100% Woman-Owned • Locally Operated in Southern Ohio
Meet Susan and Ehren of SILK In-Home Care
SILK is a 100% woman-owned Southern Ohio home care agency founded and owned by Susan Lowers, BSW, with Ehren beside her as her husband, co-founder, and leadership partner. They believe in this work heart and soul. Susan and Ehren know their clients, care deeply about their families, and stay personally involved long after an ordinary office would have closed for the night.
Why SILK exists
Home care should feel like someone genuinely cares what happens next.
Families often call during one of the hardest seasons of their lives. A parent may no longer be safe alone. A hospital discharge may be approaching. Dementia may be changing the household. A spouse may be exhausted and afraid of making the wrong decision.
Susan founded SILK after seeing too many older adults lose their voice, dignity, and ability to remain at home. She built the company so families could reach knowledgeable people who would listen, think through the situation, and remain personally invested in the outcome. Susan has spent hours on the phone with clients’ loved ones, helping them understand difficult choices and identify the next responsible step.
We did not expect how impossible it would be not to love the people we serve. They become part of our thoughts, our conversations, and the decisions we make long after the day should have ended.
What families can expect
Knowledge, persistence, and personal follow-through.
Susan and Ehren work through the details because details determine whether care succeeds: the person, family, home, schedule, routines, risks, payment source, caregiver fit, and what a good day should look like. Many nights, they are still working at nine or ten o’clock to make sure nothing useful has been overlooked.
- Susan and Ehren learn the person—not only the schedule
- Hours spent helping families think through difficult decisions
- Care planning around the real household
- Thoughtful caregiver matching and follow-through
- Communication when something meaningful changes
- Late-night attention when there is still more SILK can do
Care is personal long before it is polished
The stories that explain SILK better than a mission statement.
Home care happens in real homes, during real family crises, and sometimes in circumstances no polished brochure would ever show.
Whatever helps make home livable again
One client had flooring badly soiled and damaged by pets. Ehren spent the day on his hands and knees cutting out the affected material. It was not glamorous, and it was not a staged photograph. It was simply a problem standing between the client and a cleaner, safer, more comfortable home.
Sometimes caring means rolling up your sleeves and doing the work that is right in front of you.
Hours on the phone when a family needs guidance
Susan has spent hours talking with clients’ loved ones as they faced decisions about safety, care, family responsibility, and what should happen next. Those conversations are not rushed because the family is not choosing an ordinary service. They are deciding who will enter the home and help care for someone they love.
Knowledge matters most when it helps a frightened family make a clearer decision.
Joy belongs in the care plan too
Ehren has danced with private-pay clients in their nineties. Those moments were not scheduled tasks; they happened because relationships grew, music played, and care made room for joy as well as need.
A person receiving care is still a person with humor, music, stories, and reasons to smile.
Connection across generations
Ehren and Susan’s eleven-year-old son has visited and talked with an older client, with the family’s knowledge. It was a simple conversation, but it reflected something SILK believes deeply: older adults should remain connected to life, family, community, and younger generations.
The best moments in care often feel less like a service and more like people being present for one another.
The people behind SILK
Different strengths. One standard of responsibility.
Susan Lowers
Susan brings a social-work perspective to family conversations, care needs, community resources, dignity, and the practical realities that shape whether support at home will work.
Families can speak directly with Susan about what changed, what the person needs, and how SILK may responsibly fit into the plan.
Ehren Lowers
Ehren focuses on reliability, operations, communication, staffing realities, and making sure the company grows methodically rather than accepting care it cannot support responsibly.
Families can speak directly with Ehren about schedules, service fit, household needs, and the practical next step.
The SILK standard
What should remain true as the company grows.
Care stays personal
The person is more than a shift, diagnosis, authorization, or list of tasks.
Leadership remains reachable
Families should know Susan owns the company and how to reach Susan or Ehren directly.
Clients remain on our minds
Susan and Ehren keep asking what else can reasonably be done to support the person and family.
