About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2026 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2026 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2026 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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Top Home Care Agencies in Sarasota, Florida

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The top three home care agencies in Sarasota are Senior Helpers of Sarasota, FL, Home Helpers Home Care of Tarpon Springs, FL and SYNERGY HomeCare of Venice, FL. With 312 agencies in the area, families have access to a wide range of personalized in-home support options. Sarasota, Florida, is a premier destination for seniors seeking high-quality home care in a vibrant, age-friendly community.

The average hourly rate for home care services in Sarasota is approximately $33. Sarasota’s commitment to seniors is evident in its designation as an Age-Friendly Community, and the city boasts numerous senior-friendly attractions, including Siesta Key Beach, renowned for its white sand and accessibility features.

Home Care Agencies near Sarasota, FL

Showing 312 home care providers
Last Updated: 9/20/26
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Photo of Senior Helpers of Sarasota, FL
11 Photo available
5 reviews
5 reviews
5 star
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Overall it's working reasonably well...Senior Helpers has good employees with good input. Concerned about costs with regards to our budget. [name removed] is enjoyable and does a good job and overall we...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Home Helpers Home Care of Tarpon Springs, FL
22 Photos available
10 reviews
10 reviews
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We were at a loss when we realized that we needed help and direction to know how to cope with the diminished health and abilities of my aging wife. A place for Mom helped us to look in the right direction...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Home Helpers in Pinellas/Pasco Counties has been in business for 9 yrs. Home Helpers provides non-medical home care allowing individuals to remain in their own home with safety and dignity. From a few hours a week to 24/7 care, we'll tailor a plan to fit your lifestyle with the flexibility to...
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Photo of SYNERGY HomeCare of Venice, FL
11 Photo available
18 reviews
18 reviews
5 star
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We were very happy with care and who was paired up with my husband. No complaints and we would recommend Synergy HomeCare services to other families.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
SYNERGY HomeCare of Venice provides non-medical, in-home care serving seniors in Sarasota and Charlotte counties.Your family's well-being is SYNERGY HomeCare’s number one priority. Our highly skilled & compassionate caregivers have proudly helped many families. Whether your loved one is...
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Photo of Advocate In-Home Care - Fort Myers
11 Photo available
15 reviews
15 reviews
5 star
53%
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Overall experience was great for the needs of my parents during the transition to Senior Living. The manager, [name removed], was extremely helpful especially when a need arose for additional hours...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Photo of HomeWell Care Services of Tampa, FL
11 Photo available
4 reviews
4 reviews
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They were great and delivered exactly as promised. [name removed],, Client Services Manager, went above and beyond in ensuring care was taken care of. The caretakers were outstanding, kind and caring.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Avail Home Care
11 Photo available
3 reviews
3 reviews
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I have had a very pleasant experience with this agency and if anyone is looking for assistance with a loved one, I highly recommend! Very responsive and sent me extra help in a short notice for a situation...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Home Instead - Pinellas County, FL
11 Photo available
15 reviews
15 reviews
5 star
66%
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What are proper things to ask help for during downtime of medical needs. What if it's just not a good fit with the employee? (that was not a problem for me.) I would recommend their services.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
We know that caring for a senior an elderly loved one is much more than just helping out. It's about a special partnership in which a senior not only feels cared for, but also loved. Home Instead Senior Care of Pinellas County is committed to helping our community's seniors, whether it is through...
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Photo of FirstLight Home Care of North Tampa and West Pasco, FL (348)
11 Photo available
4 reviews
4 reviews
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First Light came to my parents house to care for them. The care was definitely a 10. The cost was very high bc they needed 24 hr care for 2 months. They meals they made were great. Cleaned my mom's and dad's...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Home Helpers Home Care of Bradenton, FL
11 Photo available
12 reviews
12 reviews
5 star
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Mom did not want a stranger coming into her home but agreed to try it out. After two days she couldn’t sing enough praise for [name removed]. She liked how they would pick out her clothes together and...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Founded in 1997, Home Helpers Home Care is a trusted provider of compassionate in-home care in over 600 communities across America.The Home Helpers Home Care office in the Bradenton area opened in 2015. We are a member of the Manatee Chamber Better Business Council as well as the Home Care...
Photo of HomeWell Care Services of Manasota, FL
11 Photo available
6 reviews
6 reviews
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When I suddenly needed home care for my father, it was beyond my expectations that this company could help the way that it did. They really stretched themselves to accommodate an urgent situation when they...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
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Photo of Care Topia
22 Photos available
5 reviews
5 reviews
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The woman who runs A Better Solution is very difficult to get ahold of, she assured me that she would speak to my dad about the effects of his drinking on his health conditions and I was told by the live in...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
