REQUIRED Complete these forms to begin services:
Online handbook: silverhomecarepa.com/handbook | Questions: 800-719-6912

📜 Welcome Letter

Dear Client,

Thank you for choosing Silver Home Care. This handbook contains everything you need to know about our services, your rights, and how we work together.

What You'll Find Here:

  • • Our contact information and hours
  • • Services we provide
  • • Your rights and responsibilities
  • • How to reach us
  • • Billing and payment information

How to Use This Handbook:

  • • Use the Table of Contents below to find specific topics
  • Download a PDF copy using the button in the Acknowledgment section
  • Contact us at 800-719-6912 if you need a printed copy

Please keep this handbook handy for reference. If you have any questions, call us at 800-719-6912.

Sincerely,
Kelly Schmunk
Administrator

Section 1

📘 Welcome to Your Client Handbook

Your complete guide to understanding our services, your rights, and what to expect from Silver Home Care. We are dedicated to providing compassionate, person-centered care that respects your independence and dignity.

Your Rights

You have the right to receive quality care, be treated with respect, and participate in decisions about your care.

Open Communication

We encourage you to share your feedback, preferences, and concerns so we can better serve you.

Silver Home Care

Office Address

680 Lincoln Hwy
Fairless Hills, PA 19030

Main Office (24-hour line)

800-719-6912

Website

www.silverhomecare.com

Prepared by: Kelly Schmunk, Administrator
Last Updated: 7/1/2025

Reception area of a modern medical facility

📑 Table of Contents

Click any section to jump directly to it

📝 Client Handbook Acknowledgment

This Client Handbook has been provided to you electronically. You can access it online at any time and download a PDF copy for your records.

📥 Download PDF

Save a copy for your records

🖨️ Print Copy

Request a printed handbook

Need help? Contact us at 800-719-6912 or [email protected] if you need assistance accessing this handbook or would like a printed copy mailed to you.

⚡ Quick Reference Cards

Important Contacts

Main Office (24/7) 800-719-6912
On-Call Supervisor Press 2
Kelly Schmunk, Administrator 267-547-0310
Patti Carvahlo, Staffing Manager 954-520-2843

🚨 For emergencies, always call 911 first!

Key Takeaways

  • You have the right to refuse services at any time
  • Report any concerns to the Elder Abuse Hotline
  • A supervisor is available 24/7 for urgent needs
  • Give 24-hour notice for cancellations when possible
  • You will receive 10 days notice before service changes
  • Your information is kept confidential

💜 Questions? We're here to help!

Section 2

🏢 Company Overview

2.1 Business Location & Contact Information

📍 Mailing Address & Office Location

Silver Home Care
680 Lincoln Hwy
Fairless Hills, PA 19030

📞 Phone Numbers

  • Main Office (24-hour line): 800-719-6912
  • On-Call Supervisor: Press 2 from the main number
  • Kelly Schmunk, Administrator: 267-547-0310
  • Patti Carvahlo, Staffing Manager: 954-520-2843

We make every effort to answer calls as they come in. If we're unavailable, your call will be returned as quickly as possible — typically the same day, and always by the end of the next business day. Urgent care-related needs can arise at any time, and a supervisor is on call 24 hours a day to respond.

For emergencies, always call 911 first. Then notify the office if the emergency affects your care or schedule.

2.2 Hours of Operation

Day Office Hours
Monday 9:00 AM – 5:00 PM
Tuesday 9:00 AM – 5:00 PM
Wednesday 9:00 AM – 5:00 PM
Thursday 9:00 AM – 5:00 PM
Friday 9:00 AM – 5:00 PM
Saturday Closed
Sunday Closed

Note: Clients receiving care outside these hours still have 24/7 access to support via our on-call line at 800-719-6912.

2.3 Services We Provide

We offer a range of non-medical home care services, including:

Personal Assistance Services (PAS) – CHC Medicaid
Long-Term Care – Veterans Programs
Personal Care (ADLs)
Companionship
Housekeeping
Transportation
Medication Reminders (non-administration)
Respite Care for family caregivers

For more details, see Section 8: Description of Services.

2.4 Licensing, Medicaid, and Accreditation

🏛️ Licensed by

  • PA Department of Health, Home Care Agency License #3131601
  • Medicaid Provider under Community Health Choices (CHC)

🏥 Authorized Managed Care Organizations (MCOs)

  • PA Health and Wellness
  • UPMC
  • Keystone First

We operate in full compliance with:

  • 28 Pa. Code Chapter 611 (Home Care Agencies)
  • 28 Pa. Code Chapter 52 (CHC Waiver Services)
  • All applicable federal, state, and contractual guidelines

We are committed to ethical practices, transparency, and legal compliance. You may request to view our license or regulatory policies at any time.

Section 3

💜 Our Mission and Service Philosophy

At Silver Home Care, we improve lives one visit at a time by embracing the values of independence, choice, and Person-centered care. Our philosophy centers on the belief that every individual has the right to shape their own care experience — and that our role is to support that autonomy.

We provide dependable, non-medical home care services tailored to each client's needs and preferences. This means listening, adapting, and building relationships rooted in respect.

