Qualification or criteria of a private sitter in a skilled nursing facility?

My mom needed 1:1 on and off for her two years in a facility. Eventually, She was kicked out of memory care because of her behaviors. She was on hospice at the time, they recommended a care home. The caregiver/resident ratio was much better; 3 or 4 to one. Mom still needed sitters on occasion. Oh, btw tge care home was at a lower cost than memory care.

Memory care recommended a company that provided independent caregivers, so there was a cost savings because of very low overhead and the caregivers paid their own taxes, etc. The company assisted caregivers in finding appropriate jobs for their skills. There must be more of these.

Some facilities only allow their own people to be privately hired, you need to check with them.

My only experience is in FL and with in-home care provided by an agency. The "lowest" level of care is by a companion if the client is not a fall risk. This agency requires another level of experience or knowledge by the caregiver if the client is a fall risk. However, I'm not sure if it is a medical requirement or physical requirement. The hourly rate for this type of caregiver was higher than just a companion and I think the admin wanted to come in and do a different type of assessment to see what they were dealing with. I suppose you can call a facility and ask. It might be different from state to state.