At our HH agency, we only do private pay, no medicare/medicaid, no oasis.
I am very happy with my company, LPNs get $37 a visit, RNs get $47. Mileage is considered part of the pay, which I prefer, because then I deduct all the mileage at the end of the year. It drops my taxes like a rock, so I usually get a decent refund at the end of the year. Plus I deduct everything that is legal - scrubs, nursing license, nursing journals, tolls, stethescopes, pulse ox, hand sanitizer, alcohol wipes. The last 2 are supplied by my company, but once in a while I run out and have to buy some.
Like everyone else, our census goes up and down. When I first started, an experienced nurse told me to sign on with at least one other agency, so when things are quiet at one you have work at the other. I also do per diem hospice nursing when things get quiet.
I love getting to know my patients. POCs range from one visit to sometimes a year or more. You become a part of the family when you spend that much time with your patients. I often joke that I get paid to hang out with my friends while doing some nursing care on them! I have remained very close with many of my former patients. In the hospital they come in and out and you never know what happens to them.
As an aside, why do so many HH patients watch the Food Network?