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If I lived in a boarder town I would check into hiring a caregiver from across the border, you can hire multiple people and they can legally cross back and forth and you will spend a fraction of the money that an agency would charge. They can do a couple of 24 hour shifts or 8 hour days. You could also find a couple of single woman that you can sponsor and have them live in with mom, if it is a good situation you would never be without a caregiver because you could sponsor additional people and your current caregivers would have them lined up for you.

24/7/365 caregiving is not realistic for 1 person, please read the posts here from burned out and sick caregivers that tried to do it solo. Keep that in mind when arranging for caregivers.
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Isthisrealyreal Aug 2019
Geaton, I wasn't recommending that the OP doesn't do everything legal. I was giving them an out of the box solution. I have read many posts that complain about agencies not dealing with their employees about showing up or being late and not believing that they had done something inappropriate. Also the background checks are not always the best. Agencies are NOT the be all end all solution, but they are the most expensive way of hiring caregivers. Believe me if you are sponsoring someone and they steal or break any laws they get deported and lose the right to come back for years and it depends on the crime how many years. So they are careful because they want to become legal citizens.

Hiring and sponsoring someone that wants to come in to the country legally is a good way to get reliable, honest people. I live 90 minutes from the border and I promise you that the bad guys aren't doing it legally. They also don't want to earn a living, if you understand what I mean.
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The Alzheimer's Assn. has been extremely helpful in providing lists of various sources and resources for a variety of care issues, including in home care.   They're quick to respond by e-mail (within 1/2 hour generally) as opposed to the Area Agency on Aging, which typically took a week.

There are many important and critical aspects of in-home care, ranging from how the worker will be paid (employee vs. independent contractor), time off, and more.

There have been a number of posts on this subject over the years; you can use the search function to find other posts and glean information from them.

You might consider creating a work scope, or checklist, of what you want in a caregiver, as well as other issues to research.

This is a challenging task, and it can be frustrating.   Make sure to take ample time off inbetween searches and interviews so you don't become frustrated.
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You should have an area on aging or other government agency to ask those kinds of questions, check the internet and call local hospice and ask if any there knows of a place. Good Luck
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