Preferred Home Health Solutions, LLC
974 Fern Ave.
Grand Marsh, WI 53936

Fax: 1-866-652-5321

  To us, "above & beyond" is standard  

Choosing a Provider


Many older adults needing help with daily activities prefer to continue living at home in familiar and comfortable surroundings, close to family, friends and neighbors. Home care is a good option if you prefer to remain living at home but need care that cannot easily or effectively be provided either by yourself or by friends or family. Home care can also prevent or shorten costly hospital stays and lessen the need for emergency room visits.


What Home Care Services are Available?

When deciding what care you need it can be confusing and overwhelming for some people. 

The two main services Preferred Home Health Solutions offers are Personal Care & Supportive home Care.


Personal Care is more “hands on” based.  This service is used when the client needs more hands on care such as bathing, dressing, personal hygiene, meal preparation, feeding, toileting, incontinent care, laundry, medication reminders,  etc. Preferred Home Health Solutions Personal Care is non-medical services that are provided by our trained staff who are supervised by Registered Nurses.  Preferred Home Health Solutions works in conjunction with Skilled Nursing Agencies, Physical Therapy, Occupational Therapy, Speech Therapy, Nutritionists, Social and Medical services to ensure quality client care. These services must be ordered by a physician and require a specialty health care provider (such as a nurse (RN), practical nurse (LPNs), social worker, physical therapist, or speech therapist) to provide the care or oversee it.


Supportive Home Care is “assistance” based.  This service is used when the client can do the majority of their own personal care but just need a hand to assist them.  Also included in Supportive Home Care is housekeeping, companionship, shopping, accompany to appointments etc. 

Many times clients utilize both Personal Care and Supportive Home Care services.


Other services that can be provided at home are: 

Skilled Nursing Care – Administering medications, adjusting medication, injections, lab work, wound dressing, catheterizations, etc. 

Speech Therapy – Language exercises to promote better comprehension and expression needed after an illness. 

Physical Therapy – Therapeutic exercise to gain strength and increase range of motion after an illness or injury. 

Occupational Therapy – Teaches how to get around with a wheelchair, walker, crutches etc while recovering from an injury. 

Social and Medical Services – Educate on disease prevention, management and treatment.

Assistance with Medical equipment and supplies – ordering walkers, wheelchairs, transfer devices, oxygen equipment, incontinence supplies, etc.) 

Nutritional Support – Monitor and promote well balanced meals and education.


What Emotions Might I Have about Using Home Care?

Having someone help you at home might feel difficult since it involves having a stranger enter very personal areas of your life. Accepting help with various tasks can trigger feelings of shame, helplessness or anxiety. For example, receiving help with dressing and bathing may be embarrassing. Or you may feel anxious about a stranger being involved in your personal affairs, perhaps worrying that a home care worker will steal something valuable from your home. Discuss your emotions and any problems that may arise with someone you trust, such as a loved one, a social worker, a doctor, or a clergy member. Sharing your feelings and concerns can help you plan for home care in a safe and manageable way. Eventually, you may come to realize that you are not alone in needing help. Indeed, by using home care services as a solution to maintaining maximum independence, older adults often develop feelings of satisfaction, relief, joy, and renewed hope.


What Should I Consider When Looking for Home Care?

1. What services do I need?

Typically, a disease, illness, or disability leads people to seek home care. Services are needed when your safety, health, or overall well being may be in jeopardy without them. For example, if you are unable to prepare meals -- a situation that could affect your diet and health -- then you would need assistance with meal preparation. Some older people find it difficult to accept the reality that help needed. Therefore, deciding which home and personal care services you need might be best done through conversations with someone you trust, such as a loved one, a friend, a doctor, a social worker, or a nurse.


2. How often and for how long will I need these services?

As your needs change, the length and types of home care may vary. For example, at first you may just need a few hours per week for House cleaning and grocery shopping, but later, recovering from surgery, you may need help with meal preparation and nursing care for a couple of months. Someone who is living with a difficult chronic medical condition like macular degeneration (an often incurable disease that impairs vision) or Alzheimer’s disease may require services long into the future. Your doctor, family members, home care provider, and other concerned people in your life can all help you determine how much care, what kind of care, and the frequency of care that is needed.


3. How am I going to pay for these services?

Private insurance or long-term care insurance that aid in paying for services.  Some policies cover certain types of home care for specified periods of time. It’s important to find out exactly what your insurance covers before you arrange for home care.


Medicare. Medicare may partially cover home care expenses for a short period of time, up to 2 to 3 weeks, but only for skilled nursing care as related to an acute medical situation or physical or speech therapy that is prescribed by a physician nurse practitioner or physician assistant.

Unfortunately, Preferred Home Health Solutions is not a Medicare provider.


Medicaid. State Medicaid programs may provide personal and home health care services for persons with very low assets and limited incomes. If you currently receive Medicaid, talk with your health care provider about receiving home care services through Medicaid. To apply for Medicaid, you must file an application with your local Medicaid office or call your local Health and Human Service Department for assistance.  You can also complete the application and obtain more information by visiting Wisconsin’s Medicaid website or by clicking the link below: 


Private Pay, also known as “out-of-pocket.” If your private insurance or Medicare or Medicaid does not cover the cost of your home care services, you will have to pay privately. Most licensed home care agencies in Wisconsin charge by the hour for a home attendant to help with personal care services, and often these agencies require the aide be hired for a minimum of 1 - 3 hours per day.


