Even though FLSA overtime rules for home care workers have now been in vogue for a while, most private duty nursing and non-medical agencies have to strike a careful balance between the high quality and continuity of care they provide and minimizing the overtime cost.

With falling reimbursements from third-party payers, and trying to strike a balance between expectations and quality of service for private pay patients, most home care agencies are trying to adapt their business models to limit caregivers to 40 hours a week.