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Can Home Health Aides Work in Nursing Homes? What to Know

Mar 17, 2025

​In Florida, Home Health Aides (HHAs) are primarily trained and employed to provide in-home care services, assisting clients with daily activities such as bathing, dressing, and preparing meals. They typically work in private residences, helping individuals maintain independence in their own homes.

 

This article explores the roles of HHAs in various living facilities and nursing homes, the benefits they bring, necessary training and certifications, and pathways for career advancement.​

Are HHAs allowed to work in nursing homes?

​In Florida, Home Health Aides (HHAs) are primarily trained to provide in-home care services, assisting clients with daily living activities such as bathing, dressing, and meal preparation. 

 

Wondering if CNAs can work in nursing homes too? In the industry, HHAs vs CNAs are almost alike. While HHAs are not licensed or certified by the Florida Agency for Health Care Administration or any other state or federal agency, CNAs, for example, must obtain certification to work in nursing homes. ​Between the two jobs ​Home Health Aides vs Care Givers traditionally provide in-home care, assisting clients with daily activities and ensuring their comfort. 

 

HHAs assist patients with a range of tasks, from personal care to mobility challenges, significantly enhancing patients' independence and overall quality of life. However, their skills are also valuable in nursing home settings. 

 

This article explores the roles of HHAs and care aides, in nursing homes, the benefits they bring, necessary training and certifications, and pathways for career advancement.

Certified nurse aides play a crucial role in the daily operations of a nursing home, making up a significant portion of the nursing staff and having extensive interaction with residents.

 

What are the roles of HHAs in nursing homes?

In nursing homes, HHAs job description includes enhancing residents’ quality of life. Personal care aides work in diverse environments, such as clients' homes, group homes, and day service programs. Their responsibilities may include:​

  • Personal Care: Assisting residents with activities of daily living (ADLs) such as bathing, dressing, grooming, and toileting.​
  • Mobility Support: Helping residents move safely, including transferring between beds and wheelchairs, and encouraging physical activity to maintain mobility.​
  • Nutrition Assistance: Supporting residents during meals, ensuring they receive proper nutrition, and monitoring dietary restrictions.​
  • Health Monitoring: Observing and reporting changes in residents’ health status to nursing staff, including vital signs and behavioral changes.

Training programs are essential for HHAs to advance their careers, take on more responsibilities, and enhance their skills.

Benefits of HHAs working in nursing homes

Integrating Home Health Aides (HHAs) that took CEU Programs into nursing home teams offers several advantages. Firstly, HHAs can focus on personal care tasks, allowing licensed nursing staff to dedicate more time to medical treatments and complex care needs. 

Secondly, residents often develop trusting relationships with HHAs as well as HHA skills, leading to improved emotional well-being and a sense of security.

Additionally, employing HHAs allows nursing homes to allocate resources efficiently, balancing quality care with operational costs.

Lastly, HHAs can adapt to various roles within medical staff at the facility, providing support where it’s most needed. These benefits underscore the valuable role HHAs play in the multidisciplinary care teams within nursing homes.

Training and certification requirements for HHAs

Training and certification requirements to become a Home Health Aide varies by state and employer. In Florida, HHAs must complete a state-approved training program, which includes:​

  • Classroom Instruction: Covering topics such as basic nursing skills, infection control, nutrition, and patient rights.​
  • Clinical Practice: Hands-on experience under supervision, allowing HHAs to apply learned skills in real-world settings.​

After completing the training, candidates may need to pass a competency evaluation to obtain certification. Some states have additional requirements, such as background checks or continuing education credits to maintain certification. ​

It's essential for HHAs to stay informed about their state's specific regulations to ensure compliance and maintain their credentials.

 

How to transition from HHA to other roles

HHAs interested in advancing their careers have several pathways:​

  • Certified Nursing Assistant (CNA): With additional training and certification, HHAs can become CNAs, taking on more complex patient care tasks and potentially increasing their earning potential.​
  • Licensed Practical Nurse (LPN) or Registered Nurse (RN): Pursuing further education can lead to nursing roles with greater responsibilities and higher salaries.​
  • Specialized Care Roles: Gaining experience in specific areas, such as dementia care or rehabilitation, allows HHAs to specialize and become invaluable assets in those fields.​

Continuous education and professional development are key to career advancement in healthcare. HHAs should seek mentorship and explore educational opportunities to achieve their career goals.​

In conclusion, HHAs are integral to the care provided in nursing homes, offering personalized support that enhances residents' quality of life. With appropriate training and a commitment to professional growth, HHAs can expand their roles within the healthcare system, benefiting both themselves as healthcare workers and the individuals they serve.​



Josefina Buonaccordo

Author:Β Josefina Buonaccordo

Experienced and result-oriented School Coordinator and Principal with a proven track record in developing instructional materials and coordinating educational content. Skilled in tech integration, monitoring, tutoring, and maintaining professionalism. Strong organizational, time management, and analytical skills. Proficient in addressing diverse learning needs, integrating technology, and using teaching methods to achieve positive outcomes. Self-starter with excellent cross-cultural communication, capable of working in diverse environments. Fluent in Spanish, English, and Italian.

ABOUT THE AUTHOR

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