Caregivers must fit
Reliability, communication, personality, needs, schedule, and household conditions matter.
Knowledge guides the next step
Experience includes knowing when SILK can help and when another professional should be involved.
Growth must be responsible
More clients only help when staffing, communication, oversight, and quality can support them.
What SILK provides
Practical non-medical support across the day and night.
Services may be combined when appropriate, included in the agreed or authorized plan, and staffable.
Rooted in rural Southern Ohio
We understand what care looks like beyond the city limits.
Susan and Ehren live in the country and understand the realities Southern Ohio families face: long drives, small communities, limited providers, difficult schedules, and the worry that dependable help may not reach a rural home.
SILK evaluates Medicaid/PASSPORT and private-pay requests throughout its five core Southern Ohio counties. Private-pay requests in nearby communities may also be considered based on the location, schedule, needs, travel, and caregiver availability.
Core Medicaid/PASSPORT counties
- Ross County
- Jackson County
- Gallia County
- Pike County
- Vinton County
County starting points
Explore care where your family lives.
Knowledgeable care—and the judgment to involve the right people
SILK helps families solve the daily problems that make remaining at home difficult.
SILK supports personal routines, meals, homemaking, companionship, dementia routines, recovery, respite, and extended schedules. When a need belongs with a physician, nurse, therapist, hospice team, case manager, or emergency service, knowledge means helping the family recognize that distinction rather than leaving them to guess.
Call 911 for a possible emergency.
Paying for care
Medicaid/PASSPORT: Services and hours require authorization; provider acceptance and staffing are separate decisions.
Private pay: Families arrange services directly, subject to rates, minimums, terms, scope, travel, and availability.
Medicare: Generally does not pay for ongoing custodial home care when that is the only need.
Who owns SILK In-Home Care?
SILK In-Home Care is 100% owned by Susan Lowers, BSW. Ehren works alongside Susan as her husband, co-founder, and leadership partner. Families can speak directly with Susan or Ehren about needs, service fit, scheduling realities, payment sources, and next steps.
Is SILK a local Southern Ohio company?
Yes. SILK is a 100% woman-owned, locally operated Southern Ohio company. Susan and Ehren understand the realities of serving families across rural communities, small towns, and homes located far beyond city limits.
What kind of care does SILK provide?
SILK provides non-medical home care, including personal care, homemaking, companionship, respite, dementia routines, post-surgery support, meals, reminders, and extended schedules when appropriate and available.
Can families really speak directly with Susan or Ehren?
Yes. Direct access to Susan or Ehren is a central SILK difference. Call 740-245-1051 or schedule a conversation to discuss what changed and what kind of support may fit.
Does SILK accept Medicaid or PASSPORT?
SILK serves eligible Medicaid/PASSPORT clients in Ross, Jackson, Gallia, Pike, and Vinton Counties. Eligibility, services, and hours are determined by the appropriate agencies. SILK determines whether it can accept and staff the plan.
Is private-pay home care available?
Yes. SILK evaluates private-pay requests in its core counties and nearby Southern Ohio communities. Rates, minimums, schedule, tasks, location, travel, household conditions, terms, and availability must be confirmed.
Does SILK provide skilled nursing or medical treatment?
No. SILK provides non-medical home care. Skilled nursing, therapy, diagnosis, treatment, injections, wound care, and clinical medication management belong with appropriately licensed providers.
How does SILK choose caregivers?
Caregiver fit involves qualifications, availability, reliability, communication, personality, the person’s needs, requested tasks, schedule, location, and household conditions. SILK does not promise that every requested schedule can be staffed immediately.
What should we have ready when we call?
Have the exact service address, what changed, daily-living needs, memory or safety concerns, requested days and hours, household conditions, family coverage, payment source, and desired start date ready.
How do we start care with SILK?
Call 740-245-1051 or use the contact page. Susan or Ehren will discuss the situation, clarify which questions belong to SILK or another professional, and explain the next responsible step.
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