Maybe in California that happens but not where I'm at in Kentucky. Home health nurse did vital signs and went over medications with my husband and me. Medicare did pay for Physical Therapy for him which was helpful. They did not pay for home chores.Probably a good idea to find out how Medicare defines home health nurse, or what duties aren't in their job description. Like, they probably don't dust furniture but do change bed linens, don't vacuum the living room carpet but do mop bathroom floors, etc.
Prior to my husband, I took care of a male friend who was in a head on with a school bus. He became immediately incapacitated. He had Medicare also. Medicare paid for some nursing supplies, a home health nurse that monitored his V/S and did his dressing changes, and a wound care doctor that came once a month. They did not pay for household chores. There again we were told that if we were Medicaid that home chores would be paid for but since he was Medicare they wouldn't. I do believe that they said Medicare would pay for Respite if needed but he didn't want to go to a nursing home for a short term stay to get it.