Nurse caring for senior woman at home

🎯 Independence and Self-Direction

We believe every individual has the right to:

Live comfortably in their chosen home or community
Make their own decisions about care and lifestyle
Direct their care in ways that align with personal goals and values
Maintain control over how services are delivered
Be supported — not replaced — in their independence

💜 Person-Centered Care

Our services are not one-size-fits-all. They are built around:

Understanding the client as a whole person, not a diagnosis
Respecting cultural, linguistic, spiritual, and familial identity
Adapting care based on ongoing feedback and evolving needs
Partnering with clients to co-create care plans
Honoring preferences — not just tolerating them

🤝 We Involve You In:

Identifying your specific goals and needs
Planning your care and choosing how it is delivered
Evaluating your satisfaction and making changes when needed
Deciding what matters most — and ensuring your care reflects that

We believe the most powerful care is the kind that helps you feel known, respected, and supported — on your terms.

Section 4

⚖️ Client Rights and Responsibilities

At Silver Home Care, we are committed to providing care that respects your dignity, privacy, independence, and individual needs. This section outlines your rights as a client, your responsibilities in the care relationship, and what you can expect from our agency. Understanding these guidelines helps ensure a safe, respectful, and cooperative environment.

4.1 You Have the Right To:

  • Consent to or refuse services at any time.
  • Be cared for by qualified, trained, and competent personnel.
  • Receive complete and understandable information about your service plan.
  • Have full access to the care record maintained by Silver Home Care.
  • Be treated with courtesy, dignity, and respect at all times.
  • Be spoken to in a language or manner that you can understand.
  • Expect privacy and confidentiality regarding your health, personal, and financial circumstances.
  • Speak freely and express yourself without fear of retaliation or judgment.
  • Be free from:
  • Involuntary confinement
  • Physical or chemical restraints
  • Abuse, neglect, exploitation, and intimidation
  • Report suspected abuse to the Elder Abuse Hotline.
  • Receive care that recognizes your individuality.
  • Voice concerns about services provided improperly, not provided, or disrespectful.
  • Be informed of how to initiate complaints without fear of retaliation.
  • Be notified of the cost of services and any increases.
  • Be informed of all laws, regulations, and agency policies that affect your care.
  • Know the names, certifications, and roles of those providing your care.
  • Know who owns any equipment or supplies used in your service.
  • Have your home, belongings, and personal space treated with care and respect.
  • Participate in your care planning process.
  • Receive written documentation of your care plan, caregivers, and agency contact.
  • Express preference for a specific caregiver and request changes.
  • Expect no information released without your written authorization.
  • Receive 10 days notice of service changes (30 days for CHC participants).

4.2 The Agency Is Responsible For:

  • Ensuring that all Direct Care Workers (DCWs) meet Department of Health competency requirements.
  • Reviewing each DCW's competency:
  • At least annually
  • More often, if performance or client needs require
  • Conducting face-to-face interviews with every DCW and independent contractor.
  • Providing ongoing, competent supervision.
  • Maintaining appropriate:
  • General liability insurance
  • Professional liability insurance
  • Worker's compensation coverage
  • Performing:
  • Criminal background checks
  • Child abuse clearances (if applicable)
  • Verifying that background clearances are complete and documented.
  • Informing you whether your caregiver is:
  • An agency employee
  • Or an independent contractor
  • Upholding all applicable standards for:
  • Home care service delivery
  • Federal, state, county, and municipal regulations
  • Labor law compliance
  • Developing contingency plans for emergencies.
  • Handling payroll:
  • Making deductions for Social Security, Medicare, and other taxes
  • Conducting:
  • Client needs assessments with your input
  • Care plan development with you and your care team
  • Coordinating with other professionals as needed.
  • Establishing meaningful, measurable care goals.
  • Providing written documentation of:
  • Services to be delivered
  • Assigned caregivers and service hours
  • Applicable rates and fees
  • Maintaining:
  • Client confidentiality
  • Privacy and dignity
  • A professional code of ethics
  • Avoiding the imposition of personal values or beliefs on clients.
  • Reporting:
  • Signs of elder abuse
  • Health and safety concerns
  • Ensuring DCWs undergo screening for communicable diseases such as tuberculosis.
  • Providing access to:
  • All invoices related to your care, upon request
  • Giving clients the contact information for the PA Department of Health to file complaints.
  • Ensuring that:
  • Staff do not assume Power of Attorney or guardianship over clients
  • Clients do not endorse checks to the agency
  • Ethical boundaries and fiduciary safeguards are upheld

4.3 You Are Responsible For:

  • Providing complete and accurate information about:
  • Your health
  • Medications
  • Abilities or limitations
  • Reporting any changes in your condition.
  • Asking questions if you don't understand any part of your care or plan.
  • Following the service plan — or voicing concerns if it doesn't meet your needs.
  • Accepting the consequences of:
  • Declining services
  • Deviating from the care plan
  • Complying with the service agreement terms.
  • Giving advance notice if you:
  • Need to cancel care
  • Change your schedule
  • Informing the agency about:
  • Any changes to your contact information
  • Healthcare providers
  • Insurance coverage
  • Advance directives
  • Alerting the agency if:
  • You or a family member may have a contagious illness
  • There are environmental risks for caregivers (e.g., unsafe conditions)
  • Ensuring a safe environment, including:
  • Restraining aggressive pets during visits
  • Keeping weapons secure and out of work areas
  • Maintaining a smoke-free space during care hours
  • Treating agency staff and DCWs with:
  • Courtesy
  • Respect
  • Professionalism
  • Protecting the dignity and personal privacy of your caregiver.
  • Never asking staff to act outside the law.
  • Paying bills on time, in accordance with agreed terms.
  • Assuming financial responsibility for:
  • Materials, supplies, or equipment not covered by third parties
  • Giving reasonable notice if service must be cancelled.
  • Not lending or borrowing money or valuables from DCWs.
  • Using discretion regarding any care records or documents stored in your home.
Section 5

🗣️ Communication Support and Language Access

At Silver Home Care, we are committed to ensuring that every client fully understands their rights, care plan, financial responsibilities, and service agreement — regardless of communication barriers. We believe that clear, respectful communication is the foundation of person-centered care.

