Home Instead and Visiting Angels are the two national home care names most Las Vegas families hear first, usually from a hospital discharge planner, a neighbor, or a search ad. Both sell the same basic product: non-medical caregivers who come to the house to help with bathing, dressing, meals, medication reminders, errands and companionship. The useful comparison is not "which brand is better." Both are franchise systems, so what you actually hire is a specific, independently owned local office — its owner, its scheduler, and the caregivers it can staff on the days and hours you need. This guide compares what each brand's Southern Nevada offices publish about themselves, what they leave out, and the questions that will tell you more than either website.
Everything below about the two companies comes from their own public websites as checked in early November 2026. Where a site does not state something — a price, an owner, a payer — we say so rather than guess. Franchise ownership, addresses and rates change, so confirm every detail directly before you sign anything.
How the franchise model shapes what you are buying
Neither Home Instead nor Visiting Angels runs your loved one's care from a corporate headquarters. Visiting Angels' Nevada page says plainly that "each Visiting Angels agency is a franchise that is independently owned and operated." Home Instead works the same way: its national headquarters is in Omaha, and each local office is a separately operated franchise with its own service area.
That matters for three practical reasons:
- Rates are set locally. Two offices of the same brand can charge different hourly rates and have different visit minimums.
- Caregiver quality depends on the local office. The national brand supplies training programs and standards, but hiring, scheduling and supervision happen locally.
- The license belongs to the office. In Nevada, non-medical in-home care agencies are licensed as personal care agencies. Since Nevada AB 519 (Chapter 158, Statutes of Nevada 2025, effective 30 May 2025), those agencies are regulated under the new NRS 449B rather than NRS 449. Licensing and complaint investigations are handled by the Bureau of Health Care Quality and Compliance (HCQC), part of the Health Care Purchasing and Compliance Division of the Nevada Health Authority. Ask any office for the exact name on its HCQC license and check that it matches the business you are contracting with.
For a broader look at how hourly home care fits next to other options, see our Las Vegas in-home care overview.
Home Instead in Southern Nevada
Home Instead's Nevada directory lists five Southern Nevada office pages, which is more locations than Visiting Angels publishes in the valley:
- Las Vegas (office 173): 1210 South Valley View Boulevard, Suite 206, Las Vegas, NV 89102, (702) 796-6393. Its service-area page lists North Las Vegas, Summerlin, Desert Shores, Los Prados, Mountains Edge, Southern Highlands, Spanish Trail, The Lakes, Sienna and several Sun City communities, including Sun City Anthem and Sun City Aliante.
- Summerlin (listed as 173.1): 1980 Festival Plaza Drive, Las Vegas, NV 89135, same phone number as the Las Vegas office.
- Henderson (office 862): 9890 South Maryland Parkway, Suite 260, Las Vegas, NV 89183, (702) 843-1421. It lists Henderson, Boulder City, Las Vegas, Searchlight, Sunrise Manor and Paradise, and says it has served the community "since 2023."
- Paradise (office 898): 3838 Raymert Drive, Building A, Las Vegas, NV 89121, (702) 796-6393. It lists Enterprise, Green Valley, Whitney Ranch, Spring Valley, Paradise and downtown Las Vegas, and says "since 2024."
- Sunrise Manor (office 899): 400 S 4th Street, Suite 500, Las Vegas, NV 89101, (702) 796-6393.
Several of these share the (702) 796-6393 number, which suggests — though the site does not say — that some are operated together. The Henderson office has its own number. None of the office pages names an owner, so ask who owns the franchise you are calling and how long they have owned it.
What Home Instead says about services and caregivers
The local pages list daily living help (light housekeeping, meal preparation, medication reminders), memory support, condition-specific care, respite, transitional care after a hospital stay, 24-hour care, end-of-life support, companionship, and errands and appointments. The Henderson and Paradise pages say each caregiver ("Care Pro") goes through a background check, drug screening and training, including how to support people with Alzheimer's, Parkinson's and chronic conditions. They also state caregivers are employees rather than contractors, and that the office carries liability insurance and workers' compensation.