A Better Solution has been a trusted service provider since 1998 for home care services. We are a licensed, insured and bonded Home Care Agency providing care to Florida residents. Our deployed staff includes Home Health Aid’s, homemakers and companions to provide tailored services to meet our...
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Photo of ActiKare of Bridge Hill Court Tampa, FL
11 Photo available
1 review
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Photo of BrightStar of South Pinellas
11 Photo available
1 review
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The company is very helpful, with personalized care, great communication, and wonderful caregivers. They go out of their way to provide good staff for us and fix any problems. I appreciate the care they've...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Right at Home - Sun City Center, FL
77 Photos available
2 reviews
2 reviews
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The owner came and talked to my loved one. He showed concern for his needs and gave us time to think about it. We didn't feel any pressure to sign up. There was a special when we did sign up. They really...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Introduce someone you trust to someone you care about.Right at Home Sun City Center was founded by Dr. Victor Santoro under strong family structure and values, and is continuously committed to provide high-quality in-home care and assistance for our clients in Hillsborough county, Florida, and to...
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Photo of Options Home Care of Brandon
11 Photo available
16 reviews
16 reviews
5 star
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My name is [name removed] and my caregiver is [name removed] from the brand and location of [removed]. I enjoy. I enjoy her very much takes excellent care of me always ensuring that my needs are met I...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Photo of Grandma Joan's Live-In Care Consulting and Recruiting
66 Photos available
57 reviews
57 reviews
5 star
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I was in a real pinch to find the right care giver and "home manager" for my parents. Mom suffers from dementia and suddenly Dad, her main caregiver, had a stroke. Almost overnight, we needed immediate...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
About our Consulting and Recruiting ServicesGrandma Joan is an award-winning consulting and recruiter service that has been helping discerning families recruit, screen, and hire premium live-in caregivers since 2010.We act as the family’s private 3rd party recruiters, finding and screening the...
Photo of Helping Hands SW FL LLC - Punta Gorda
11 Photo available
6 reviews
6 reviews
5 star
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Our loved ones care givers so far has been very polite, pleasant and has done everything our loved ones says. The only thing we wish is that they sent an older care giver who maybe would of pushed our loved...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Helping Hands SW FL LLC is a locally owned and operated Non-medical in home care for seniors agency. We are licensed and insured. Our goal is to help you or your loved one remain independent at home. We can help at home or in a facility. From a few hours up to 24/7, We provide many services that...
Photo of A Better Solution of Punta Gorda, FL
11 Photo available
11 reviews
11 reviews
5 star
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I would recommend A Better Solution to others for their loved ones. They had a good selection for us to choose from. My loved one's needs changed during the time they were assisting us and they were still...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Photo of Senior Helpers of Clearwater, FL
11 Photo available
4 reviews
4 reviews
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Very pleased with how well my Dad and his helper get along. My only concern is the missed communication between “[name removed]” the answering machine and the agency. My message to stop the helper for a...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Home Instead - Venice, FL
11 Photo available
2 reviews
2 reviews
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I had reached out to Home Instead to assist my mother in some of her daily ADL’s as her partner was in a rehab facility. They were a resource suggested by a Place for Mom. Overall, the experience went well....
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Right at Home - Plant City, FL
11 Photo available
2 reviews
2 reviews
5 star
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[name removed]is absolutely wonderful. Right at home couldn't find me no one better. She does my hair and makeup and makes me feel youthful , pink eyeshadow and my hair done makes me feel like a million...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Sunshine Home and Companion Care, LLC - Winter Haven, FL
11 Photo available
8 reviews
8 reviews
5 star
49%
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Communication with the management team could be much better. When we initial met with the home care services we advised that our loved one had pets, so their team was aware and to send someone that was okay...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Photo of Right at Home - Tampa, FL
77 Photos available
5 reviews
5 reviews
5 star
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We were very happy with the caregiver but the billing system required too much involvement between me our LTC and their accountant.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Right at Home helps people stay in their homes. We believe that maintaining an independent lifestyle fosters the dignity and sense of purpose we all seek. Your own home provides invaluable comfort, a sense of security and feeling of well-being.If you or a family member needs assistance with...
See details
Photo of Home Helpers Home Care of Tampa Bay, FL
11 Photo available
20 reviews
20 reviews
5 star
45%
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My mother and her husband were directed to get help at home by their doctor. I called A Place For Mom who then offered several home help agencies. We settled on Home Helpers of Tampa because of their quick...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Home Care Partners, LLC
11 Photo available
12 reviews
12 reviews
5 star
50%
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I went with them primarily because the person they sent over lived close by. The caregiver that was chosen is an RN but she ended up having the viewpoint of an anti-vaxxer which turned me off a little. She...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.