Language Access Services 🌐

If English is not your primary language, we will provide:

  • Professional interpreters — available by phone or in person
  • Bilingual staff when available
  • Translated materials upon request
  • Assistance understanding key documents

Support for Hearing or Speech Challenges 👂

If you are Deaf, hard of hearing, or non-verbal, we offer:

  • Sign language interpreters, including ASL
  • Captioned communication technology
  • Visual aids, such as picture boards or written instructions
  • Alternative communication tools

🙋 We are committed to honoring your preferred method of communication. If you require a specific support tool or service, please let us know — and we will provide it.

Section 6

💰 Understanding and Paying for Home Care

At Silver Home Care, we understand that navigating the financial side of home care can feel overwhelming. Whether you're paying privately or exploring assistance programs, our team is here to guide you — with clarity, transparency, and respect for your individual situation.

Private Pay 💵

If you choose to pay out-of-pocket, private pay offers maximum flexibility in selecting services and scheduling. We will work with you to develop a plan that reflects your personal needs, goals, and preferences.

Long-Term Care Insurance 🛡️

Many long-term care insurance policies cover non-medical home care services, including personal care and companionship. If you have a policy:

  • We will assist you in understanding what is covered
  • We will help you access your benefits
  • We can provide required documentation or service records to support your claims

Veterans' Assistance 🇺🇸

If you or your spouse is a veteran, you may qualify for assistance programs that pay for home care. These programs can help cover:

  • Personal care services
  • Companionship
  • Light housekeeping
  • Respite care

We are happy to assist with the application process or provide supporting documents.

Community Health Choices (CHC – Medicaid) 🏥

If you meet Medicaid eligibility requirements, you may qualify for home care under Pennsylvania's Community Health Choices (CHC) waiver. This program allows eligible individuals to receive care at home instead of entering a facility. We are contracted with all three CHC Managed Care Organizations:

PA Health and Wellness UPMC Keystone First

We can help you determine eligibility, connect with a Service Coordinator, and enroll in the program if appropriate.

Home Equity Options 🏠

Some clients choose to explore home equity as a way to fund care. This may include:

  • Reverse mortgages
  • Home equity lines of credit (HELOCs)

These tools can help free up funds while allowing you to stay in your home. We recommend consulting a financial advisor to determine if this is a good fit for your long-term goals.

Consult an Elder Law Attorney ⚖️

For complex financial planning, we strongly recommend consulting an elder law attorney. They can help with:

  • Medicaid spend-down strategies
  • Asset protection
  • Irrevocable trusts for Medicaid planning
  • Planning for the financial needs of a surviving spouse
  • Navigating 401(k) accounts or retirement withdrawals
  • Ensuring your decisions align with long-term goals

Even a brief consultation can provide clarity and help prevent costly mistakes.

Additional Financial Assistance 💲

The Eldercare Financial Assistance Locator is a free tool that helps families identify programs that may help cover care costs. It includes over 400 resources from federal, state, and local agencies, as well as private and nonprofit programs.

Visit: www.payingforseniorcare.com/longtermcare/resources/locator_tool.html

🙋 We're Here to Help

Whether you're paying privately, relying on insurance, or exploring state-funded programs, Silver Home Care is here to support you. We will work with you to find solutions that meet your needs — with honesty, compassion, and respect.

Section 7

Billing and Payment Policies

At Silver Home Care, we are committed to transparent, flexible, and client-friendly billing practices. Our goal is to make payment easy to understand and stress-free — whether you're paying privately, using long-term care insurance, or receiving covered services through a third-party program.

Payment Terms

  • Billing is issued weekly based on the services provided
  • Invoices are itemized, showing dates, services rendered, and charges
  • Payments are due weekly, unless otherwise agreed

Accepted Payment Methods

Personal check Credit or debit card Automatic bank withdrawal Cash App Venmo Zelle

Please let us know which method you prefer. We can set up recurring payments or assist you with digital options if needed.

Payment Support

If you're experiencing financial hardship or anticipate difficulty making a payment, contact us right away. We will work with you to explore solutions before a disruption in service occurs.

Medicaid or Third-Party Coverage

If your services are paid for by Community HealthChoices (CHC) or another program:

  • You will not receive a bill from Silver Home Care
  • No out-of-pocket charges will apply for covered services
  • You are still responsible for informing us of any insurance changes, loss of coverage, or notices you receive about your plan

Please Note:

Medicaid fraud — including false documentation, unauthorized care hours, or financial arrangements between client and caregiver — is a serious offense. (See Section 16 for full policy.)

Questions About Your Bill?

We want you to feel confident and informed. If you have any questions about your charges, payments, or balances, please contact us directly. We're happy to review your account, explain any charges, and make adjustments if necessary.

Section 8

Description of Services

Silver Home Care provides a full range of non-medical home care services designed to support your independence, enhance your well-being, and make daily life easier and safer. Our services are personalized to meet your specific needs and delivered with respect, kindness, and professionalism.

Companionship

Companionship services help reduce loneliness, promote emotional well-being, and provide meaningful social interaction. Services may include:

  • Friendly conversation and emotional support
  • Accompaniment on walks or errands
  • Games, puzzles, or other hobbies
  • Monitoring for safety and comfort

Companionship is especially valuable for individuals who live alone or are isolated from friends and family.

