Private Caregivers · Nurse-Supervised · Las Vegas
Finding a Private Caregiver in Las Vegas: An Honest Guide from Two Nurses
Written and reviewed by Halston Juracka, RN-BSN, CBIS and Kayla Juracka, RN-BSN · Updated August 2026
When families search for a private caregiver, they are usually picturing one thing: a kind, competent, trustworthy person who shows up, treats mom like a human being, and makes life livable again. That person exists. This page is about how to actually find them, what they cost, and the parts of this decision nobody explains until something goes wrong.
Tell us what's going on. Get a nurse's honest read.
Nevada Licensed PCA No. 12250-PCS-0 · Fingerprint-Vetted Caregivers · Nurse Owners
Serving Summerlin, Henderson & Las Vegas
What does a private caregiver do?
A private caregiver helps with the daily tasks that keep someone safe and living at home: bathing, dressing, and grooming, meals and hydration, medication reminders, mobility and fall prevention, light housekeeping and laundry, errands and appointments, and, just as important as any task, companionship and a second set of eyes on how things are really going. Caregivers do not perform medical procedures; that is nursing work. What great caregivers do is notice, the appetite change, the new unsteadiness, the confusion that was not there last week, and in a well-built care system, what they notice reaches someone trained to act on it.
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What does a private caregiver cost in Las Vegas?
Through licensed Las Vegas agencies in 2026, caregivers generally run $28 to $40 per hour. Hiring someone independently, through a classifieds ad or word of mouth, often looks cheaper, commonly $18 to $28 per hour paid directly. Our caregivers are $65 per hour, or included in care memberships starting at $3,000 biweekly with twenty hours a week of support, and the rest of this page explains exactly what those differences buy, because the gap between those numbers is not padding. It is everything that happens when something goes wrong, and someone eventually always calls out sick, gets hurt, or notices something worrying. For the full market picture, see our honest guide to home care costs in Las Vegas.
Should you hire a caregiver independently or through an agency?
Honestly: hiring independently can work, and for some families on tight budgets it is the only option, so here is the clear-eyed version of what you are taking on. When you hire privately, you become an employer. That usually means payroll taxes and workers' compensation exposure most families never set up, no coverage when your caregiver is sick or quits, no supervisor to call when care slips, and a background check only if you run one yourself. If the caregiver is hurt lifting your father, that liability can land on your homeowner's policy. None of this means independent caregivers are bad people; many are wonderful. It means the family is carrying, alone and usually unknowingly, everything an agency exists to carry: vetting, training, backup, supervision, insurance, and accountability.
Hiring Independently
The family carries it
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You become the employer: payroll taxes, workers' comp exposure
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No backup when the caregiver is sick or quits
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No supervisor to call when care slips
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Background check only if you run one yourself
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Liability can land on your homeowner's policy
Licensed Agency
The agency carries it
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Vetted, trained caregivers before day one
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Backup coverage when someone calls out
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Supervision, with someone accountable to call
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Background checks required by Nevada law
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Insurance and accountability held by the agency
Our rule for families who go the independent route anyway: run a real background check, verify any certification with the state, call references, put the arrangement in writing, and talk to your CPA about the employment taxes. And if that list is exactly what you were hoping to avoid, that is what agencies are for.
What makes an Apex caregiver different?
We hire certified nursing assistants, people with state Board of Nursing certification and, in most cases, real facility experience, and then train them beyond their certification through our own in-house program before their first shift. They work within our personal care scope, which means the person helping your mother bathe has hospital-grade training for a role most agencies staff with minimal-training aides. Every caregiver passes an FBI-level fingerprint background investigation, TB screening, drug screening, and license verification before they ever enter a client's home, that is Nevada law for licensed agencies like ours, and our files prove it. And then the part that makes the whole system work: every shift produces a written note, and a registered nurse, one of the two of us who own this practice, reads every single one. When a caregiver notices the appetite change, it does not die in a notebook. It reaches a nurse the same day, and the nurse acts.
Before an Apex Caregiver Ever Enters a Home
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FBI-level fingerprint background investigation
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TB screening
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Drug screening
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State certification verified with the Board of Nursing
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Our in-house training program, beyond their certification, completed before the first shift
Required of licensed Nevada agencies like ours, and our files prove it.
"When a caregiver notices the appetite change, it does not die in a notebook."
That same-day nursing review is the heart of our concierge nursing practice.
Tell us what's going on. Get a nurse's honest read.
Why does the same caregiver matter?
Because care built on rotating strangers is not really care, it is coverage. Consistency is where trust forms, where dignity survives the intimacy of bathing and dressing, and where the noticing happens, you cannot spot that something is off about someone you met an hour ago. We build small, matched teams and keep them, chosen for skills and for fit, because the caregiver your father actually likes is worth three he tolerates. For families navigating dementia, this matters even more, and we wrote a full guide to dementia care at home explaining why consistency is, quite literally, the treatment.
How fast can care start?
We typically begin support within 72 hours of the free in-home assessment, with the full matched team built over the following weeks, and we tell every family that timeline honestly upfront, because a hand-picked team is worth a short ramp, and a same-day stranger is how the horror stories start. If your situation is urgent, say so when you call; nurses are good in urgent situations.
Teams scale as needs change, from a few visits a week all the way to around-the-clock care.
Start with a specialist's eyes on your situation
Every family starts with a free in-home nursing assessment from one of the owners: an unhurried visit, a written plan, and an exact price, yours to keep whether or not you hire us. And before you sign with anyone, us included, use the free checklist in our resource library of questions to ask any home care agency. Take the free two-minute Home Safety Check, or call the owners directly
Halston Juracka, RN-BSN · (702) 843-7402
Kayla Juracka, RN-BSN · (702) 280-4348
Email: admin@apexhomenursing.com
BOOK YOUR 15-MINUTE NURSE CALL FOR MORE INFORMATION
HJ
About the owners
Halston Juracka, RN-BSN, CBIS and Kayla Juracka, RN-BSN are the registered-nurse owners of Apex Home Nursing Services, a premium private-pay home care agency serving Summerlin, Henderson, and the greater Las Vegas valley. Halston is a Certified Brain Injury Specialist and nurse educator. They founded Apex to give referral partners a clinically serious, reliable resource and to give families nurse-led care that actually keeps people safe at home.
References
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U.S. Centers for Disease Control and Prevention. Facts About Falls, Older Adult Fall Prevention, 2026. cdc.gov/falls
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Reducing Hospital Readmissions, StatPearls, NCBI, 2024; and 30-day readmission analyses among older adults. ncbi.nlm.nih.gov
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Genworth and CareScout 2024 Cost of Care Survey; Nevada cost data. payingforseniorcare.com/nevada
This guide is general educational information, not medical, legal, or financial advice. Apex Home Nursing Services is an RN-owned, private-pay personal care agency in Las Vegas, Nevada. Registered nursing services, where applicable, are provided by the RN owners under their own Nevada licenses, coordinated by, not provided by, the agency.
