My sister (in another state from me and my mom) manages all my 92 yr old dad's (he is mid-stage Alzheimer's) outside medical care , has him visit her home, does all his personal matters and engages him in activities,7/days wk--he is in skilled nursing facility but she is there to engage him for hours each day. We need to formalize relationship,payment, duties, expectations, taxes, etc.

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Type Sample Personal Care Agreement into Google (or any search engine) and you will have several examples and many articles of advice on the subject. Ain't tehcnology grand?!

I think you are very wise to be formalizing the care arrangement.

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