@caliotter3: Thank you for your input! I think you and my sister are right. While it might be normal to get paid by the visit, the self-employment classification seems like shady business practice. One of my friends warned me to be careful as her last boss hired her under "self-employed" status and tried to get away with not paying her. She eventually had to report him to the labor department. @Liz08: I spoke to a home health nurse, and she told me that it is normal to get paid per visit. I have only spoken to this one person though, so you might want to research it further.