Care Assessment Calculator
Click "Begin" below to start the Assessment.
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Begin
Bathing
Does the client require assistance bathing?
Yes
No
What type of bathing?
Tub
Shower
Bed
Sponge
What level of assistance does the client need?
Self, no assist
Self, assist partial
Full Assistance
Supervision
How many times per week is bathing needed?
Bathing hours needed:
Total hours needed:
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Personal Care
What other types of personal care does the client require?
Electric Shave
Comb/brush hair
Oral/teeth care
Perineal care
Assist with dressing
General skin care
Reposition every 1-2 hours
Assist with self-admin medication
Change adult briefs
Assist with bedpan
Assist with urinal
Assist with commode
Assist with active range of motion activites
Other Personal Care hours needed:
Total Hours Needed:
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Housekeeping
Does the client require assistance with housekeeping?
Yes
No
What type of housekeeping assistance?
Light housekeeping
Vacuuming
Dusting
Cleaning
Client's bathroom
Kitchen maintenance
Personal Linens and laundry
Make/change bed linens
Help with organization - clean closets, sort photos
Pet care
Plant care
How many times per week?
Housekeeping Hours Needed:
Total Hours Needed:
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Meal Preparation
Does the client need help with meal preparation?
Yes
No
Does the client need help preparing breakfast?
Yes
No
How many times per week does the client eat breakfast?
Does the client need help preparing lunch?
Yes
No
How many times per week does the client eat lunch?
Does the client need help preparing dinner?
Yes
No
How many times per week does the client eat dinner?
Does the client need help preparing snacks?
Yes
No
How many times per week does the client eat snacks?
Does the client need help eating?
Yes
No
Meal Preparation Hours Needed:
Total Hours Needed:
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Companionship
Does the client need transportation/escort services?
Yes
No
How many times per week does the client need to go shopping, run errands, etc.?
Enter additional hours needed for doctor's appointments, etc.
Companionship Hours:
Total Hours Needed:
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Cost Estimate
Total Number of Hours Needed:
Regular Hours
OT Hours
Caregiver Rate
/hr
Caregiver OT Rate
/hr
Caregiver Cost to GHC At Blended Rate
Percent
Caregiver Regular Hour Wage
Caregiver OT Hour Wage
Total Caregiver Wages
Client Pricing (Per Hour)
Client Pricing (Per Week)
HIDDEN MARGIN %
HIDDEN MARGIN MULTIPLIER
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Care Estimate
Griswold Home Care
Total Number of Hours Needed (Per Week):
Pricing (Per Hour)
Pricing (Per Week)
Should be Empty: