Homemaker Services
Enjoy a clean, safe, and organized home with homemaker care that handles daily tasks, giving you more comfort, time, and independence.
Personal Care Services
Receive gentle support with bathing, dressing, and grooming through personalized care that respects dignity and maintains independence.
Companion Care
Experience meaningful connection through engaging activities and conversations that ease loneliness and brighten daily life.
Level of Care
Not sure what level of care is right for you or someone you love? This quick 6-question assessment evaluates key areas of daily functioning — including mobility, personal care, cognition, and safety — to point you toward the most appropriate type of support. It takes just a few minutes and provides a recommended care level based on your responses.
Determing the Right Level of Care
Determining the right level of care—home care, assisted living, or skilled nursing—comes down to evaluating medical needs, functional ability (ADLs), safety risks, and support system.
Here’s a clear, practical way to break it down:
1. Home Care (Non-Medical or Minimal Medical)
Best for:Clients who want to stay at home and are mostly independent but need support
Clinical Indicators:
Needs help with 1–3 ADLs (bathing, dressing, meal prep, light mobility) Stable chronic conditions (HTN, diabetes, arthritis) No need for daily skilled nursing Cognition: mild impairment or intact Safe environment OR can be made safe with support
Examples:
Elderly client needing help with hygiene + meals Veteran needing companionship and medication reminders Post-hospital patient needing short-term support (non-skilled)
Silverfox sweet spot: This is OUR focus population.
2. Assisted Living Facility (ALF)
Best for:Clients who need daily support and supervision, but not intensive medical care
Clinical Indicators:
Needs help with 3–5 ADLs Requires medication management Mild to moderate cognitive decline (early dementia) Social isolation or unsafe living alone Frequent falls or safety concerns at home
Examples:
Client forgetting medications regularly Wandering risk, but not severe Family unable to provide adequate supervision
Think: "Structured independence"
3. Skilled Nursing Facility (SNF / Nursing Home)
Best for:Clients needing 24/7 medical care and skilled interventions
Clinical Indicators:
Needs help with 5–6 ADLs (total or near-total care) Requires skilled nursing daily (wound care, IV therapy, tube feeding) Advanced dementia or severe cognitive impairment Frequent hospitalizations or unstable conditions High fall risk and inability to self-transfer safely
Examples:
Stage 3–4 pressure ulcers PEG tube / trach care Post-stroke with major deficits End-stage chronic illness
Think: "Medical dependency"
Quick Decision Framework
1. ADL Dependence
- 0–2 → Home Care
- 3–5 → Assisted Living
- 5–6 → Skilled Nursing
2. Medical Complexity
- Stable → Home Care
- Moderate → Assisted Living
- High/unstable → Skilled Nursing
3. Cognitive Status
- Intact / mild → Home Care
- Moderate → Assisted Living
- Severe → Skilled Nursing
4. Safety Risk
- Low → Home Care
- Moderate → Assisted Living
- High → Skilled Nursing