What is Live In Care?

What is Live in care?services_activities_image

Live in care is one of the most popular services we offer for those who need continuous help, but don’t want to live in a skilled nursing, assisted living or AFH. Live in care is a great solution for couples who want to remain together, or for anyone who wants to age in place. 

Why not just go to a nursing home? 

In a skilled nursing facility you have very little control over who the caregivers are, or what sort of schedule you are on. By receiving care at home- you are in control. You decide what to eat, when to sleep, when to bathe, what to watch on TV … it is all up to you- all in the comfort of your own home.

Most people do not want to live in an hospital like setting- they prefer the privacy, comfort and familiarity of their home. 


How much does live in care cost?

Live in care costs around $400 per day, depending on the level of care required- and with the stipulation that the caregiver gets 8 hours of sleep each night. 

What if the client needs to get up during the night? 
If the caregiver is called upon during the 8 hours of sleep time, then the client must pay an hourly rate for any amount of time the caregiver is working (for example, if they needed 10 minutes of help at 2am, the client would be billed for 15 minutes at $30/hour).  IF the caregiver is woken up many times and does not receive a minimum of 5 hours of uninterrupted sleep, the client then must pay for all 8 hours of “sleep time” at the hourly rate of $30/hr for that portion of time.  This is in addition to the $400/day. This would mean if the client wakes up frequently, worse case scenario would be $400/day + 8 hours @ $30/hr = $590 per day.

The second option would be to do the live in as above, but also bring in an additional caregiver who would be awake throughout the night to assist the client as needed. This would be billed at 30/hour, but ensures the live in caregiver will get the required 5 hours of uninterrupted sleep.  $400/day + 6 hrs @ $30/hr.= $530 per day.

A third option would be if the client either does not have space for a caregiver to sleep, or they require around the clock care ( 2-12 hour shifts or 3-8 hour shifts daily).  Then all 24 hours of the day would be billed at an hourly rate ($30 – $34/hour depending on level of care required).  This option is certainly the most expensive for families running at a minimum of $720 to a maximum of $816 per day.

Wow, that sounds expensive! 

Yes, care can really add up, but keep in mind that care in a private room in a Skilled Nursing can be as much as $8000-15,000 a month*, and unfortunately Medicare does not pay for this- unless you have had a qualifying 3 night hospital stay** , and even then care is only covered at 100% for 20 days. 

Many clients have Long Term Care insurance that will help with costs. Capability Homecare can refer you to a trusted LTC agent if needed. 

Would it be the same caregiver all week?

Because of overtime laws,  there would be 3 caregivers who would share the duties. Each would work 3 consecutive days to maintain consistency. 

Where does the caregiver sleep?

The caregiver must have her own room for sleeping. 

What are some of the duties the caregiver would do? 

Caregivers assist clients in a variety of ways-

  • incontinence/ personal care 
  • bathing 
  • dressing 
  • ambulation/ fall prevention 
  • medication reminders
  • meal preparation, assistance with eating
  • housekeeping 
  • transportation
  • and more

Who are typical clients?

We assist seniors who have Alzheimer’s, dementia, stroke, Parkinsons, Cancer, COPD, heart failure,   MS and more.

We also help those who have just been discharged from the hospital or SNF.

There really is no such thing as a typical client, which is why we create a customized care plan for each client. 

This sounds great- how do I get started? 

Call our office today to get started- 425 679 5770. Our friendly staff will gather as much information as possible, then we will schedule a home visit to do a formal assessment. Once we fully understand your needs we will write up a detailed plan of care and schedule your personal caregivers. 



Around the Clock Care

Until recently, I’ve never really understood how essential around the clock care is. Let me explain.

Some of you may remember how a few months ago my grandfather fell and broke his hip.  He had hip replacement surgery, and spent a few days in the hospital. After which he was discharged to a skilled nursing center.

Unfortunately, in the middle of the night he tried to get out of bed to use the restroom, fell again and broke his other hip.

This is 2 major breaks in a matter of 4 weeks- so he had to undergo another major surgery- which was successful (thank goodness), and now is back in the skilled nursing rehab.

After all this- his mind is a bit fuzzy and he STILL keeps trying to get out of bed in the middle of the night.

Why on earth would he do that?

Keep in mind, this is a gentleman who is fiercely independent.

A man who at age 92 lived independently.

A man who won a Purple Heart in WWII for his bravery.

A man who can’t bear the thought of relying on someone to help him get out of bed to use the restroom.

And yet- he needs the help.  If he has another fall, and breaks another bone- it would be very serious and could be the end of his life.

Which is why around the clock care is so essential. By paying a caregiver to sit by his bedside all night long and assist him should he need to get up- we are literally saving his life.

Yes, the rehab has staff to assist- but my grandpa is impatient- and when he feels the urge to get out of bed, he doesn’t want to wait 10 minutes for the staff to answer his call for help.

Yes, it is expensive paying someone to just sit there while he sleeps.

But, should he have a need in the middle of the night it will be immediately answered.

Because when you really love someone- you will do whatever it takes to keep them safe, comfortable and happy. That is exactly why we have chosen to have overnight care.

It won’t be forever, but in the short term we know my grandfather is in excellent hands and my mother can sleep at night.

Do you have a loved one in a similar situation?  For more information, please call Capability Homecare today 425-679-5770.

*photo credit IStock Photo