Can you report a home health care agency for neglect if they keep leaving the patient unattended?

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When my dad first needed a paid caregiver, the first lady he had was a super star. Unfortunately, after a year she moved to another state with her BF. Boy, were we shocked to discover how lucky we had been because every caregiver the agency sent after that was a massive disappointment- incompetent and/or unreliable.

When my mom needed a paid caregiver about a year later I went back to the same agency- which was stupid of me. Nothing had changed.

So after several months of no shows - no notice - no replacement- no clue, I finally smartened up myself and changed agencies. That made all the difference in the world! The first lady they sent was a perfect fit for my mother and was with her quite a while. Even after my mother had to be placed in a nursing home we kept her on once a week as a companion for my mother. Mom truely adored her and would do for her things no one else could get my mom to do.
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No I do not. She dropped nite care because she sleeps well. But got word from her today that a new agency is taking over!!! Thank God!! Thank you all for opinions!!!
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pennsygirl973, I am curious, who takes care of this women from 7pm to 8 am? Do you do that shift?
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If the one caregiver she likes shows up consistently I see no reason she can't fill the other shifts from a different agency.
The real difficulty that I see here is that despite having her mind and the ability to call 911 if she needs help she really is in a vulnerable position and in my opinion needs to make some hard choices about her ability to live on her own.
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jeannegibbs, yes she dials the correct phone number, I myself have called the "emergency line" with no result. she has her mind, just her body gave out. and the call outs or no shows happen a lot. she has NO family, just a few chosen friends from church. she is bedridden, while she is getting therapy and working on regaining her legs. so its quite horrible when no one shows and she sits in bed soiled and hungry, lacking her meds etc.. its just her and her little dog. I myself see this as neglect. but I guess im wrong according to the responses. and yes, I have told her to switch agencys, but she is very attached to one care taker she has and doesn't want to lose her...
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The national Agency I had used for my Dad, if a caregiver couldn't make the shift, the Agency was very good at finding a replacement. The caregivers have an iPhone where the Agency would send out a request. First call back would get the assignment. If it was an evening shift, even the Admin Staff would fill in.

The Agency also had caregivers who just wanted to do emergency placements. My Dad had one who decided to put herself on regular Saturday morning shift just for him. Luckily my Dad was easy going, no trouble at all. If this was for my Mom, it would have been a nightmare.
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If anybody has any inside-knowledge about running a home care agency, I'd be interested to hear their perspective on this issue.

I don't imagine that agencies have people sitting around on their payroll just waiting for a no-show call. They probably rely on former employees, employees who are temporarily off while waiting for another assignment, and other people who may or may not be available on short notice. "Gladys, can you cover on the West Side today?" It is to the agency's advantage to find some one. No show, no pay. So they probably check down the list before giving up.

This, of course, assumes they know there is a no-show. The employee should be notifying them. In this case the lady calls them and gets no response. That is troubling. Is it possible she isn't dialing correctly? Doesn't have the right number? Has trouble hearing and misses some phone calls?
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This lady apparently contracted with and pays an agency. So it is her call whether to stay with this agency in spite of the inconveniences of no-shows, or search for other help. Is she generally satisfied with the care she gets? Are the workers pleasant? Are there some that know her routine well? How often do the no-shows happen? Once a month? Once a week?

This MIGHT be breech of contract, but I doubt it is neglect.

No-shows must be the biggest challenge in the home care world. My cousin had 4 local women (all known to her mother) take shifts around the clock so her mother could stay home. These friendly women tried to cover for each other, but sometimes that wasn't possible. (All 4 of them were going to an out of town wedding, for example.) My cousin said that covering these gaps was her worst nightmare, especially since she traveled a lot. Mother got worse, and cousin placed her in the local care center. That solved that particular problem, at least.
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pennsygirl973, I agree with Vegaslady above, fire the Agency and look around for a new one. There are times when an Agency gets short-handed, even the best of Agencies. Check the wording on the contract regarding missed assignments.

If the patient needs around the clock care, or eventually will need such care, the family might start thinking about Independent Living senior facility, if it is within the budget. I was so glad when my Dad moved to such a place, as he had mobility problems.
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Fire the agency.
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