Personal Care (ADLs – Activities of Daily Living)

Personal care services support clients with essential daily tasks while maintaining dignity and independence. This includes assistance with:

Bathing or showering Dressing and undressing Toileting and incontinence care Mobility support and transfers Grooming, oral hygiene, and hair care Skin care (non-medicated, non-prescriptive)

Caregivers are trained to provide hands-on assistance while respecting your preferences and privacy.

Instrumental Activities of Daily Living (IADLs)

These services support independent living by helping with tasks that go beyond basic care. Services may include:

  • Meal preparation (including dietary preferences)
  • Grocery shopping or running errands
  • Light housekeeping (laundry, dishes, vacuuming)
  • Transportation to medical appointments or community outings
  • Scheduling appointments or helping with reminders

These supports can be vital for clients who want to remain in their homes with confidence and control.

Medication Reminders

Our caregivers provide reminders only — they do not administer medication.

We will:

  • Remind you to take medications at the scheduled time
  • Offer water and observe as you take medications
  • Notify the office and/or family of missed doses
  • Record reminders in daily notes for transparency

Note: All medications must be pre-filled in a pill organizer by a family member, nurse, or pharmacist. Caregivers may not fill pillboxes or handle loose medication.

Respite Care

For family caregivers who need time off, respite care provides peace of mind by ensuring your loved one is cared for in their absence. This can be short-term or ongoing, and includes:

  • All standard personal care and companionship services
  • Supervision during caregiver breaks, appointments, or travel
  • Flexible scheduling — daily, weekly, or as needed

Respite care helps families avoid burnout while ensuring continuity of care.

All services are defined and authorized in your care plan, which is developed collaboratively before care begins and updated regularly. (See next section.)

Section 9

Care Plan Development

Nurse, senior man and tablet on sofa with smile for wellness

At Silver Home Care, we believe that each client is the author of their own story — and our role is to support that story with dignity, consistency, and personalized care.

1

Pre-Visit Call

Before your in-person assessment, we complete a brief phone call to gather basic information about your current situation, support needs, medical concerns, and scheduling preferences.

2

Initial Assessment

A member of our care team will meet with you to complete a comprehensive assessment covering medical conditions, medications, allergies, mobility, cognitive considerations, home environment, and emergency contacts.

3

Care Plan Creation

We create a written care plan outlining tasks, type and level of assistance needed, schedule, precautions, goals, and supervisory oversight. We review the plan with you to ensure accuracy — nothing is finalized without your approval.

4

Review and Revisions

Care plans are living documents. We review and update them regularly — especially when there is a hospitalization, change in condition, or when you request a change.

Please have the following information available:

Medication List Medical Diagnoses Provider Contact Info Power of Attorney Allergies Insurance Cards Emergency Contacts
Section 10

Direct Care Worker Selection & Training

At Silver Home Care, our Direct Care Workers (DCWs) are the heart of what we do. We are committed to selecting compassionate, reliable individuals — and giving them the tools, training, and supervision they need to provide safe, respectful, person-centered care.

We do not believe that a good caregiver is defined by a resume. We look for people with the right temperament, not just the right experience — people who are kind, accountable, and invested in making a difference.

Hiring & Background Screening

All applicants go through a rigorous hiring process, including:

Face-to-face interviews Reference checks PA criminal background checks FBI fingerprinting Medicaid exclusion screening Social Security number verification

We also verify work authorization and collect tax documentation. Candidates may be hired provisionally while background checks are pending, but continued employment is contingent on clean results.

🔎 Undisclosed criminal records result in immediate dismissal. Disclosed records are evaluated through an individualized risk assessment, in line with current Pennsylvania law. We follow OLTL guidance, which prohibits blanket bans based solely on past convictions.

Drug Testing & Fitness for Duty

  • Pre-employment drug testing is required
  • All employees must attest that they will not use any substance — including over-the-counter or prescription medications — that may impair their ability to work safely
  • Legally prescribed substances permitted under Pennsylvania law do not disqualify candidates, but must not interfere with performance

Note: If you suspect that a caregiver is impaired or unwell while on shift, notify the agency immediately.

Training & Competency

Before beginning care, all Direct Care Workers must:

  1. 1. Pass a basic competency exam, covering topics required by the Department of Health
  2. If a candidate does not pass, we provide targeted training and retesting
  3. 2. Complete orientation, which includes both agency policies and role expectations

Within the first 90 days of employment, all DCWs complete comprehensive training on essential topics, including:

Abuse, neglect, and exploitation prevention Activities of daily living (ADLs) Instrumental tasks (IADLs) Avoiding Medicaid fraud Bathing, dressing, and personal hygiene Client abandonment and professional boundaries Handling complaints Communication challenges Client rights and autonomy HIPAA and confidentiality Recognizing changes in condition Financial exploitation prevention Meal preparation and nutrition Incident and emergency reporting Fall prevention and mobility safety Toileting and incontinence care Standard precautions Infection control Person-centered care planning Cultural sensitivity Emotional regulation Difficult behaviors Continuous quality improvement

Ongoing training, supervision, and annual performance reviews ensure that our staff remains compliant, prepared, and accountable.

Our goal is to match each client with caregivers who reflect Silver Home Care's core values — kindness, respect, accountability, inclusivity, and professionalism. If you ever feel that a caregiver is not the right fit, we welcome your feedback and will do our best to make adjustments.

