Given the choice, most independent seniors in Naples would prefer to remain at home for as long as possible. And although that’s an admirable goal, roughly two-thirds of all aging adults eventually need caregiving assistance to maintain their independence. When that time comes, families must make difficult decisions about their loved one’s care, including whether to hire a professional caregiver directly or go through an agency. What follows are some things you’ll need to know before making your decision.
Families often believe they will save money by hiring a caregiver directly versus working with an agency. While they may be quite capable of caring for your loved one, be sure to consider these factors first:
For federal tax purposes, someone is classified as your household employee if you dictate what work they perform in the home environment, and how that work is done. An independent caregiver is technically your household employee if they receive instructions on how to care for your loved one from you or another family member and you provide the equipment and supplies they need.
Conversely, self-employed individuals like independent contractors decide how they perform their work and furnish their own supplies and equipment. That said, most private-duty caregivers are not independent contractors. Be sure you understand the difference.
Once you’ve determined that your private caregiver will be classified as a household employee, the next step is to verify they can legally work in the United States. That will require the two of you to fill out IRS Form I-9(Employment Eligibility Verification) and produce documentation that proves their eligibility to work in the US.
Although the completed I-9 Form does not have to be formally filed with any US government agency, you, as their employer, must keep a copy for your records. You’ll also need to apply for an Employer Identification Number (EIN) and document your household employee’s Social Security number.
The federal and state tax amount that you must contribute for an independent caregiver who is a household employee will vary depending on which state you live in and how much you pay for their services.
For example, in California, a household employer is defined by the state’s Employment Development Department (EDD) as anyone “who has paid $750 or more in cash wages (checks and cash) to one or more household workers in a calendar quarter.” If you are paying a private caregiver $15 to $20 an hour, hitting that threshold won’t take long.
Once that threshold is met, by law you must withhold State Disability Insurance (SDI) from the wages paid out and remit the withheld money to the EDD. If you pay more than $1,000 in wages during a calendar quarter, you must also remit Unemployment Insurance and Employment Training Tax payments to the EDD.
With all these requirements, it’s vital to maintain detailed records related to your employee’s wages and taxes. Employment tax records must also be kept for at least four years after whichever is later, the due date of the tax return or the date when the taxes were paid.
Each time you pay the caregiver, be sure to record the date of the payment and itemize the following:
Most home care agencies hire caregivers as employees, while others arrange for the services of home care workers on an independent contractor basis – also known as 1099. Known as “registries,” their caregivers are not employees but rather employed directly by the clients. If you hire a registry that contracts out their work, you’ll be dealing with most of the same issues mentioned above.
These are the benefits of hiring an employee caregiver through a reputable home care agency:
A home care agency that employs caregivers is not only bonded and insured, but they also cover their employees under worker’s compensation. Independent (direct hire) caregivers not employed by an agency do not carry liability insurance or worker’s compensation. If an accident or other incident occurs on the job, you would likely be responsible, which could cost hundreds or even thousands of dollars.
An agency will also screen its employees during the recruiting and hiring process, including a thorough criminal background check and drug test. That saves you the time and expense of doing so.
This key aspect is not included in the average registry provider’s business model. If the caregiver is not performing up to your expectations, for instance, they repeatedly arrive late or miss shifts, you are on your own and will need to speak to the caregiver directly.
Home care agencies implement disciplinary policies that help their employees improve. Once you voice your concerns to a supervisor, they will speak to the caregiver or, if you prefer, send you a different caregiver. As opposed to a registry or direct hire, agencies also have backup plans in the event your regular caregiver is unavailable.
Because there is no risk of a labor relationship, training is yet another dimension that only reputable home care agencies can deliver. If hiring a caregiver directly, the client must assess the quality and skill of the caregiver. This becomes even more essential if they require hands-on personal care or have limited mobility, dementia, or Alzheimer’s.
A trusted home care agency routinely trains and tests its caregivers, giving you one less thing to worry about!
Although hiring an independent contractor will cost less per hour, saving money should not be primary determinant when your or your loved one’s care weighs in the balance. Agency advantages such as experience, training, supervision, and peace of mind usually result in better caregiving outcomes and more satisfied clients that you cannot put a price tag on.
