The homecare service that pays the most is typically skilled nursing care. Skilled nursing care is provided by nurses and therapists who have specialized training and can happen either in the client's home or in a skilled nursing facility. Other homecare services that pay well include: Personal care services: Personal care services include activities such as bathing, dressing and grooming. Companionship services: Companionship services involve spending time with, talking to and playing games with clients. Homemaking services: Homemaking services include activities such as cleaning, cooking and doing laundry.