Senior Care Directory Insights 2026: What 225 BBB-Accredited Home Health Agencies Tell Us About the Industry

Home health care is the most heavily for-profit corner of long-term care — 93% of Medicare-certified home health agencies are for-profit (MedPAC 2026), compared to 72% of nursing homes and 82% of assisted living communities. It is also the most fragmented: there are 12,234 Medicare-certified home health agencies in the U.S., but only 2,819 hold BBB accreditation — roughly 11% of all BBB-listed home health businesses.

Sandwich's 225-provider directory is a curated slice of that accredited tier. Analyzing it alongside national benchmarks surfaces five patterns families and operators should know about.

Every provider in this directory competes for the same scarce resource: home health and personal care aides. BLS counts 4.35 million aides nationwide at a median wage of $34,900/year, with 17% projected growth through 2034 — among the fastest of any occupation.

The sector's defining operational problem is turnover. The 2024 Activated Insights Benchmarking Report puts annual caregiver turnover at roughly 79%. For families, this is why continuity-of-care matters more than agency size — and why the 15-year median tenure of accredited providers signals something meaningful about operational stability.

Dataset: 225 BBB-accredited home health providers, pulled from public BBB business profiles via Outscraper on April 4, 2026. All providers carry active BBB accreditation at the time of collection.

Fields analyzed: state, city, primary category, years in business, BBB rating, Google average rating, Google review count, website presence, email presence, social media presence, licensing status, legal entity type.

Benchmarks: Sourced from MedPAC March 2026 Report to Congress, the 2025 Home Health Chartbook (RIHC/National Alliance for Care at Home), BLS Occupational Outlook Handbook, CMS Care Compare, CDC NCHS FastStats, and AHCA/NCAL.

Caveats: BBB accreditation is voluntary and not a regulatory credential. The directory is geographically skewed — 35 U.S. states represented, with California, Arizona, Ohio, Missouri, and Florida overrepresented relative to their share of national CMS-certified HHA counts. This is a survivorship-biased sample: by definition, these are agencies that have chosen to maintain BBB accreditation.

License: Dataset released under CC BY 4.0.