Home Care in Ross County, Ohio
Family-Owned and Trusted.
SILK In-Home Care provides Medicaid/PASSPORT and private-pay, non-medical care that helps older adults and adults with care needs live safely and comfortably at home in Chillicothe and throughout Ross County.
Care that feels like family
Home Care Built Around the Person, Not a Corporate Process
When something changes—a fall, hospital stay, memory concern, or exhausted family caregiver—families need clarity quickly. SILK begins by listening to what is happening at home and identifying the daily support that could make life safer and more manageable.
Whether your loved one needs personal care, help around the house, companionship, respite, dementia support, or assistance settling home after discharge, you can speak directly with owners Ehren or Susan.
How We Help
Personal Care
Help with bathing, dressing, grooming, toileting, mobility, and daily essentials.
Homemaker Services
Light housekeeping, laundry, meal preparation, dishes, and household routines.
Companion Care
Conversation, activities, reminders, errands, meals, and meaningful support.
Respite Care
A dependable break so family caregivers can rest, work, or manage other needs.
Dementia Support
Patient, reassuring care that supports routine, safety, personal care, and calm.
Hospital Recovery
Non-medical support after discharge to help daily life become manageable again.
Support for every season of life
Help That Can Change as Needs Change
Some families need a few focused hours. Others need recurring or extended support. The care plan should reflect the person’s actual needs, routines, home, authorization, and family support—not a one-size-fits-all package.
- Medicaid/PASSPORT and private-pay options
- Care plans that can adapt over time
- Caregiver matching based on fit
- Direct communication with the owners
Getting Started Is Easy
Call Us
Tell us what changed, where the person lives, and what is becoming difficult.
We Listen & Assess
We learn about needs, routines, risks, payment source, and the family’s goals.
Care Plan & Match
When SILK is a fit, we build a realistic plan and identify the right caregiver.
Care Begins
We complete onboarding and stay connected as care begins and needs evolve.
We’re With You
You do not have to solve every decision alone. We will speak honestly, explain what home care can and cannot do, and help you identify the next responsible step.
Medicaid, PASSPORT, and private pay
Home Care Payment Should Be Explained Clearly
SILK accepts Medicaid/PASSPORT for eligible clients in Ross County and also serves private-pay families. The right route depends on eligibility, authorization, urgency, requested services, location, schedule, and staffing.
Medicaid/PASSPORT
Eligible older adults may receive approved home and community-based services through Ohio Medicaid programs such as PASSPORT. The administering agencies determine eligibility, authorization, services, and approved hours.
Private Pay
Private pay may provide flexibility when a family wants to begin care directly, add hours, cover needs outside an authorization, or does not qualify for Medicaid-funded care.
Start With the Need
Before choosing a payment route, identify the tasks, days, times, risks, and caregiver gaps that are creating the most pressure at home. A clear care need leads to better questions and a more realistic plan.
County-wide reach, address-by-address availability
Serving Chillicothe and Communities Throughout Ross County
Ross County includes a city, villages, smaller communities, and rural homes spread across a large geographic area. Availability depends on the exact address, care needs, schedule, authorization or payment source, travel distance, and caregiver availability.
Why local context matters
Home Is More Than an Address
For one person, staying home means remaining near familiar neighbors, church, family routines, or a favorite part of Chillicothe. For another, it means protecting life on a rural property that has been in the family for years.
Good home care should support the routines and relationships a person is trying to preserve—not reduce the person to a list of tasks.
- Care shaped around the person’s normal day
- Communication that includes the family appropriately
- Realistic scheduling for urban and rural addresses
- Owner accountability when needs change
When families most often need help
Support for the Moments That Change the Whole Household
A county page should help families make decisions, not simply repeat a service list. These are two of the highest-pressure situations Ross County families commonly face.
After a Hospital or Rehabilitation Stay
A discharge plan may explain medical instructions without answering who will handle bathing, meals, laundry, supervision, transportation, and the first difficult days at home. SILK may support the non-medical daily-living needs around the clinical plan.
