Hiring and Screening Practices of Home Care Companies Supplying Paid Caregivers to Older Adults

Stephen Tweed | March 1, 2013 | Newsroom
"Conclusion:  Using an agency (home care company) to hire paid caregivers may give older adults and their families a false sense of security regarding background and skill set of the caregiver."This was the conclusion from a research project conducted in 2011 by the Feinburg School of Medicine, Northwestern University, Chicago IL, and published in the…

“Conclusion:  Using an agency (home care company) to hire paid caregivers may give older adults and their families a false sense of security regarding background and skill set of the caregiver.”

This was the conclusion from a research project conducted in 2011 by the Feinburg School of Medicine, Northwestern University, Chicago IL, and published in the January 2012 edition of the Journal of the American Geriatric Society.  The researchers interviewed 180 home care companies, and asked about methods for caregiver recruiting, criteria for hiring, screening measures, and skill competency.  The companies surveyed were in Arizona, California, Florida, Illinois, and Wisconsin.  The sample included 167 employee based companies, and 13 referral companies or registries.

In the commentary, the authors made the following observations based on the results of their study:

“As the population ages, more older adults will need to rely on paid caregivers to remain independent in their own homes, and this may hinge on the skills of the paid caregiver.  Agencies that supply paid caregivers play a vital role in ensuring high quality home care…  Although greater oversight of this industry’s practices are needed, in the short term, consumers need to know how to define quality in the context of home care agencies and what to look for in screening measures, hiring practices, training, and supervision.

An informed consumer may be the best tool to improve the paid caregiver industry by creating market pressure through the selection of caregivers from high-quality agencies.”

Caregiver Quality Assurance and this newsletter, Caregiver Quality Today, were created to help our members overcome these perceptions of poor hiring practices and low-skilled, poorly trained caregivers by creating a recruiting and selection process the increases the likelihood that you will find and keep the very best caregivers.

We frequently read news stories about tragic incidents where unscrupulous caregivers take advantage of older adults through mistreatment, theft, and neglect.

Help your clients and their families enjoy peace of mind, quality of life, and independence in the home by hiring only the very best caregivers. Then use these principles of Caregiver Quality as the core of your marketing message, and create competitive advantage in your local marketplace. We can help you through the resources of Caregiver Quality Assurance.

Stephen Tweed
Stephen Tweed is among the top Thought Leaders in Home Care today. As an industry researcher, author, and executive coach, he has worked with owners and CEOs of companies in the top 5% of Home Care and is a frequent speaker at Home Care association conferences and corporate meetings across the US and Canada.

Related Posts

The 2026 Future of Home Care Study.

October 7, 2025
For the past month, I've been working with my friends at AxisCare to refine the survey for the 2026 Future of Home Care Study. This year, we have added some new questions based on last year's data, and we have added a whole new section on AI. This year's study has three major sections; Industry…

Visioneering Home Care

October 2, 2025
This week I was in Nashville, TN to present the opening keynote presentation for the Seniors Helping Seniors franchise conference. My topic was "Visioneering Home Care." I opened with these two questions: Do you remember the words of Walt Disney who said, "If you can dream it, you can achieve it?" This holds true in Home Care. If you…

Pickleball for Fun, Fitness, and Fellowship

September 18, 2025
This past Friday, my friend, John, and I drove from Louisville, KY to Cincinnati, OH to watch the Professional Pickleball Association Violia Championship Showcase. We spent the full day watching some of the best pickleball players in the world.Pickleball is the fastest growing participation sport in America. According to the Sports & Fitness Industry Association (SFIA), about…