The most common way care starts: a caregiver for a set block of hours on set days.
Who it is for: Someone managing mostly on their own who needs help with specific tasks at specific times — the morning shower, the afternoon meal, the drive to dialysis.
What to know before you call anyone
The shift minimum is the thing to ask about first
Almost every agency sets a minimum shift, most often three or four hours. That means a request for “an hour to help Mom shower” is generally billed as three or four. It is not a scam — the agency has to make the shift worth a caregiver's drive — but it changes your math completely, and it is the number families most often discover after signing. Ask for the minimum in writing, ask whether it differs on weekends, and ask whether there is a shorter-visit rate.
Consistency beats hours
Two caregivers who show up reliably at the same times beat five caregivers covering more hours. Ask how many different people would be assigned in a typical month, and what happens when the regular caregiver is sick. The honest answer involves a named backup, not “we always have someone.”
Front-load the hardest hours, not the most hours
Families often start with a broad, cheap schedule — a couple of hours most afternoons — and find it does not solve anything, because the risk is concentrated at 6am and 9pm. Look at when falls, confusion and missed medications actually happen, and buy those hours first even if it means buying fewer of them.
What it costs
There is no separate price list for hourly in-home care — it is priced off the same hourly structure as any other in-home care, with differentials. The Nevada statewide median for a non-medical caregiver is $37 an hour.
See what care costs per month at every hours-per-week level.
Full cost breakdown, including shift minimums and differentials.
Find in-home care that fits — in about 60 seconds
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Licensed agencies in Las Vegas and Clark County
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. Nearly all of them provide hourly in-home care in some form; what varies is depth of experience and whether they can actually staff your specific schedule. Browse the full list, or answer the questions above and we will narrow it for you.
See what a licensed caregiver is allowed to do.
See the tasks state regulation forbids a caregiver to do.
Related
24-hour home care
Awake caregivers in rotating shifts, around the clock.
Live-in caregivers
One caregiver stays in the home, with a private place to sleep and defined off-hours.
Overnight caregivers
Coverage from evening to morning, awake or asleep depending on need.
Respite care at home
Short-term coverage so the family caregiver can rest, travel, recover, or simply stop.
Personal care and bathing help
Hands-on help with bathing, dressing, grooming, the bathroom, and getting around.
Companion care
Company, conversation, activity and light supervision — without hands-on personal care.
Common questions
Is hourly in-home care covered by Medicare?
No. Medicare covers skilled, doctor-ordered home health for homebound patients. Personal care at home — help with bathing, dressing, meals, mobility and company — is not a Medicare benefit, whichever form it takes.
How much does hourly in-home care cost in Las Vegas?
It is priced off the standard hourly structure. The Nevada statewide median for a non-medical caregiver is $37 an hour per the CareScout Cost of Care Survey 2025, with differentials for overnights, weekends and higher acuity.
Do I need a licensed agency for this in Nevada?
To buy it as a service, yes — Nevada requires an agency providing personal care services in the home to hold a license under NRS Chapter 449B. You can also hire a caregiver privately, which is legal and shifts the employer obligations, background checks, insurance and backup coverage onto you.
Sources for this page
- CareScout Cost of Care Survey 2025 — state data tables — CareScout (Genworth), 2025. More than 25,000 rates collected from long-term care providers nationwide between July and November 2025. Annual figures assume 44 hours a week for 52 weeks.
- Home health services — Medicare.gov, Centers for Medicare & Medicaid Services, 2026.
- NAC Chapter 449 — including NAC 449.396 to 449.3982 — Nevada Legislature, 2026.
- NRS Chapter 449B — Agencies to Provide Personal Care Services and Related Entities — Nevada Legislature, 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.
