Someone there—morning, afternoon, evening, and overnight
24-Hour Home Care in Southern Ohio
Coordinated 24-hour non-medical home care for older adults and adults with care needs—including personal care, dementia routines, meals, mobility, supervision, household support, and family relief.
No form. No call center. No pressure. Just text SILK.
24-hour home care for seniors and adults with care needs
Some care needs do not conveniently stop between shifts.
A person may need help getting out of bed, bathing, eating, moving safely, managing dementia routines, using the bathroom, and settling overnight. Family may be unable to leave for work—or sleep—without another dependable person present.
Personal care
Bathing, dressing, grooming, toileting, incontinence care, and other agreed daily routines.
Mobility support
Non-medical assistance moving through the home, transferring, and using approved equipment within the plan.
Dementia support
Familiar routines, calm communication, cueing, redirection, meaningful activity, and supervision.
Meals and hydration
Meal preparation, drinks, kitchen cleanup, encouragement, and companionship at the table.
Homemaking
Laundry, linens, dishes, light cleaning, trash, and household tasks that keep daily life functioning.
Family relief
Coverage that lets relatives work, sleep, care for children, attend appointments, and remain family.
What continuous care looks like across a real day
Different hours bring different needs.
A workable 24-hour care plan connects personal routines, mobility, meals, meaningful activity, reminders, and supervision across coordinated caregiver shifts. Each caregiver should understand what happened before the shift and what the next caregiver needs to know.
What 24-hour care actually means
Continuous presence through multiple caregivers and shifts.
SILK’s 24-hour care is a coordinated schedule designed so one caregiver relieves another. It is not one employee working around the clock, and it is not automatically a live-in arrangement.
- Defined shifts with lawful rest between assignments
- Clear tasks and expectations for each part of the day
- Communication during caregiver handoffs
- Consistent documentation and reporting
- Backup planning and leadership involvement
- Caregiver matching based on needs, home, and schedule
The right level of care
Continuous support should solve a real coverage problem.
Twenty-four-hour care may be considered when the person cannot safely or comfortably be left without non-medical assistance for meaningful periods, nighttime needs are substantial, dementia creates unpredictable supervision needs, or family coverage has become unsustainable.
It may also serve as an intensive bridge after hospitalization or a major change. Needs can later decrease—or require a higher clinical setting. SILK does not guarantee that care at home will remain appropriate indefinitely.
Continuity depends on the handoff
Every shift should know what happened before it arrived.
Around-the-clock coverage becomes fragmented when caregivers operate as separate islands. The plan needs shared expectations, useful documentation, timely escalation, and responsible communication.
Start the day
Personal care, breakfast, hydration, mobility, appointments, and review of the overnight period.
Support daily life
Meals, activities, homemaking, errands when approved, supervision, and meaningful engagement.
Reset and prepare
Dinner, hygiene, household reset, medication reminders within policy, and bedtime routine.
Respond through the night
Bathroom assistance, reassurance, supervision, mobility, comfort routines, and morning communication.
Do not confuse the care models
24-hour care, overnight care, and live-in care are not interchangeable.
Continuous shift-based coverage
Multiple caregivers cover all hours of the day and night through planned shifts and handoffs.
Discuss continuous coverage →A defined nighttime shift
A caregiver covers agreed nighttime hours; family, another caregiver, or independence covers the rest of the day.
Explore overnight care →Scope and safety
Continuous non-medical care is substantial—but it is not a miniature hospital.
- Personal care, toileting, hygiene, meals, and hydration
- Mobility and transfers that can be performed safely within scope
- Dementia routines, cueing, redirection, and supervision
- Homemaking, companionship, reminders, and family respite
- Observation, documentation, and reporting through SILK’s process
- Diagnosis, skilled nursing, therapy, or medical monitoring
- Injections, IVs, wound treatment, or medication changes
- Restraints or guarantees against falls, wandering, or emergencies
- Care exceeding what can be provided safely in the home
- Replacing EMS, hospice, home health, or required licensed care
Call 911 for a possible emergency.
Continuous home care does not replace emergency response. Follow the person’s emergency instructions for chest pain, severe breathing difficulty, signs of stroke, uncontrolled bleeding, unresponsiveness, a serious fall, or another acute concern.
A major care arrangement deserves a careful start
Build the schedule from the person outward.
