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Essential Needs Home Care - Home Caregivers Bringing High Quality Care to You

About Essential Needs

The company was founded a decade ago in Fairmont, WV by Nancy Collins, a registered nurse who has spent her career in nursing working with the Public Health Services and with the geriatric population. After working at a local nursing home, she saw firsthand the need for more options to keep people in their home and independent for as long as possible. Fate called, and Nancy took a position working with the state’s Aged and Disabled Waiver program. Through those experiences, she became inspired to “do it better” and started her own agency.

The company began in 2012 with just five clients, and, with consistency and dedication to finding the best people giving their best care, the agency has now grown into one of the premier agencies in North Central WV.

Nancy has assembled a team of people - case managers, RNs, administrators, and direct care workers - ready to support our clients. Speaking of our direct care workers, they are the life blood of our agency, and we aspire to find the best person to match our client’s personality and needs. If you have a caregiver’s heart or are interested in the medical field or just looking for great hours working one on one helping our neediest community members, then this would be a wonderful position for you.


We put a lot of effort into properly training our workers and compensating them with top pay in our area. What makes Essential Needs truly unique is that on any given day you will find our owner out in the field working with patients or personally answering the phone and speaking with and encouraging our clients. When you pick our agency, then you become like family to us, and we take care of you just like we would our own family.

  • What is the Aged and Disabled Waiver Program?
    The Aged and Disabled Waiver Program, also known as ADW, is a home and and community-based program that provides in-home care.
  • What are the eligibility requirements?
    To qualify, you must meet both financial and medical eligibility requirements. Medical eligibility is determined by a registered nurse in an evaluation in your home. In order qualify, you must have needs in at least five areas of assistance for activities of daily living: Eating Bathing Dressing Grooming Mobility Toileting Other areas of need Financial eligibility is determined by your county's DHHR. Medical and financial eligibility must be re-determined each year.
  • What type of service does Essential Needs provide?
    As a provider agency, we provide both Case Management and Personal Attendant Services. If you have us as your homemaker agency, our RN helps to craft your plan of care, and we assign a direct care worker to provide you with assistance according to that plan of care. If there's someone you want to be your caregiver, such as a relative or friend, we're more than happy to hire them to be your care worker. On the other hand, if you have us for your case management, our case managers will make sure you're receiving the services you are entitled to and will strive to make sure your needs are met.
  • Where can I find more information on the ADW?
    The ADW page on the DHHR website is located here and contains all the information you will need to get started on the program.
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