Lend-A-Hand Senior Services Lend-A-Hand Senior Services was the first non-medical home care agency in northern Nevada. Opened in 1992, the Sisson family continues to operate the compassion focused, quality driven care provider. We service only Reno/Sparks and have a 100% customer satisfaction rate with the highest standards of caretaker selection and training. Let our family take care of yours! Call us today!