Portland - East (Change Location)

Latest Reviews & Testimonials

It’s not always easy knowing where to start in the search for a quality home care agency for yourself or a loved one – the sheer number of options can be overwhelming, and finding the right agency is crucial to future happiness and well-being.

Read what other families in Portland, OR have to say about Home Instead!

HI BRAND OCT20 112A8424 LT

Anita has been caring for my grandparents for a few years now. She has been wonderfully kind and patient with them, and has actively engaged with, and bettered, their lives. She is very good at her job and I am grateful for her work.

Anita has been caring for my grandfather for several years now and has gone above and beyond to be a positive part of his life, and of the whole family's. I am incredibly grateful to her, as her care has allowed me to have a more positive relationship with my grandparents. She is truly excellent at her job and has been an invaluable part of my family's life. Thank you so much Anita!

Anita has been a loyal, trustworthy, prompt, kind caregiver to our Dad who lives at CherryWood Village. She is always kind, careful and knowledgeable about caring for the elderly. We truly rely on her help!!

I love this company! They are very supportive, caring, lovable, and make sure my needs are met, I would definitely recommend to others! My care providers are Treasure and Mika these girls are so sweet and I love the relationship I have built with each girl!

We have been using Home Instead for over a year now, and happy to share that we have a great “team” of caregivers. Sonia, Paula, Cindy and Kerri each bring their own personalities and skills into our home, with positivity, humor and creative solutions to help us deal with our daily challenges.

Our Client Care Coordinator - Sara - has been doing a superb job addressing our needs and keeping everything flowing smoothly. And no small thing, when you call Home Instead you get a “live human”; when you email them you get a timely response.

Our caregivers, Brady, Elena and Ron take fabulous and thorough care of my dad. We can rely on them to lift his spirits and do all the daily things he needs. From showering to walks for croissants and coffee, I trust our caregivers with all of my dad’s needs. Having Home Instead has changed life dramatically for both of my parents. My mom now has time to get out and take care of herself while knowing Dad is in good hands. I can’t say enough about Home Instead, especially our three caregivers!

We have been using Home Instead in Portland for several years for my mother's care and are so grateful for her caregiver Sheila! She treats my parents like her own and works with them to make sure they are having their needs met on a weekly basis. She is punctual and dependable, and flexible when we need to adjust the schedule. Her presence has allowed my parents to remain in their home far longer than they would have been able to alone which is the biggest blessing to them (and the family).

When it became apparent that my in-laws needed additional help to remain in their home, Home Instead and their caregiver, Dora, came to the rescue. Dora has been a blessing with her patience and compassion. Thank you so much!

I've needed a caregiver for about twelve years now. In that time I've had several caregivers and being able to communicate the help I need has allowed me to have 3 caregivers that have been exemplary. Diane my current caregiver has been with me for about 5 years now and I am truly grateful for her help. Without her I would be in a nursing home. She's been a true blessing.

5-star review - By Michele M.

I would like to sing the praises of my mother’s Home Instead caregiver. Her name is Janice and she has been a weekend caregiver for my 91-year-old mother. Janice is caring and always finds a way to get my mom to giggle with her. We could not ask for a better and more caring caregiver.

My mother's care is outstanding by all the professional caregivers at Home Instead, Brittanie, India, Mary Ann and Jillian, They are all great and the reason I know is my mother knows their names and is happy to see them all! 5 Stars and more should be given to these Outstanding CARE GIVERS!!!

My in-laws aren’t comfortable with just anyone in their house, but they’ve accepted Dora into their home. She’s caring and knowledgeable, and helps fill in the gaps when other family members can’t be around to help. Thank you Home Instead and thank you Dora!

Home Instead Portland is providing care for my Mother. Dora, her caregiver, is terrific and treats her and the family with kindness and handles situations with dignity. Dora truly cares.

Denise is so attentive to my mom- sitting with her day after day, asking her about her life story, appreciating the years of wisdom.

I'm so fortunate to have Richard as a caregiver/companion for my husband. My husband can be difficult (like locking Richard out of the house) but Richard handled it with no problem. Richard is always professional, on time and a genuine nice person.

