Home Instead Senior Care® began by serving a handful of families in Omaha, Nebraska in 1994. Since those early years, our network has grown to over 1,000 franchises that provide in-home senior care from Topeka to Tokyo. And even though we lead the world in home care services, we retain our traditional Midwestern values. We always operate from the heart.? It guides us as we provide personalized care, build relationships, and enhance the lives of seniors and their families right here in Vancouver, BC.