What this includes
- Awake caregivers covering every hour, day and night
- Personal care, meals, hydration, and medication reminders on schedule
- Overnight monitoring for falls, wandering, or breathing changes
- Help getting up safely during the night for the bathroom
- Detailed shift-to-shift notes so nothing falls through the cracks
- Coordination with hospice, home health, or family caregivers
- Backup caregiver coverage so shifts are never empty
Who this is for
24-hour care fits families who need someone in the home at all times — typically after a serious hospital discharge, in the middle and late stages of dementia, with end-of-life care, or when living alone overnight has become unsafe.
How it works
Free in-home assessment
We assess what level of care is actually needed across all 24 hours and propose either rotating shifts or live-in based on home layout and budget.
Caregiver matching
We build a small team — usually two to four caregivers — who rotate in a predictable pattern so your parent sees familiar faces, not a parade.
Ongoing supervision
A coordinator manages the schedule, handles call-outs and backups, and updates the plan as needs shift.
Why families call
24-hour care is the most expensive level of home care and almost always the alternative to a skilled nursing facility. Families typically reach this decision after a hospital stay, a major fall, or a dementia diagnosis that has progressed past what one spouse can manage alone.
We staff 24-hour cases with a small, repeating team rather than whoever is available. The point is that your parent and the family caregiver see the same handful of faces — not a different person every shift.
We are transparent about cost. 24-hour care is not cheap, and we will not pretend otherwise. We will also be honest if a different level of care, plus a medical alert device and a weekly check-in, would actually be enough.
Common questions
- What is the difference between 24-hour rotating care and live-in care?
- Rotating care uses two or three caregivers in 8 or 12-hour awake shifts; everyone is paid for every hour. Live-in care uses one caregiver per 24-hour period who sleeps in the home for a defined nighttime period; pay structure and labor law treat the two very differently. We explain the trade-offs honestly during the assessment so you can pick the right one.
- Is 24-hour care covered by IHSS or Medi-Cal?
- IHSS authorizes a capped number of hours per month and typically does not fund full 24-hour coverage on its own [DRAFT — VERIFY: ihss_weekly_hour_cap]. Some families combine IHSS hours with private-pay or CalAIM Community Supports hours to reach full coverage [DRAFT — VERIFY: calaim_covered_services]. The math is individual; we can walk you through it.
- How quickly can 24-hour care start?
- For urgent post-discharge cases we can often start within 24 to 48 hours. For planned starts we recommend 3 to 7 days so we can staff a stable team rather than a rotating cast.
Ready to start?
A free in-home assessment is the easiest way to see if 24-hour care is the right fit. No obligation, no pressure.