Home Instead, Portland 97216 has been providing inhome care services to my mother inlaw (90's) for about 4 months. The people our family interacts with are all a stellar 5+ stars! Dora, who provides the inhome care services is a very caring and loving person that fits well with my inlaws expectations. Sara, the client care coordinator interfacing with the family, is responsive and accomidating to our requests. Working with this Home Instead group has been a positive experience from the beginning.

Our family is so thankful to have Dora as our Mother’s caregiver. Her compassion, thoughtfulness and experience has made a difficult time a little easier knowing she is in capable hands.

Dora has been a blessing to our family! Mom and Dad were very hesitant about having anyone in their home but also knew they needed additional help. Dora won them over immediately and has been a Godsend to us in care for Mom. Overall, Home Instead (thank you, Sara) has been wonderful through the process and always been very accommodating and respectful of our needs.

We've had a handful of Home Instead caregivers, all very pleasant, but are especially happy to have VICTORIA as our primary, regular, recurring caregiver. Her quiet, professional composure and background experience gives me great confidence in her ability to monitor my 84 yr old husband w/ mobility limitations and numerous chronic ailments. Her tasks may include light housekeeping, meal prep, etc however I prefer she focus on my husband -- assisting him with appropriate exercise, engaging him in conversation, keeping a watchful eye, offering a helping hand when needed, and while I'm out running errands, being there in case of an emergency. We greatly appreciate the care and peace of mind VICTORIA provides.

The caregivers from Home Instead truly felt like family. They were helpful with everything I needed and did so with kindness...

THANK YOU MacKenzie and Kim in the office for your efficiency, flexibility, and caring hearts. Paula and Juleen were amazing in their care for my very ill and belligerent husband. Oh, I bet they are glad to be done with those thigh-high compression socks and velcro wraps!

We used Home Instead's services for the care of our Mom. The staff was incredible! We appreciated all the support we received from the main office (McKenzie and Kim were both incredibly helpful and responsive), and the caregivers at the house who spent time with Mom on a daily basis. We cannot say enough good things about all of the staff, including Tanicia, Amber, LaToya, and Cindy who spent quite a bit of time helping Mom with her daily needs. Mom especially loved Tanicia's visits due to her excellent cooking and care. In the days before our Mom passed, the staff were exceptional in their support and care of Mom, but also with the family as we spent time at the house. We cannot thank Home Instead enough for providing the care Mom needed and deserved in the past months.

I was coming into Portland for surgery, and had already paid for travel and accommodations, when I got this email from OHSU: “You must have someone to assist and stay overnight with you the day of your procedure. Surgery will be rescheduled if either of these requirements are not met.” I didn’t know anyone in Portland, so I quickly called “Home Instead”, and they saved me! They provided transportation to and from the hospital satisfying the hospital requirements, and the surgery was a success. Thank you “Home Instead”!

We were so happy to have an amazing experience with Home Instead and our caregiver was Luz (last name held for privacy). We live in Molalla Oregon which is about 35 miles south of Portland and we were actually very worried we wouldn't find anyone to come way out here to help us care for Alyce, my 87 year old MIL. We brought Alyce home in January 2022 from an assisted living facility due to their inability to give her the care we expected and pay massively for. Home Instead was a new company to us and after meeting us in our home and evaluating our needs, they matched us with Luz who is absolutely amazing. We have 4 cats and 3 dogs so our situation is crazy. Alyce needed help with everything as she was weak and suffered from Vascular Dementia. Alyce suffered 2 silent heart attacks in March and we were blessed to have Luz help her. Luz was always on time and so kind and patient with all of us. She helped Alyce live out her last few months with dignity and friendship. We trusted Luz with everything and valued her advice on dealing with the changes in Alyce and how best to help her. Luz's calming presence was so helpful in such a difficult time. Sadly Alyce suffered 2 strokes and passed away in May but her life was made far more enjoyable due to Luz's care. We were able to experience time with Alyce in a much happier way as opposed to stressing over how to care for her. Luz is such a caring, calm and extremely well qualified person to care for your loved one.

My father was in an assisted living facility but needed more care that the facility could provide. Since I live in another state, I contacted Home Instead to visit him 3x/week for three hours/day over the primary meal period to provide companionship, help with eating, and assisting in moving as needed.

All aspects of my experience with Home Instead was positive, from my initial contact through the wrap-up of their services. Office staff was professional--once they understood what i was looking for they arranged an on-site assessment of my dad's needs. The woman performing the assessment was empathetic, engaging, thorough and very competent. She was able to explain their services to my father and his wife, answering their questions and concerns. She provided more detail to me on billing and scheduling.

