24-hour care at home, when someone needs presence day and night
Continuous care delivered by a small team of caregivers working in rotating shifts. For hospital discharges, advanced dementia, or progressive conditions where being alone is no longer safe. Home, with the attention of a facility.
Who is this for?
- People returning home from the hospital who cannot be alone safely.
- Families caring for someone with advanced dementia who wanders or is unsafe alone.
- Situations where a fall risk or medical instability makes constant attention necessary.
- Families who want to delay or avoid moving a loved one into a facility.
What's included
- Continuous presence in the home, day and night, delivered in rotating shifts
- All personal care: bathing, dressing, toileting, feeding, mobility, transfers
- Medication reminders, fall prevention, and attentive observation of changes
- Meal preparation and maintenance of the daily routine
- Coordination with family, case managers, and clinical providers as needed
How it works
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Start with a call
Most 24-hour care requests are time-sensitive. Call us and tell us what is happening. We will move quickly.
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Urgent assessment visit
We meet the person, understand the medical situation, and draft a plan the same or next day when possible.
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Build the care team
24-hour care needs a team of caregivers working in shifts. We assemble the team so the same small group rotates through.
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Care begins, we coordinate
Care starts on schedule. A coordinator manages the shift handoffs, communicates with family, and adjusts the plan as needs change.
Common questions
How many caregivers will cycle through?
We keep the team small on purpose. Typically three to four caregivers cover the week in 8 or 12-hour shifts. Fewer people means more continuity and better rapport.
Is this the same as live-in care?
Not exactly. Live-in care uses one caregiver who sleeps in the home; 24-hour care uses shifts so someone is always awake and alert. Both have their place. We will recommend the right fit after the assessment.
How quickly can 24-hour care start?
Often within 24 to 48 hours for urgent situations, sometimes same-day for hospital discharges. We are honest about what we can and cannot do. If we cannot meet a timeline, we will tell you before you commit.
How is this paid for?
Private pay is most common. Long-term-care insurance usually covers part of the cost. Some VA and Medicaid programs contribute. We walk through the cost and payment options with you before care begins.
Ready to talk about 24-hour care?
Free consultation, no pressure. We will listen to your situation and walk you through what is possible.