Section 11

Your Rights: Protection from Abuse, Neglect, and Exploitation

At Silver Home Care, your safety and dignity come first. You have the absolute right to be free from abuse, neglect, exploitation, intimidation, and restraints — and we take that responsibility seriously.

All employees, contractors, and volunteers are mandated reporters, meaning they are legally required to report any known or suspected abuse, neglect, or exploitation of a client. In certain situations, reports may be made without your prior knowledge to ensure your safety.

Definitions of Harm

You are protected from the following:

Abuse

Any action that causes harm — physically, emotionally, or sexually. This includes:

  • • Hitting, slapping, grabbing
  • • Threats or intimidation
  • • Unwanted or inappropriate touching
  • • Verbal insults or manipulation

Neglect

Failure to provide necessary care. This can include:

  • • Withholding food, medication, or hygiene assistance
  • • Leaving a client without supervision when care is required
  • • Ignoring safety needs or emotional well-being

Self-Neglect

When a person is unable to care for their own basic needs due to illness, disability, or cognitive decline. This may include:

  • • Poor hygiene
  • • Missed medications
  • • Unsafe living conditions
  • • Lack of nutrition or hydration

This is not the same as making independent choices — it's about identifying when someone cannot care for themselves safely and needs additional support.

Exploitation

Taking advantage of someone — often financially. This includes:

  • • Stealing money or property
  • • Coercing someone to sign documents
  • • Gaining access to debit cards, checks, or accounts
  • • Pressuring a client to buy gifts or "loan" money

Intimidation

Any behavior meant to frighten, pressure, or silence someone — including verbal abuse, threats, or manipulation.

Restraints

Use of physical restraints or medications to control someone's behavior is strictly prohibited unless ordered by a physician and part of a licensed medical treatment plan. This does not apply to Silver Home Care, as we do not provide medical care.

Reporting and Support

If you feel unsafe, uncomfortable, or believe your rights are being violated in any of these ways:

You may also contact the Area Agency on Aging Ombudsman or the PA Department of Health (see Section 13 for full list). We will support you and take all concerns seriously. You will not face retaliation for speaking up.

Section 12

Client Safety and Emergencies

At Silver Home Care, we take your safety seriously — not just as a policy, but as a core responsibility. We've developed procedures and training to make sure we're prepared for emergencies, attentive to risks, and proactive about prevention.

Direct Care Worker Safety Training

All DCWs receive training in emergency response, first aid, fall prevention, CPR, infection control, and client-specific safety needs.

Emergency Preparedness

We maintain an agency-wide emergency preparedness plan including response procedures for natural disasters, power outages, and extreme weather.

Personal Emergency Kit Recommendations:

Flashlights 3 days' medication Emergency contacts Care plan copy Nonperishable food Cell phone charger
Section 13

Complaints and Grievances

At Silver Home Care, your experience matters — and so does your voice. If you ever feel concerned, uncomfortable, or dissatisfied with any part of your care, we encourage you to speak up. You have the right to express complaints without fear of retaliation, and we are committed to resolving concerns promptly and respectfully.

How to File a Complaint

You can file a complaint in any of the following ways:

  • Call the office at 800-719-6912 and ask to speak with Kelly Schmunk, Administrator
  • Send an email to [email protected]
  • Submit a written complaint (we can provide a complaint form upon request)
  • Report an issue directly to your Service Coordinator or Managed Care Organization (if applicable)

We welcome complaints submitted by clients, family members, caregivers, or advocates.

What Happens Next

1

Review & Investigation

Our team will look into the matter thoroughly and confidentially.

2

Response

We will follow up with you to explain what actions will be taken and to clarify any next steps.

3

Resolution

We'll make every effort to correct the problem, address your concerns, and improve your care experience.

If You're Not Satisfied

If you feel that your complaint was not resolved — or if you prefer to report your concern to an outside authority — you may contact:

State Agencies and Advocacy Contacts

PA Department of Health – Complaint Hotline

1-800-254-5164

Home Care Licensure Office

717-783-1379 or 1-800-222-0989

Adult Protective Services (APS)

1-800-243-3767

(For reports of abuse, neglect, exploitation, or self-neglect)

Area Agencies on Aging

Bucks County Department of Aging

267-880-5716

Montgomery County Department of Aging

610-278-3601

Philadelphia Corporation for Aging

215-765-9000

Ombudsman Program – Pennsylvania Department of Aging

The Ombudsman is a neutral third party who helps advocate for your rights.

717-783-8975

We want to know when things go wrong so we can make them right — and make our care better for everyone. Your feedback helps us grow.

Section 14

Home Surveillance Guidelines

At Silver Home Care, we respect your right to protect your home and feel secure. Some clients choose to install video or audio surveillance equipment for peace of mind. We support the responsible use of such systems, provided that the privacy and dignity of caregivers are also protected.

This section outlines our expectations around in-home monitoring to ensure a safe, respectful environment for both clients and staff.

Your Right to Use Surveillance

The choice to use video surveillance in your home is yours to make. You are not required to notify Silver Home Care or your Direct Care Worker (DCW) about the presence or location of surveillance equipment.

However, we ask that you use these systems responsibly and ethically.

Privacy Requirements

To protect the dignity of caregivers, surveillance must not be placed in:

  • Bathrooms
  • Any space where a caregiver would reasonably expect personal privacy

Use of Recordings

  • If a caregiver is recorded while on duty, those recordings may not be shared with anyone outside your immediate care team.
  • Recordings should only be shared with:
  • • The Silver Home Care office
  • • Adult Protective Services or other appropriate authorities
  • • Law enforcement, if required for legal matters

Recordings must never be posted online or shared on social media, even with identifying information blurred or removed.