It took about two weeks to find caregivers who could come on the desired schedule, one for two days/week and the other for one day/week (which we later extended to two days/week). Both caregivers bonded with my father; he was happy to see them. They kept good notes of each visit for me to review, and the case manager would call me at least monthly to review the situation with me. They also noted any issues with the care being provided by the facility and suggested equipment or other actions we could take to make my dad more comfortable.

If a caregiver was unable to make their normal meeting, they always let me know 48 hours or more in advance and offered to find a substitute to insure coverage.

When my Dad needed to move to a different facility for more care, we arranged to have them continue to come to provide continuity and insure there would be some familiar faces in a new situation.

He became very friendly with both and it was a source of comfort for me to have two experienced, professional and empathetic people spend time with my dad.

I have no hesitation recommending Home Instead; all aspects of my interaction with them were positive. I only wished I had learned about them sooner so I could have involved them earlier in my dad's care.

Some of our favorite caregivers have been from Home Instead.

Caregivers are pleasant, professional and accommodating.

Though there are occasional blips, the staff tries their best to fill our needs and meet our requests for schedule changes.

Caregivers are always punctual.

Home Instead was wonderful to work with and took great care of my Mom. With their help we were able to keep her in her own home much longer then we could have without their wonderful care and help! Thank you to all the great caregivers, staffing personal and special thank you to Sara her Care Coordinator.

I have help twice a week. My Caregivers are always on time and ready to work with a smile on their faces. I don't have to constantly tell them what to do, and when I tell them how to do something they remember. They are kind caring and professional. I look forward to seeing them every week.

I give a 5 Star to Home Instead because they have always provided me with caregivers who always thought about how I wanted to be treated and the office staff has always been helpful and I enjoyed the home visit...So who ever reads this if you are in need of a caregivers, you will good hands!!!!!

Excellent in-home help. Reliable admin support; e.g. substitute coverage, flexible coverage when needed. Good supervision and consultation.

Home Instead's team of amazing caregivers helped care for my Mom for most of 2020. Even in the first days of the pandemic when the world came to a standstill, caregivers came every day and took such wonderful care. Everyone we dealt with was kind and caring. My mom needed a lot of care, and they worked to find us the best fit for her. I see a lot of negative reviews about poor communication with the office, but I did not have that experience. I spoke with their office staff quite often and they were always helpful and responsive to my requests. If you are considering caregiving for a loved one, they will be in wonderful hands with this agency. I can't thank them enough for all they did for my Mom.

This company is so special. I highly recommend Home Instead. From start to finish each staff person took their time to make sure I understood what care my parents would receive. The care plan was adjustable, which became so important as health care needs changed, sometimes over night. They really did their absolute best to give my parents the unique care that they wanted and I needed for them. Thank you!

Positive: Professional employees, honor safety rules (masks and cleaning), calendars with dates and names of caregivers, open-minded, and respectful personnel. Negative: Too many caregivers with changes. I need a bit more stability. Exhausted.

We have had great responses with any needs or requests we have had for the caregivers, office staff and care coordinator.

Caregivers are compassionate and reliable

My mom is in Independent Living, and showing the gradual signs of memory loss. Home Instead provides really professional (and most importantly, empathetic!) Caregivers to help her with medications 2 times a day. Some days my mom is sweet, some days my mom is grumpy. The caregivers are expert at navigating the emotional changes of memory loss, while keeping her confidence and trust. What can I say. During these difficult times, she has people to look out for her on a daily basis. I feel that having extra eyes on my mom is a reflection of something positive, optimistic and calming. This agency has been on time, thoughtful, professional and caring.

Home Instead was amazing with my almost 95 year old grandmother. Very professional, reliable and caring. The quality of their care takers is above and beyond superior. From the beginning of the process, they walked me through and made my grandmother feel safe and cared for until she passed.
Thank you.

Caregivers are compassionate and professional. I would definitely use this agency again!

My caregiver is the best. The Home Instead staff is wonderful, too. Very professional all around.

On the whole, I am very pleased with the services provided. My aide is congenial and efficient. Although occasionally, some tasks slip their mind.

