How to arrange home care in Las Vegas: a first-call and first-visit checklist

1. Choose the kind of help you need

Describe the actual task before choosing a service name. These needs can overlap, and the agreed care plan should explain which tasks will be provided.

Personal care

Help with bathing, dressing, grooming and other personal routines. Explain the assistance needed and what the person wants to do independently.

Companion care

Company, shared activities and help with everyday household routines such as preparing a meal or doing laundry. Mention hands-on personal care separately.

Respite support

Support during the time a family caregiver needs away. List the routines that will happen during that period and plan the handover.

Medical or skilled care

Nursing, wound care, diagnosis and clinical treatment require an appropriate healthcare provider. Tell the agency about those needs before assuming non-medical support will cover them.

For example: “We are looking for help with lunch, dishes and company on weekday afternoons” gives a clearer starting point than “We need senior care.” If bathing assistance is also needed, include it in the same conversation. This is a planning example, not a description of a particular household.

2. Prepare for your first call

You do not need a complete file of documents to ask about services. Have a short, practical description ready:

• The ZIP code where care is needed, preferred days and times, and whether the schedule is flexible.
• The tasks that need assistance, in order of priority.
• The person's routines, communication preferences and who they want involved in planning.
• Any household access or support needs the agency should review before agreeing to care.
• Whether you are arranging private payment or asking about a benefit or existing care authorization.

At Crown, start by calling (702) 800-5805 or requesting a free consultation. Care is provided in your home. Our administrative office is at 4550 W Oakey Blvd, Suite 111-N, Las Vegas, NV 89102; office visits and caregiver interviews are by arrangement.

Office and phone hours are Monday, 9 a.m. to 5 p.m., and Tuesday through Friday, 10 a.m. to 6 p.m. The office is closed and calls are not answered on Saturdays or Sundays.

Care visits are arranged in advance on an individual schedule and may include Saturdays and Sundays. Confirm your care visit times with the team before making plans.

3. Confirm costs, scheduling and responsibilities

Before agreeing to services, ask for the proposed rate or quote, minimum visit length, any additional charges, cancellation terms and payment arrangements. Ask how a change in tasks or visit length would affect the plan. Do not treat a wage advertised for a caregiver job as the price of care.

Ask who will provide care, what relevant screening and training they have completed, how visits will be coordinated and what happens if the assigned caregiver cannot attend. Confirm whom you should call about changes. Discuss these details for your actual arrangement rather than relying on a general statement about availability.

If you plan to use Medicaid or another benefit, confirm the program, covered tasks, service authorization and provider participation with the payer and agency. Medicare's home-health benefit does not cover personal or custodial care when that is the only care needed. Its official home-health coverage page explains the requirements. A benefit name alone does not establish that a proposed visit is covered.

If your question is about being paid to care for a loved one, use our Nevada family-caregiver guide. Caregiver employment and arranging respite or other home support involve different questions.

4. Prepare for the first visit

Once the agency has confirmed the arrangement, keep the agreed task list and schedule available. Explain the person's preferences, how to enter the home and whom to contact with questions. For respite, include the handover and expected return arrangements. Agree on how updates will be shared with the people the person receiving care wants involved.

After the first visit, discuss whether the tasks and timing fit the person's routine. Bring up anything that was unclear or needs adjusting. If needs change, ask the team to review the scope and suitability of support before adding new duties.

Keep diagnoses, medical records, insurance identifiers and Social Security numbers out of website forms and ordinary email. Ask the team how to exchange any information needed for intake securely.