Solutions Home Health and In-Home Care

A safety check-in for every home visit, and a supervisor who hears first

Aides, nurses and hospice staff arm a check-in for the length of each visit. If one is missed, the agency's supervisor on duty is alerted with where the visit was, and it escalates until somebody answers.

Every visit is a stranger's home, and nobody at the agency is in it

The schedule says where your aide is going. It does not say when they should be out, and nobody wonders until the next patient calls to ask where they are. A check-in for each visit closes that gap to minutes.

A first visit to a new patient

An intake form, an address and a house nobody from the agency has been inside. Who else lives there, and whether there are dogs or weapons, is learned on the doorstep.

A family member who is not glad you came

A duress code clears the check-in exactly as the normal one does, on a screen somebody else can see, and alerts your supervisor anyway.

A hospice call at night

The on-call nurse goes out when the office is closed. The check-in reaches whoever the schedule says is covering tonight, not a voicemail that is read in the morning.

A rural patient with no coverage

The deadline runs on our servers, not the phone, so a visit that goes quiet is missed exactly as though the aide forgot. Pair a Garmin inReach for the routes with no signal at all.

How a visit check-in works

  1. 1

    Arm it at the door

    The aide sets when the visit should end. Walking out, one tap clears it. A patient who needs longer? They extend it from the kitchen.

  2. 2

    A miss reaches the supervisor on duty

    With the aide's last known position on a map: the address to drive to, and the one to give if it comes to a call.

  3. 3

    It escalates until somebody answers

    No acknowledgement, and it moves to the next person on your escalation policy (the clinical manager, the administrator on call) until someone takes it.

  4. 4

    It is on the record

    Every missed check-in, who acknowledged it and how long that took is kept in the incident record, and the coverage report shows over any range whether staff checked in and how fast anyone answered.

Home health safety is in the statute now

Oregon SB 537, in force 1 January 2026

The Legislature's measure summary for its home health sections:

“Directs home health service entities to provide workplace training to all home health care workers, to conduct monthly safety assessments, to provide staff with identifying information for their new clients, to create systems for safety check ins, equip staff with emergency alert devices, and to create policies and procedures to manage safety concerns.”

Oregon OSHA is writing the detailed rule now. AlertRoster is a safety check-in system; how your agency meets the rule is for you and your counsel, and we will tell you plainly what it does and does not cover.

California: Cal/OSHA §3342
The workplace violence prevention standard for health care names home health care and home-based hospice in its scope. It requires an agency to assess the hazards of a visit at intake, at the first visit, and whenever conditions change, and to control them. It leaves the choice of control to the agency, and a check-in on every visit is one an agency may choose.

There is no federal requirement, and OSHA publishes guidelines for health care workplace violence rather than a standard. What a law requires of your agency is a question for your counsel.

For an agency: priced per aide, supervisors free

On Lone Worker, each aide, nurse or therapist who visits alone is a protected seat. Schedulers, supervisors and on-call managers who answer are watchers, and watchers are free. When your EVV or scheduling system has to see it too, Duty of Care adds the API.

What it does not do

AlertRoster is a call-out notification and escalation tool. It notifies people who have agreed in advance to be notified, and records what happened. It is not an emergency service. It contacts one on your behalf only through automatic SOS: with it turned on, a check-in missed with no phone signal declares an SOS on your Garmin inReach, which Garmin Response receives. It is not a fire alarm, a security alarm, or an alarm monitoring service, and it holds no life-safety certification. It is not a replacement for your team's official paging arrangements, and it should not be the only way a call-out can reach your people.

The plans that fit

Billed monthly or annually.

Lone Worker

Somebody is alone on shift, and somebody answers when they are not alright.

$22.80 per protected worker / month

Watchers: Unlimited, free

Duty of Care

For when IT, the insurer or the system of record has to see it too.

$34.80 per protected worker / month

Watchers: Unlimited, free

See every plan and what is in it

Set it up before the next visit, not after a bad one

Pick a plan, add the people who should hear about it, and arm your first check-in.