Just wanted to give a shout out to the Home Instead Portland team for your hard work and great care! We recently received positive feedback from a family we referred and we love hearing they are happy with your caregiving magic!

HISC has been able to personalize services to address the changing needs of our elderly family member. Many thanks to our Care Coordinator for her creative solutions. The caregivers are experienced, competent, and caring. We are pleased with our relationship with HISC and recommend them highly.

The caregivers are all warm and provide my husband with much-needed companionship. Everyone is reliable, and we've always been treated like we matter, both by the office staff and the caregivers.

My Mom was in a transition point in dementia. She lives in an assisted living facility and needed one on one care during the day. Home Instead reacted quickly to the need and provided companions that interacted well with Mom. If they got feed back suggesting a given caregiver did not get a great response from my Mother they worked to find a companion who did. The communication with Home Instead was good even in the middle of the COVID 19 pandemic.

Home Instead Is very competitive cost wise and are more reliable than others we have used or heard of from friends. That being said I urge anyone who is thinking of hiring outside care to review your budget and understand all the terms and financial implications. Home Instead was very good at explaining all the terms, rates and minimums.

Consistent and reliable care as scheduled. Caregivers are good with elderly, take their time and don’t rush their client around. Excellent communication from main office.

We are using Home Instead. So far, so good. They provide companionship and have sent a very good person. We have gotten this recommendation from a local medical school. They had recommended Home Instead as an alternative. We went with them, and we are very pleased. The caregivers are very competent. They come in Monday, Wednesday and Friday for three hours. I would certainly recommend them.

Friendly, honest and knowledgeable helpers. Fun to be with. Eloisa was particularly helpful and went out of her way to do things to help me. I’d be happy to have either of them with me again on any day. Thank you.

We are very grateful to everyone at Home Instead for the care given to our Mom. Unfortunately, Dementia got the best of her so we had to remove her from her home. I would definitely recommend them for in home care.

Very grateful for good, caring, and helpful service. Only able to use for one week cause mom fell and had to move. But Beaverton Office very helpful and informative.

We are so happy with Home Instead. When my mom was living in Ohio, we had a Home Instead caregiver out there whom she loved. When she made the move west, we thought we'd try again and found that yes, lightening does strike twice! Mom adores both Lori and Diana. They are both lovely and bring so much to her world and mine. We definitely give Home Instead a two thumbs up.

I was always impressed by the young people who came to my place to take care of me. I would certainly use the services of Home Instead again.

I chose Home Instead to care for a family member at home after surgery. The care manager arrived at our home on the day I contacted the agency, to open the case, and ensured that caregivers were available. During a time when we really needed to count on this agency, Home Instead came through for us. The caregivers were well trained and the office staff were always very efficient and courteous. Thanks Home Instead!

I had the opportunity to be provided care by one of their hardest worker, in a time of vulnerability and need for three months, namely Abigail. She provided amendable, attentive, and compassionate care, always lifting my spirits through a very difficult time. If the need were to arise again, I would utilize Home Instead's services. Thank you Abigail for walking alongside me through this period of time and thank you Home Instead.

My husband has memory problems. It had gotten where he should not be left alone. Through research and lots of questions, we found Home instead senior care. We have found one person that we have come each week as a regular. This has worked out great. He does what needs to be done, and finds things to help with. We have had many others for when I need to go out. All with their different personalities have ranged from fine to great. All would be welcomed back again.

Home Instead came to my rescue when my elderly father suddenly took a turn for the worse and I needed time to make arrangements for assisted living care. They were very kind and professional with my Dad, reporting to me about this status and progress. It gave me great peace of mind knowing that there were another set of eyes until I could get him moved to a permanent setting with greater oversight.

Pat cared for my father-in-law for 8 weeks when his regular caregiver was recovering from a surgery. Pat is a real sweetheart! My father-in-law just adored her. She completed tasks as requested, kept me posted on progress, and treated him with loving care and she is a fantastic cook! Would definitely recommend her.

Home Instead Senior Care -- Portland East has been reliable and consistent over the four months we have received in-home care.

We had a serious family injury that occurred and needed assistance abruptly. LaVona came out to the house on a Sunday evening and got us signed up and help to us when we needed it. The communication with the company was outstanding; the care was exemplary and they responded professionally and helpfully along the entire way. I cannot say enough as to how helpful, compassionate and professional they were. Thank you!

