How to Choose the Right Home Health Agency
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How to Choose the Right Home Health Agency

May 10, 2025

Choosing a home health agency is an important decision that directly affects the quality of care your loved one receives. With thousands of agencies operating across the country, knowing what to look for can help you make an informed choice.

Step 1: Verify Medicare Certification

The most fundamental requirement is Medicare certification. This means the agency has met federal standards for quality and safety. Medicare-certified agencies are regularly inspected and must comply with Conditions of Participation set by the Centers for Medicare and Medicaid Services (CMS).

Step 2: Check Quality Ratings

Medicare's Home Health Compare tool (available at medicare.gov) provides quality ratings for every Medicare-certified home health agency. Look for agencies with star ratings of 4 or above, and pay attention to specific measures like:

  • How often patients got better at walking or moving around
  • How often patients got better at getting in and out of bed
  • How often patients' wounds improved or healed
  • How often home health patients had to be admitted to the hospital
  • Step 3: Ask the Right Questions

    When evaluating an agency, ask:

  • How long has the agency been in business?
  • Is the agency accredited by the Joint Commission or CHAP?
  • What services do they offer?
  • How quickly can they start services?
  • Who will be providing care, and what are their qualifications?
  • What happens if the regular caregiver is unavailable?
  • How does the agency handle emergencies after hours?
  • Does the agency specialize in any particular conditions?
  • Step 4: Consider Practical Factors

  • Does the agency serve your geographic area?
  • Do they accept your insurance?
  • Are services available on weekends?
  • Is there a nurse on call 24/7?
  • How do they communicate with family members about care?
  • Step 5: Check References and Reviews

    Ask the agency for references from current or former patients. Also check online reviews, though keep in mind that healthcare reviews can be unreliable. Your doctor, hospital discharge planner, or our care advisors can also recommend agencies they trust.

    Red Flags to Watch For

    Be cautious of agencies that:

  • Cannot provide proof of Medicare certification or licensing
  • Have difficulty answering basic questions about their services
  • Pressure you to sign up immediately
  • Cannot provide references
  • Have consistently poor quality ratings on Medicare's website
  • Do not have a nurse on call for emergencies
  • Choosing the right home health agency takes some research, but it is worth the effort. Our care advisors can help you evaluate your options for free.