SeniorsList Rating: 4.2 / 5
We want to be honest with you about Comfort Keepers because the picture is mixed, and pretending otherwise wouldn’t help you make a good decision. On one hand, they’re one of the biggest home care networks in the world — 700-plus locations, 45 states, nine countries. They offer both personal care and private duty nursing, which most agencies don’t. The Tustin, California franchise has a 4.5-star rating on Yelp and families there love them.
On the other hand, their national scores on Trustpilot (2.6) and Consumer Affairs (2.4) tell a different story. When we dug into the negative reviews, a lot came down to the same issue we see across all large franchises: your experience depends almost entirely on who owns and runs the office near you. A great franchise owner hires well, trains well, and follows up. A mediocre one doesn’t.
Sarah’s advice after researching Comfort Keepers across multiple states: before you schedule a consultation, spend fifteen minutes reading Google reviews for your specific local office. Not the national brand — your office. If the reviews are strong, Comfort Keepers is absolutely worth talking to, especially for families dealing with dementia-related sundowning who need reliable 24/7 coverage. If the local reviews are rough, keep looking. And if you’d like help comparing options in your area, reach out to us at hello@seniorslist.com.
Comfort Keepers: Pros and Cons
Pros
- Thorough screening: Background checks are just one component of Comfort Keepers’ multi-step caregiver vetting process.
- International reach: Comfort Keepers operates in 9 countries outside the U.S., more than most competitors.
- Flexible respite care: Caregivers provide scheduled or as-needed relief for family caregivers, helping prevent burnout.
- Around-the-clock availability: 24/7 care is available and particularly suited to clients with dementia who experience evening behavioral changes (“sundowning”).
Cons
- Above-average costs: Rates of $32 to $45 per hour are generally higher than the national median.
- Mixed national ratings: Comfort Keepers receives low overall scores on platforms like Trustpilot (2.6) and Consumer Affairs (2.4), though individual location experiences vary widely.
About Comfort Keepers
Founded in 1998 by a home health aide who wanted to expand in-home care for older adults, Comfort Keepers has grown into a globally recognized brand with over 700 franchise locations. The company’s stated mission is to improve seniors’ quality of life through individualized care plans that enable successful aging in place.
Each Comfort Keepers location is independently owned and operated, which means the quality of care, pricing, and available services can differ from one franchise to the next.
Services
Comfort Keepers’ services span both personal and medical care:
- Alzheimer’s and dementia care: Individualized care plans include cognitive stimulation activities, companionship, and structured routines tailored to each stage of memory decline.
- End-of-life and hospice care: For seniors who want to remain at home through the end of their lives, Comfort Keepers provides emotional support, personal care, and coordination with the hospice team.
- Respite care: When a family caregiver needs a break, Comfort Keepers caregivers can step in for housekeeping, meal prep, transportation, and medication management.
- 24/7 care: Round-the-clock support for clients who need continuous coverage.
- Personal care: Help with dressing, grooming, toileting, fall prevention, companionship, and healthy eating habits.
- Private duty nursing: Registered nurses (RNs) and licensed practical nurses (LPNs) can visit the client’s home to deliver medical treatment, set up oral medications, and administer injectables.
What to Expect
Experiences vary across Comfort Keepers’ independently owned locations, but from our research:
- Costs: Typically $32 to $45 per hour, varying by region and level of care.
- Shift minimums: Generally three to four hours, depending on the location.
- Consistency: Scheduling the same caregiver repeatedly requires establishing a regular schedule.
Comfort Keepers representatives were prompt and attentive in our experience, and staff were knowledgeable about the range of care options available.
What Customers Are Saying
Reviews differ significantly by location. The Tustin, California, franchise has 4.5 stars on Yelp, while the Springfield, Pennsylvania, location has only 2 stars. At the national level, scores are low: 2.6 on Trustpilot and 2.4 on Consumer Affairs.
A satisfied client from Los Angeles shared: “The entire team at Comfort Keepers, including their management, client care coordinators, and caregivers are very passionate about what they do. Your family is in great hands.”
A client in Atlanta reported: “I was very happy with their services. They were prompt, reliable, and very caring of my mother’s needs. Their staff was very friendly and professional.”
Some clients have raised concerns about inconsistent caregiver professionalism. As with any large franchise, the local team makes all the difference.
Cost and Pricing
Comfort Keepers rates run slightly above state averages in most markets:
- Pennsylvania: $32 to $33 per hour (state median: $31/hr)
- Florida: Approximately $32 per hour with a four-hour minimum (state median: $30/hr)
- Arizona: $39 to $45 per hour (state median: $36/hr)
Call your local Comfort Keepers franchise for an accurate quote before scheduling.
Areas Served
Headquartered in Irvine, California, Comfort Keepers has more than 700 locations in 45 states — every state except Hawaii, Utah, Vermont, West Virginia, and Wyoming.
International coverage includes Australia, Brazil, Canada, Ireland, Norway, Portugal, Scotland, Singapore, and the United Kingdom.
To find a location near you, enter your ZIP code on the Comfort Keepers website or call 855-419-8146.
Our Assessment
Comfort Keepers has genuine strengths — particularly its wide geographic reach, international presence, and ability to provide both personal care and private duty nursing. The 24/7 care option is especially valuable for families dealing with dementia.
The mixed reviews at the national level are worth taking seriously. We recommend researching your specific local franchise on Google and Yelp before moving forward. If local reviews for your nearest office are strong, Comfort Keepers is worth scheduling a consultation with.