The two to six weeks after discharge, when readmission risk is highest and nobody has a plan.
Who it is for: Anyone coming home after surgery, a fall, a cardiac event or a rehab stay — especially if they live alone.
What to know before you call anyone
Medicare home health and home care are both in play, and they are different
A discharge may come with Medicare-covered home health: a nurse or therapist, a few visits a week, doctor-ordered. That is real and valuable and it does not cover the other 160 hours. The personal care that fills those hours is what you are arranging here, and it is not covered.
Set it up before discharge, not after
The discharge planner will ask if you have help at home. Answering yes when you do not is how readmissions happen. Agencies can usually start within 24 to 48 hours if called before discharge day; called at 4pm on discharge day, you get whoever is free.
Front-load and taper
The first week usually needs far more coverage than week four. Ask specifically whether you can start high and reduce without a penalty, and whether there is a minimum commitment period. Agencies that require a fixed weekly block for a month are not built for this.
Watch the medication reconciliation
A caregiver in Nevada may remind and hand over — not administer. If the discharge changed six prescriptions, the person who reconciles that list is a nurse, a pharmacist or you. Do not assume the caregiver is catching it.
What it costs
There is no separate price list for care after a hospital or rehab stay — 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
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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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 care after a hospital or rehab stay 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
Hourly in-home care
The most common way care starts: a caregiver for a set block of hours on set days.
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.
Common questions
Is care after a hospital or rehab stay 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 care after a hospital or rehab stay 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.
