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92 year old man needs to be showered and face shaved once a week. He is on Medicare and Medicaid.

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He may be eligible for subsidized home care, here is an explanation of the PACE program:

https://www.agingcare.com/articles/pace-program-medicaid-medicare-home-care-142557.htm
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Who is doing these things for him currently? Moreover, why is he unable to do these things for himself?
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You stated that you are “caring for my friend with age-related decline, anxiety, depression, incontinence, and mobility problems” so I assume that your friend lives at home alone and that you are helping him so that he can stay in his home.

I did an internet search for "Redmond, WA home health" and several different home health companies were listed. Contact these home health agencies/companies with your friend and see if any of them offer the type of assistance that your friend needs.

One problem that some people have encountered is that when their friend needs more help than what home health can give or when their friend develops dementia or Alzheimer's, the friend's family steps in and takes over the friend’s care. The family then tells the person who was taking care of the friend not to visit or contact their friend anymore. Does your friend have any family? Does the family live close to your friends or several states away from him? Is the family aware of your friend’s increasing need for assistance? Is your friend's family involved in his care or decision making? Are you the POA for Finances and/Healthcare for your friend? If not, who is the POA? 
At age 92, your friend's health is going to continue to decline and someone who is his POA might have to step in and make decisions about his care.

It is great that you are taking care of your friend and are concerned about his welfare.  He is lucky to have a friend like you.
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Visiting Nurses maybe part of a Homecare facility. As such, bathing is usually part of other services they are performing.

You may want to see if he qualifies for Medicaid Homecare. Call your local Office of Aging and see if they provide aides.
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Council on Aging in your area. I just got 8 hours a month. So you would have to request 2 hours a week. Usually a long wait though. I waited forever to get help. Mom can’t bathe herself and it’s tiring for me to do it every week.

I get them to come out four hours at the time. So every other week I will bathe mom. This way I have enough time to get out of my house for a bit.
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Most visiting nurses are not free. Contact your Area Agency on Aging to see if there are any free services in your area.
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