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Live-In Home Care for Seniors

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What is Live-In Home Care?

It’s heartbreaking to watch someone you love struggle with things they used to do easily—whether it’s forgetting to lock the doors, having a few close calls with falls, or even just skipping meals because cooking feels overwhelming. Maybe they’re still managing some things on their own, but you notice the gaps. And as much as you try to help, life pulls you in so many directions, making it hard to be there all the time. You start to wonder if moving them into a care facility is the only option left, even if it feels too soon for that step.

Live-in home care offers an alternative that keeps your loved one where they feel most comfortable—at home. A dedicated caregiver lives with them, helping with daily tasks like bathing, dressing, meal preparation, medication reminders, and providing a friendly presence. They become a familiar, trusted presence in your loved one’s daily life. And even though a live-in caregiver needs regular breaks and a set time to sleep, they’re always nearby, ready to help whenever needed. It’s a way to keep the warmth and familiarity of home while you can rest easier knowing your loved one has the support they need from a consistent, caring presence, day in and day out.

Overview of Live-In Senior Care

Ideal For
Seniors who need medium to long-term assistance but not 24-hour care and monitoring.
Supervision Level
Constant monitoring during active hours, with rest breaks.
Care Schedule
A caregiver lives with your loved one, providing day and night support with scheduled breaks.
Flexibility
Care can be quickly adjusted to meet daily needs and routines.
Caregiver Rotation
One primary caregiver ensures familiarity and trust through continuous care.
Caregiver Breaks
Scheduled breaks and sleep time but is available for emergencies.
Backup Caregiver
A backup steps in when the primary caregiver is unavailable.
Minimum Commitment
Typically 4 hours, though some locations offer no minimums.
Cost
More affordable than 24-hour care, with fewer caregivers involved; depends on the caregiver expertise and client location.
Support
24/7 guidance and support provided by your Aging Coach.

How Live-In Senior Care works

Live-in care is ideal for seniors who want to maintain their independence at home but need regular assistance with daily living activities. It’s especially suited for those who are not ready or willing to move into a care facility but don’t require constant 24-hour supervision. If your loved one doesn’t need round-the-clock medical attention but still needs help throughout the day—whether it’s with personal hygiene, mobility, or meal preparation—live-in care offers the perfect balance of support and freedom.

While a live-in caregiver stays in the home, they typically need breaks and a designated period for sleep each night. However, they are always available and on hand to help whenever needed, even during the night, ensuring your loved one’s safety and comfort while allowing them to remain in the home they cherish. Live-in care works well for families looking for a trusted, consistent caregiver who can provide personalized care without the constant rotation of multiple caregivers that comes with 24-hour care.

10 Signs It's Time for a Live-In Caregiver

Benefits of Live-In Care for the Elderly

1.

Familiarity and Comfort of Home

Home is where memories are, where they feel safe. Live-in care allows seniors to remain in the place they know and love, surrounded by familiar comforts. This is especially helpful for those who may get confused or anxious in new environments, as staying at home can bring a sense of security and stability.
2.

Independence Without Sacrifice

Live-in care strikes a balance between independence and care. Unlike in a facility, seniors can maintain control over their day-to-day routine—what to eat, when to rest, what activities to do—while still having someone to assist with tasks they can’t manage on their own.
3.

Personalized, One-on-One Care

With live-in home care, your loved one gets undivided attention from a caregiver who’s there just for them. Whether it’s help with getting dressed, preparing meals, or simply having someone to chat with, the caregiver is focused entirely on their needs.
4.

Consistency and Continuity of Care

Having the same primary caregiver by your loved one’s side each day, they quickly learn your loved one’s routines and preferences, providing care that feels truly personal. This ongoing, consistent support helps everyone feel more at ease, knowing everything is taken care of smoothly.
5.

Companionship and Emotional Support

A live-in caregiver doesn’t just assist with physical tasks—they become a trusted companion. They’re there to listen, share stories, and offer comfort, which can make a big difference in your loved one’s emotional well-being, reducing feelings of isolation and creating a sense of connection.
6.

Peace of Mind for Everyone

Knowing someone is there around the clock gives both seniors and their families peace of mind. Even though the live-in caregivers may take breaks and sleep, they’re always close by if needed, ensuring your loved one has support day and night.