Expectations for Staff

Our caregivers are trained to conduct themselves with professionalism and integrity at all times — whether or not surveillance is present. Surveillance should never be a substitute for open communication or supervisory feedback.

If you have a concern about a caregiver, please contact the office directly.

We are committed to safety, trust, and mutual respect. These guidelines are designed to uphold those values for everyone involved.

Section 15

Scheduling and Communication Protocols

Clear communication and thoughtful scheduling are essential to consistent, high-quality care. This section outlines how to request schedule changes, what to expect when things shift, and how to maintain respectful boundaries between clients and caregivers.

Communicating with Direct Care Workers

We understand that building a personal connection with your caregiver is a natural and valuable part of the care relationship. However, to protect everyone's time and privacy:

  • Please limit contact with your caregiver to their scheduled work hours.
  • It's okay to exchange phone numbers for coordination during shifts (e.g., if you need to step out or discuss an errand).
  • It is not okay to contact them outside of scheduled hours for:
  • • Absences or lateness
  • • Schedule changes
  • • Personal issues or requests

Caregivers are instructed to redirect all off-hours communication to the agency. This ensures that your needs are addressed promptly and that staff boundaries are respected.

How to Request Schedule Changes

For all scheduling needs — including caregiver preferences, cancellations, or temporary changes — contact:

Patti Carvahlo, Staffing/Scheduling Manager

954-520-2843 (call or text during business hours)
[email protected]

Policy on Schedule Adjustments

  • Please provide at least 7 days' notice for planned schedule changes or cancellations whenever possible.
  • We do our best to maintain consistent caregiver assignments, but rare substitutions may be necessary due to caregiver availability or emergencies.
  • You will always be notified of any changes, and you have the right to decline a substitute if you prefer.

If a Caregiver is Late or Absent

If your caregiver is unavailable or running late:

  • We will notify you as soon as we're aware
  • We will offer a replacement if one is available
  • If no one is available, you'll be informed and given the option to reschedule

We know how disruptive missed shifts can be and we'll always do our best to minimize interruptions.

When to Notify the Office Immediately

Please inform us as soon as possible if any of the following occur:

  • • A fall, injury, ER visit, or hospitalization
  • • A noticeable change in your health or condition
  • • A change to your home environment or living situation
  • • Upcoming surgeries, travel, or major events
  • • You have concerns about your caregiver's performance or professionalism
  • • You experience missed visits or recurring scheduling problems

You may also contact the office if you believe your care plan needs to be updated or if you're experiencing changes in ability, safety, or preferences.

Required Check-Ins and Visits

As part of our regulatory obligations, we will conduct:

Quarterly Phone Check-ins

To review your care, confirm satisfaction, and address concerns

Six-Month In-Home Visits

To update your care plan and ensure services remain appropriate

Your participation helps us provide care that reflects your current needs.

After a Hospitalization or Rehab Stay

To ensure a safe and smooth return home:

  • We do not provide transportation from the hospital. Please make arrangements in advance.
  • Let the hospital social worker know that you are receiving home care and will need coordination before discharge.
  • Notify us as soon as you know your discharge date.
  • • We require at least 48 hours' notice to resume care
  • • Same-day coverage may not be available
  • We will schedule a home visit and update your care plan based on any new needs or changes from your hospital stay
  • Please provide a copy of your discharge instructions

This process helps us resume services safely, with the right supports in place.

Section 16

Financial Boundaries and Medicaid Fraud Prevention

At Silver Home Care, we are committed to protecting both our clients and staff from financial harm, misunderstandings, or inappropriate situations. That means setting clear boundaries and educating clients and caregivers alike about what is — and is not — permitted when it comes to financial matters.

We also take our responsibility as a Medicaid provider seriously. Any participation in Medicaid fraud, even unintentionally, can lead to serious consequences for everyone involved.

Financial Boundaries: What Caregivers Can and Cannot Do

Direct Care Workers (DCWs) may only assist with financial tasks that are clearly written in the care plan. If a task is not listed, it is not permitted.

Caregivers May Assist With:

  • Writing checks only for your approved expenses
  • • You must review and sign the check yourself
  • • Pre-signing is not allowed
  • Using cash, debit, or credit cards to make purchases only with your permission and only for approved tasks
  • Collecting and returning receipts and change to you immediately after each purchase

Caregivers May Not:

  • • Hold, manage, or store your checks, cards, or banking info
  • • Know or use your PIN numbers
  • • Withdraw money from an ATM
  • • Become an authorized user or account representative
  • • Accept money, loans, or gifts of significant value
  • • Sell you goods or services
  • • Ask you to sign anything you don't fully understand

These boundaries exist to protect both you and the caregiver — and to prevent conflicts of interest, theft, or even false allegations.

Your Responsibilities

As a client, you agree to:

  • Remain actively involved in all financial decisions and transactions
  • Report any suspicious activity immediately
  • Never ask a caregiver to make purchases or handle tasks that fall outside of their scope
  • Never loan money or items of value to a caregiver
  • Keep payment tools (checks, cards, cash) in a secure location
  • Let us know if you are no longer able to manage these responsibilities

If you need help managing finances, we can refer you to community resources, elder law attorneys, or social service programs.

Medicaid Fraud Prevention

If you are receiving services under Community HealthChoices (CHC) or another Medicaid-funded program, you are responsible for honestly participating in the documentation of your care.