How much does home care cost in Sarasota, Florida?

In Sarasota, home care services average around $33 per hour, according to A Place for Mom’s proprietary data.[01] This rate is typical for seniors who need part-time support with daily activities such as meal preparation, mobility assistance, or companionship. Sarasota’s overall cost of living is about 4% higher than the national average.[02]

For people who need continuous or daily care, alternative senior living options such as assisted living, memory care, or a nursing home may offer more cost-effective solutions.

Average home care costs in Sarasota, FL

Average hourly rate
$33/hr
Average overnight rate
$34/hr
Average weekend rate
$35/hr

Home care costs vs. senior living costs in Sarasota, FL

44 hours of home care/wk
$6,160/mo
$5,612/mo

Home care costs in Sarasota vs. state and national averages

Daily, monthly, and annual costs in the table below are based on a part-time care schedule of 4 hours of care per day, 5 days per week.
Cost comparison table showing home care costs by location. This table contains 3 rows of data across 5 columns.
Column location: Location (Location name)
Column hourlyCost: Hourly cost (Cost per hour)
Column dailyCost: Daily cost (Cost per day (4 hours))
Column monthlyCost: Monthly cost (Cost per month)
Column annualCost: Annual cost (Cost per year)
LocationHourly costDaily costMonthly costAnnual cost
Sarasota, FL$33$132$2,858$34,320
Florida$29$116$2,511$30,160
National$32$128$2,771$33,280
Sarasota, FL
Hourly cost:$33
Daily cost:$132
Monthly cost:$2,858
Annual cost:$34,320
Florida
Hourly cost:$29
Daily cost:$116
Monthly cost:$2,511
Annual cost:$30,160
National
Hourly cost:$32
Daily cost:$128
Monthly cost:$2,771
Annual cost:$33,280
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Compare the costs of aging in place against senior living

Use our cost calculator to compare your loved one’s current living and home care expenses against the cost of senior living in Sarasota.

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How to pay for home care in Sarasota

Most families in Sarasota rely on a combination of private and public resources to cover the ongoing expenses of home care.

Private payment options

The most common way to pay for home care is through personal or family savings, income from retirement accounts, or Social Security benefits. In some cases, adult children contribute to expenses as part of a family care plan. Other payment sources include:

  • Home equity. For homeowners, tapping into home equity can be a practical way to pay for care. Options include selling the home, downsizing to a smaller home, or taking out a reverse mortgage. Seniors can use reverse mortgages to convert a portion of their home’s value into cash without having to sell or move.
  • Long-term care insurance. If a senior has a long-term care insurance policy, it may reimburse or directly pay for home care services. Coverage details vary, so it’s important to understand any waiting periods, daily benefit caps, and qualifying criteria before relying on this source.
  • Life insurance. Some life insurance policies can be converted into long-term care benefits or sold for their current value in what’s known as a life settlement. This approach can provide an immediate cash source for care needs.

