I have done home care for 10 years and have worked my way up to my current vacation package by adding some here and there instead of rate increases(usually one year is a rate increase, and the next is an addition to PTO days)
I currently have 8 paid holidays and 20 PTO days per year (vacations, sick, etc)....I also will close early for medical appts and not count it against any of my PTO if it is after 2pm (I have had some foot issues in the last year and so several dr appts....but I do my best to get the last appts of the day, etc....can only do so much to accomodate these).
Parents pay all 52 weeks a year unless for some reason I go over my alloted PTO days for the year (like last year I had 2 unpaid days for foot surgery at the end of the year).
Not every area is going to be able to support that tho.....very different just 10 miles from me....good luck!