What Home Instead does not publish
None of the Southern Nevada office pages lists an hourly rate, a minimum visit length, or whether the office accepts Nevada Medicaid, VA programs or long-term care insurance. The pages route all of that to a free consultation. That is common in the industry, but it means you cannot compare price until you call.
Visiting Angels in Southern Nevada
Visiting Angels publishes two Southern Nevada offices under one ownership group:
- Las Vegas / Summerlin: 1180 N Town Center Drive, #100, Las Vegas, NV 89144, 702-562-3322.
- Henderson: 1701 N Green Valley Parkway, Suite 9A, Henderson, NV 89074, 702-407-1100.
- After-hours line: 702-339-2200.
One caution: the site's contact page still shows an older Las Vegas address on W. Lake Mead Boulevard (89134), while its other pages show Town Center Drive. Confirm the current office address by phone.
The site names its owners, Jackie and Michael DiAsio, and describes the agency as locally owned and operated. It says the DiAsios bought the franchise outright from its original owners in 2010 and opened the second Las Vegas-area office in 2012. Its service-area pages list Las Vegas, Henderson, North Las Vegas, Summerlin, Centennial Hills, Green Valley, Seven Hills, Anthem and Rhodes Ranch.
The site's own numbers are not consistent — it variously says it began serving Las Vegas in 2000, has "over 25 years" of service, and has between 200 and 300 employees. Treat those as marketing ranges, not audited figures.
What Visiting Angels says about services and caregivers
Services listed include personal care (bathing, dressing, hygiene), companionship, meal preparation, medication reminders, light housekeeping, respite, dementia and Alzheimer's care, overnight care for sundowning, live-in and 24-hour care, transitional care and end-of-life support. The FAQ says caregivers start with the brand's "Visiting Angels University" onboarding and a 90-day probation period, that the office partners with a national Alzheimer's foundation for memory care training, and that CPR training is held in person in Henderson. The about page emphasizes hands-on, in-person training rather than online courses, and says caregivers are background checked and the agency is licensed, bonded and insured.
What Visiting Angels does publish that Home Instead does not
This is the biggest practical difference for a family trying to budget:
- A posted rate. The FAQ says its "most popular care program costs $32.50 per hour in Henderson and Las Vegas." Ask whether that rate applies to your schedule; weekend, holiday, overnight, couples and live-in pricing are often different.
- A stated minimum. The about page says the minimum is 2 hours per visit and 6 hours per week. Short "Angel Visit" check-ins are also mentioned.
- Payer information. The FAQ says the office accepts long-term care insurance policies that cover part of the cost, participates in the VA Homemaker/Home Health Aide program for eligible veterans, and can accept respite funds under Medicare's GUIDE dementia model. It does not say whether it accepts Nevada Medicaid.
How the prices compare with Nevada benchmarks
There is no citable published average hourly home care rate for the Las Vegas metro area specifically. CareScout collects data at the metro level but publishes state medians, so the honest anchors are:
- CareScout 2025 Nevada median for homemaker / home health aide services: about $37 per hour.
- Nevada Medicaid personal care (procedure code T1019): $6.25 per 15-minute unit, which is $25 per hour paid to enrolled agencies.
- BLS May 2023 mean wage for home health and personal care aides in the Las Vegas MSA: $16.43 per hour — what the caregiver earns, before the agency's payroll taxes, insurance, training, scheduling and overhead.
Against those numbers, Visiting Angels' posted $32.50 sits below the state median. Home Instead's rate is unknown until you call. Ask both for a written rate sheet covering weekday, weekend, holiday, overnight and 24-hour schedules.
To put hours into a monthly budget: 20 hours a week at $32.50 is about $2,815 a month, and 40 hours a week is about $5,630 — already inside the $4,200-$6,800 range for assisted living in Las Vegas. Round-the-clock home care almost always costs more than a facility. Our guide to paying for senior care in Las Vegas walks through the options.
Who pays: Medicare, Medicaid, VA and insurance
- Medicare does not pay for ongoing non-medical home care from either brand. Medicare home health covers intermittent skilled care ordered by a doctor, which is a different licensed service. The GUIDE model's limited respite benefit is a narrow exception for enrolled people living with dementia.