Examples of Medicaid fraud include:

Manipulating Electronic Visit Verification (EVV)

  • • Logging hours that were not worked
  • • Falsifying visit times or care tasks
  • • Signing off on care that didn't happen

Splitting Payments or Creating Fake Arrangements

  • • Agreeing to "split" payment with your caregiver
  • • Falsifying schedules for extra hours
  • • Claiming care was provided when it wasn't

Misusing Care Hours

  • • Allowing caregivers to use care time for personal tasks
  • • Letting caregivers sleep, run errands, or "hang out" during paid time
  • • Signing off on time sheets that don't match what happened

Even if you don't directly benefit, participating in or ignoring these actions makes you legally responsible.

Protecting the Program (and Yourself)

The Medicaid system exists to serve those who need it. Misuse of these funds puts the entire program at risk — and can result in:

  • • Immediate termination of services
  • • Investigation by state authorities
  • • Permanent disqualification from home care programs
  • • Legal action or financial penalties

We're here to provide honest, ethical care — and that only works when everyone involved commits to the same standard.

Section 15

Scheduling and Communication Protocols

Clear communication and thoughtful scheduling are essential to consistent, high-quality care. This section outlines how to request schedule changes, what to expect when things shift, and how to maintain respectful boundaries between clients and caregivers.

Communicating with Direct Care Workers

We understand that building a personal connection with your caregiver is a natural and valuable part of the care relationship. However, to protect everyone's time and privacy:

  • • Please limit contact with your caregiver to their scheduled work hours.
  • • It's okay to exchange phone numbers for coordination during shifts (e.g., if you need to step out or discuss an errand).
  • • It is not okay to contact them outside of scheduled hours for:
  • - Absences or lateness
  • - Schedule changes
  • - Personal issues or requests

Caregivers are instructed to redirect all off-hours communication to the agency. This ensures that your needs are addressed promptly and that staff boundaries are respected.

How to Request Schedule Changes

For all scheduling needs — including caregiver preferences, cancellations, or temporary changes — contact:

Patti Carvahlo, Staffing/Scheduling Manager

954-520-2843 (call or text during business hours)
[email protected]

Policy on Schedule Adjustments

  • Please provide at least 7 days' notice for planned schedule changes or cancellations whenever possible.
  • We do our best to maintain consistent caregiver assignments, but rare substitutions may be necessary due to caregiver availability or emergencies.
  • You will always be notified of any changes, and you have the right to decline a substitute if you prefer.

If a Caregiver is Late or Absent

If your caregiver is unavailable or running late:

  • We will notify you as soon as we're aware
  • We will offer a replacement if one is available
  • • If no one is available, you'll be informed and given the option to reschedule

We know how disruptive missed shifts can be and we'll always do our best to minimize interruptions.

When to Notify the Office Immediately

Please inform us as soon as possible if any of the following occur:

A fall, injury, ER visit, or hospitalization
A noticeable change in your health or condition
A change to your home environment or living situation
Upcoming surgeries, travel, or major events
Concerns about your caregiver's performance or professionalism
Missed visits or recurring scheduling problems

You may also contact the office if you believe your care plan needs to be updated or if you're experiencing changes in ability, safety, or preferences.

Required Check-Ins and Visits

As part of our regulatory obligations, we will conduct:

Quarterly Phone Check-ins

Review your care, confirm satisfaction, and address concerns

Six-Month In-Home Visits

Update your care plan and ensure services remain appropriate

Your participation helps us provide care that reflects your current needs.

After a Hospitalization or Rehab Stay

To ensure a safe and smooth return home:

  • We do not provide transportation from the hospital. Please make arrangements in advance.
  • Let the hospital social worker know that you are receiving home care and will need coordination before discharge.
  • Notify us as soon as you know your discharge date.
  • - We require at least 48 hours' notice to resume care
  • - Same-day coverage may not be available
  • We will schedule a home visit and update your care plan based on any new needs or changes from your hospital stay
  • Please provide a copy of your discharge instructions

This process helps us resume services safely, with the right supports in place.

Section 16

Financial Boundaries and Medicaid Fraud Prevention

At Silver Home Care, we are committed to protecting both our clients and staff from financial harm, misunderstandings, or inappropriate situations. That means setting clear boundaries and educating clients and caregivers alike about what is — and is not — permitted when it comes to financial matters.

We also take our responsibility as a Medicaid provider seriously. Any participation in Medicaid fraud, even unintentionally, can lead to serious consequences for everyone involved.

Financial Boundaries: What Caregivers Can and Cannot Do

Direct Care Workers (DCWs) may only assist with financial tasks that are clearly written in the care plan. If a task is not listed, it is not permitted.

Caregivers May Assist With:

  • Writing checks only for your approved expenses
  • - You must review and sign the check yourself
  • - Pre-signing is not allowed
  • Using cash, debit, or credit cards to make purchases only with your permission and only for approved tasks
  • Collecting and returning receipts and change to you immediately after each purchase

Caregivers May NOT:

  • • Hold, manage, or store your checks, cards, or banking info
  • • Know or use your PIN numbers
  • • Withdraw money from an ATM
  • • Become an authorized user or account representative
  • • Accept money, loans, or gifts of significant value
  • • Sell you goods or services
  • • Ask you to sign anything you don't fully understand

These boundaries exist to protect both you and the caregiver — and to prevent conflicts of interest, theft, or even false allegations.