What's included in Live-In Care

Personal Care

Why Home Matters

Personalized, holistic,

and compassionate care

Dedicated Aging Coaches

Our team of Aging Experts listen to you, understand your family’s needs, and guide you every step of the way.

Personalized Care Plans

A dedicated Aging Coach works with you to craft a care plan that caters to your family’s unique needs.

Continuous Monitoring

Your Aging Coach regularly reviews continued satisfaction surveys to make any necessary adjustments to your care plan.

Nurse-Guided Care

Our clinical team provides the foundation for great care, allowing us to serve all clients, including those with complex needs.

Better Training, Better Care

Our caregivers undergo thorough screening and are continuously trained to ensure that provide the highest level of care.

Care on Your Schedule

Your needs may change with time. We offer flexible scheduling to accommodate your evolving preferences.

Getting Started with Live-In Home Care

1. Initial Consultation

The first step is a free, no-obligation consultation where we discuss your loved one’s specific needs, lifestyle, and preferences.

2. Personalized Care Plan

Based on the consultation, our team will develop a personalized care plan that covers all aspects of your loved one’s needs.

3. Caregiver Matching

We carefully select and match a trained live-in caregiver who best fits your loved one’s needs and personality.

4. Start of Care

Once the plan and caregiver are confirmed, we will begin providing live-in care on your preferred schedule.

5. Ongoing Support and Adjustments

Your loved one’s needs may evolve over time, and we’ll regularly check in to make sure the care plan continues to meet their requirements.

Need care urgently?
Start care as early as today.

“Home Matters has been a life saver!
So professional and always incredibly punctual. They gave me my independence back and have helped me stay active with my great grandchildren.”

— Sherrill L.

Frequently Asked Questions

What is the role of a live-in or stay-at-home caregiver?

A live-in caregiver provides essential personal care assistance to an elderly person, helping with daily tasks like bathing, dressing, grooming, meal prep, and medication management. They also handle light housekeeping to ensure the home environment remains comfortable and safe. Beyond these duties, live-in caregivers offer companion care and emotional support, fostering a sense of connection and security for your loved one. Because the caregiver lives with your loved one, they’re available for help day and night while taking scheduled breaks and rest time to recharge. This consistent presence allows them to closely monitor and respond to changes in your loved one’s health. Additionally, live-in caregivers provide respite care for family members, giving them a well-deserved break from their caregiving responsibilities. This means the family can take time to rest, knowing a dedicated professional is carefully looking after their loved one’s health and safety.
Live-In Home Care lets your loved one stay where they feel most comfortable—at home. This means they can maintain their independence, stick to their daily routines, and stay surrounded by the things they love. With live-in caregivers, your loved one gets personalized, one-on-one care in their familiar environment, which can greatly improve their emotional well-being. Unlike in an assisted living facility, where care is shared among many residents, live-in care offers consistent care from a single caregiver, helping to build trust and a stronger bond. Plus, families have more control over the type and level of care provided without the need for the disruption of moving to a facility.
Live-In Home Care involves one caregiver living in the client’s home and providing care throughout the day and night, with breaks and an 8-hour sleep period. In contrast, 24-Hour Home Care involves multiple caregivers working in shifts to provide continuous, active care around the clock, without any rest periods. 24-hour care is ideal for clients who require constant supervision, while live-in home care works well for those who need regular, but not round-the-clock, monitoring.
Hourly Home Care involves a caregiver visiting the home for scheduled hours, typically to assist with specific tasks like personal care, meal planning and preparation, or errands. Hourly care is ideal for seniors who only need assistance for a few hours each day or week. On the other hand, Live-In Home Care offers more comprehensive, ongoing support. It involves one caregiver living in the client’s home and providing care throughout the day and night, with breaks and an 8-hour sleep period.
To determine if Live-In Home Care is right for your family, start by assessing your loved one’s needs. If they require regular help with daily activities but prefer to stay at home and they don’t need constant, round-the-clock monitoring, live-in care could be the ideal solution. Consider how having a dedicated caregiver living in the home might benefit them both emotionally and physically. It’s also helpful to have open discussions with your family members and care professionals to make an informed decision. To get personalized guidance, you can schedule a call with a Home Matters Aging Coach, who can help evaluate your situation and answer any questions you may have.
Live-In Care can often be arranged as quickly as 48 hours, depending on the care agency and the specific needs of the senior. After a quick assessment, a Home Matters Aging Coach works with you to match a suitable caregiver and ensure they’re prepared to move in and begin providing care as soon as possible.

