We track 405 agencies licensed by Nevada HCQC to provide personal care services in the home across Las Vegas and Clark County, pulled from the state's public license registry in November 2026. Most of them are competent. The difference between a good outcome and a bad one is rarely the company's marketing and almost always four operational facts you have to ask for.
The four things that predict how this goes
1. Caregiver retention
Ask for the twelve-month retention rate for direct-care staff. It is the single most predictive number in the industry and most agencies know it. An agency that will not answer either does not track it or does not like the answer. Expect industry-wide turnover to be high; agencies noticeably above average are running something better than average.
2. Who exactly is coming, and who is the backup
Not 'we'll match you carefully' — a named primary and a named backup, and how many different people would come in a typical month. Consistency is the whole product, especially in dementia care.
3. What happens at 6am on a Sunday when the caregiver calls out
Ask it exactly that way. The good answer describes a specific on-call person, a specific phone number and a realistic time to fill. The bad answer is 'we always have someone available.'
4. What you get in writing before care starts
Nevada actually settles this one for you — see below.
Nevada law is your checklist. On accepting a client, a Nevada agency must hand over and have you sign a written disclosure that includes, in plain language, a statement that managing medical and health conditions is NOT within the scope of its license if those conditions become unstable or unpredictable; attendant qualifications and training; charges and billing method, payment system, due dates and how price increases are announced; the circumstances that can end services and the notice policy; how to reach the administrator during all service hours and the on-call policy; and your rights and the grievance procedure. (NAC 449.3979) If you get nothing in writing at signing, that is a violation, not a formality.
See how to check an agency's license yourself in two minutes.
The questions that sound good but are not
'Are you licensed, bonded and insured?'
Every licensed Nevada agency is all three by law — the bond is required and scaled to headcount, and proof of liability coverage is a licensing condition. The answer is always yes and it tells you nothing. Verify the license yourself instead.
'Are your caregivers background checked?'
Also required: fingerprints through the Central Repository to the FBI within ten days of hire, and re-investigation at least every five years. Again, always yes. A better question is whether they background check more often than the five-year minimum.
'Are your caregivers dementia trained?'
Nevada requires training on the cognitive changes of aging and on dealing with adverse behaviors. So the answer is yes. The useful version is: which framework, delivered by whom, how many hours, and how often do staff recertify?
Two agencies is the right number to talk to
One is not enough to calibrate. Five wastes a week you may not have. Talk to two or three, ask the same four questions, and notice which one answers with specifics.
Find in-home care that fits — in about 60 seconds
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Related
Common questions
What should I ask an in-home care agency?
Four things predict how it goes: the twelve-month caregiver retention rate, who specifically would come and who is the named backup, exactly what happens on a Sunday-morning callout, and what you get in writing before care starts.
Is 'licensed, bonded and insured' meaningful?
Not as a differentiator. Every licensed Nevada agency is all three by law — the surety bond is a licensing condition scaled to headcount, and proof of liability coverage is required. The answer is always yes. Verify the license yourself instead.
Sources for this page
- NRS Chapter 449B — Agencies to Provide Personal Care Services and Related Entities — Nevada Legislature, 2025.
- NAC Chapter 449 — including NAC 449.396 to 449.3982 — Nevada Legislature, 2026.
- Agency to Provide Personal Care Services in the Home — Nevada Bureau of Health Care Quality and Compliance, 2026.
- Nevada public license search — health facilities — Nevada HCQC, 2026.
- Health Facility Complaints — Nevada HCQC, 2026.
- AB 519, Chapter 158, Statutes of Nevada 2025 — Nevada Legislature, 2025. Approved and effective May 30, 2025.
Reviewed by the Vegas Senior Advisor care team. Last updated November 11, 2026. Spot something wrong? Call (725) 465-8617 and we will correct it within one business day.
