make a sales pitch.
Meet your caregiver and begin
We match a caregiver to your loved one’s needs and personality, agree on a schedule, and start care. If anything ever needs adjusting, you tell us and we adjust.
Why do families choose Generations Home Care?
We are locally owned in every city we serve, not a franchise, and we have cared for families since 2015.
- Every caregiver passes a background check before entering a client’s home, and a fingerprint background check in Washington
- Our Washington caregivers are HCA or CNA certified, with annual continuing education
- Our Texas caregivers are screened against the state Employee Misconduct Registry and Nurse Aide Registry, and complete nine hours of continuing education each year
- Caregivers are W-2 employees, never contractors, supported by a local office team
- Licensed by the Washington State Department of Health (IHS.FS.60603640) and by Texas Health and Human Services (024759)
- No minimum hours, no long-term contract, and our rates are published on every location page
Frequently Asked Questions
Where do you provide in-home senior care?
We serve families from four local offices: Spokane, WA, Tacoma, WA, Bremerton, WA, and McKinney, TX, including the surrounding counties and communities listed on each location page.
What services does in-home senior care include?
Personal care (bathing, dressing, grooming), dementia and Alzheimer’s care, respite care, and 24-hour care, plus companionship and everyday support like meal preparation and grocery shopping, medication reminders, light housekeeping, transportation and errands, and pet care. Your care plan includes only what your family needs, and it can change as needs change. It is hard to provide an exhaustive list of services. If you don’t see it on the list but you’re curious, feel free to ask!
How much does in-home senior care cost?
Care is billed hourly, and our rates are published on each location page. Shorter shifts bill at a higher hourly rate because we pay our caregivers a premium for them. You receive a bill twice a month and can pay however works for you.
How do families pay for care?
Most of our clients pay privately, and many combine that with other sources. Long-term care insurance often applies, and L&I covers injured workers in Washington.
Is there a minimum number of hours?
No. We offer shifts from one hour to 72 hours. Many agencies require 20 hours a week with four-hour minimum shifts; we would rather tailor the care to your family.
Is there a long-term contract?
No. You can cancel a specific shift or the entire service agreement with 24 hours’ notice. Care should earn its place in your home every week.
What if the caregiver isn't a good fit?
Tell us. Finding the right relationship is the heart of home care, so if a caregiver is not the right match for any reason, we will find a replacement quickly.
Testimonials
Schedule a free in-home assessment
No pressure, no obligation, just a conversation about what would help.