Around-the-clock care without leaving home
When someone cannot be alone at any hour, families usually feel the only option is a facility. It is not. 24-hour care puts a team of caregivers in the home in rotating shifts, so there is always someone awake, and your parent keeps their bed, their kitchen and their street.
Who 24-hour care is right for
Clients who need continuous supervision or hands-on help at unpredictable hours: advanced dementia with night wandering, high fall risk, late-stage illness, or a couple where one spouse can no longer safely care for the other. It is also a bridge: many families use 24-hour care for a few weeks after a hospitalization or while deciding on a longer-term plan.
What 24-hour care includes
- Rotating shifts (typically two 12-hour or three 8-hour shifts) so caregivers are always alert
- Awake overnight caregivers for clients who need supervision at night
- Full personal care, meals, housekeeping and companionship across every shift
- A small, consistent team of caregivers rather than a rotating cast
- Shift-to-shift handoff notes and a shared care plan
- Dementia-trained caregivers when memory loss is involved
- Coordination with hospice, home health and physicians as needed
- Owner oversight and regular in-home supervisory visits
When hourly care is no longer enough
- Falls or wandering are happening at night
- The client cannot be left alone even for an hour
- A spouse caregiver is exhausted or has their own hospitalization
- Hospice has been started and the family wants to keep their parent at home
- Assisted living or memory care has been recommended but the family wants to explore staying home first
- Hourly visits have grown to 10 or 12 hours a day and the nights are still uncovered
What a 24-hour plan often looks like
A widower in Lincoln Hills with advanced Alzheimer's has begun leaving the house at night. His daughter in Rocklin has been sleeping there for a month and cannot keep doing it. We set up two 12-hour shifts: a day caregiver for meals, walks, personal care and appointments, and an awake overnight caregiver who keeps the house secure and quiet. His daughter goes home to her own bed. Illustrative scenario.
How we build a 24-hour team
- 1
Assessment focused on the nights
We want to know exactly what happens between 10 PM and 6 AM, because that determines whether the overnight caregiver must be awake.
- 2
Team design
We assemble a small group of caregivers who cover the week, so your parent sees the same few faces and the caregivers know the routine deeply.
- 3
Staggered introductions
Each caregiver is introduced before their first solo shift. The first days are supervised closely by Carly or Ginelle.
- 4
Weekly review
24-hour plans are reviewed every week in the first month and then monthly. Needs change; the plan changes with them.
What affects the cost
We do not publish a rate card because the right number depends on the plan. These are the factors, and we quote exact pricing after the free assessment.
- Whether the overnight caregiver must be awake or can sleep (this is the biggest factor)
- Level of personal care and any two-person assistance needs
- Dementia-related behaviors requiring experienced caregivers
- Duration: short-term bridge vs. ongoing, and holiday coverage
Why families choose us for 24-hour care
- Awake, alert caregivers on every shift, never one person working 24 hours straight
- A small consistent team introduced one at a time
- Honest comparison with assisted living costs so you can decide with real numbers
- Local owners who visit the home and know your caregivers personally
24-Hour Care questions
Do you offer live-in care?
Our standard 24-hour model uses rotating shifts with awake caregivers, which California labor law and client safety both favor. If a sleeping-overnight arrangement is appropriate for a lower-needs client, we will discuss it at the assessment.
How does 24-hour care compare in cost to assisted living or memory care?
For a single person it is often more expensive than assisted living and comparable to or more than memory care, but a couple can share one caregiver at home. We will lay out the real numbers for your situation at the assessment so you can decide with eyes open.
How many different caregivers will be in the house?
Covering 168 hours a week takes a team, typically four to six caregivers on a set rotation. We keep the team as small as we responsibly can and avoid last-minute substitutions.
Can you work with hospice?
Yes. Hospice provides nursing visits, medications and equipment; we provide the continuous presence. This is one of the most common reasons families call us for 24-hour care.
Can we start with 24-hour care and reduce later?
Absolutely. Many post-hospital clients start with a 24-hour bridge and step down to daytime hours as they recover.
24-Hour Care across South Placer County
Available in every community we serve. Local details for each:
Often combined with
Dementia & Alzheimer's Care
Caregivers trained for memory loss: calm routines, redirection instead of correction, and a safer home for every stage.
Learn more →Personal Care
Hands-on help with bathing, dressing, mobility and the bathroom, delivered with discretion by trained caregivers.
Learn more →Post-Hospital Care
Support for the first days and weeks home from Sutter Roseville, Kaiser Roseville or a rehab stay, when readmission risk is highest.
Learn more →Talk to us about 24-hour care
A free in-home assessment is the first step. No obligation, and you will meet the person who writes the plan.