You can choose to be licensed or unlicensed. You need Nursing Care at Home to check with your state. I would suggest that you become licensed. It does take some time, but it makes you look more professional in the long run. You may be just as good as the licensed center in the next block, but many people would choose a licensed facility over an unlicensed one.

Check with your consumer affairs agencies and with your Better Business Bureaus. Even though this is a nursing home, you still might be able to check with the Better Business Bureau to find out what kind of customer service policy they have or to find out if there are any previous complaints against this Nursing In-Home Care in Cleveland home or physical rehabilitation center.
So some people purchase a long term care insurance (LTCi) policy because they want to protect their savings in case they need to go to a nursing home. There are also alternative ways to plan for this which other choose. And many people have not done any planning at all.
The figures start becoming scarier now. Imagine that you have to stay in your Nursing Care at Home in Northeast Ohio home for three years. You might be spending like $75,000 to $150,000. To most people that's a life worth of savings. Are you saving money today only so that you can spend it all Nursing Care at Home in Northeast Ohio on your nursing home care after you are older? Certainly not!
In many cases, it's simply not their "cup of tea" or too much work for the low return. Usually, we discover the necessary equipment for lawn care services is NOT cheap. It takes a professional size mower, weedeaters, blowers, trailer, pick-up truck, too. Your bare minimum to start your own lawn care service.
Another place to look is the local YMCA if your area has one of those. Often they have reference material on local child care services that they can share with you.
Mary's story highlights how a bit of help can go along way. If applied with an enabling focus, in-home elder care can assist a person to become more independent. It doesn't have to mean the end of independence.