Caring, considerate, and huge help for our family.

Home Instead is an absolutely wonderful agency that we have found to help care for my parents. We have LOVED all of our caregivers! They have been extremely helpful in caring for my mother with dementia and my father after a hip surgery. Highly recommend them!

We found Home Instead to be extremely helpful after my wife had some injuries and we required some assistance. The aides were kind, timely, skilled, and willing to pitch in without being asked. They helped do laundry, house cleaning. Frankly, our floors have never been cleaner and having someone help with laundry during the week eased my weekend chores tremendously. We didn't require food preparation or medication assistance, but I'm sure they would have provided it had we asked. To my mind, the hourly rates were reasonable.

Home Instead has provided our mom with excellent in-home caregivers. They are reliable, caring and competent as well as dependable.

We had quite a few very kind and thoughtful caregivers help us with our mother. We are very grateful.

The initial interviewer was kind and sensitive to the needs of my mother and our family. Each person that has come to care for her was also sensitive to her needs. Each person has been easy to talk to and had a good understanding of our desires. Having Home Instead has helped to relieve our concerns about my mothers needs in the area of her personal hygiene and basic household safety. I think the only difficulty I see with regards to my mother is her ability to adjust to having a variety of people. Overall, we are pleased with the service and plan to continue until the time comes for her to move to assisted living. Thank you for the help you've given to my mother and our family.

The caregivers from Home Instead that have helped our family over the past few years have been outstanding - in particular, two very, very special caregivers. Thank you.

Home Instead has helped our whole family by providing support for an older family member with dementia. The care and companionship they have provided has been sincere and engaging. The practical help they provide with cleaning and other chores has helped the whole family by taking off some of the stress of constant home maintenance.

We've had about 5 or 6 different caregivers during our 2 year experience and they have all been friendly and professional. While they have all been capable, I found that some caregivers fit better than others for our needs. In other words, it may take trying out different caregivers to match up to your ideal.

All of my dealings with the administration and caregivers has been professional and organized. When we have needed schedule changes, the staff has kept communication clear and consistent in terms of alerting caregivers, finding alternates, and confirming changes. Caregivers always keep logs of the day and have always been on time.

It's not an inexpensive service, but for the support and help they provide it is worth it.

My 93 year old mother and 88 year old step-father are receiving kind, loving, supportive care from Home Instead caregivers. The team listens carefully to our particular needs; they are wonderfully responsive, dutiful and genuinely lovely people. I strongly believe that my parents day to day lives are made richer and more comfortable with the help of the caregivers from Home Instead.

Home Instead caregivers have been the most wonderful, consistent, excellent companions/drivers/caregivers for my 84 year old dad with dementia. They have worked with him from independent living all the way to and into memory care. They continue to walk for miles with him, drive him to the bank to "negotiate" with his bank teller, grab a copy of the Oregonian (never mind that he is unable to read much any more), look at family photos, and adjust their voices so they can be heard by my dad who is unable to use hearing aids. We had tried other companies in the past, but found integrity, honesty, empathy and skills lacking - the most frightening things to lack when you're asking someone to care for your family member. They have stuck with him through times of peace and times of frustration and acting out. Their dementia training shows in their approach to my dad, especially in problem-solving and diversion. I cannot say enough about the comfort and friendship they have brought not only to my dad but to the rest of our family as well. The organization and communication between caregivers/home office/family is always smooth and reliable. Absolutely no reservations about this company and local presence. Highly recommended, without any hesitation. I hope they're still around when it's my turn :)

For the past three years Home Instead has provided wonderful caregivers for my mother. They always seem to find the best people! My mother says one of the reasons she is so happy here is the ladies for her!

We really liked the people that we've had for my mom from Home Instead. They're always on-time, reliable, pleasant, and useful. The staff does a good job and gives very good care.

Wonderful, caring support and reliable nursing service when we needed additional help for mom. She loved her caregivers.

I was staying in Portland as a visitor so had no prior experience with the Home Instead office. None the less, they provided excellent care for my wife over four days as I attended a professional conference. There were four different caregivers, all of whom were very dependable, professional and personable. The office also provided effective administrative support. I would recommend this agency for anyone in need of care for an loved one with dementia.

We received excellent care for my husband when I couldn't be there or to allow me to have time off. Substitution were made when necessary to allow continual care.

