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When I was in homecare we were instructed to give a time with a two hour window either way but to call the patient and keep them informed of the HC staff’s whereabouts out of courtesy. Usually the nurse who does the person’s assessment gives the patient and/or families a folder with a blank calendar template in it. The staff/family can use the appt times to write their name, discipline and what day/time the next visit will be.
Plus unfortunately homecare agency staff are stretched. Maybe the person couldn’t make it yesterday but to not call nor show up is terrible.
If you cannot re-establish communication and no one shows up, you may want to contact your local Area Agency on Aging in your county and ask for help finding home care. Or maybe your primary care physician's office can help locate resources for you.