Healthcare FAQs | A-1 Nursing Care

Serving Cuyahoga County

A-1 Nursing Care | Home Health Services Cleveland Heights

Quality Home Health Care

Elderly care Nursing care

At A-1 Nursing Care, we want to make sure you have all the answers you need to help you out. Here are some frequently asked questions we've had.

Common Frequently Asked Questions

As a prospective client, who will I talk to when I call A-1 for information?

You'll speak directly with the Director of Professional Services, Tom Mammano, the Office Manager, Kim Washington, or the Owner, Vijay Patel.

Our dedicated staff is all set to serve you; call us today!


Where are the A-1 companies located?

2060 South Taylor Road

Cleveland Heights, OH 44118 and


14805 Detroit Avenue, Suite 545

Lakewood, OH 44107

What geographic area does A-1 service?

A-1 currently services all of Cuyahoga County and contiguous counties.

How long have you been in business?

We were established in 1987 as a supplementary staffing agency, providing nurses and aides to hospitals and nursing homes. Over the years, we have expanded to become a Medicare and Medicaid certified home care provider.

Are you certified and regulated by government entities?

Yes. A-1 is certified by Medicare, Medicaid, PASSPORT, and OPTIONS to provide services to all qualified recipients. We must comply with the requirements of all 4 programs and are subject to periodic reviews by compliance officers representing all 4 programs.

What services do you provide?

Our services include nursing, therapy, personal care, homemaking, and respite.

Do you have experience caring for citizens and clients experiencing Alzheimer's and dementia symptoms?

We have serviced the elderly for 25 years. We specialize in geriatric home health care and service many clients who are struggling with Alzheimer's and dementia.

Can you service non-English speaking clients?

We have service coordinators who speak Spanish, Russian, Nepali, Hindi, and Gujarati.

Are you available 24 hours a day, 7 days a week?

Yes. We'll provide around-the-clock or overnight coverage if you require it. We'll also provide home health care and homemaker services in increments as small as 2 hours.

What hours can I call you for help?

Our normal business hours are Monday - Friday 8:30 AM - 5:00 PM. After normal business hours, you will talk with a service coordinator who is authorized to service most of your requests for home health care or homemaker services.

Are the RNs, LPNs, Home Health Aides, and drivers A-1 employees or is A-1 a registry?

All caregivers supplied by A-1 are employees of the company. We are not a registry. The typical registry disappears entirely after finding a home care provider for you. The caregivers they place are independent contractors. Most registries have no on-going involvement with their clients. We provide you with a better level of health care and far more legal protection.

Do you have your own training and testing program for aides?

Yes. The nursing staff teaches a course that prepares new HHAs to address the basic medical and non-medical needs of clients. This is a 60 - 75 hour course delivered over 2 weeks. Testing consists of both written and hands-on testing. In addition, aides must take a minimum of 12 in-service credits each year to maintain their employment.

Do you perform criminal background checks on your employees?

Yes. We obtain an Ohio Bureau of Criminal Identification and Investigation (BCII) clearance on every applicant.

Are A-1 staff insured and covered by Workers' Compensation?

All A-1 employees are bonded, insured, and covered by Workers' Compensation. This protects you against damage to your property caused by our caregivers and against claims for injuries suffered by our employees while working at your residence.

Who pays withholding taxes?

We pay all withholding taxes, including federal, state, and local income taxes as well as the required social security and Medicare taxes, freeing you of this burden and potential legal problems.

Do you send the same aide each time?

We fell that it's important for you to develop a confidence and rapport with your nurse or aide. To do this, every effort is made to send the same nurse or aide each time, but it's not always possible. We'll inform you in advance if there is a change. The substitute will check your care plan and will access the care records of your regular nurse or aide before beginning with your treatment.

Will A-1 staff work with me, my family, and my doctor to set up a program of care?

Absolutely. We work continuously with you, your family, and your doctor to monitor the success of the treatment. We want you and your family to be well satisfied with the level and quality of services provided and will adapt the care program as necessary.

Is there a daily written assignment sheet for your employees to follow?

Yes. This sheet reflects input from you, your family, your doctor, the agency covering the services (when applicable), the A-1 administrative staff, and the assigned RN or HHA.

What do I need if the nurse, aide, or driver doesn't show up?

Please call the A-1 office right away where a service coordinator will promptly work to resolve your problem.

How will you handle my complaints?

You can call our offices at any time to voice a complaint. While our service coordinators can handle most complaints efficiently, you can talk directly to the Office Manager, Director of Professional Services, or the owner if you're not satisfied with the efforts of the service coordinators.

Who supervises and disciplines the field staff and the service coordinators?

Our nursing and administrative staff supervises and disciplines the field staff and the service coordinators.

What steps are necessary before you will agree to provide me services?

A-1 offers a FREE in-home comprehensive consultation with one of our experienced nurses to develop a care program suited to your specific needs.

Will the A-1 staff help me to determine possible payer sources and services?

Yes. Our staff will inform you of each of the possible payers. For example, a service may not be covered by Medicare but may be covered by one or more of the other programs.

Who do I pay?

If you are eligible for any of the government programs, in most cases you will pay nothing. A-1 bills the various governmental agencies directly, documented by a treatment program and the record of hours worked, which you will review and approve. Most of the governmental programs pay the full cost of services, with no balance due by you. A-1 will bill you directly if you're not covered for the services provided by any of the governmental programs. Under no circumstances will you pay the A-1 employee providing the services.

How much will your services cost me if I have to pay any amount out-of-pocket?

Hourly rate (minimum of 2 hours): The rate may vary with the level of service required and the number of hours per visit.

Sign on fees: We have no sign on or enrollment fees.

Deposit: If you're paying for the services, we require a 2 week deposit before beginning to deliver services.

How do I pay?

We'll generate a bill every 2 weeks to private pay clients (those who are not covered by any of the government programs for some or all the services performed). You can pay by check or with cash.

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