You've spent two days searching. You found four kinds of companies that each describe part of your problem, and none of them describe the whole thing.
This guide compares a senior move manager with a professional organizer, a junk hauler and a home care aide. It covers what each one does, what each costs in the Las Vegas valley, and — most importantly — what each one won't do. Knowing that is what saves you from calling the wrong one first.
The Four Services at a Glance
Senior Move Manager
Plans and runs a downsize or move — measures the new place, sorts room by room, coordinates movers.
Typical cost: $40–$125/hr, or packaged
Professional Organizer
Designs systems for a space you're keeping — closets, pantry, paperwork, garage.
Typical cost: $50–$120/hr
Junk Hauler
Takes away what you've already decided to get rid of.
Typical cost: $150–$800+ per load
Home Care Aide
Bathing, dressing, medication reminders, meals, companionship.
Typical cost: $30–$40/hr, agency minimums apply
Labor + Organizing (True Task)
Sorts with you, does the lifting, rearranges rooms, hauls and donates.
Typical cost: $30/hr per person
What Each One Won't Do
This is the part that actually matters, because it's where families get stuck.
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Senior move managers won't do heavy hauling or disposal — they usually subcontract it. They also don't provide personal care.
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Professional organizers won't move furniture, haul loads, or make decisions for you. They design the system; you execute it.
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Junk haulers won't sort with you, pack, rearrange a room, or route items to donation with care. They arrive expecting decisions to be finished.
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Home care aides won't move furniture or lift anything heavy. Most agencies prohibit it outright.
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We (True Task) won't provide personal care, nursing, or anything clinical.
The Gap Most Families Fall Into
The four traditional services leave a hole in the middle, and that's where most families end up.
Home care aides look after the person, and most agencies won't let them move a dresser. Junk haulers bring a truck, but they expect the decisions to be made before they arrive. Organizers design the system but don't do the heavy lifting. Move managers write the plan and often hire someone else to carry it out.
The real job is usually all of those at once. Someone sits with Mom while she decides about the china, carries it out, drives it to the donation center, and then moves her bed downstairs so she can reach the bathroom. That can be one afternoon with one crew instead of four vendors.
Six Situations, and Who to Call
"Mom comes home Thursday with a walker and the house isn't ready."
Call: a labor and organizing service, before the discharge date.
This is a one-day job. The crew clears walking paths, moves a bed downstairs, pulls furniture back so she has room to turn, and puts bathroom essentials within reach. If she also needs help with bathing or medications, hire a home care agency as well — most families in this situation need both. For more on why this window matters so much, see our guide to preparing a home after a hospital stay.
"Dad passed and the house lists in three weeks."
Call: an estate cleanout crew that coordinates, plus an estate sale company if there's real value.
The order matters. Family picks what they want first, then items go to donation, then disposal, then the house gets cleaned. A junk hauler alone leaves you making all the decisions by yourself on a deadline. If there are antiques or collectibles, get an estate sale company in before anything leaves the house.
"The garage hasn't been usable since 2009."
Call: labor first, then an organizer if you want a system that lasts.
Expect some sorting and one or two truckloads out. Once the volume is gone, decide whether you want the space organized or just empty. A professional organizer is worth the money after the clearing, not before. If the job is purely hauling, our junk removal service covers that on its own.
"She's moving to assisted living in 30 days."
Call: a senior move manager, or a service that does both the planning and the labor.
This is exactly what senior move management is for: measure the new unit, decide what fits, pack what's going, find homes for what isn't, and empty the house. The choice between the two comes down to how much coordinating you want to do yourself. Our senior downsizing service covers the labor side of it.
"She's fine, but the spare room and closets have gotten away from her."
Call: a professional organizer, or a labor service if a lot needs to go.
If nothing is leaving the house, an organizer is the better fit.
"He can't manage the stairs, forgets his medications, and hasn't had a real meal in a week."
Call: a home care agency or an aging life care manager, and start there.
This is a care problem, not a clutter problem, and we'd tell you the same thing on the phone. Rearranging furniture won't fix it, although it may become part of the plan once a professional has assessed what he needs. Medicare's custodial care exclusion explains why home care and home tasks sit outside what Medicare covers.
Local Professionals We Trust
Some parts of this work aren't ours to do. These are local professionals we work with and recommend:
Matt Davio
Senior Placement Advisor, Silver State Referral
725-353-9997 · Matt@silverstatereferral.com · silverstatereferral.com
Melissa Colby
Community Ambassador, Silverado Red Rock Memory Care (Dementia Care Certified)
melissa.colby@silverado.com · 7540 Smoke Ranch Rd, Las Vegas, NV 89128
Mitchell Schwartz
Senior-Focused Real Estate Agent (CSA, CAPS, CRS, SRES, ABR, AHWD)
lasvegashomes.kw.com
Lyndon Holdeman
Associate Broker, HRG / Equity Union Real Estate
702-335-0607 · Lyndon@HRGvegas.com · HRGvegas.com
Deborah Oliver
Notary Public & Certified Trust Delivery Agent, Sign Here America (mobile)
(702) 580-1826 · info@signhereamerica.com
Cindy Birkland
Wealth Management, Insurance & Mortgage
cindybirkland.com
What We Don't Do
We can't solve every situation on this page, and you should be wary of anyone who says they can.
We don't provide personal care, nursing, bathing, medication management or anything clinical. We don't appraise antiques. We aren't licensed contractors, so we don't install grab bars or widen doorways, but we'll tell you when you need someone who does.
What we do is the physical and organizing work in the middle: sorting with you, lifting, rearranging, hauling and donation runs. It costs $30 an hour per person, and you get a firm price before anything moves.
If that isn't what you need, tell us on the phone and we'll point you to someone who can help. Sometimes that costs us a job, and it's still the right way to run this business.
Call (702) 439-2352 or book a free walk-through. We serve Henderson, Las Vegas and Boulder City.
🔗 Link Summary
Internal Links
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labor and organizing service → /our-services/home-tasks (Situation 1)
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preparing a home after a hospital stay → /blog/fall-prevention-after-hospital-stay-henderson-nv (Situation 1)
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estate cleanout crew → /our-services/estate-cleanout (Situation 2)
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junk removal service → /our-services/junk-removal (Situation 3)
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senior downsizing service → /our-services/senior-downsizing (Situation 4)
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book a free walk-through → /free-in-home-evaluation (CTA)
External Links
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estate sale company → HomeLight estate sale guide (Situation 2)
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professional organizer → NAPO, napo.net (Situation 3)
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senior move manager → NASMM, nasmm.org (Situation 4)
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aging life care manager → Aging Life Care Association (Situation 6)
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custodial care exclusion → Medicare Interactive (Situation 6)