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24-Hour Home Care

When someone shouldn't be alone at any hour, Care-on-Call can arrange care around the clock at home. Caregivers work scheduled shifts, so help is there through the day and the night.

We provide non-medical care for adults 18 and older across California, with offices in San Jose, Sacramento, San Francisco and Vacaville.

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Older woman sitting up in bed, taking a pill with a glass of water as her caregiver looks on

Who 24-hour care is for

  • Someone coming home from the hospital or after surgery who needs help day and night at first
  • A person with Alzheimer's or dementia who gets up at night, wanders or can't safely be left alone
  • Someone at high risk of falling who needs help getting up and to the bathroom at night
  • Someone with Parkinson's, multiple sclerosis or another condition who needs help moving at any hour
  • A family that can no longer cover the nights on its own

How the shifts work

Caregivers cover the 24 hours in scheduled shifts, for example two 12-hour shifts a day, so someone is with the person day and night. Caregivers help with:

  • Bathing, dressing, grooming and toileting
  • Getting up, walking, transfers and changing position
  • Meals, snacks and drinks
  • Medication reminders on the schedule set by the family or doctor
  • Light housekeeping and laundry
  • Company, and a watchful eye on safety

Care-on-Call provides non-medical care. We don't provide skilled nursing, medical treatment, physical therapy or other clinical services.

Changing the hours

24-hour care doesn't have to be permanent. After a hospital stay, care can step down to 12- or 8-hour shifts or four-hour visits as the person gets stronger. When needs grow, shorter visits can become around-the-clock care.

Schedules depend on the care assessment, location and caregiver availability. Care can often start quickly; call us to talk through what you need.

Our caregivers

Care-on-Call is a California-licensed Home Care Organization regulated by the California Department of Social Services. Every caregiver is registered with the state's Home Care Aide Registry, has passed a fingerprint-based Live Scan background check and TB screening, and completes our training and orientation before working with clients.

We match each client with a caregiver based on their needs, schedule and personality, and we aim for the same caregiver each time so trust can build. If your regular caregiver is unavailable, we arrange a qualified replacement and let you know in advance. You can take part in choosing your caregiver and ask for a different one when needed.

Questions families ask

Does Medicare pay for 24-hour care at home?

No. Medicare doesn't pay for 24-hour-a-day care at home. Care-on-Call is mainly private pay. We accept eligible long-term care insurance and VA Aid & Attendance benefits, and can provide detailed invoices for reimbursement. We don't bill Medicare, Medi-Cal or IHSS for our standard home care.

How much does 24-hour home care cost?

It depends on the help needed and the schedule. Call us for current rates; the consultation is free.

Is it the same caregiver every day?

Around-the-clock care takes more than one caregiver. We aim for the same regular caregivers on each shift so the person gets to know them. When one is unavailable, we arrange a qualified replacement and let you know in advance.

Can 24-hour care start right after a hospital stay?

Often, yes, depending on location and caregiver availability. Call us as soon as you know the discharge date and we'll help plan the first days at home.

Talk to us about 24-hour care

Tell us who needs care and when it should start. The consultation is free.

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