Explore Post-Hospital SupportWhen Memory and Judgment Are Changing
Dementia can affect hygiene, meals, sleep, safety, communication, and the family caregiver’s ability to keep going. Familiar routines, companionship, personal care, supervision, and respite may help stabilize daily life.
Explore Dementia SupportAnswers for Ross County families
Home Care Frequently Asked Questions
These answers are general. Exact eligibility, authorization, availability, coverage, scheduling, and suitability depend on the individual situation.
What kind of home care does SILK provide in Ross County?
SILK provides non-medical in-home care including personal care, homemaker support, companion care, respite care, dementia support, post-hospital support, and overnight or extended care when available.
Does SILK accept Medicaid or PASSPORT in Ross County?
Yes. SILK accepts Medicaid/PASSPORT for eligible clients in Ross County and also works with private-pay families. Eligibility, assessment, authorization, approved services, and approved hours are determined through the appropriate Medicaid and aging-service processes.
Does SILK serve only Chillicothe?
No. SILK evaluates care requests throughout Ross County, including Chillicothe, Bainbridge, Frankfort, Kingston, Adelphi, Clarksburg, South Salem, Bourneville, Richmond Dale, Londonderry, and rural addresses. Availability depends on the exact location, requested schedule, care needs, authorization, and caregiver availability.
Can SILK help after a hospital or rehabilitation discharge?
SILK may provide non-medical help after hospitalization, rehabilitation, surgery, illness, injury, or sudden decline. Support can include personal care, meals, laundry, light housekeeping, companionship, mobility support, and help rebuilding a manageable daily routine.
Can SILK help someone living with dementia?
SILK may provide non-medical dementia support through familiar routines, companionship, personal care, meal assistance, supervision, and respite for family caregivers. Immediate safety concerns, severe behavior changes, or medical symptoms require the appropriate clinical or emergency response.
Can home care give a family caregiver a break?
Yes. Respite care can give family caregivers time to work, sleep, attend appointments, handle other responsibilities, or recover from prolonged caregiving stress.
What is the difference between home care and home health?
Home care generally supports daily living through personal care, homemaker help, companionship, respite, and household routines. Home health is typically physician-directed skilled nursing or therapy delivered by licensed medical professionals.
Does Medicare pay for ongoing non-medical home care?
Medicare generally focuses on medically necessary skilled services and does not typically pay for ongoing custodial or homemaker care by itself. Families should confirm benefits with Medicare or their specific plan.
Can care begin with only a few hours each week?
Possibly. Short schedules are evaluated based on the person's needs, address, requested days and times, authorization or payment source, travel, and whether the shift can be staffed reliably.
Can SILK provide overnight or extended care?
Overnight or extended care may be available depending on location, care needs, requested schedule, authorization or payment source, caregiver availability, and caregiver fit.
Can families speak directly with the owners?
Yes. Families can speak directly with SILK co-owners Ehren or Susan about care needs, location, Medicaid/PASSPORT, private pay, scheduling, and possible next steps.
What should I have ready when I call?
It helps to know where the person lives, the main tasks they need help with, preferred days and times, recent falls or hospitalizations, mobility or memory concerns, current family support, pets in the home, and whether Medicaid/PASSPORT, private pay, VA benefits, or another funding source may be involved.
Connected content, not an isolated county page
Continue Exploring SILK’s Care Network
Use these pages to understand services, payment, local coverage, and the people responsible for care.
Start with a real conversation
Tell Us What Is Becoming Hard at Home
You do not need a perfect care plan before you call. Tell Ehren or Susan what changed, where the person lives, what help is needed, and whether Medicaid/PASSPORT or private pay may be involved.
SILK provides non-medical home care. Services depend on location, care needs, schedule, authorization or payment source, assessment, caregiver availability, and caregiver fit. Call 911 for emergencies.
