Home care should begin with the problem—not a service label
Home Care Services in Southern Ohio
Personal care, homemaking, companionship, dementia support, respite, recovery help, overnight and 24-hour coverage, meals, and medication reminders—planned around the person, household, schedule, and family.
Find a useful starting point
What is becoming difficult?
Choose the concern that sounds most familiar. Many families ultimately combine several services into one practical care plan.
Urgent and higher-intensity needs
When a short visit no longer covers the vulnerable hours.
24-Hour Home Care
Coordinated shifts across the complete day and night.
Explore continuous care →
Post-Surgery Support
Daily living help after hospitalization, rehabilitation, or surgery.
Explore recovery support →
Overnight Care
Bathroom, mobility, dementia, and family-sleep support.
Explore overnight care →
Dementia Care
Familiar routines, cueing, reassurance, and supervision.
Explore dementia support →Every SILK service
Build support around real daily life.
Personal Care
Bathing, dressing, grooming, toileting, mobility, and respectful daily routines.
View Personal Care →
Homemaking
Laundry, dishes, light cleaning, linens, trash, and household organization.
View Homemaking →
Companion Care
Conversation, activities, supervision, errands, meals, and dependable connection.
View Companion Care →Respite Care
Dependable relief so family caregivers can work, rest, and remain family.
View Respite Care →
Meal Preparation
Planning, preparation, serving, hydration support, companionship, and cleanup.
View Meal Preparation →
Medication Reminders
Non-medical prompts, routine cueing, observation, and responsible communication.
View Medication Reminders →Services often work better together
One care plan can solve several daily problems.
Personal care + meals
Morning hygiene, dressing, breakfast, hydration, and kitchen cleanup.
Explore Personal Care →Dementia + overnight
Familiar routines, redirection, supervision, bathroom help, and family sleep.
Explore Overnight Care →Recovery + homemaking
Meals, laundry, linens, personal routines, and rest protection after discharge.
Explore Recovery Support →Companionship + reminders
Human connection alongside meals, activities, hydration, and routine prompts.
Explore Companion Care →Respite + personal care
Hands-on help while a spouse or adult child works, rests, or leaves the home.
Explore Respite Care →24-hour coordinated care
Multiple caregivers covering daytime, evening, overnight, and shift handoffs.
Explore 24-Hour Care →Not sure what to ask for?
Tell us what changed.
- The exact service address
- What the person can no longer do safely or consistently
- Which time of day is hardest
- How much family coverage currently exists
- Mobility, memory, bathroom, meal, or nighttime concerns
- Medicaid/PASSPORT, private pay, or another payment source
- The requested start date and schedule
A conversation—not a sales maze
Susan or Ehren will help identify the responsible next step.
Sometimes the answer is a short homemaking visit. Sometimes the real need is personal care, dementia support, overnight coverage, or continuous care. Sometimes the situation requires a clinical provider or a different level of care.
SILK evaluates the person, requested tasks, home, address, schedule, payment source, authorization, travel, caregiver availability, and fit before accepting care.
Paying for home care
Coverage depends on the service and the actual plan.
Medicaid/PASSPORT: SILK serves eligible 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.
Private pay: Families may arrange care directly, subject to rates, minimums, tasks, schedule, travel, household conditions, terms, and availability.
Medicare: Medicare generally does not pay for ongoing custodial or non-medical care when that is the only need. It may cover qualifying skilled services under separate rules.
Non-medical care boundaries
SILK does not diagnose, prescribe, provide skilled nursing or therapy, independently manage medication, or replace emergency services. Call 911 for a possible emergency.
How do we know which home care service we need?
You do not need to choose a service before calling. Describe what changed, which tasks are difficult, when help is needed, the address, family coverage, and payment source. Susan or Ehren can help identify an appropriate starting point.
Can several SILK services be combined?
Yes, when the tasks are appropriate, included in the agreed or authorized plan, and can be staffed. A visit may combine personal care, meals, homemaking, companionship, reminders, dementia routines, or respite.
Does SILK provide medical home health care?
SILK provides non-medical home care. Skilled nursing, therapy, diagnosis, treatment, injections, wound care, and clinical medication management belong with appropriately licensed providers.
Does SILK offer overnight and 24-hour care?
SILK evaluates overnight and continuous-care requests separately. Overnight care covers defined nighttime hours. Twenty-four-hour care requires coordinated shifts across the entire day and night. Availability is not guaranteed.
Does SILK accept Medicaid or PASSPORT?
SILK serves eligible Medicaid/PASSPORT clients in Ross, Jackson, Gallia, Pike, and Vinton Counties. Coverage depends on eligibility, assessment, authorization, services, hours, provider acceptance, and staffing.
Is private-pay home care available?
Yes. SILK evaluates private-pay requests in its core counties and nearby Southern Ohio communities. Confirm current rates, minimums, tasks, schedule, travel, household conditions, terms, and availability.
Does Medicare pay for SILK services?
Medicare generally does not pay for ongoing custodial or non-medical home care when that is the only need. Medicare may cover qualifying skilled home health or hospice services under separate rules. Verify exact benefits with the plan.
How quickly can services begin?
Timing depends on the address, requested schedule, tasks, home conditions, authorization, payment, caregiver availability, caregiver fit, and completion of SILK’s intake process. Immediate availability cannot be guaranteed.
Can SILK help after a hospital or rehabilitation stay?
Yes, when the needs fall within non-medical scope and the request can be accepted and staffed. Support may include personal care, meals, homemaking, mobility assistance within the plan, reminders, supervision, respite, or overnight care.
How do we start services with SILK?
Call 740-245-1051 or use the contact page. Have the exact address, requested days and hours, what changed, daily-living needs, memory or safety concerns, family coverage, payment source, and desired start date ready.
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