What kinds of in-home care can Polk County families use?
Two different things go by the name: skilled home health (nurses and therapists from an AHCA-licensed agency, often covered by Medicare) and hourly private-duty or companion help with bathing, meals and errands, which families pay for themselves or through insurance or a Medicaid plan.
AHCA's locator lists 50 licensed home health agencies with Polk County office addresses, 25 of them in Lakeland and 15 in Winter Haven; an agency's service area is usually much wider than its office ZIP code.
What does in-home care cost?
CareScout's 2025 Florida median for a non-medical home care worker is about $32 an hour, or $73,216 a year at 44 hours a week.
How should we choose a home care agency?
Look the agency up on FloridaHealthFinder first, then ask four things: how caregivers are background-screened, who supervises them in the home, who covers a missed shift, and whether you are dealing with an employer agency or a nurse registry.
Ask for the same caregiver on a regular schedule where possible; consistency matters more to most older adults than any credential on paper.
How many hours of home care does a parent really need?
Count the hours when your parent cannot safely be alone: medication times, bathing, meal preparation and the night; many families begin with 12 to 20 hours a week and add adult day care.
At about $32 an hour, 20 hours a week comes to roughly $2,770 a month at Florida's 2025 median.
What is a nurse registry in Florida?
It is a business licensed by AHCA to match clients with nurses, aides and companions who work as independent contractors; the client directs and pays the caregiver, whereas a home health agency employs its own staff.
The practical questions are who withholds taxes, who carries workers' compensation and liability coverage, and who finds a replacement when the regular caregiver calls in sick.
Who pays for in-home care in Polk County?
Four sources do most of the paying: Medicare for skilled visits to a homebound patient, Florida Medicaid long-term care plans for personal care when someone qualifies, long-term care insurance (usually only through a licensed agency), and VA pension, which treats home care as an unreimbursed medical expense.
Senior Connection Center also funds limited homemaker, personal care and respite services through state programs such as Community Care for the Elderly, usually with a wait list and an income-based co-payment.
Where in Polk County is in-home care licensed?
AHCA's records place Polk County's in-home care licenses in these cities; agencies have no bed count.
| City | Licenses | Licensed beds / capacity |
|---|---|---|
| Lakeland | 25 | — |
| Winter Haven | 15 | — |
| Bartow | 1 | — |
| Haines City | 3 | — |
| Lake Wales | 3 | — |
| Davenport & ChampionsGate | 1 | — |
| Auburndale | 1 | — |
| Dundee & Lake Hamilton | 1 | — |
Side by side
| In-home care in Florida is | In-home care in Florida is not | |
|---|---|---|
| Licenses | AHCA home health agency and nurse registry licenses | One license covering every helper |
| Medicare | Pays for skilled home health only | Pays for hourly aides |
| Public help | Medicaid LTC plans for those eligible | Available to everyone at once |