Home Instead caregivers were extremely reliable and professional even in icy weather.

We are caring for a very frail aunt from over a thousand miles away in Portland OR. In addition to a wonderful neighbor, this team has been working with us for about two years. They are friendly, responsive, and above all, reliable -- reliable -- reliable. While we could have saved money by directly hiring a caregiver, we would not have been able to manage it from the distance without continual worry. Our experience has been, these people will be there, will do a good job, and are responsive to the needs of your loved one.

We had a very good and helpful experience with Home Instead. We certainly will call them when we are in need of their services again.

Effective and insightful caregivers. Efficient in all tasks.

I am very appreciative for the staff and services that Home Instead has provided for my Aunt. They have been very quick to respond and have purposed to satisfy the care needs for my Aunt who lives 3,000 miles away from me. Our Representative, Natalie continues to be active and making sure our needs are being met in a timely manner. She is the best! I highly recommend Home Instead to care for your love one. You will have peace of mind!

Our loved one was living in assisted living and working with hospice. We realized that the aides from the assisted living home were not doing the work that hospice was advising. We hired 24 hour care to be our eyes and ears when we could not be there. They helped us work with hospice to get the care our loved one needed. They were competent and caring and we could not be more pleased with the help they provided. A much needed service and one we were relieved to find.

My involvement with Home Instead was excellent. The way they were concerned and how the caregivers were doing. The caregivers were very professional on how they cared for my husband.

Home Instead is an amazing resource for individuals that are looking for help caring for the elderly in their lives. The team at the NE Sandy Blvd. location in Portland, OR are the best! They really do their best to make you feel like all your needs are taken care of when it comes to you and/or your loved ones in-home care. They can assist with bathing, toileting, dressing/grooming assistance, meal preparation, transportation/errands, and SO much more. They even have a nurse on staff that can help with medication management. The atmosphere at Home Instead is about family and I could not think of anyone else that I would want caring for my loved ones. Go on and give them a call....you will see that this is the easiest decision you can make regarding your loved ones care.

I appreciate sending caregivers as needed. I appreciate my caregivers, especially Joyce, who has been with me for 2 years. She is special.

Home Instead and my caregiver are great! I am happy to have Cindy come and so glad I brought HISC in! They provide care for my wife and myself.

We have been working with Home Instead continuously since the summer of 2010. Caregivers have helped us through 2 1/2 months of hospice care for my mother and since then, evolving levels of care for my father who is still living at home, since my mother's passing. Every attempt has been made to preserve consistency in caregivers and we have developed some priceless long term relationships. My father's quality of life at home is built on a combination of care given by Home Instead and family members. It has been a very successful partnership and Home Instead caregivers have nurtured not only my father, but my family as well. While a consistent schedule is optimal, Home Instead has always been able to respond to unplanned circumstances and changes. Every effort has always been made to send a caregiver who is already familiar with my father. As my father's needs have changed, Home Instead has always insured that the care plan is promptly updated, often including a personal visit to the home. Our care manager has been particularly responsive to any concerns or evolving needs. She remained personally involved with my mother during her last months and was a wonderful support to us after my mother's passing. Home Instead is well run, well organized but at the same time, sensitive to the realities of caring for a loved one. It is a business with a heart and I heartily recommend you consider Home Instead for your family's needs.

I want the world to know they are available! I found them through the VA and have been so grateful. I'm real happy. They provide care for my husband.

The people from Home Instead Senior Care are doing a good job. They were really easy to hook up with and they seem very caring. They can provide minimal to full care service. We've been working with them for about three months now.

We have been working with Home Instead for over 4 years since my mom had her stroke. Couldn't do care from 4 hours away without the flexible and kind office staff. Her caregivers are wonderful and take excellent care of her and her home. I recommend their services to friends with parents needing care.

We have used personnel from At Home Instead for the past 2 years for my father-in-law and found the service excellent with good follow through on requests, respect and compassion for him. At 85 it has been difficult for him to accept other presences in his home, but he has come to love Cheryl and look forward to seeing her every Tuesday. She plays with his dog, eats breakfast with him and does his laundry. We are currently anticipating increasing her hours because of his decline.

The Benefits of Home Care

Read more about how home care services can help enhance a person’s enjoyment of life.
Home Instead Caregiver stands smiling in front of senior woman in bed