An independent, evidence-based guide for families evaluating Right at Home. Learn how its franchise model affects care quality and pricing ($29–$50/hr), what services are offered, how it compares to competitors, and the key questions to ask your local office before signing.
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Right at Home is a national franchise network of in-home care providers founded in 1995 by Allen Hager, a former hospital administrator who observed patients being readmitted shortly after discharge because they lacked adequate support at home. Today, the company operates more than 700 locations across the United States and five other countries, with its headquarters in Omaha, Nebraska. The current CEO is Margaret Haynes.
It is important to understand what Right at Home is not. It is not a single, monolithic company with uniform policies, pricing, and caregiver quality across every location. Each office is independently owned and operated under a franchise agreement. This means the experience a family has in Boca Raton can differ dramatically from what another family experiences in Tucson or Jenkintown. The national brand provides training resources, a care philosophy, and a standardized service menu, but the day-to-day reality — who shows up at your parent’s door, how much you pay, and how quickly the office responds to a scheduling problem — depends on the local franchise owner.
Right at Home provides non-medical home care (companionship, personal care, homemaking) and skilled nursing (medication management, wound care, IV administration) in states where its caregivers are licensed nurses. It is not a Medicare-certified home health agency in the traditional sense, though some locations may offer services that overlap with home health. If your parent needs physical therapy or occupational therapy under a Medicare home health benefit, you would typically need a separate Medicare-certified agency for those services.
Right at Home’s service menu is broader than many national home care chains. The company divides its offerings into four main categories, though availability varies by franchise location and state regulations.
For a broader explanation of how companion care, personal care, and skilled nursing differ from one another, see our complete guide to types of in-home care services.
The franchise model is the single most important factor families need to understand when evaluating Right at Home. It is also the dimension most review sites and the company’s own marketing gloss over.
Right at Home’s corporate headquarters in Omaha provides franchise owners with a brand, a care philosophy, technology tools (including the Right Focus dashboard for tracking client satisfaction and caregiver quality), and an Innovation Task Force that tests new technologies. According to a March 2024 Franchise Business Review article, 94% of franchisees would recommend Right at Home franchise ownership, and 90% say the company acts with honesty and integrity. The average annual net billing per office was nearly $1.45 million with a 46.93% profit margin at the end of 2022.
But franchisee satisfaction does not automatically translate to client satisfaction. Review aggregators paint a mixed picture. On Trustpilot, Right at Home receives an average of 3.7 out of 5 stars, though many of those reviews come from clients in the UK and Australia. On ConsumerAffairs, the rating drops to 1 out of 5 stars, though not all reviews are negative. SeniorSite reports a 3.9-star average from 535 reviews across ConsumerAffairs and Yelp. On Sitejabber, about 50% of reviewers recommend Right at Home.
The common pattern across reviews is a split: families consistently praise individual caregivers as compassionate, skilled, and reliable. The frustration is almost always directed at office management — scheduling errors, poor communication, high caregiver turnover, and difficulty reaching someone who can resolve a problem. This split is a direct consequence of the franchise model. A well-run local office with a responsive owner and a strong care coordinator can deliver an excellent experience. An understaffed or poorly managed office, even under the same national brand, can leave families feeling abandoned.
The practical implication is clear: you are not hiring Right at Home the national brand. You are hiring a specific local franchise. The national reputation matters only as a starting point. The real evaluation happens at the local level.
Right at Home’s published hourly rates range from $29 to $50 per hour, but the actual rate a family pays depends on three variables: geographic location, shift length, and whether care falls on a weekday or weekend.
The table below shows specific pricing examples from three franchise locations, drawn from The Senior List (January 2026) and SeniorSite. These are real published rates, not estimates.
| Location | Hourly Rate | Minimum Requirements | Context vs. State Median |
|---|---|---|---|
| Boca Raton, FL | $29/hr | 4-hour shift, 12-hour weekly minimum | Below Florida’s $31 median (A Place for Mom, 2026) |
| Jenkintown, PA | $33–$43/hr | Varies by shift length and weekday/weekend | Above Pennsylvania’s $34 median |
| Tucson, AZ | $35–$50/hr | 1hr at $50, 2–3hrs at $40, 3+hrs at $35 | Near Arizona’s $36 median |
The Jenkintown example illustrates how shift length and day of week interact. A 4-to-6-hour weekday shift costs $39 per hour, while the same shift on a weekend costs $43 per hour. A 10-plus-hour weekday shift drops to $33–$36 per hour, with weekend rates at $37–$40 per hour. Weekend and holiday premiums of $4 to $10 per hour are common across most franchises.
Most Right at Home franchises require a minimum of 4 hours per shift and 12 hours per week. The average client schedules 15 to 20 hours weekly, which at typical rates would cost roughly $420 to $560 per week. For context, the national median cost of non-medical in-home care in 2026 is $34 per hour, according to A Place for Mom’s state-by-state guide (last updated June 3, 2026). State medians range from $25 per hour in Mississippi to $44 per hour in South Dakota.
To understand how Right at Home’s pricing compares to other care settings such as adult day care, assisted living, or nursing homes, see our cost comparison and decision guide.
Families researching Right at Home are likely also considering Visiting Angels, Comfort Keepers, and Home Instead. The table below highlights key differences across dimensions that matter most to families.
| Provider | Franchise Model | Skilled Nursing | Dementia Training | Pricing Range |
|---|---|---|---|---|
| Right at Home | Yes — 700+ locations | Yes — medication, IV, wound care | AlzBetter method at some locations | $29–$50/hr |
| Visiting Angels | Yes — 600+ locations | No — non-medical only | Life Care Navigation program | $28–$45/hr |
| Comfort Keepers | Yes — 800+ locations | Limited — varies by state | Interactive Caregiving system | $25–$45/hr |
| Home Instead | Yes — 1,200+ locations | No — non-medical only | Dementia care training program | $27–$45/hr |
Right at Home’s primary differentiators are its skilled nursing services and its structured dementia training programs. No other national chain offers skilled nursing as a standard service category. For families whose parent needs post-hospital wound care, IV medication, or catheter management, Right at Home may be the only national franchise option that can provide those services at home.
However, the franchise factor applies equally to all these providers. A well-run Visiting Angels franchise may outperform a poorly run Right at Home franchise on caregiver quality and scheduling reliability. The brand alone is not a guarantee.
The following checklist is designed to help you evaluate a specific local franchise before signing a care agreement. These questions go beyond the standard advice found on the company’s own blog and address the franchise-specific risks that families actually encounter.
Right at Home accepts several payment pathways, though the availability of each depends on the specific franchise and your parent’s eligibility.
For a comprehensive overview of payment pathways including Medicaid waivers, state programs, and financial planning strategies, see our long-term care reference guide.
Right at Home is a strong option for families who need specialized dementia or Parkinson’s care, or who require skilled nursing services at home that most other national chains cannot provide. Its national footprint means there is likely a franchise in your area, and its caregiver training programs — particularly the AlzBetter method at some locations — are more structured than what many independent agencies offer.
But the franchise model is the central decision point. You are not hiring a national brand. You are hiring a specific local business that happens to operate under the Right at Home name. The quality of care, the reliability of scheduling, the responsiveness of the office, and the consistency of the caregiver assigned to your parent all depend on how well that local franchise is run.
The practical takeaway is this: use the national brand as a starting point, but evaluate the local franchise as if it were an independent agency. Ask the 10 questions above. Request references. Check local reviews. Visit the office. Trust your instincts about the people you meet.
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