Most seniors aren’t interested in becoming an employer, filing payroll taxes, or obtaining worker’s compensation and liability insurance. When having “the talk” about home care with your senior, please remember they are trying to make their life easier, not harder.
When you need caregiving assistance, contact Home Instead in Naples. While proudly serving families in Naples, Fort Meyers, and Charlotte County, we are a licensed, bonded, and insured home care provider with highly trained professionals who are experts at delivering the nurturing our clients’ need. As an extended family in your senior’s home, our compassionate caregivers can perform duties like light housekeeping, personal care, dementia care, companionship care, medication reminders, and even live-in and 24-hour care.
Our agency’s focus is maintaining your loved one’s quality of life, as well as their dignity, self-esteem, and independence. For your added convenience, all our in-home services can be individually personalized into an affordable package when and where you need them! Please visit us at homeinsteadswfl.com now to learn more about us or to schedule a FREE initial consultation for a senior in our service area.
Digital what? Footprint? You may be thinking thats what you leave behind at the beach. While that may be correct, it is also what you leave behind every time you provide your email, set up a new online account, or allow your data to be tracked. Your digital footprint is the trail you leave behind with Location services on your phone. It is the data you leave behind when commenting on Aunt Sallys Facebook page, sharing your familys vacation pictures on Instagram, or traipsing around the internet to various sites looking for that cute Lladro figurine your mother wanted for Christmas. All of it tells something about you whether you realized it was happening or not.Most of the time, the sharing of your data what you do, how you do it, etc. may not be a big deal. Or is it? The reality is that your data supports big business every day. It is collected, bought and sold (mostly without your knowledge) by data brokers (i.e., Acxiom, Epsilon), credit and identity bureaus (i.e., Experian, Equifax, TransUnion), and Big Tech Companies (i.e., Google, Amazon, Meta, Microsoft, Apple) that share your data with their partners and ad networks.The danger to you is when there is a data breach at one of the many sites that has your data and your data is captured and posted on the dark web. This enables nefarious characters to better target you for scams and potentially steal your identity. Call Lily in the Details today 941-237-0157 and schedule Understanding Your Digital Footprint, Navigating the Online World Safely and Wisely for your community.
By Dr. David RiceSouthwest Florida is home to more than 100,000 veterans, according to the U.S. Department of Veterans Affairs.They own homes, manage businesses and pay taxes here. They volunteer at local nonprofits and donate to local causes. They are the core of our community.Nearly every day, at least one veteran walks into Advocate Radiation Oncology for treatment. Cancer impacts people from every background, including veterans. Even the most hardened veterans struggle with a cancer diagnosis, which is understandable; no one is invincible and cancer generates a wave of emotions shock, anxiety, frustration, fear and stress.Over the years, veterans in Charlotte and Sarasota counties have found an ally inside the treatment room Dr. Brian Lawenda. A board-certified, Harvard-trained physician who completed medical school at Temple University, Lawenda has all the credentials to help a patient feel confident that they're in good hands, medically speaking. Then they find out something else about their physician. He is a veteran, too, having served this country 13 years with the U.S. Navy and attaining the rank of commander."When I enlisted, I took an oath to serve this country and uphold the U.S. Constitution," Lawenda said. "When I became a doctor, I pledged to dedicate my practice to patients and the community I serve, and it's especially gratifying when those patients are fellow veterans."The best doctors don't just treat symptoms; they connect with patients, usually through shared experiences they're from the same state, cheer for the same sports team or attended the same university. Lawenda's military experience helps create an instant doctor-patient bond that continues during treatment and beyond. In fact, Lawenda has become the region's go-to radiation oncologist for veterans, not just Navy veterans, but those who have admirably served across all six branches of the military."When he told me he served in the Navy, it gave me comfort," said Ret. Command Master Chief Scott Fusco, a North Port resident who recently completed prostate cancer treatments at Advocate. "I had absolute trust in him from that point on."Lawenda wasn't the only veteran on Fusco's care team, either. His urologist also served in the Navy and referred Fusco to Dr. Lawenda for treatment."We served at different times and places, but we're all part of the same team," Fusco said. "They've been there, done that, just like me. There is instant respect, instant trust."Lawenda, who sees patients at Advocate's cancer treatment centers in Port Charlotte and Venice, specializes in the treatment of prostate, lung, breast, head and neck, rectal, liver, bone, cervical and other types of cancers. Although Lawenda doesn't technically specialize in the treatment of veterans, he is especially proud to support patients like Fusco on their cancer journey."A veteran may retire or end their military service, but he or she will never stop serving this country and their community," Lawenda said. "Being able to help local veterans beat cancer is extremely gratifying and certainly rewarding. The military is a brotherhood and a sisterhood, and I'll continue fighting for my brothers and sisters."About the AuthorDr. David Rice is a board-certified radiation oncologist who sees patients through Advocate Radiation Oncologys cancer treatment centers in Port Charlotte and Venice. Visit AdvocateRO.com for more information.
