When it comes to caring for a loved one at home, families are often faced with the decision of whether to hire a caregiver through a licensed home care agency or to go through a registry service. At first glance, both options may seem similar—both provide access to caregivers who can help with daily living, companionship, and even specialized needs. But there are some significant differences between the two models that can impact cost, safety, and peace of mindWhat is a Registry?
A home care registry is essentially a referral service. The registry connects families with independent caregivers and may charge a one-time placement fee or an ongoing administrative fee. After the match is made, the family becomes the caregiver’s direct employer. That means the family—not the registry itself—is responsible for managing payroll, taxes, insurance, scheduling, and, in many cases, liability if something goes wrong.
Registries may offer lower hourly rates because they don’t cover the costs of employment-related protections. However, those savings can often come with hidden responsibilities that can be overwhelming for families.
What is a Licensed Home Care Agency?
A licensed home care agency like BrightStar Care, by contrast, directly employs its caregivers. In Florida, these agencies are regulated by the Agency for Health Care Administration (AHCA) and must meet strict quality standards, and are subject to inspections.Caregivers hired by licensed agencies are screened through background checks, trained to meet state requirements, and supervised by clinical or administrative staff.
Families contract with the agency, not the individual caregiver. That means the agency takes care of payroll, benefits, liability insurance coverage, and ongoing training. Most importantly, the agency is accountable for the quality of care delivered.
Key Differences at a Glance
Employment Responsibility
• Registry: The family is the employer, responsible for taxes, workers’ compensation, and liability.
• Licensed Agency: The agency is the employer, handling all compliance and liability.
Screening and Training
• Registry: Screening varies widely; training is typically left to the caregiver’s discretion.
• Licensed Agency: State-mandated background checks, verified references, and ongoing professional training. Oversight and Supervision
• Registry: Families supervise the caregiver directly. If issues arise, they must handle them.
• Licensed Agency: Supervisors regularly check in, evaluate performance, and provide guidance.
Insurance and Liability
• Registry: Families may need to purchase separate insurance to protect against liability.
• Licensed Agency: Agencies carry liability insurance, bonding, and workers’ compensation.
Cost
• Registry: Often have lower hourly rates but hidden costs in taxes, insurance, and time spent managing.
• Licensed Agency: Can have a higher hourly rate, but transparent, comprehensive service with full protections.
Why Licensed Care Provides Greater Peace of Mind
Choosing care for a loved one is a financial and an emotional decision. Families want assurance that their
parent, spouse, or relative is in safe, professional hands. Licensed home care agencies like BrightStar Care offer that security by providing:Accountability. Agencies are regulated by the state and must maintain compliance.
Reliability. If a caregiver is sick or unavailable, the agency can provide a backup.
Consistency. Caregivers are trained and supervised to deliver a consistent standard of service.
Protection. Families are shielded from liability and employment headaches.
Licensed agencies provide not just caregivers—but an entire support system that families can depend on. Planning care for a loved one at home can be a complex journey for family members. While registries may work for those willing to take on the role of employer and manager, most families find that a licensed home care agency delivers the professionalism, safety, and peace of mind they need.
With a licensed agency like BrightStar Care Ft. Myers/Naples, you’re not just hiring a caregiver—you’re partnering with an organization that stands behind its services, ensures compliance with state standards, and puts your loved one’s well-being first.