Levels of Care

With the increased presence of home care and home health care agencies in South Hampton Roads, it is important for health care consumers to know who and what comes in their doors when disability and/or dementia demand that care can be accessed.

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There are companion, housekeeping and sitter services that are restricted from bathing and transferring a patient. Among the many agencies that are licensed, there are a variety of caregivers.

The plan of care must be a reflection of the medical and caregiving needs of the patient and must be designed and written by a Registered Nurse and available in the home. The RN or LPN must be the supervising professionals.


A home health agency is one that provides skilled care, ordered by a physician for a prescribed reason and usually for a limited length of time and covered by Medicare. Medicare augmented by a Medigap policy will pay for these services, however there are restrictions imposed on the patient. RN'S, LPN's, CNA's and therapists are usually employed by home health agencies. They are licensed by the state and must adhere to state regulations.

Home Health Care Nursing

Provides the highest level of home care—physician ordered and covered through through insurance and Medicare.