Home care company Comfort Keepers’ AI toolkit has eased caregiver scheduling, provided continuous in-home monitoring and detected behavioral changes earlier. However, some of the company’s AI tools have borne mixed results — and, in some cases, chafe against long-standing paradigms.

The Irvine, California-based company leverages vendor products as well as an enterprise AI platform that has improved sales and marketing performance, as well as a quicker onboarding process.

“Anecdotally, there’s strong evidence that this is really leading to much, much greater efficiencies and just shorter time to hire,” Comfort Keepers chief operating officer Ramzi Abdine told Home Health Care News.

Comfort Keepers had over 600 franchise locations in the U.S. and Canada as of June. The company, founded in 1998, offers companion care, personal home care, private duty nursing, Alzheimer’s and dementia care and veteran care, among other services.

Comfort Keepers’ enterprise platform is built on OpenAI’s technology and includes Comfort Keepers’ own research, material and guardrails. Abdine explains that a franchisee can ask this AI questions, and it will answer them based not only on internet knowledge but also on the company’s custom information.

“We launched it primarily focusing on marketing initiatives, so things like, ‘Hey, what’s a good way to run a radio campaign for my territory?’” Abdine said. “It was very, very popular — so much so that we’ve expanded it beyond just focusing on marketing.”

Comfort Keepers’ enterprise tool now also tackles sales. Though the tool has been available for less than two years, offices that use the tool outperform those that do not.

AI for scheduling, notes and patient monitoring

Comfort Keepers’ pre-AI scheduling system required a scheduler to contact the caregiver. The company’s partner has introduced an AI tool that includes an AI agent named Rosie, who will call the caregiver. And if the caregiver is at a client’s house and simply forgot to check in, Rosie will do so on their behalf.

“We were always kind of [wondering], ‘Hey, is this going to go down well with the caregivers?’ We haven’t heard anything,” Abdine said. “This was one of the more pleasant surprises in our experience.”

The tools have also improved the rescheduling process. Before an AI overhaul, finding a new caregiver to fill in for one who had called off would be difficult, Abdine said, and required a scheduler to reach out to available caregivers in hopes of filling a shift. While this allowed schedulers to build connections with caregivers, it was time-consuming.

Comfort Keepers is now beta testing a feature in which an AI agent calls all qualified caregivers simultaneously and then gives the shift to the first one to answer.

He emphasizes that the feature is in very early stages and has seen mixed results.

“Many people still believe that this relationship is key, so many people have not even taken up this feature,” he adds. “Others are trying it out, so it’s a wait-and-see [situation]. But we have had, for example, stories where a process that takes 40-30 minutes is down to two minutes. … This is more of a … paradigm shift in how home care agencies have traditionally grown and operated their business. This one is a little bit tougher to adopt.”

While the scheduling tool saw rougher adoption, note summarization became popular for caregivers.

Previously, caregivers filling in for another worker had to prepare by reading a bevy of notes from previous visits to get up to speed. With AI note summarization, caregivers can prompt the tool with summaries from previous visits, as well as key focus areas the caregiver should be aware of.

“This is much more powerful, much more efficient, and it really helps that caregiver feel much more prepared for that visit,” Abdine says. “Feeling not prepared for a visit is probably one of the biggest complaints of caregivers.”

Comfort Keepers’ most expansive AI initiative is Comfort360 SafeGuard, which uses AI and radar to track an older adult’s movement patterns to detect fall risk and other mobility concerns.

Rather than using cameras and audio, the radar detects unsteady walking movement and falls, in addition to metrics such as breathing patterns and bathroom activity.

“It sits on top of your TV. The nice thing about a TV is the technology that seniors are very comfortable with,” Abdine said. “[Comfort360] allows us, as an agency, to check in virtually on that client. And it also allows us to link them with their family and friends, all in a very secure environment, and we can even dial in their doctor if their doctor works with it.”

Comfort360 also has capabilities to connect with other Bluetooth-connected devices, such as thermostats and scales.

“You can easily find out if [patients] have forgotten to turn on the air conditioner, for example, during a heat wave,” Abdine said. “You can get these warnings, and you can act ahead of time rather than react.”

While Comfort360 doesn’t use audio, some Comfort Keepers franchises have opted to provide clients with additional remote patient monitoring capabilities, through contracts with the agentic operating system Sensi.ai. The firm raised $45 million in Series C funding in October 2025, as well as $31 million in a 2024 Series B, Home Health Care News previously reported. 

The platform interprets audio to determine fall risks and other health changes for older adults. Comfort Keepers franchise locations in San Antonio, TX, Spartanburg, NC and Gainesville, FL have partnered with Sensi.

“It gives you a trove of data that the agency can use,” Abdine explains. “AI can identify, for example, a great interaction between a caregiver and a client… and that can be used as a reward again for recognition and retention. Vice versa, AI can recognize or identify an interaction that should have been handled differently, and that would be a way to enforce some more training around this type of situation.”

With all its AI tools, Comfort Keepers keeps compliance top of mind.

“I think our biggest role as a franchisor here is to go through a proper vetting process with the vendor, to make sure they are meeting all state and maybe now federal regulations, as well as HIPAA standards,” Abdine said. “That’s our job as the gatekeeper.”