The facility I work for is pretty big. It's a Continuing Care Retirement Community, so it has independent living, assisted living, and a nursing home. There are a lot of people who need private aides at the facility, so to eliminate outside workers, the facility started their own home health agency. I am employed by the facility as a private duty aide in their home health department, but if I wish to transfer to the assisted living or nursing home part, I am free to do so (and many have).
Working with one person has its ups and downs..you can provide a lot more care & not feel "rushed". But the clients I have sleep a whole lot so that's pretty boring just being in their room while they sleep. So I bring my homework or watch tv (thank God for cable!).
At my other job, we have a lot of private aides from agencies come to sit with our residents. The thing that makes me mad about them is that the majority of the time they are just companions and cannot do anything for the resident like peri care, dressing them,feeding them, etc. They're really just there to make sure they don't fall, but even then they don't always make sure to that!