Helping People….Changing Lives

Services Provided by PCA I – Housekeeper:

  • Prepares and serves regular and simple modified meals according to instructions.
  • Make and change beds.
  • Dust and vacuum the rooms that the patient uses.
  • Dishwashing.
  • Clean kitchen, bathroom and bedroom.
  • Make lists of needed supplies.
  • Essential shopping, if no other arrangements can be made.
  • Laundry, ironing, mending
  • Assist with paying bills and running errands.
Services Provided by PCA II – Personal Care Aide:
  • All duties as listed above.
  • Assist with oral care—cleaning teeth and mouth.
  • Assist with grooming—hair care, shampoo, shaving with electric shaver only , soak and file nails.
  • Assist with bathing in bed, tub or shower.
  • Toileting—using bedpan, commode, toilet or with catheter bag.
  • Assist with transfers—bed to chair, wheelchair and walking.
  • Assist patient to eat, or feed patient.
  • Assist with dressing.
  • Assist with helping to follow medical recommendations.
  • Assist a self-directed patient with self-administration of medication.
Services Provided by Home Health Aide:
  • All duties as listed in both categories above.
  • Assists with Range of Motion exercises.
  • Records intake and output.
  • Collect specimens.
  • Observes and records vital signs.
  • Plan and prepare complex modified diets per instructions.
  • Performs other skilled functions only when instructed and directly supervised by an RN or LPN.
LPN Services:
LPN’s perform health care tasks of supportive and / or restorative care under the supervision and direction of an RN Supervisor, Physician or Dentist, in accordance with a plan of care and consistent with medical regimen.
RN Services:
RN’s provide such services as case finding, health teaching, health counseling and the provision of supportive and / or restorative care, while executing the medical regimen prescribed by a physician or dentist.
Additional Services:
Home care workers may once per week provide essential shopping services to the nearest facility if it is included in the plan of care. Aides may not transport the patient in their vehicles. An emergency situation would be the only time an aide could transport a patient, but only with an RN Supervisor’s approval.
Home Care Workers May not do the Following:
  • Change complex dressings.
  • Give enemas or remove impactions.
  • Perform gastric lavage or gavage.
  • Apply heat in any form (including heating pads, lamps water bottles, electric curlers).
  • Perform tracheostomy care.
  • Insert tampons, suppositories or perform vaginal irrigations.
  • Give injections or dispense medications.
  • Perform any personal care that is not included on the plan of care.
  • Massage or rub legs.
  • Give decubitus care.
  • Cut finger nails or toe nails.
  • Drive a patient’s car.
  • Move heavy furniture.
  • Paint walls or houses.
  • Wash floors on hands and knees.
  • Mow lawns or do yard work.
  • Shovel driveways and walkways.
  • Clean areas of the home used by family members.
  • Wash walls and ceilings.
  • Clean up after pets.
  • Recreational shopping.
  • Be present in the patient’s home when the patient is not there.
Eligibility requirements include residency in Chautauqua County.
To learn more about Home Health Care Services, contact
COI’s Skilled Health Division – Home Care Services at
716-366-3335, 716-661-9430 or 800-724-7161.