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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I have one acquaintance with 24/7 home care. Their payroll is well north of $300k/year (before LTC reimbursement, which doesn’t cover everything). There are obviously ways to do it less expensively. The main one is loopholes in the law that allow housing as compensation and skirt overtime laws. I think that’s exploitation, frankly, and a recipe for burnout and abuse. But people do what they need to do. If not doing something like that, I would expect 24/7 care at home to be as or more expensive than two units, depending on the specifics. [/quote]

Thanks for your insight here - helpful.

FWIW, I'm not a fan of burnout and abuse with caregivers. When we had a nanny, we had a separate sitter on Saturday night as I specifically wanted to avoid that situation. That said, DH and his sister will be making these decisions. I can make my suggestions but won't make the final call. (I think a reasonable deduction for housing is okay, but it shouldn't be the majority of the pay. And no skirting OT!)

Thanks again.[/quote]

If you need 24/7, OT will really bite you because you need I think 5 people to not go into OT but realistically people will not want to work less than 40 hours/week with overnight shifts and also it becomes too many people to manage. The going base rate is $30 so OT is $45/hour. You’ll also need increasing levels of equipment (like hospital bed, nbd) and skilled nursing (preventing/managing bedsores, etc). [/quote]

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