Medicare

Medicare can cover certain home health care services in Sarasota, provided specific eligibility criteria are met. Medically necessary part-time or intermittent skilled nursing care, physical therapy, occupational therapy, speech-language pathology services, and limited home health aide services that are part of a care plan are eligible for Medicare coverage. Also, a doctor must certify that the recipient is homebound and requires skilled care, and services must be provided by a Medicare-certified home health agency.

Medicare won’t cover 24/7 care at home, meals delivered to the home, homemaker services (such as shopping, cleaning, and laundry) that aren’t related to a care plan, or personal care (such as bathing and dressing) when this is the only care needed.[03]

Medicare resources in Sarasota

For assistance with Medicare-related home health services in Sarasota, contact the state’s health insurance assistance program:

For general information and assistance with Medicare, visit Medicare.gov.

Medicaid

Medicaid is a vital resource for eligible seniors and individuals with disabilities seeking home care services in Sarasota. Through the Statewide Medicaid Managed Care Long-Term Care program, Medicaid can cover various in-home services, enabling recipients to receive necessary care while remaining in their homes.[04]

Once approved, services provided through Medicaid-certified home health agencies may include personal care assistance, skilled nursing care, therapy services, and more.

Medicaid resources in Sarasota, FL

For assistance with Medicaid applications and information on home care services in Sarasota, consider the following resources:

VA benefits

Veterans residing in Sarasota can use VA benefits to cover the costs of home care services. These programs can provide financial assistance for various in-home care options, ensuring that veterans receive the support they need while remaining in their homes:

  • Aid and Attendance (A&A): The Aid and Attendance benefit provides additional monthly payments to eligible wartime veterans and surviving spouses who receive a VA pension and require assistance with daily activities. These funds can be used to pay for in-home care services. To apply, visit VA.gov to download Form 21-2680. The completed form can be uploaded online, mailed in, or submitted in person at the nearest regional benefit office in St. Petersburg.[05]
  • Homemaker and Home Health Aide Care: This program offers trained professionals to assist veterans with personal care needs, allowing them to remain in their homes. Services include help with activities like bathing, dressing, and meal preparation. Eligibility is determined by a VA health care provider, and services are coordinated through the local VA medical center. To apply, contact a VA social worker in Florida for next steps.[06]
  • Veteran Directed Care (VDC): The VDC program allows eligible veterans to manage their own care services, including hiring personal care aides. This self-directed approach provides flexibility in choosing caregivers and tailoring services to individual needs. Enrollment is coordinated through the local VA medical center’s social work department.​ To access the program, reach out to your loved one’s VA social worker.[07]

Resources for veterans in Sarasota

Veterans in Sarasota, and their family members, can access the following resources for assistance:

Resources in Sarasota that help seniors age in place

The following organizations provide essential support to help older adults maintain independence and quality of life in their own homes.

  • Senior Friendship Centers of Sarasota
    Senior Friendship Centers provide case management, in-home services, and social activities for seniors.
    1888 Brother Geenen Way
    Sarasota, FL 34236
    Phone: 941-955-2122
  • Area Agency on Aging for Southwest Florida (AAASWFL)
    The AAASWFL serves residents of Sarasota County and offers information and referrals for services such as home care, meal delivery, and caregiver support.
    Phone: 239-652-6901
  • Elder Helpline
    Elder Affairs Florida offers information and assistance on elder services and activities in Florida.
    Phone: 866-413-5337

Home care laws and regulations in Florida

Florida’s home care laws and regulations help ensure that home care agencies operate safely, ethically, and professionally. These regulations are enforced by the Florida Agency for Health Care Administration (AHCA).[08]

Licensing and accreditation

To be licensed in Florida, home health agencies must meet specific standards related to patient care, staff qualifications, and operational procedures. Agencies that provide skilled nursing services are required to have a qualified director of nursing and may need to obtain accreditation, especially if they seek Medicare or Medicaid certification.[09]

