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Key Takeaway:
In 2025, nearly 11,000 Americans will turn 65 every single day — and the vast majority of them don’t want to end up in a nursing home.

Families are increasingly turning to in-home care to maintain safety, dignity, and daily life support — but delivering that care reliably and at scale? That’s where franchises come in.

What’s driving the surge?

• Aging demographics. By 2030, all Baby Boomers will be 65+, reshaping care demand.
• Aging-in-place preference. 75% of adults 50+ want to stay home; 73% want to stay in their communities.
• Cost & flexibility. Families can dial hours up or down; $34/hour is the national median private-pay rate for home health aides in 2024.
• More care at home. +17% job growth in home care aides expected 2024–2034 (~766k openings/year)

Our specialized programs are designed to make a real difference. For example, families can explore Fall Prevention 101 or learn how to support loved ones through Parkinson’s Care at Home.

What “home care” includes (and what it doesn’t)

Non-medical home care focuses on everyday living and safety – things like companionship, bathing and grooming, meal preparation, light housekeeping, medication reminders, transportation, and fall-risk checks.

That’s different from home health (clinical, physician-ordered) and hospice (end-of-life). Importantly, Medicare generally does not cover long-term custodial/non-medical care – families often combine private pay, LTC (Long Term Care) insurance, Medicaid HCBS, or VA benefits.

For safe recoveries, see How Transitional Care Helps Seniors Recover at Home.

What Is a Home Care Franchise?

A home care franchise is a business model where individuals provide non-medical care services — such as bathing, meal prep, transportation, and companionship — in clients’ homes. Franchisees operate under a recognized brand, like ComForCare, and receive support with licensing, caregiver recruitment, compliance, and operations.

Why franchising (vs. going independent) accelerates growth

• Proven operating systems (scheduling/EVV, QA, documentation, family communications).
  • Medicaid-funded services require Electronic Visit Verification (EVV) under the Cures Act – franchisors help you navigate it.
• Licensure & compliance guidance to help navigate state requirements.
• Recruiting & training playbooks to build caregiver pipelines and improve early retention.
• Brand & referral frameworks to open doors with hospitals, SNFs, physicians, and community partners sooner.

Not just hype: the constraints you must plan for

Caregiver supply & turnover 

Industry-wide home care turnover has been reported near ~79% – the #1 execution risk if you underinvest in recruiting, training, scheduling stability, and recognition.

Licensure & audits 

Non-medical home care licensure is state-specific; EVV/documentation are table stakes for Medicaid-funded services.

Payer mix & authorizations 

Private-pay drives most growth; Medicaid/VA can expand access but add rate and authorization complexity.

Local competition 

Territory performance hinges on percentage of 65+, living-alone rates, household income, and the density of referral sources.

Where growth is strongest

Look for territories with:

• Demographic fit: Higher percentage of 65+, more adults living alone, stable middle-income households.
• Care ecosystem: Active hospital/SNF networks and home-health partners (drives referrals, lowers time-to-first-case).
• Home safety momentum: Community fall-prevention and aging-in-place initiatives.

Ready to explore your territory?

Discover where ComForCare is expanding and what your local opportunity could look like.

Check available franchise locations

How ComForCare helps owners start strong

At ComForCare, great care starts with people and purpose:

• DementiaWise® training helps caregivers create better days for clients living with Alzheimer’s or other dementias.
• Family-centered communication around safety supervision, medication reminders, meal support, transportation, and light housekeeping.
• Balanced growth plan that sequences recruiting, referrals, and community outreach so you scale sustainably – not just quickly.
• Clinical partnerships and transitions know-how to reduce friction between settings.

“I felt very secure going into this business, even though I had no prior experience in health care because ComForCare displayed everything to me. They were very open; that really struck me.”
~ Ajay Sehgal

FAQs

Final Thoughts: Franchising in the Fast Lane

The demand for in-home care is only going to accelerate through 2030 and beyond — but the window to secure prime territories won’t stay open forever. A franchise like ComForCare combines scalable systems, deep industry support, and a mission that matters.

If you’re ready to lead a values-driven business in a high-demand space, now’s the time to explore your fit.