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In-Home Care Jobs vs Nursing Home Jobs: Why Great CNAs Do Both

In Home Care Jobs

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If you’re a CNA or HHA weighing an in-home care job against a nursing home job, here’s the answer most people miss: you don’t have to choose. The smartest caregivers often do both. A nursing home job gives you a steady paycheck, benefits, and a predictable baseline. Private in-home clients — the kind a nurse registry like Abby Services refers — give you higher pay, control over your schedule, and a lighter workload of one or two clients instead of a whole wing. Combined, you get the stability of an employer and the freedom and income of private work. Here’s how that works, and why it’s worth considering.

A quick word on where this comes from. My name is Scott Strachan. I’m a Registered Nurse and the owner of Abby Services, and I’ve worked both sides of this — as a CNA in private client homes, in nursing homes, and in hospitals, and later as a nurse in those same settings. I’m not knocking nursing home work; it’s honorable, and it taught me a lot. But I’ve seen firsthand what caregivers gain when they add private in-home clients to the mix.

What a Nursing Home Job Gives You

Let’s be fair to the nursing home side, because it has real advantages, especially as a foundation:

  • A steady, predictable paycheck and set hours you can count on.
  • Employee benefits — health insurance, paid time off, and retirement contributions that an employer provides.
  • Built-in structure and support — a team around you, supervisors, and established routines.
  • W-2 employment, with taxes withheld for you rather than something you manage yourself.

For many caregivers, that stability is the anchor. The mistake is assuming it has to be the whole picture.

What Private In-Home Clients Add

Working with private clients referred through a nurse registry is a different experience, and it fills the gaps a facility job leaves:

  • Higher pay. Private in-home care in our area generally pays significantly more per hour than facility caregiver wages. You can compare current local caregiver pay on sites like the Bureau of Labor Statistics or Indeed, and private-duty rates typically sit above the facility average.
  • One or two clients, not a wing. In a nursing home, a single caregiver may be responsible for 10, 15, or more residents on a shift. With private in-home care, you focus on one person. The work is more manageable and the care is better.
  • Schedule control. As a self-employed caregiver taking private referrals, you decide which opportunities fit your life. You set your availability around your facility job, your family, or your classes.
  • You set your rate. Caregivers referred through a registry are independent contractors who negotiate their own pay directly with the client — you’re running your own small business.
  • Real relationships. One-on-one care lets you actually know the person you’re helping, which is why most caregivers got into this work in the first place.

Why “Both” Beats “Either”

Here’s the combination that works so well. Keep the nursing home job for the stability and benefits — the W-2 base that covers your insurance and gives you a floor. Then take private in-home clients through Abby Services around that schedule, for the higher pay and flexibility. You’re not gambling your security to chase better pay; you’re adding better pay on top of your security.

Plenty of caregivers use private in-home work exactly this way: to fill open days, pick up higher-paying hours between shifts, or build toward eventually going independent full-time once they’ve established a steady base of private clients. Because you control your availability, private work bends around your life instead of competing with it.

A Note for Nursing Students

If you’re in nursing school, this combination is even more valuable. Private in-home CNA work offers the flexible scheduling that fits around clinicals and classes, pays well, and gives you real one-on-one patient experience that’s hard to get anywhere else — the kind that makes you a better nurse and stands out on a resume. Many students find private in-home care the ideal way to earn while they learn.

How to Add Private Clients Through Abby Services

Abby Services is a state licensed nurse registry in Fort Myers. We don’t employ caregivers — we refer screened, qualified CNAs and HHAs to private clients who need in-home care, and we handle the administrative side (matching, invoicing, and payment processing) so you can focus on the care. You stay independent, set your own rate and schedule, and take the referrals that fit.

To be considered for referrals, you’ll need to meet Florida’s registration and Level 2 background-screening standards for the services you offer. If you’re a CNA or HHA in Lee, Collier, or Charlotte County and you’d like to add private in-home clients to your work, we’d like to hear from you.

Abby Services has connected Southwest Florida caregivers with private clients since 1997. Whether you want a few extra hours a week or a path toward independent work, we can help you build it.

Call 239-590-0861 or apply to become a care provider with Abby Services.

Frequently Asked Questions

Can I take private in-home clients while keeping my nursing home job?

Yes, and many caregivers do exactly that. Because caregivers referred through a registry are independent contractors who set their own availability, you can take private clients around your facility schedule — keeping the benefits and stability of your employer while adding higher-paying, flexible private work.

Does in-home care really pay more than nursing home work?

Private in-home care in Southwest Florida generally pays more per hour than facility caregiver wages, and you typically care for one client instead of many. Exact rates vary; because you’re an independent contractor, you negotiate your rate directly with the client.

Am I an employee of Abby Services?

No. Abby Services is a nurse registry — we refer caregivers to private clients and provide administrative support. The caregivers we refer are self-employed independent contractors who set their own rates and schedules. Under Florida law, a caregiver referred by a licensed nurse registry is an independent contractor, not an employee of the registry.

What do I need to take private clients through Abby Services?

You’ll need to meet Florida’s registration and Level 2 background-screening requirements for the services you provide (for example, an active CNA certification or documented HHA training). Contact us and we’ll walk you through what’s needed.

Sources


Scott Strachan

Scott Strachan

Scott Strachan is a Registered Nurse and Administrator at Abby Services, bringing decades of hands-on healthcare experience to the team. He got his start as a caregiver and CNA with Abby Services before earning his nursing degree at Penn State University, and has since worked in settings ranging from ICU and Oncology to Hospice and In-Home Care across the country. Scott is also the founder of C-E-U.com, MyHealthForm.com, and NurseRegistryConsultant.com, and serves as Vice President of the Private Care Association of Florida, sharing his expertise on caregiver education and home care best practices.