Over the last decade, an aging American population has increasingly turned away from nursing homes in favor of trained caregivers who can provide critical help in the home with basic daily tasks. But a new investigation warns the need for at-home care has vastly outpaced a much smaller growth in the pool of home care workers. The result: between 2013 and 2019, the number of available home care workers for every 100 patients in need has fallen by nearly 12%.