To prepare for a live-in caregiver, you’ll want to start by discussing your loved one’s daily routines, care preferences, and any specific expectations with the caregiver to ensure everything runs smoothly. It’s also important to organize medications, medical supplies, and daily schedules so the caregiver can quickly adapt and provide the best possible care.

Make sure the caregiver has a private, comfortable room to sleep and rest in during breaks. Since they will likely be preparing meals for your loved one, they’ll need full access to the kitchen. If meal prep services aren’t part of the care plan, the caregiver should still have access to the kitchen to prepare their own meals.

Additionally, it’s a good idea to clarify house rules, such as the use of shared spaces, and provide any meal preferences for both your loved one and the caregiver. Your assigned Home Matters Aging Coach will guide you through every step, ensuring everything is in place for a smooth and comfortable transition for everyone.

A live-in caregiver should not perform any tasks that require medical expertise unless they are specifically trained and licensed to do so (e.g., administering injections or changing medical dressings). They also should not make decisions for your loved one or take control of their personal finances. Additionally, caregivers should respect boundaries, avoiding behaviors that invade privacy or independence. They also should not engage in any activities outside the scope of their role, such as heavy lifting or extensive home repairs.
At Home Matters, we take extra care to match caregivers based on your loved one’s specific needs, personality, and preferences. During the initial consultation, a Home Matters Aging Coach will gather detailed information about your situation to ensure we find the right caregiver for you. We also encourage open communication, so if adjustments are needed after the initial placement, we can make changes to ensure your loved one feels comfortable and well-supported.
Medicare does not typically cover Live-In Home Care. It may cover short-term home care services for medical care following a hospital stay, but long-term, non-medical care services, such as live-in home care for personal assistance, are generally not included. You may want to explore other financial assistance options like Medicaid or long-term care insurance to pay for home care services. Schedule a call with a Home Matters Aging Coach for more information.
Payment for Live-In Home Care services is typically out-of-pocket, but there are options to explore. Long-term care insurance may cover part of the cost. Medicaid or Veterans Affairs benefits may also provide assistance in some cases, depending on eligibility. Additionally, some families choose to use savings or financial planning tools to budget for this type of care. Schedule a call with a Home Matters Aging Coach for more information.
The terms of the contract can vary depending on the home care agency. Home Matters Caregiving’s Live-In Home Care service agreements are typically flexible, with a rolling arrangement requiring short notice for termination, generally around two weeks. Schedule a call with a Home Matters Aging Coach for more information.

Real Customers.

Real Reviews.

5-Star Google Rating
“I love how supportive and dependable Home Matters was for my Grandmother during the time we had their services. Their caregivers are dependable and very attentive to their clients!”
Tiffany C
“We had some hiccups with another agency and then found Home Matters through a friend! They made sure we were heard and their scheduling team is very communicative! Very happy with HMC!”
Joshua Clasberry
“I am so grateful. All staff members were friendly, courteous and kind. I would recommend them to everyone that needs help in their home! They are rock stars!!!”
Kathleen Light
"Home Matters Caregiving has been taking care of my mother full time now for over 3 years. They are committed to helping people and always work hard to find the best caregivers possible."
Pam Knell

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Based on 340 Google reviews

“I love how supportive and dependable Home Matters was for my Grandmother during the time we had their services. Their caregivers are dependable and very attentive to their clients!”
Tiffany C
“We had some hiccups with another agency and then found Home Matters through a friend! They made sure we were heard and their scheduling team is very communicative! Very happy with HMC!”
Joshua Clasberry
“I am so grateful. All staff members were friendly, courteous and kind. I would recommend them to everyone that needs help in their home! They are rock stars!!!”
Kathleen Light
“Home Matters Caregiving has been taking care of my mother full time now for over 3 years. They are committed to helping people and always work hard to find the best caregivers possible.”
Pam Knell