Managing diabetes is more than watching your blood sugar. Its about staying active, maintaining your strength, and continuing to enjoy the activities you love.Diabetes affects millions of older adults and can have a significant impact on overall health, mobility, and independence. As we age, managing diabetes becomes especially important because it can increase the risk of falls, nerve damage, muscle weakness, and other health complications.The good news? With the right support, regular physical activity, and a personalized treatment plan, older adults living with diabetes can take meaningful steps toward better health and a more active lifestyle.Why Is Exercise So Important for Diabetes?When you have diabetes, your body has difficulty regulating blood sugar levels. Physical activity helps your muscles use glucose for energy, which can improve blood sugar control.Regular exercise can also help:Improve muscle strength: Maintain the strength needed for walking, climbing stairs, and completing everyday activities.Improve blood sugar management: Help your body use insulin more effectively.Support heart health: Improve circulation and help manage blood pressure.Improve balance: Reduce the risk of falls and injuries.Maintain independence: Make daily activities such as dressing, bathing, cooking, and shopping easier.Increase energy and confidence: Help you feel stronger and more comfortable staying active.Even small amounts of movement throughout the day can make a difference!How Can Physical and Occupational Therapy Help?For many older adults, beginning an exercise program can feel overwhelming, especially when dealing with joint pain, weakness, balance problems, or other medical conditions.Thats where FOX Rehabilitation can help.FOX provides personalized physical and occupational therapy designed to help older adults safely improve their mobility, strength, and ability to perform everyday activities.A physical therapist can evaluate your walking, balance, endurance, and muscle strength to develop an exercise program that meets your individual needs.An occupational therapist can help you find safer, easier ways to perform everyday tasks while improving your ability to remain independent at home.Together, these professionals can help address the physical challenges associated with diabetes, including decreased sensation in the feet, muscle weakness, and difficulty with balance.The Benefits Go Beyond Blood SugarResearch has shown that structured exercise programs can help people with Type 2 diabetes improve their blood sugar control, preserve muscle mass, and increase overall strength.Regular physical activity may also improve blood pressure and reduce the risk of certain diabetes-related complications.Most importantly, staying active can help older adults maintain the freedom to do what matters most whether thats spending time with grandchildren, enjoying a walk with friends, gardening, or simply moving safely around their homes.Therapy That Comes to You!One of the greatest benefits of FOX Rehabilitation is that therapy can take place right in the comfort of your own home.FOX provides physical, occupational, and speech therapy through Medicare Part B for eligible individuals.You do not have to be homebound or recently hospitalized to receive services.This means older adults who may benefit from skilled therapy can receive personalized care in their familiar surroundings without having to travel to an outpatient clinic.Take the First Step Toward Better HealthLiving with diabetes doesnt mean giving up the activities you enjoy. With proper management, regular movement, and professional guidance, you can continue building strength, improving mobility, and maintaining your independence.Before beginning a new exercise routine, speak with your healthcare provider, particularly if you have diabetes-related complications or take medications that can cause low blood sugar.Remember: Its never too late to get stronger, move better, and take control of your health!