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Endurance Home Care
CT / NY (203) 936-6847NJ (973) 315-5323
An open care journal, reading glasses and house keys on a hall table under a brass lamp.

A guide for families and the professionals who advise them

Seven professionals, one ageing parent, and nobody explaining who does what.

Most families meet this system one crisis at a time and never see the shape of it. This page lays out each role, how it is paid, and what to ask. Home care in Connecticut and New Jersey; companion care only in New York.

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The map

Read it in the order a family actually meets it

Not a wheel with us in the middle. Three bands: who plans, where somebody might live, and the clinical settings you pass through on the way home.

Who plans and protects

Where somebody might live

Clinical settings and the way home

Endurance runs underneath all three.

Every role above owns a decision, a building or a plan. What none of them owns is the ordinary Tuesday in between: the hours in the house, the drive to the appointment, the person who is there at 7pm. That is the part we carry, in whichever of those settings somebody happens to be, and it is why we are usually the constant while the rest of the map changes around a family.

The part these guides usually leave out

Every role on this page is paid by somebody, and it is not always the family. A care manager and an elder law attorney work for you and bill you directly. A placement advisor is usually paid by the community you move into. A community is paid by the resident. We are paid by the family, for hours of care, and we neither pay nor accept a referral fee in either direction.

None of that makes anybody dishonest. It does mean the incentive and your interest point the same way in some of these relationships and only mostly the same way in others, and a family that knows which is which asks better questions. Each role below carries the one worth asking.

The seven roles

What each one does, how each one is paid, what to ask

The Endurance home-care support described here is available in Connecticut and New Jersey. In New York, Endurance provides companion care only and does not offer hands-on personal care, facility support, memory-care services, hospital-transition care, or medication management.

Geriatric care managers

Often called Aging Life Care Professionals. Usually a nurse, a social worker or a gerontologist. They assess the situation, write a long-term care plan, coordinate medical appointments, manage a crisis when one arrives, and represent the older adult's interests across every setting. They are the only role on this page whose job is the whole picture rather than one part of it.

How they are paid

Privately, by the family, usually hourly or on a retainer. They do not take a commission from providers they recommend, and a care manager who does should be asked about it directly.

Ask them

Who do you work for, and does anyone pay you a referral fee?

Where Endurance fits

These services are available in Connecticut and New Jersey; New York is companion care only.

  • They write the plan; our care professionals carry it out day to day.
  • Our caregivers send visit notes and observations back to the care manager, on the cadence the care manager sets, with the family's consent.
  • They coordinate the clinical calendar; we handle the transport, walk the person in, take notes in the room, and report back.
  • A change that touches the care plan comes to them before it goes to the family.

The full guide to geriatric care managers

How we work with care managers

Placement advisors

Also called senior advisors or placement agents. They narrow a long list of assisted living, memory care and independent living communities to a short one, arrange tours, and match care needs and budget to a community.

How they are paid

Usually by the community, not by the family, as a fee when a move-in happens. That is a normal arrangement and it is not a reason to avoid one. It does mean their list is the communities they hold agreements with, so it is worth asking how wide the list is.

Ask them

Are you paid by the communities you show me, and which ones are not on your list?

Where Endurance fits

These services are available in Connecticut and New Jersey; New York is companion care only.

  • When a family has chosen a community but the apartment is not ready, we cover the gap at home so nobody moves before it is safe.
  • We can send a familiar caregiver into the first weeks in a new community, for unpacking, routine and company while everything is unfamiliar.
  • If a resident's needs rise after a fall or an illness, one-to-one support can provide stability while the family and community decide what comes next.

The full guide to placement advisors

Elder law attorneys

Draft powers of attorney, healthcare proxies, living wills and trusts. Advise on asset protection, Medicaid planning, veterans' benefits and long-term care insurance. They are usually the first professional a family should see and often the last one they think of.

How they are paid

Privately, by the family, hourly or on a flat fee for a defined set of documents.

Ask them

What happens to this plan if the person loses capacity next month rather than next year?

Where Endurance fits

These services are available in Connecticut and New Jersey; New York is companion care only.

  • Long-term care insurance claims run on paperwork. We supply the daily care notes, the plan of care and the itemised invoices a carrier asks for.
  • Where an attorney or a court-appointed guardian has established that someone needs supervision or hands-on support to stay safe at home, we staff it.
  • Transparent, itemised billing, so an attorney or a professional trustee can account for what was spent and on what.

The full guide to elder law attorneys

Paying with long-term care insurance

Independent living communities

Maintenance-free apartments or cottages for active older adults, built around dining, social life and security. They generally do not help with the activities of daily living: no bathing support, no dressing, no medication help. That surprises families, and it is the single most common misunderstanding on this page.

How they are paid

Monthly rent or a fee paid by the resident, sometimes with a buy-in.