- Nevada Medicaid can pay for personal care, and the Home and Community-Based Waiver (HCBW) can fund in-home supports for people who meet a nursing-facility level of care. For 2026 the waiver income limit is about $2,829 per month, with a $2,000 asset limit for an individual ($3,000 for a couple), and a community spouse can keep up to $162,660 in resources. Waiver services must come from Medicaid-enrolled providers — neither brand's Las Vegas pages says it is enrolled, so ask directly. See our Nevada Medicaid waiver guide.
- VA benefits can help in two ways: VA-contracted Homemaker/Home Health Aide care (Visiting Angels says it participates), and Aid and Attendance, a pension add-on of up to about $2,830 a month for a married veteran that families can use to pay any agency privately.
- Long-term care insurance usually reimburses licensed agencies after an elimination period. Visiting Angels says it accepts such policies; ask Home Instead the same question, and ask either office whether it handles the claim paperwork.
Questions that matter more than the brand name
Use the same list with both offices so you can compare answers directly:
1. What is the exact business name on your HCQC personal care agency license, and who owns this franchise?
2. What is your hourly rate for our schedule, in writing, including weekends, holidays and overnights? Is there a deposit or cancellation fee?
3. What is your minimum visit length and weekly minimum?
4. Are caregivers W-2 employees? What training do they get before their first shift, and what dementia training?
5. How many caregivers will rotate through our home in a typical month, and can we request consistency?
6. What happens if a caregiver calls out at 6 a.m.? Who answers the after-hours line?
7. Can you staff our area at our hours? Ask specifically for outlying areas such as Pahrump, Boulder City or Searchlight, and for graveyard shifts if a family member works nights on the Strip.
8. Do you accept Nevada Medicaid or VA-contracted care, and will you bill long-term care insurance?
9. Who creates and updates the care plan, and how often does a supervisor visit?
Pay attention to how fast each office calls you back and whether answers come in writing. A slow intake call often predicts slow schedule fixes later.
When a franchise agency is not the right answer
Hourly home care works best when someone needs help for a set part of the day and the home is safe the rest of the time. It gets expensive and fragile when needs become round-the-clock, when wandering starts, or when a single caregiver call-out leaves a person alone. At that point, compare memory care, assisted living or a residential group home side by side; our assisted living tour checklist helps with the visits.
Home Instead and Visiting Angels are not the only licensed options. Many Clark County families use independent local agencies that never appear in national ads, and some do as well or better on price and caregiver consistency. If you want help comparing in-home care against facility options, or sorting out what Medicaid or VA benefits might cover, contact our Care Team.
Citations and source notes
- Home Instead: Nevada location directory and local office pages for Las Vegas (173), Henderson (862) and Paradise (898) on homeinstead.com, checked November 2026. Office addresses, service areas, "since 2023" and "since 2024" statements and caregiver screening language are taken from those pages. No hourly rates, minimums, owner names or payer details were published.
- Visiting Angels: Las Vegas pages on visitingangels.com (about us, FAQ, areas served, contact) and the Nevada state page, checked November 2026. The $32.50 hourly figure, 2-hour/6-hour minimums, owner names, training descriptions and LTC insurance, VA and GUIDE statements are taken from those pages. Address and staffing figures differ between pages, as noted above.
- Nevada regulation: AB 519 (Chapter 158, Statutes of Nevada 2025) moved personal care agencies into NRS 449B; NRS 449.1935 now reads "Repealed." The Bureau of Health Care Quality and Compliance (HCQC), part of the Health Care Purchasing and Compliance Division of the Nevada Health Authority (created under SB 494, effective 1 July 2025), licenses these agencies and investigates complaints.
- Cost benchmarks: CareScout Cost of Care Survey 2025 (Nevada state median); Nevada Medicaid fee schedule for T1019 personal care; U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2023, Las Vegas-Henderson-Paradise MSA.
- Benefits: Nevada Aging and Disability Services Division (ADSD) and Nevada Medicaid for HCBW eligibility; CMS for Medicare home health rules and the GUIDE model; U.S. Department of Veterans Affairs for Aid and Attendance and Homemaker/Home Health Aide care. AARP and the Alzheimer's Association publish useful guides on hiring a home care agency and dementia caregiving.
