Class Code 8827
Home Care Services; Nursing Care
Class Code 8827 is California's workers' comp classification for home care services that include nursing care performed in a client's residence. This designation covers licensed nurses and home health workers performing clinical nursing tasks and related in‑home care. The September 1, 2026 approved pure premium rate for this class is $2.794 per $100 of payroll, which matters for agencies and private employers who place clinical staff in homes.
What Class Code 8827 Covers
8827 specifically covers nursing and clinical home care delivered in private residences and non‑institutional settings. That includes registered nurses (RNs), licensed vocational/practical nurses (LVNs/LPNs) and supervised home health aides when they perform clinical nursing duties such as wound care, IV therapy, medication administration, catheter care and skilled assessments in clients' homes. The code applies when clinical services are the primary work performed — not when workers provide only companionship, housekeeping, or nonmedical personal care. It also covers travel between client homes when that travel is part of the employee's work duties and payroll exposure.
Who It Applies To
- Home health agencies that dispatch RNs or LVNs to client homes
- Private‑duty nursing agencies providing skilled nursing at home
- Hospice providers delivering in‑home nursing care
- Healthcare employers with live‑in or hourly licensed nurses
- Home health aides performing supervised nursing tasks
Common Job Duties
- Administering medications, injections, and IV therapies in client homes
- Dressing and management of wounds, ostomy and catheter care
- Skilled assessments, care planning and clinical documentation
- Assisting with transfers and ambulation, sometimes using mechanical lifts
- Performing sterile or clean procedures and handling sharps
- Transporting between clients, carrying equipment and supplies
Common Injury Risks
Understanding the $2.794 Rate
The approved pure premium rate of $2.794 per $100 of payroll represents the insurer's estimated cost of future claims for the classification before adjustments. Insurers and employers use this rate to calculate the base premium by multiplying payroll/100 by the rate, then applying the employer's experience modification, policy credits or debits, deductible programs, and any state assessments. Actual premiums can vary with your claims history, payroll accuracy, split classifications (clinical vs. nonmedical), and whether employees are properly screened and trained.
Cal/OSHA Compliance Requirements
Employers of home health nurses must comply with Cal/OSHA standards that commonly apply in home care: the Injury and Illness Prevention Program (IIPP), Bloodborne Pathogens (8 CCR 5193) and Hazard Communication (8 CCR 5194). When employees face potential aerosol transmissible diseases, the ATD standard (8 CCR 5199) can apply. Practical compliance includes providing PPE, sharps disposal, training in infection control and safe patient handling practices and documenting employee training and exposure control plans.
How Key HR Helps Employers Under Class Code 8827
A PEO like Key HR can centralize payroll classification, ensure clinical roles are correctly coded as 8827, and apply proven claims management practices to control frequency and severity. Key HR provides return‑to‑work programs, safety training (safe patient handling, infection control, de‑escalation), centralized incident reporting, and access to group loss‑control resources that can reduce experience modification and overall workers' comp costs for home care nursing employers.
Get a QuoteFrequently Asked Questions
Does Class Code 8827 cover non‑medical companion or housekeeping services?
No. 8827 is specific to nursing and clinical home care. Purely nonmedical companion, homemaker or housekeeping services are typically classified under different codes. Classify workers based on the actual duties they perform, not just job titles.
Are live‑in nurses and hourly home health nurses both covered under 8827?
Yes—if their primary job is providing nursing care in private homes, live‑in and hourly licensed nurses are generally classed in 8827. Employers must report accurate payroll for all hours and any live‑in arrangements so premium is calculated correctly.
What practical steps reduce claims and premiums for home care nursing?
Implement a written IIPP, mandatory infection control and sharps training, safe patient handling policies with mechanical lift use when possible, driver safety protocols for travel between clients, pre‑hire background and stability screening, and a formal light‑duty/return‑to‑work program to shorten claim durations.
Quick Facts
- Class Code
- 8827
- Classification
- Home Care Services; Nursing Care
- Pure Premium Rate
- $2.794 / $100 payroll
- Effective Date
- September 1, 2026
- Source
- WCIRB Approved Filing
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