Ask them

What exactly happens here on the day I need help getting dressed?

Where Endurance fits

These services are available in Connecticut and New Jersey; New York is companion care only.

  • Residents age in place inside the community. We bring private support into the apartment, from a few hours a week upward, without anybody moving.
  • Personal care, medication reminders and help at mealtimes are usually what lets somebody stay in independent living rather than move to a higher level of care sooner than they need to.

The full guide to independent living communities

Assisted living communities

Combine housing and meals with support for daily tasks such as dressing, bathing, mobility and medication, delivered by community staff on a schedule. They are not built for continuous one-to-one attention, and their staffing ratios say so.

How they are paid

A monthly fee paid by the resident, usually a base rate plus a care level that rises as needs rise.

Ask them

How many residents does one caregiver cover on the overnight shift?

Where Endurance fits

These services are available in Connecticut and New Jersey; New York is companion care only.

  • One-to-one support inside the suite, alongside community staff, when somebody needs continuous attention that a scheduled model is not designed to give.
  • Common reasons: a high fall risk, the weeks after a hospital stay, or a period when a family simply wants somebody in the room.
  • Our caregivers report what they see to the community's wellness team and to the family. They observe and describe; they do not assess, diagnose, or name a condition.

The full guide to assisted living communities

One-to-one support inside a facility

Memory care communities

Secure residential environments for people living with Alzheimer's disease or another dementia, with trained staff, a structured routine and a layout designed to reduce agitation and prevent wandering.

How they are paid

A monthly fee paid by the resident, usually higher than standard assisted living.

Ask them

What does your evening routine look like, and who is here at 7pm?

Where Endurance fits

These services are available in Connecticut and New Jersey; New York is companion care only.

  • One-to-one engagement inside the community: redirection, company, and a familiar face for someone who is anxious or resisting care.
  • During the first weeks after a move, a caregiver the person already knows can provide continuity at the difficult hours of the day.

The full guide to memory care communities

Memory support at home

Skilled nursing and rehab

Provide 24-hour nursing alongside physical, occupational and speech therapy after a major surgery, a stroke, a fracture or an acute hospital stay. Most stays are short and end with a discharge home.

How they are paid

Often through Medicare for a qualifying short rehabilitation stay, then privately or through Medicaid for a longer one. The rules are specific and worth asking about early.

Ask them

What has to be true at home before this discharge is safe?

Where Endurance fits

These services are available in Connecticut and New Jersey; New York is companion care only.

  • We work with discharge planners and social workers to build the home plan before the discharge date, not on the morning of it.
  • The move from 24-hour supervision to an empty house is the riskiest window in the whole sequence. We cover it: mobility support, meals, the prescription pickup, the follow-up appointment, and somebody in the house.

The full guide to skilled nursing and rehab

Hospital to home

Questions

What families and professionals ask about this

Who should a family call first?

If the situation is complicated, a geriatric care manager, because they are the only role whose job is the whole picture rather than one part of it. If the legal documents are not in place, an elder law attorney, because that gets harder the longer it waits and impossible if capacity is lost. Everyone else on this page is easier to choose once one of those two has looked at the situation.

Do placement advisors charge families?

Usually not. They are typically paid by the community when a move-in happens. That is a normal arrangement and not a reason to avoid one, but it does mean the list you are shown is the list they hold agreements with. Ask how wide the list is and which communities are not on it.

What is the difference between independent living and assisted living?

Independent living is housing and lifestyle: maintenance-free apartments, dining and social life, with generally no help for bathing, dressing or medication. Assisted living adds scheduled support for those daily tasks. The most common surprise families hit is discovering that independent living does not include care.

Can Endurance provide care inside a facility?

In Connecticut and New Jersey, yes. Endurance can provide one-to-one support inside an independent living apartment, an assisted living suite or a memory care community, alongside the staff already there. In New York, Endurance provides companion care only and does not offer facility support or hospital-transition care.

Does Endurance pay or receive referral fees?

No. There is no fee, no commission, and nothing that would need disclosing to your client in either direction.

Is Endurance a medical provider?

Endurance Home Care provides care at home in Connecticut and New Jersey, with companion care only in New York. Skilled nursing, home health aides and physical therapy in Connecticut are provided by Endurance Home Health. We work alongside clinical providers rather than in place of them, and the roles on this page that deliver clinical care are described here because families need to understand them, not because we provide them.

If you are one of these seven

We work alongside all of them across our operating markets. Home care in Connecticut and New Jersey; companion care only in New York. The commitment is the same in every direction: your client hears advice from you, not from us. Scope, coverage and the handoff are set out on our referral page, and care managers have a page of their own.

Call (203) 936-6847 for Connecticut or New York, or (973) 315-5323 for New Jersey, and say which of the seven you are.