Is home health care better than a nursing home? Why In-Home Care Is Better than Nursing Homes. Seniors who stay at home tend to live longer than those who live in nursing homes, and studies have confirmed this fact. In addition, those who stay at home tend to be physically and mentally healthier compared to the residents of nursing homes. Home health care also promotes the healing process.Why in home healthcare is better than nursing homes? Many people choose in-home care over nursing home care because they enjoy the freedom of being in their own home in familiar surroundings. Many seniors report having a greater quality of life and happiness with in-home care, and statistics show that these beneficiaries actually have up to 50% fewer doctor's visits annually.How do you start a home health care agency? Steps Gain experience in the health care field. Research what home health care businesses are available in the area. Write a business plan. Name your business and choose your structure. Research the requirements to run a home health business. File the applicable documents with your Secretary of State and County Clerk of Court.Who needs home health care? Home care is care that allows a person with special needs stay in their home. It might be for people who are getting older, are chronically ill, recovering from surgery, or disabled. Home care services include. Personal care, such as help with bathing, washing your hair, or getting dressed.