Print this, or read it off your phone during the call. The questions are ordered so that the ones that most often disqualify an agency come first — no point discussing rates with a company that cannot staff your schedule.
Can you actually do this
- Can you staff this exact schedule, starting on this date? Not ‘usually’ — this one.
- What is your minimum shift length, and does it change on weekends?
- Do you serve this ZIP code with caregivers who live reasonably near it?
- How many active clients do you have right now with a similar schedule?
Who is coming
- Who would the primary caregiver be, and who is the named backup?
- How many different caregivers would we see in a typical month?
- Can we meet the caregiver before the first shift, and can we ask for a different one without drama?
- What is your twelve-month retention rate for direct-care staff?
When it goes wrong
- What happens at 6am on a Sunday if the caregiver does not show? Give me the number I would call.
- How quickly do you typically fill a same-day callout?
- How are visits documented, and can family see the notes?
- How often does a supervisor come to the home, and is that written into our plan?
On that last one: Nevada requires supervisory home visits or phone calls to each client’s home, documented, dated and signed, evaluating safe technique, adherence to the service plan, whether the plan still fits, and whether the attendant needs more training — but it sets no minimum frequency (NAC 449.3982). If an agency tells you supervision is “required by the state every 30 days,” that is their policy, not Nevada law. Ask them to put their actual schedule in writing.
Money
- Send me the full rate card, including overnight, weekend, holiday and short-notice differentials.
- Is there a higher rate tier, and what moves us into it?
- What is the cancellation policy and the notice period?
- Is there a minimum weekly commitment or a contract term?
- How and when do rates increase, and how much notice do we get?
- Do you bill long-term care insurers directly, or do we pay and seek reimbursement?
- Do you accept Nevada Medicaid, and are you currently taking new Medicaid clients?
Scope
- Walk me through what your caregivers are not allowed to do.
- How do you handle medication? Reminders only, or something more?
- What is included in light housekeeping, and what is not?
- Can the caregiver drive our car, and is that documented in your insurance file?
Listen for one thing on the scope questions. An agency that answers them precisely — naming what caregivers cannot do — is an agency that trains and supervises. An agency that says "our caregivers do whatever you need" is telling you something they do not realize they are telling you. The actual legal list.
Find in-home care that fits — in about 60 seconds
Six quick questions. No cost, no obligation, and we tell you straight if what you need is not what we do.
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Related
Common questions
What is the most important question to ask a home care agency?
“What happens at 6am on a Sunday if the caregiver does not show up — give me the number I would call.” Every agency has callouts. The ones that handle them well can answer with a specific person, a specific number and a realistic fill time.
Should I ask about the minimum shift?
Yes, first. Most agencies bill a three- or four-hour minimum per visit, so a plan built on short frequent visits costs far more than families expect.
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.
