Family-owned non-medical home care
Trusted In-Home Care in Southern Ohio Speak directly with the owners.
When an older parent or adult loved one needs help at home, you should not have to navigate a call center or guess what comes next. SILK provides personal care, homemaker support, companionship, respite, dementia support, and extended care built around real life.
- Medicaid/PASSPORT in approved counties
- Private pay available
- Local, family-owned agency
- No-pressure guidance
When care changes, you can call the people responsible for it. Susan and Ehren remain close to the families SILK serves.
Start with what is happening
You are probably here because something changed.
Most families do not begin by searching for a specific service. They begin with a worry, a new responsibility, or the realization that the current plan is no longer enough.
- A parent fell, became weaker, or is no longer steady alone.
- Someone is coming home after a hospital or rehabilitation stay.
- Memory loss, confusion, or wandering is creating safety concerns.
- A family caregiver is exhausted and needs dependable relief.
- Bathing, meals, laundry, or daily routines are becoming difficult.
- Family lives too far away to provide consistent hands-on support.
How SILK helps at home
Practical support. Personal dignity. A plan that fits real life.
Care can begin with a few essential tasks or grow as needs change. SILK provides non-medical assistance that helps older adults and adults with care needs remain safer, more comfortable, and more connected at home.
Personal Care
Respectful help with bathing, grooming, dressing, toileting, mobility, and other daily routines—provided at the client’s pace.
Explore personal care
Companion Care
Conversation, reassurance, reminders, errands, shared activities, and a dependable presence that helps reduce isolation.
Explore companion care
Homemaking & Meals
Meal preparation, laundry, light housekeeping, linens, dishes, and everyday help that keeps the home manageable and familiar.
Explore meal support
Respite Care
Reliable relief for family caregivers who need time to rest, work, attend appointments, or care for other responsibilities.
Explore respite care
Dementia Support
Calm, familiar routines and patient non-medical assistance for people living with memory loss, confusion, or changing behavior.
Explore dementia support
Overnight & Extended Care
Longer visits, overnight support, and 24-hour scheduling options when needs, staffing, location, and caregiver availability align.
Explore extended careAfter a hospital or rehabilitation stay
Coming home should feel like recovery—not another crisis.
SILK can help with personal routines, meals, laundry, light housekeeping, companionship, and the practical details that make the transition home more manageable.
Learn about post-hospital support
Why families choose SILK
Home care should feel personal before the first visit ever begins.
Large agencies often sell scale. SILK is intentionally built around local accountability, direct communication, and care that respects the person—not just the task list.
Direct Owner Access
You can speak with Susan or Ehren about needs, scheduling, payment, concerns, and possible next steps.
Thoughtful Growth
SILK accepts care based on needs, location, schedule, caregiver fit, and the ability to support the client responsibly.
Real-Life Care Plans
Support is organized around the person’s habits, home, priorities, risks, and family—not a generic corporate script.
Dignity First
Good care helps without taking over. We protect choice, privacy, familiar routines, and the client’s sense of control.
A clear way to begin
Three steps from uncertainty to a responsible care plan.
You do not need to diagnose the problem, choose a service package, or understand Medicaid before calling. Start with the situation.
Tell us what changed.
Share what you are seeing, what the family is doing now, and what feels unsafe, unsustainable, or uncertain.
We clarify the practical details.
We discuss care needs, location, schedule, payment source, timing, authorization, and the kind of caregiver support that may fit.
We build the next step responsibly.
If SILK is a fit, we move toward assessment, a care plan, caregiver matching, and a realistic start based on confirmed availability.
Medicaid/PASSPORT and private pay
Payment options should be explained clearly—not buried in jargon.
SILK helps families understand the practical difference between Medicaid/PASSPORT-authorized care and private-pay care, while staying clear about what SILK can and cannot decide.
Approved service counties
SILK serves eligible Medicaid/PASSPORT clients in its approved service areas, with a core focus on Jackson, Gallia, Pike, Vinton, and Ross Counties.
- Eligibility and enrollment are determined by the administering agencies.
- Authorized services and hours are based on assessment and approval.
- Care still depends on location, schedule, needs, caregiver fit, and staffing.
Flexible care without program authorization
Private pay can offer greater flexibility in schedule, services, and start-up planning. Private-pay care is available throughout SILK’s Southern Ohio service area, including Ross County.
- Care is customized around the family’s priorities and requested schedule.
- Service availability depends on distance, needs, hours, and staffing.
- Call SILK for current rates and a realistic discussion of timing.