4. Who will provide these services for me?

If Medicare and/or Medicaid pay for home care services, then the home care services must be provided by a Certified Home Health Agency.  If you are paying through a private insurance company, you will need to find out how to handle costs with your insurance company. If you are paying “out-of-pocket,” you will have all of the following options:


Private Individuals. You may prefer to hire help through friends or family recommendations or through answering an ad in the newspaper. Although the cost for private individuals is often significantly less than what is charged by an agency, the worker may have little or no training in the home care field and require on the- job training. In addition, you will have to call references and do the background checks to make sure the person does not have a prior criminal record, and you have to make arrangements for back-up coverage should the worker be late or unavailable due to illness, personal reasons, or vacations.


Home Care Agency. A home care agency should be certified or licensed and ensure that workers will be trained and supervised according to State regulations. Many home care agencies require a four-hour minimum for each visit to the home. The agency should be responsible if a worker is tardy or absent from work or if a worker needs to be replaced for any reason. Employees of Preferred Home Health Solutions are screened thoroughly by extensive reference checks, criminal background checks, driving history checks, pre-employment and random drug screens including on-going training.



What Should I Ask a Home Care Agency about Its Services?



Preferred Home Health Solutions Answers

What kind of services does your agency provide?


Personal Care, Supportive Home Care, Respite, and our “Keep in Touch” program

What kind of work experience do you require of employees?


Our personal care workers are required to have a minimum 6 months of experience.

What kind of screening and background checks do you do before hiring someone?


The state of Wisconsin requires that all personal care workers complete Background information disclosures, Preferred Home Health Solutions, checks background information and criminal history information through the WI Dept of Justice.  All references are checked, employee must pass pre-employment and random drug screens, carry valid auto insurance before hire.

What kind of training do your staff members receive, both prior to their first job and on-going?

Employees are trained in the 11 core competencies of personal care once hired by PHHS unless certified nursing assistant certificates are presented.  Training is on-going with personal care workers and in-services are held to ensure training.

What is the cost of your services?


Costs of PHHS services vary depending on client need, service required, location and method of payment.  We offer free in-home assessments to determine the above criteria and will discuss pricing with our clients to ensure affordability. 

Are there a minimum number of hours I must use the worker each day?


Location is a factor, however, typically PHHS requires a 1-hour minimum.

Are there a minimum number of days I must use the worker?



How does the agency handle requests for changes in workers?


PHHS values our clients and your input and suggestions matter.  If you request a different worker, PHHS will honor your request.

Is your agency licensed, and insured?

Yes.  Preferred Home Health Solutions, LLC is licensed in the State of Wisconsin.
We carry necessary insurance to protect our clients and employees.



What Should I Ask a Home Care Worker before Hiring?

Whether hiring a home care worker through an agency or any other means, you should interview the candidate(s) in person before hiring. If at all possible, do the interviews with a loved one, friend, or social worker so that you can have another point of view about the candidate(s). This is helpful so that a candidate knows that you are not isolated and that you have someone else involved in your life. 

During the interview, ask the following questions:

·         Have you ever cared for an older person before? If so, what did

·         you do?

·         Did you like the work? Why or why not?

·         What brings you to be looking for this kind of work now?

·         Do you have references? (All candidates should be able to provide

at least 2-3 work and personal references).


During the interview, discuss the following:

·         What specific work you want the person to do every day?

·         What hours and days you want the person to work for you?

·         The salary you will be paying (if the person is not from an

agency), how you will pay the person (cash or check), and what

day of the week is payday.

·         Your expectations regarding promptness, attitude, and behavior.

·         How your money will be handled. Develop safety measures to

protect yourself from financial abuse. For example, if the home

care worker will be grocery shopping, set up an account at the

grocery store with a periodic statement of purchases or devise a

system of cash and receipts for monitoring spending.


During the interview, consider the following:

·         How does the candidate present her/himself?

·         Is the person clean and neatly dressed?

·         Did the person come on time for the interview?

·         Did the person act respectfully towards you?

·         Did you feel comfortable being with this person?


Before the candidate leaves the interview:

·         Get the candidate's name, address and phone number.

·         Information on the best time to reach the candidate.

·         If the candidate is not coming to you through an agency, get the

·         following:

       Driver's license number (if the person will be driving).

       Names and phone numbers of 2-3 references (at least one person should be a work reference).


After the interview:

·         Contact the references and ask how long they have known the

candidate, the candidate’s strengths and weaknesses, as well as

attitude, trustworthiness, and work habits.

·         If you do the interviewing alone, discuss your impressions with

someone you trust after the interview, if possible.


What Are Reasonable Expectations of a Home Care Worker?

·         Your service provider should:

·         Be on time.

·         Provide the agreed upon and proper level of care.

·         Be respectful to you and your home.

·         Never use the phone for personal non-urgent reasons.

·         Never borrow or buy anything of value from you.

·         Be neat, clean, and professional.

·         Be sensitive to your needs and concerns.

·         Be trustworthy.

·         If you have any concerns about the quality of care or type of service you are receiving, you should never keep the concerns to yourself. Talk to the agency, a family member, a friend, or your health care provider. Trust your instincts and always tell someone if a relationship with a home care worker feels uncomfortable.


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