Live‑in & 24‑hour care
For people who should never be alone, there is a way to stay home. Here is how it works, and what the two options really mean.
Families usually reach this page after a scare: a fall at night, a stove left on, a wandering episode. The instinct is to look at facilities. Round-the-clock care at home is often less expensive, and it keeps the person in the bed, the kitchen and the neighbourhood they know.
Live‑in care vs. 24‑hour care
| Option | How it works | Best for |
|---|---|---|
| Live‑in care | One caregiver lives in the home on a rotation (typically 4 to 7 days at a time), with a private place to sleep and an 8-hour sleep break at night. A second caregiver covers their days off. | People who need help through the day and are usually settled at night. |
| 24‑hour care | Two or three caregivers work 8 to 12 hour shifts so someone is awake and alert at every hour. | People who are up often at night, wander, or need frequent repositioning or toileting. |
What round-the-clock care includes
- All personal care, day and night
- Meals, housekeeping and laundry
- Medication reminders on schedule
- Company, outings and appointments
- Nurse supervision and care-plan reviews
- A coordinator on call for the family
Consistency is the whole point
We build a small, fixed team for every live-in or 24‑hour case and introduce each member in person. The person receiving care should know every face in their home. When a caregiver takes leave, their replacement is someone who has already worked a shift there.
What it costs
Live‑in care is billed as a daily rate; 24‑hour care is billed by the hour. We give you a written quote after the free assessment, and we are candid about which option your situation actually needs. Medicaid MLTSS can cover a meaningful share of hours for eligible people, and long-term care policies usually cover both arrangements. See paying for care.
Start with a free in-home assessment.
A nurse visits, listens, and writes a care plan with you. No cost, no obligation.