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Think outside the box; it can really pay off!



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Oct 26, 2008 02:52 AM

Think outside the box; it can really pay off!


When I was 19 my mother decided to quit her job as a CNA, and open a boarding home where she would provide 24-hour care for up to four live-in residents. Before long, my extended family included an old man who had memory loss issues, an old lady with MS, and a 26-year old guy who had suffered TBI in a car accident when he was a teenager. And, (to my suprise), I really enjoyed having those strangers around!

A year later, I was accepted into the Nursing program at the local community college, but by the time I graduated and became an LPN, my mother had closed up shop and returned to working at a local nursing home. So, I moved from our small town to a nearby city, and went to work as a live-in caregiver for a small agency that paid twice as much as I could get back home. After a year of that, I started working at an extended care facility, where I met a pretty young CNA that I would soon marry.

A few months later, I convinced my new wife that we could make a better living, and have a better life, by renting a place big enough to take care of a couple of patients in our own home. She had serious doubts about that, but trusted me enough to give it a shot. Within two months, we had rented a place with two bedrooms upstairs and one downstairs, borrowed enough money to get two used hospital beds and all the supplies we'd need, and ran advertising in the local paper that brought us our first clients; two elderly ladies who had previously been wasting away in a nursing home. We promptly quit our jobs, and really enjoyed being able to spend all day, every day, together with our new clients and our newborn baby boy. Before long, we took out a big loan and rented a huge 7 bedroom home that quickly filled up with four more clients, and our business became our way of life.

My wife and I have now been married for almost 20 years, and we STILL provide 24/7 care in our own home! Our marriage is stronger than ever, our son has grown up and moved out, and our humble little business now provides us with a gross income of more than $140,000 a year.

So trust me when I tell you that you don't have to work for a hospital, nursing home, or agency if you would prefer to be your own boss. Bet on yourself, and there's a good chance you'll eventually strike it rich. Plus you can share in, and add tremendously to the lives of some really nice people in the process. Yes, there will be many challenges and sacrifices along the way, but the security and satisfaction will make them all worthwhile.


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8 Comments
No. 1
from rn2bn07
Old Oct 26, 2008, 03:23 AM

Default Re: Think outside the box; it can really pay off!
Wow, this is very inspirational for those of us who want to venture out like you two did! I was thinking about going into this business, I just didn't know how, I am an RN, one of my cousin's is a CNA, and my other cousin is an occupational therapist. Could you tell me what steps I need take to get started. I'm pretty sure money is involved, but which way do I go first, finding a home to rent out? How can I get assisstance from the goverment if needed?
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No. 2
Old Oct 26, 2008, 09:25 AM

Default Re: Think outside the box; it can really pay off!
That is a very inspiring story, I am curious what kind of insurance you need, I would think the rate can be pretty high?
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No. 3
from HomerFan
Old Oct 26, 2008, 02:55 PM

Default Re: Think outside the box; it can really pay off!
If you're interested in doing what my wife and I do, your first step will be to find out what State and local laws you'll need to comply with; in Washington State our business is called an Adult Family Home, and there are hundreds of rules and regulations that apply. I've heard that California is even worse, but other states have relatively little regulatory oversight of in-home care providers.

The liability insurance for a typical AFH in my area is about $2,400/year. It's just a cost of doing business, and protects you from losing everything, so even if it isn't required where you live, it's a good idea.

For the past 16 years, my wife and I have spent NOTHING on advertising; all our new clients have come from word-of-mouth, and personal contacts with social workers at local referral agencies. We started with a rental, but within two years we bought our own 6-bedroom home. The majority of our monthly expenses are partially or fully tax-deductible, including the mortgage payment, insurance, groceries, medical supplies, lawn care, cable tv, utilities, relief caregiver expenses, etc. We get out of the house seperately almost anytime we want to, but rarely spend time out together. That's fine with us though, since we are together IN the house all the time anyway. Oh, and we've had only three family vacations in almost 20 years.
Most people say they can't imagine living as we do, but we think the rewards are well worth the sacrifices.
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No. 4
from cst72222
Old Oct 26, 2008, 10:56 PM

Default Re: Think outside the box; it can really pay off!
3 vacations in 20 years. Wow..that seems like lots of work for 140k. anyway thanks for the thread.
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No. 5
from HomerFan
Old Oct 27, 2008, 01:51 AM

Default Re: Think outside the box; it can really pay off!
Yes, it's a lot of work, but it's generally LOW STRESS, with plenty of downtime throughout the day and evening. We don't have to deal with the trauma and drama of a hospital or even most LTC settings, a full census for us is just three residents, and most of our clients live with us for 5 to 7 years, so we get to know them and their individual needs in a way that no one else ever could. Our residents are generally medically stable with pleasant families who visit infrequently, and it's rare for us to have to interact with doctors more often than during the routine check-ups scheduled every six months or so. I was even able to take enough part-time classes at a local community college to finish my AA degree AND earn an AAS in Computer Networking. It's really not a bad lifestyle at all, and to be honest, I think vacations are over-rated anyway!
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No. 6
from cst72222
Old Oct 27, 2008, 02:40 PM
Updated Oct 27, 2008 at 03:18 PM by sirI

Default Re: Think outside the box; it can really pay off!
Originally Posted by HomerFan View Post
Yes, it's a lot of work, but it's generally LOW STRESS, with plenty of downtime throughout the day and evening. We don't have to deal with the trauma and drama of a hospital or even most LTC settings, a full census for us is just three residents, and most of our clients live with us for 5 to 7 years, so we get to know them and their individual needs in a way that no one else ever could. Our residents are generally medically stable with pleasant families who visit infrequently, and it's rare for us to have to interact with doctors more often than during the routine check-ups scheduled every six months or so. I was even able to take enough part-time classes at a local community college to finish my AA degree AND earn an AAS in Computer Networking. It's really not a bad lifestyle at all, and to be honest, I think vacations are over-rated anyway!
Thank you for sharing your experience and i totally agree vacations are overrated.
i live next door in Portland, Oregon and i'm an RN and my wife works in the lab and we're wondering if we can pay you a visit to your business and have a dinner with you sometime in the next 3 months if possible. we would really appreciate it so much. we just wanna see what you do and decide if that fits us simply.
please respond with y or N

tks
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No. 7
from HomerFan
Old Oct 27, 2008, 03:15 PM

Default Re: Think outside the box; it can really pay off!
No need to come this far! There are many Adult Family Homes operating right there in Portland; just start calling some of them, and you'll almost certainly find one willing to come let you check them out.
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No. 8
from Andrew, RN
Old Dec 16, 2008, 09:24 PM

Default Re: Think outside the box; it can really pay off!
This is a great idea. I'm glad you're helping people and enjoying what you do.

I just can't take my work home with me though. I have to get away from it. I need my own peace and quiet away from people asking me for things.

But I suppose in that big of a hosue, you still get time to yourself, so it sounds like it's working out.
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