When daily life is the barrier to a safe trip home, call SILK.
SILK provides non-medical help with personal care, meals, homemaking, supervision, family respite, and extended schedules when the location, scope, caregiver fit, and staffing align.
Can SILK help this patient or family?
Where we serve
Medicaid/PASSPORT focus: Gallia, Jackson, Pike, Vinton, and Ross Counties. Private-pay requests may be considered elsewhere in Southern Ohio based on address and staffing.
What we provide
Non-medical personal care, homemaking, meal preparation, companionship, respite, dementia support, post-hospital assistance, and overnight or extended care when available.
Payment pathways
Medicaid/PASSPORT in approved counties and private pay. SILK will explain what it can accept and what additional authorization or assessment may be required.
Who answers
Susan or Ehren remains close to the first conversation. Families and professionals are not routed through a national sales center.
What we do not provide
Diagnosis, nursing, wound care, injections, medication administration, therapy, emergency response, or other skilled clinical services.
What determines acceptance
Needs, location, home conditions, schedule, payment pathway, caregiver compatibility, reliable staffing, and a clear non-medical scope must align.
Discharge today or within 24 hours? Call while the family is present. A short three-way conversation is usually faster and clearer than sending the form alone.
Call SILK nowSILK In-Home Care is an independent non-medical home-care agency. SILK is not Holzer Health System and is not affiliated with, employed by, or endorsed by Holzer. Families remain free to consider any qualified provider.
What happens after Holzer or a family contacts SILK?
The purpose is to reach a responsible next step quickly—not to make a promise before SILK understands the actual situation.
We acknowledge the request
Susan, Ehren, or the SILK team reviews the contact information, location, discharge timing, and general non-medical need.
We contact the family
SILK asks practical questions about routines, mobility, personal care, home conditions, family coverage, timing, and payment.
We determine fit honestly
Scope, geography, requested hours, caregiver match, household realities, and dependable staffing must all work.
We give a clear next action
The family learns whether assessment and planning can proceed or whether another resource is more appropriate. With permission, SILK can close the loop with the referring professional.
Situations in which an early call may prevent a bad first night home.
Personal-care gap
The person cannot safely manage bathing, dressing, toileting, grooming, getting in or out of bed, or the established daily routine alone.
Family coverage is not realistic
The discharge plan assumes relatives can cover more hours, nights, travel, lifting, or supervision than they can sustainably provide.
Overnight risk
Bathroom trips, falls, confusion, wandering, anxiety, repeated waking, or an inability to remain safely alone create a nighttime gap.
Meals and household basics
Food, dishes, laundry, linens, trash, pet-related routines, and safe pathways will not reliably happen without hands-on support.
Dementia or cueing needs
The person benefits from a familiar routine, calm supervision, reminders, redirection, companionship, and relief for the family caregiver.
Longer blocks of care
A two-hour visit will not solve the real problem, and the family needs a conversation about longer daytime, overnight, or continuous coverage.
Picture the first complete day at home.
These five questions expose the daily-living gaps that may remain after the clinical plan is complete.
Getting inside and moving
Who will help with the entrance, stairs, walking, transfers, and moving between rooms?
Bathroom and personal care
Who will help with toileting, bathing, dressing, grooming, and getting in or out of bed?
Meals and the household
Who will prepare food, handle dishes and laundry, remove trash, and keep pathways clear?
Evening and overnight
Who will be present if the person becomes confused, wakes repeatedly, or should not be alone?
A realistic family schedule
Can the people helping genuinely cover the hours while still working, sleeping, traveling, and caring for themselves?
Everyone should understand who handles what.
SILK's non-medical role may include
- Personal care and established daily routines
- Permitted mobility help within training and the care plan
- Meals, laundry, linens, trash, and light housekeeping
- Permitted reminders and routine support
- Companionship, supervision, and family respite
- Reporting permitted observations through the agreed process
Licensed or emergency professionals handle
- Diagnosis, clinical assessment, and treatment
- Wound care, injections, and skilled procedures
- Medication administration or clinical management
- Physical, occupational, and speech therapy
- Changes to restrictions or discharge instructions
- Emergency evaluation and urgent medical decisions
Professional systems without losing the human being.
A referral page should not make SILK sound like every other agency. These are the differences the Holzer team saw in person.
Direct local accountability
Susan or Ehren stays close to families, caregivers, and the decisions that shape the care experience.
Caregiver fit matters
SILK works to match the person, personality, home, schedule, and practical needs—not merely fill an open block of hours.
Systems support the care
Clear expectations, responsible intake, follow-through, and honest capacity decisions help protect both the family and the caregiver.
We genuinely enjoy the work
Dignity includes laughter, conversation, dancing, familiar routines, pets, and helping people continue to feel like themselves.
SILK will not be the right fit for every request. The promise is not automatic acceptance. The promise is a real answer, an honest explanation, and responsible follow-through.
Short answers before the family goes home.
Does submitting the form confirm that care will begin?
No. It begins a conversation. SILK must evaluate services, location, household conditions, schedule, payment pathway, caregiver fit, and current staffing before confirming care.
How early should the family contact SILK?
As early as possible once a likely need or discharge date becomes visible. More notice creates more planning time but does not guarantee staffing.
Can SILK help overnight or for extended hours?
Potentially. SILK evaluates nighttime activity, bathroom and mobility needs, confusion or wandering, household conditions, requested hours, location, scope, and caregiver availability.
Can SILK provide nursing or therapy?
No. SILK provides non-medical home care. Skilled nursing, wound care, medication administration, and physical, occupational, or speech therapy require appropriately licensed professionals.
Can the referring professional receive an update?
When the family permits it and an appropriate communication method is available, SILK can report whether contact occurred and whether a next-step conversation is moving forward.
Send the minimum information needed for SILK to contact the family.
Do not send medical records or sensitive health information through this form. For a discharge today or within 24 hours, call 740-245-1051 while the family is present.
Do not include: diagnoses, medications, medical records, Social Security numbers, insurance identification numbers, or other sensitive health information.