Homemaker and Companion Services (HCS) providers are not licensed in Florida, but they must be registered. These providers only offer nonmedical services like light housekeeping, companionship, cooking, and running errands. They can’t provide personal care or medical care.[10]

Hiring practices

Home care agencies in Florida are mandated to follow stringent hiring practices to ensure the safety and well-being of clients. This includes conducting Level 2 background screenings for all personnel, verifying employment history and references, and ensuring that staff meet the necessary training requirements. Home health aides must complete at least 40 hours of training or pass a competency test, while those working with Medicare-certified agencies may need up to 75 hours of training.[11]

Employees of registered Homemaker and Companion Services providers must also undergo Level 2 background screenings.[10]

How to choose the right Sarasota home care agency

With numerous home care options available in Sarasota, it’s important to evaluate each agency based on several key factors.

Request detailed pricing information

When contacting agencies, request a comprehensive breakdown of costs, including any additional fees for specialized services or after-hours care. Ensure that the agency provides a clear contract outlining all charges to avoid unexpected expenses.

Ask about caregiver training and expertise

The quality of care largely depends on the caregivers’ training and experience. Inquire about the agency’s hiring process, ongoing training programs, and how they match caregivers to clients’ needs.

Look up inspection and complaint history

Reviewing an agency’s inspection reports and complaint history can provide insight into their compliance with state regulations and quality of care. The AHCA maintains records of inspections and any deficiencies found in home care agencies. Access these reports through the AHCA’s public records search portal.

Read home care reviews

Client reviews offer valuable perspectives on an agency’s reliability and service quality, highlighting experiences from other families. Look for comments on timeliness, caregiver compatibility, professionalism, and overall satisfaction.

Frequently asked questions about home care in Sarasota

Senior Helpers of Sarasota, FL, Home Helpers Home Care of Tarpon Springs, FL and SYNERGY HomeCare of Venice, FL are the top-rated Home Care facilities near Sarasota, FL. These Home Care facilities received the highest rankings based on verified family reviews. See full list of communities.
The average cost of Home Care in Sarasota is $6,160 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.
Home care is provided by an aide who comes to a senior’s home to help with daily chores and activities of daily living. It can be offered anywhere a senior calls home — including a house, senior apartment, independent living, or assisted living. Learn more about home care.
Home care services are customizable to a senior’s unique needs. Services can include companionship, help with chores like cooking and housekeeping, or assistance with activities of daily living, like toileting and bathing. Explore home care services in more detail.
Home care provides nonmedical services for seniors who require assistance with daily tasks like housework, bathing, dressing, and transportation. In contrast, home health care is prescribed by a doctor and includes services like skilled nursing care and therapies, health monitoring, and medication administration that are provided by licensed medical professionals. Read more about home care vs. home health care.

References

  1. A Place for Mom. (2025). A Place for Mom proprietary data.

  2. PayScale. (2024). Cost of living in Sarasota, Florida.

  3. U.S. Centers for Medicare and Medicaid Services. Home health services.

  4. Florida Agency for Health Care Administration. Medicaid home health services.

  5. U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

  6. U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

  7. U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

  8. Florida Agency for Health Care Administration. State laws and rules.

  9. Online Sunshine. The 2023 Florida statutes.

  10. Florida Agency for Health Care Administration. Frequently asked questions: Homemaker and Companion Services (HCS) registration.

  11. Florida Agency for Health Care Administration. Home health aides.

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1.

A Place for Mom. (2025). A Place for Mom proprietary data.

2.
3.

U.S. Centers for Medicare and Medicaid Services. Home health services.

4.

Florida Agency for Health Care Administration. Medicaid home health services.

5.

U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

6.

U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

7.

U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

8.

Florida Agency for Health Care Administration. State laws and rules.

9.

Online Sunshine. The 2023 Florida statutes.

10.
11.

Florida Agency for Health Care Administration. Home health aides.