24 Hour In-Home Care
When Your Loved One Cannot Be Left Alone
Traditionally institutionalization in nursing homes has been the solution when your loved one can no longer be left alone and requires around the clock care.
In-home care is an affordable alternative to nursing homes allowing your loved one to stay at home and have individual one-on-one care versus shared care.
With in-home care, there are no shared rooms with roommates or the divided attention of nursing home staff dealing with the greatest crisis at the moment.
Your in-home caregiver focus on only the care needs of one person, your loved one.
By remaining at home there is none of the confusion, stress, and anxiety your loved one feels in relocating to a new setting in a nursing home.
Options For 24 Hour In-Home Care
Although a care plan is made after a free In-Home Assessment by a Case Manager to meet the unique needs of every individual and situation, there are two main options for 24 Hour in-home care.
The two in-home Around the Clock care options are:
• Live-In Care: A caregiver lives in the home and stays overnight.
• Split-Shift In-Home Care: The care coverage of a 24 hour time frame is split between several caregivers.
With Live-In home care, a single caregiver provides to the needs of your loved one in a 24 hour time frame.
A Live-in caregiver is scheduled for a maximum of 4 or 5 days per week and then switches with a different Live-in caregiver for the remainder of the week. Generally, the care is provided by only these two caregivers over the course of the week, versus the day.
Over a 24 hour day, the Live-in caregiver is given a 4-hour break from care duties to rest and rejuvenate. If the situation requires it, an additional hourly caregiver can cover these 4 hours.
The Live-in caregiver also has an 8 hour sleeping period. With Live-in care, a room and a bed in the house must be provided for the Live-in caregiver to sleep.
Live-in care is billed at a flat per day rate. If needed, any additional coverage during the Live-in caregiver’s 4-hour daily break is billed at an hourly rate.
Advantages of Live-In Care
• Even with the one-on-one individual care, Live-in home care still cheaper than the shared care of nursing homes.
• Live-in home care costs are about half of 24 Hour in-home care costs.
• With Live-in care the number of caregivers is reduced versus 24 Hour care. Generally, only two caregivers are scheduled for the week. This provides your loved one with the consistency of care and allows them to be more comfortable with their caregivers and build stronger relationships with them.
• Fewer caregivers reduce confusion for those with Alzheimer’s and Dementia.
Disadvantages of Live-In Care
• The Live-in caregiver receives a 4-hour daily break. If care during the break is needed there are additional costs.
• The Live-in caregiver is given a mandatory 8-hour sleeping break. There is no direct care or supervision during this 8 hour sleeping time frame.
• A room and bed must be provided for the Live-in caregiver to sleep.
24 Hour Home Care
With 24 Hour care, two caregivers are scheduled daily with each caregiver working a 12-hour shift.
In some situations for medical or other reasons, it is better to have 3 caregivers each working 8-hour shifts.
With 24 Hour care, the caregivers do not sleep in the home and a room is not provided for them. The caregivers are always awake, do not sleep in the home, and provide care 24 hours a day.
Caregivers usually work no more than 4 shifts per week.
24 Hour home care is billed on an hourly rate.
Advantages of 24 Hour Care
• With 24 Hour home care there is a caregiver with your loved one at all times, day and night, 27 hours and 7 days a week.
• The caregivers are awake all night and day, to take care of your loved one’s needs 24 hours a day.
• 24 Hour care is preferred if your loved one has a condition in which they wander or need care at all hours of the day and night.
• With 24 Hour care, the caregivers are more alert as they are replaced with another fresh caregiver every 8 or 12 hours.
Disadvantages of 24 Hour Care
• 24 Hour home care costs are a little more than nursing home costs. However, your loved one receives 24 Hour individual, one on one care versus the shared care of a nursing home.
• The cost of 24 hour home care is higher than Live-in home care, as 24 Hour care is billed at an hourly rate versus a flat rate.
• 24 Hour care has less continuity of caregivers making this less desirable where the client wants or needs the same person providing all the care.
Affordability Of In-Home Care
There are 479 nursing homes in Massachusetts. Many of the highest rated nursing homes are within Greater Boston.
Nursing homes in Greater Boston average about $10,380 a month and range between $7,050 and $13,200 per month.
Annually, nursing home costs are $84,600 to $158,400 with the mean cost of around $126,290 for Greater Boston, which is higher than the national mean average of $77,380 a year.
Better nursing homes cost more than average nursing homes and also have waiting lists.
Live-in home care costs are less than the cost of nursing homes at around $384 a day for the care needs of one person or $504 a day for two people to receive care.
24 Hour in-home care is about $576 a day for the care needs of one person or $624 a day for two people to receive care.
Medicare And Medicaid
Long-term care can be funded from various sources. The Federal and State benefit programs for low-income individuals are Medicare and Medicaid.
Medicare does not cover 24-hour-a-day care at home.
Medicare’s home health benefits include intermittent skilled nursing care, therapy, and care provided by a home health aide. Depending on the circumstances, home health care will be covered by either Part A or Part B.
Medicaid has traditionally resolved long-term care needs by paying for a nursing home. But as most individuals would rather be cared for at home and home care can be cheaper than nursing homes, all 50 states now have Medicaid programs that offer at least some form of home care.
Medicaid programs are state-run, and each state has different rules about how to qualify. Because Medicaid is available only to low-income individuals, each state sets its own asset and income limits.
Massachusetts’ Medicaid program, MassHealth, the administrators will review the medical conditions of each applicant to determine the types of services and the number of hours per week that they require assistance.
One can receive up to 50 hours of personal in-home care assistance per week. In some cases, MassHealth may approve additional in-home care.
MassHealth will set a specific budget for personal care services after review to ensure that the participant has assistance with the activities and instrumental activities of daily living (ADL’s). These include personal assistance with bathing, grooming, dressing, toileting, eating, mobility, and personal hygiene, as well as homemaker services, such as housecleaning, laundry, meal preparation, and shopping for essentials.
Assistance with transportation to go to a medical appointment is also considered an eligible service for MassHealth.
Overnight home care services may be eligible if a person requires assistance during the night.
About Unique HomeCare Services
We provide both short-term and long-term in-home care needs from as little as one 4 hour day a week to 24 Hour Care and Live-In Care.
We offer a full range of in-home personal care services including Bathing, Personal Hygiene, Dressing Assistance, Toileting and Incontinence, Feeding, and Medication Reminders.
We also provide support services such as Case Management, Accompaniment to Appointments, Nutrition and Meal Management, Light Housekeeping and Laundry Services, Bed and Wheel Chair Transfers, and Shopping and Running Errands.
Unique HomeCare Services is headquartered in Norwood, Massachusetts and serves the surrounding communities.
To schedule a no cost and no obligation In-Home Assessment to determine the home care needs and get a quote, please call us to speak to a Case Manager at (800) 296-9962 or fill out our Free Quote Contact Form.