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!
Our Home Care Services
Generations Home Care provides non-medical in-home care for seniors in Spokane, Tacoma, and Bremerton, Washington, and McKinney, Texas. Our services fall into hands-on personal and specialized care, and everyday support around the house. Families combine whatever they need, from one hour a week to around the clock, with no minimum hours.
Which service does my family need?
Most families arrive here knowing something needs to change, without a name for it. Long days alone usually point to companionship, unsafe bathing or getting around the house to personal care, memory changes to dementia and Alzheimer’s care, and a worn-out family caregiver to respite care. Overnight or around-the-clock needs are 24-hour care, and the first weeks home from a hospital stay are post-hospital care. You do not have to work it out before you call. Tell us what is going on and we will say what we would suggest.
Personal & Specialized Care
Hands-on help with the activities of daily living, and care built around a specific condition or situation. This is care for the person.
In-home senior care that helps older adults stay safe, comfortable, and independent at home. We build a non-medical care plan around each family, with no minimum hours.
Respectful, hands-on personal care with bathing, dressing, grooming, hygiene, and mobility, delivered with dignity by caregivers we would trust with our own parents.
Patient memory care at home for dementia and Alzheimer's. Our caregivers provide gentle routines, a familiar presence, and a calm, safe space so your loved one stays comfortable.
Respite care that gives family caregivers a real break. From an hour to a few weeks, we step in so your loved one is well cared for while you rest.
Around-the-clock care for any hour of the day. Our caregivers cover days, evenings, overnights, and weekends, with an on-call team your family can always reach.
Non-medical support through the first weeks home after a hospital or rehab stay, when a familiar routine is hardest to hold. We help with the day to day so recovery happens at home.
Companionship & Home Support
Help with the instrumental activities of daily living, the tasks that keep a household running. This is care for the day.
Companionship
Companionship that eases isolation, with conversation, shared activities, errands, and a familiar, friendly face, so loneliness is not part of your loved one's day.
Meal Preparation & Grocery Shopping
Help with meal preparation and grocery shopping, planned around your loved one's tastes and dietary needs, and shared as good company at the table.
Medication Reminders
Friendly, non-medical medication reminders that help your loved one take the right medication at the right time. We prompt the routine and flag any concerns to family.
Light Housekeeping
Light housekeeping that keeps the home safe and comfortable, from laundry and dishes to tidying and taking out the trash, so your loved one stays proud of their home.
Transportation
Friendly rides for transportation and errands, from appointments and the pharmacy to church and social outings, so getting there is never the hard part.
Pet Care
Help feeding, walking, and caring for a beloved pet, so seniors keep the companionship and daily routine they love without leaving home.
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
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.
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. Veterans and surviving spouses may be eligible for the VA’s Aid and Attendance benefit, a monthly pension supplement that can be put toward the cost of care. The VA also has a separate program that arranges home care directly through a VA medical center and social worker; families qualify for that one through the VA, not through us.
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 fit 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.