Important: SILK does not determine Medicaid eligibility, program enrollment, or authorized hours. Services are non-medical and depend on location, care needs, requested schedule, payment source, authorization requirements, caregiver availability, and caregiver fit.
Built for Southern Ohio
Local care means understanding distance, family, and the realities of rural life.
SILK serves cities, small towns, and rural homes across Southern Ohio. We know that a short distance on a map can mean a long drive, that family may live in another county, and that dependable staffing matters more than a polished promise.
Home care service areas
Find care information for your county.
Each county page explains local availability, services, payment positioning, and how to speak directly with SILK about a specific address and schedule.
Jackson County
Home care in Jackson, Wellston, Oak Hill, and surrounding communities.
Explore Jackson County
Gallia County
Home care in Gallipolis, Rio Grande, and rural Gallia County communities.
Explore Gallia County
Pike County
Home care in Waverly and surrounding Pike County communities.
Explore Pike County
Vinton County
Home care in McArthur, Hamden, Wilkesville, and rural Vinton County.
Explore Vinton County
Ross County
Home care in Chillicothe and surrounding Ross County communities.
Explore Ross CountyAnswers before the call
Clear guidance for families making difficult decisions.
Use these resources to understand care options, prepare for a conversation, and make the next step less overwhelming.
Ohio PASSPORT Guide
Understand eligibility, assessment, authorization, services, and the questions families should ask.
Read the guideSenior Care Resource Hub
Practical education for hospital discharge, dementia, caregiver stress, home safety, and care planning.
Browse resourcesFrequently Asked Questions
Get direct answers about services, payment, scheduling, caregivers, service areas, and how care begins.
View all FAQsImmediate Family Guidance
Share the situation with SILK and get a clear, no-pressure conversation about possible next steps.
Contact SILKCommon questions
What families want to know before starting home care.
These answers are general. A direct conversation is the fastest way to understand what applies to your loved one’s location, needs, schedule, and payment source.
What kind of in-home care does SILK provide?
SILK provides non-medical in-home care that may include personal care, homemaker support, meal preparation, companionship, respite care, dementia support, errands, reminders, post-hospital support, and overnight or extended care when available.
Is SILK a medical home health agency?
No. SILK provides non-medical in-home care. Caregivers support daily living and household needs but do not replace physician-directed skilled nursing, therapy, or other medical home-health services.
Which counties does SILK serve through Medicaid or PASSPORT?
SILK’s core approved Medicaid/PASSPORT service focus is Jackson, Gallia, Pike, Vinton, and Ross Counties. Eligibility, enrollment, authorized services, and approved hours are determined by the administering agencies. Service also depends on care needs, location, schedule, authorization, caregiver availability, and caregiver fit.
Does SILK provide home care in Ross County?
Yes. SILK provides Medicaid/PASSPORT and private-pay home care in Chillicothe and surrounding Ross County communities. Medicaid eligibility, enrollment, authorized services, and approved hours are determined by the administering agencies. All service remains subject to care needs, location, schedule, authorization requirements, caregiver availability, and caregiver fit.
Does SILK accept private pay?
Yes. Private-pay care may offer greater flexibility in scheduling and services because it does not require Medicaid program authorization. Call SILK for current pricing, availability, and a discussion of the care plan.
How quickly can home care begin?
The timeline depends on the location, care needs, requested schedule, payment source, authorization requirements, caregiver availability, and caregiver fit. SILK does not promise a start date until those factors are confirmed.
Can I speak directly with the owners?
Yes. Families can speak directly with SILK co-owners Susan or Ehren about care needs, service areas, payment options, scheduling, concerns, and possible next steps.
How does SILK screen caregivers?
Caregivers must complete SILK’s required screening and onboarding process, including applicable background checks, documentation, training, and competency requirements for the work they perform.
Can SILK provide overnight or 24-hour care?
SILK may provide overnight, extended, or 24-hour scheduling when the requested arrangement, care needs, location, staffing, and caregiver availability align. Call to discuss the exact situation rather than assuming a schedule is immediately available.
Can home care help after a hospital or rehabilitation stay?
Yes. Non-medical support may include personal care, meals, laundry, light housekeeping, companionship, errands, and help returning to a safer daily routine after hospitalization, rehabilitation, surgery, illness, or injury.
Talk directly with the owners
Need help deciding what kind of care is needed?
Tell Susan or Ehren what changed. You will get a clear, no-pressure conversation about the next responsible step—not a scripted sales pitch.