24-Hour & Live-In Care
Round-the-clock coverage, familiar faces.
Some situations need someone in the home, all the time. The question becomes: how do we make 24-hour coverage feel like a small dedicated team — not a rotating roster of strangers?
A quiet check-in
Is this the level you're actually in?
The signs that part-time hours aren't enough anymore:
- Falls every few weeks, regardless of who's around
- Wandering attempts at unpredictable hours
- A spouse who can't leave the house even for an hour
- Hospital readmissions every couple of months
- A care plan that keeps growing because every shift uncovers something new
2-Minute Care Assessment
Not sure what level of care your family needs?
Eight honest questions, two minutes, a personalized recommendation. No obligation, no pressure — just clarity.
Used by 200+ Oakland, Macomb & Wayne County families
Why the staffing model matters more than the rate
Many agencies fill 24-hour cases with whoever is available. The result is a stream of new faces — confusing for someone with dementia, exhausting for the family, and often the reason a placement fails inside a month.
A small, consistent team is the only model that works long-term. It costs no more — but most agencies don't structure for it. We do.
Ready to talk through 24-hour & live-in care?
A free in-home assessment takes about an hour. No pressure, no contracts — just a clear plan you can keep or set aside.
What changes
How we structure 24-hour care
A primary caregiver, two consistent secondaries, and a care manager who actually knows your loved one's name. No revolving door.
A specific named team
You'll know the four to six people who will be in your home this month. You'll meet each of them. We don't surprise families with new faces.
Measurable continuity
We track caregiver consistency week to week and share it. If continuity slips, we tell you why before you ask.
Achievable shift handoffs
Written and verbal handoff between every shift, plus a shared care log so nothing falls between the cracks.
Relevant escalation
An on-call care manager available to your family any hour, any day. Not a call center — someone who knows your case.
A clear month-by-month review
We sit with the family every 30 days for the first 90, then quarterly. The plan adjusts as needs change.
Day to day
What 24-hour or live-in coverage looks like
Continuous, calm, and built on a small team your loved one comes to know.
- Primary caregiver plus two consistent secondaries
- Awake overnight presence (or live-in with overnight rest, depending on case)
- Two-person transfers when safety requires it
- Care manager involvement at every transition
- Coordinated communication with primary care, specialists, and hospice when relevant
What families ask
What families ask first
Is this less expensive than a memory care community?
Often comparable, sometimes more. The honest answer depends on your loved one's needs. We'll show you the math both ways and let you decide.
What happens when our primary caregiver is sick?
One of the named secondaries — already known to your loved one — covers. There's no scrambling.
Practical questions
The things families actually ask about 24-hour & live-in care
Logistics, cost, scheduling, training — the day-to-day worries, answered the way we'd answer them at your kitchen table.
Is 24-hour care two 12-hour shifts or three 8-hour shifts?
Two 12-hour awake shifts is our standard — fewer caregiver transitions means less confusion for your loved one. We'll explain the trade-offs at the assessment.
How is this different from live-in care?
True 24-hour care means an awake, working caregiver around the clock. Live-in care includes scheduled sleep hours. For dementia or post-surgical recovery, awake 24-hour care is almost always the right call.
Is this really cheaper than memory care or assisted living?
Often yes — and almost always when you factor in keeping the home, the spouse staying together, and the avoided move. We'll do the side-by-side math with you, no pressure.
How many caregivers will rotate through the house?
We aim for a core team of three to four people total, so every face is familiar. Same primary, same secondary, same weekend coverage.
What happens if a caregiver calls out?
Our staffing coordinator is on-call 24/7 with a backup roster who already knows your loved one. You will never get a phone call asking you to cover a shift.
Related services
Memory Care
Our specialty. The same dementia-trained caregiver every visit, calm routines, behavior support, and engagement that meets your loved one where they are.
Companion Care
Conversation, walks, hobbies, light meal prep, and the simple presence that keeps an older adult from spending the whole day alone — often the first kind of help a family brings in.
Personal Care
Bathing, dressing, grooming, toileting, incontinence care, mobility assistance, transfers, and standby help — all delivered with patience and respect for dignity.
Overnight Care
A trained caregiver in the home from evening to morning — awake and watchful — so the family can finally sleep through the night.
Let's talk through what coverage you actually need.
24-hour care is a real commitment. We'd rather have a careful first conversation than rush you into the wrong plan.