Your Responsibilities

As a client, you agree to:

  • Remain actively involved in all financial decisions and transactions
  • Report any suspicious activity immediately
  • Never ask a caregiver to make purchases or handle tasks that fall outside of their scope
  • Never loan money or items of value to a caregiver
  • Keep payment tools (checks, cards, cash) in a secure location
  • Let us know if you are no longer able to manage these responsibilities

If you need help managing finances, we can refer you to community resources, elder law attorneys, or social service programs.

Medicaid Fraud Prevention

If you are receiving services under Community HealthChoices (CHC) or another Medicaid-funded program, you are responsible for honestly participating in the documentation of your care.

Manipulating Electronic Visit Verification (EVV)
  • • Logging hours that were not worked
  • • Falsifying visit times or care tasks
  • • Signing off on care that didn't happen
Splitting Payments or Creating Fake Arrangements
  • • Agreeing to "split" payment with your caregiver
  • • Falsifying schedules for extra hours
  • • Claiming care was provided when it wasn't
Misusing Care Hours
  • • Allowing caregivers to use care time for personal tasks
  • • Letting caregivers sleep, run errands, or "hang out" during paid time
  • • Signing off on time sheets that don't match what happened

Even if you don't directly benefit, participating in or ignoring these actions makes you legally responsible.

Protecting the Program (and Yourself)

The Medicaid system exists to serve those who need it. Misuse of these funds puts the entire program at risk — and can result in:

Immediate termination of services
Investigation by state authorities
Permanent disqualification from home care programs
Legal action or financial penalties

We're here to provide honest, ethical care — and that only works when everyone involved commits to the same standard.

Section 17

Advance Directives and Future Planning

Planning ahead helps ensure that your health care choices are respected — even if you're unable to speak for yourself.

Living Will

Specifies the types of medical treatment you do or do not want if you become seriously ill or unconscious.

Health Care Power of Attorney

Appoints someone you trust to make medical decisions on your behalf if you are unable to do so.

How to Create One in Pennsylvania:

  1. Access free forms from the Pennsylvania Department of Health website
  2. Complete the forms indicating your treatment preferences
  3. Sign in the presence of two adult witnesses (age 18+)
  4. Share copies with your provider, family, caregiver, and Silver Home Care
Section 18

Termination of Services

At Silver Home Care, we are committed to providing reliable, respectful, and person-centered care. However, there may be circumstances in which services are ended.

Reasons We May Terminate Services

  • • Non-payment or repeated late payment
  • • Behavior that creates an unsafe or hostile environment
  • • Physical, emotional, verbal, or financial abuse directed at staff
  • • Repeated cancellations or refusal of scheduled care
  • • Involvement in fraudulent activity
  • • Violation of boundaries related to finances or medications
  • • Health or environmental conditions that pose an unmanaged safety risk
  • • Inability to provide appropriate care due to significant change in needs
  • Notice Requirements

    • • Most cases: 10 days written notice
    • • CHC participants: 30 days written notice
    • • Urgent situations: May terminate immediately without advance notice

    If You Choose to Terminate

    • • Notify the agency in writing or by phone
    • • We ask for at least 24 hours' notice
    • • If enrolled in CHC, we will inform your Service Coordinator
    Section 19

    Incident Notification Policy

    Silver Home Care is committed to maintaining the safety and well-being of every client. We will promptly notify your authorized contact person in the event of a serious health event, injury, or environmental concern.

    Who Will Be Notified?

    • • Your Power of Attorney (POA)
    • • Your legal guardian
    • • Or the authorized representative listed in your file
    • • For CHC participants, we may also notify your Service Coordinator

    Health-Related Incidents

    • • A fall, regardless of injury
    • • Any injury during a shift
    • • Medical emergencies, 911 calls, hospital admission
    • • Sudden change in condition
    • • Signs of possible infection

    Environmental Concerns

    • • Unsafe living conditions
    • • Presence of bedbugs or rodents
    • • Lack of food or basic necessities
    • • Fire hazards or blocked exits
    • • Malfunctioning equipment

    We will notify your representative by phone as soon as possible, based on urgency. If we are unable to reach them, we will leave a message and continue to attempt contact. A written incident report will be completed internally.

    Sections 20-21

    Your Privacy and Information Sharing

    At Silver Home Care, your privacy is one of our highest priorities. We are committed to protecting your personal, health, and financial information.

    What Information We Keep

    Contact details Medical history Medications & allergies Service plan & care notes Insurance information Authorized representatives

    When We Share Information

    • To provide or coordinate your care
    • To update your authorized contact (POA or representative)
    • To communicate with your Service Coordinator or insurance provider
    • To respond to emergencies or urgent medical needs
    • To comply with laws and reporting requirements (e.g., APS or Department of Health)

    Mandated Reporting

    Silver Home Care is a mandated reporter under Pennsylvania law. If we observe or suspect abuse, neglect, self-neglect, or financial exploitation, we are legally required to file a report with Adult Protective Services — even without your consent.

    Adult Protective Services Hotline: 1-800-243-3767

    Your Rights

    Request a copy of your records Know who we've shared info with Add or update information Place limits on sharing Revoke permissions (except mandatory reporting)

    Thank You for Choosing Silver Home Care

    We are honored to be part of your care journey. Our commitment is to provide compassionate, person-centered support that honors your independence and dignity.

    Questions? We're Here to Help.

    800-719-6912
    680 Lincoln Hwy, Fairless Hills, PA 19030

    © 2025 Silver Home Care. All rights reserved.
    Last Updated: July 1, 2025