A high-intensity schedule requires financial clarity
Understand 24-hour home care costs and coverage before care begins.
Continuous care covers 168 hours in a full week, so the total can be substantial. The actual cost depends on SILK’s current rates, the agreed shift structure, care needs, overtime considerations, travel, payment source, and whether the requested schedule can be staffed.
Private pay: Families may arrange continuous care directly, subject to current hourly rates, terms, task scope, schedule, travel, household conditions, caregiver availability, and staffing feasibility.
Medicaid/PASSPORT: Eligible clients may receive authorized waiver services. The case manager and administering agency determine services and hours. Authorization is not a promise that 24-hour coverage is approved or that SILK can staff it.
Medicare: Medicare generally does not pay for ongoing 24-hour custodial or non-medical home care when that is the only need. Verify exact benefits with the plan.
Information SILK needs
- Exact service address
- Requested start date and expected duration
- Current daytime and nighttime routines
- Hands-on care and supervision needs
- Dementia, wandering, fall, or behavioral concerns
- Family coverage and existing providers
- Payment source or authorization
Core Southern Ohio service area
Continuous-care requests across five counties.
Twenty-four-hour staffing is more demanding than a short visit. Availability depends on the exact address, needs, schedule, start date, authorization, travel, caregiver availability, and fit.
24-hour care FAQ
Answers before building the schedule.
The exact plan depends on needs, home, payment, authorization, safety, staffing, and SILK policy.
What is 24-hour home care?
Twenty-four-hour home care is continuous non-medical support throughout the day and night, provided through coordinated caregivers and shifts. It may include personal care, meals, mobility support, dementia routines, supervision, homemaking, reminders, companionship, and family relief.
Does one caregiver work for 24 hours?
No. Continuous care requires multiple caregivers and planned shifts so employees receive appropriate relief and rest. The exact shift structure depends on the care needs, schedule, authorization, employment requirements, caregiver availability, and SILK policy.
Is 24-hour care the same as live-in care?
No. SILK describes 24-hour care as coordinated, shift-based continuous coverage. Families should not assume it is a live-in arrangement or that a caregiver can sleep while remaining responsible for active around-the-clock needs.
How is 24-hour care different from overnight care?
Overnight care covers a defined nighttime shift. Twenty-four-hour care provides continuous coverage across daytime, evening, and overnight hours through multiple caregivers and handoffs.
Can 24-hour care support someone with dementia?
It may provide routines, reassurance, cueing, redirection, personal care, meals, meaningful activity, and supervision. SILK cannot guarantee prevention of wandering, falls, agitation, or emergencies, and non-medical care does not replace clinical evaluation or a comprehensive safety plan.
Can SILK provide medical care around the clock?
SILK provides non-medical home care. Skilled nursing, injections, IV care, wound treatment, therapy, diagnosis, medication changes, and medical monitoring belong with appropriately licensed clinical providers.
Can 24-hour care be temporary?
Potentially. Families may request intensive coverage after hospitalization, surgery, rehabilitation, a sudden decline, or a temporary gap in family support. Acceptance depends on the actual needs, safe scope, schedule, home, payment, staffing, and availability.
How much does 24-hour home care cost?
Because continuous care can involve 168 hours per week and multiple caregivers, total cost depends on current hourly rates, the shift structure, overtime considerations, care tasks, location, travel, payment source, and staffing. SILK does not quote a universal price online; call for current rates and a realistic weekly estimate. Medicaid/PASSPORT coverage applies only to authorized services and hours.
Does Medicare pay for 24-hour home care?
Medicare generally does not pay for ongoing 24-hour custodial or non-medical home care when that is the only need. Medicare may cover qualifying skilled services under separate rules. Verify exact coverage with Medicare or the person’s plan.
Does SILK accept Medicaid or PASSPORT for 24-hour care?
SILK serves eligible Medicaid/PASSPORT clients in Ross, Jackson, Gallia, Pike, and Vinton Counties. The case manager and administering agency determine authorized services and hours. SILK determines whether it can accept and staff the plan.
How do we start 24-hour home care with SILK?
Call with the exact address, requested start date, expected duration, daytime and nighttime routines, personal-care and mobility needs, dementia or safety concerns, household conditions, existing family coverage, and payment source. Susan or Ehren will discuss whether continuous care is appropriate and staffable.
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