Around-the-Clock Care
Right In Their Own Home.
Live-in, 24-hour, and overnight home care for seniors throughout
Berks, Lehigh, Lancaster & Montgomery Counties, Pennsylvania.
Around-the-Clock Care Right In Their Own Home.
Live-in, 24-hour, and overnight home care for seniors throughout Berks, Lehigh, Lancaster & Montgomery Counties, Pennsylvania.
Live-In & 24-Hour Overnight Care
No Place Like Home Care provides live-in, 24-hour awake, and overnight non-medical home care for seniors and adults throughout Berks, Lehigh, Lancaster, and Montgomery Counties, Pennsylvania.
Live-in care places one trained caregiver in the home on a flat daily rate, the most cost-effective option for continuous coverage when nighttime sleep is not significantly disrupted.
24-hour awake care uses rotating caregivers on sequential shifts for loved ones who require fully alert supervision throughout the night.
All care is nurse-led by Kelly Tyrrell, RN. Private pay and long-term care insurance accepted.
Call or text: 610-492-6632.
When Your Loved One Needs
Someone There Day & Night
Some needs don't follow a schedule. Dementia doesn't pause at sunset. A fall risk doesn't lower itself while the family sleeps. The anxiety of leaving a loved one alone overnight, even for a few hours, is something many families know too well.
No Place Like Home Care provides continuous care options designed for exactly these situations: live-in care, 24-hour awake shift care, and overnight coverage.
Each is structured differently, priced differently, and designed for different levels of need. Understanding the difference is the first step to choosing the right one.
Our nurse-led team will walk through your loved one's situation during a free in-home assessment and help you determine which structure is the safest, most sustainable, and most cost-effective fit.
3 Levels Of Continuous Care.
One Decision Framework.
The right structure depends on how your loved one sleeps at night, what the home environment allows, and how complex their daily care needs are. Here is how each option works.
Overnight Care
Nighttime coverage for seniors who manage independently during the day but need a trained caregiver present through the night. Overnight care addresses fall risk after dark, sundowning symptoms, medication reminder schedules, and the anxiety of a loved one waking up alone and confused.
Overnight caregivers are present, awake, and responsive throughout the covered hours. This option works well alongside daytime support from family members or other scheduled care visits.
Best for seniors who are relatively independent during the day but unsafe or anxious alone at night.
Live-In Care
One dedicated caregiver lives in the home and provides ongoing support throughout the day, personal care, meal preparation, household support, companionship, medication reminders, and safety oversight. At night, the caregiver is entitled to an uninterrupted 8-hour rest period, during which they remain on the premises but are not actively working.
Live-in care is billed at a transparent flat daily rate rather than an accumulating hourly fee, making it significantly more affordable than rotating 24-hour shift coverage for families whose loved one sleeps reasonably well through the night.
No Place Like Home Care schedules two rotating live-in caregivers to cover the full week, a primary caregiver for the majority of days and a secondary relief caregiver for the remainder, ensuring consistency without burning out a single caregiver.
Live-In Care Rates — Flat Daily Rate
Weekday: $544/day
Weekend: $576/day
Holiday: $608/day
Important: Live-in care requires a private bedroom with a standard adult bed and adequate storage for the caregiver. If a private bedroom is not available, 24-hour awake shift care is the appropriate alternative.
Best for seniors who need consistent daily support and sleep through the night without frequent disruption. A private bedroom must be available for the caregiver.
24-Hour Awake Care
Two to three caregivers rotate through sequential shifts, typically 8 to 12 hours each, so that a fully alert caregiver is present and awake at every hour of the day and night. There is no sleep period built into this structure. Every shift is active coverage.
24-hour awake care is the appropriate choice when a loved one wakes frequently at night, has advanced dementia with nighttime wandering, is at high fall risk after dark, or has recently returned home from a hospital or skilled nursing facility with complex daily needs.
While the cost is higher than live-in care, 24-hour awake care provides the highest level of non-medical home coverage available, and for many families, it is the only structure that is genuinely safe.
Best for loved ones who wake frequently at night, wander, have high fall risk, or require fully alert supervision at all hours. Also ideal immediately following hospital discharge when needs are most complex.
IMPORTANT!
If your loved one wakes more than 1–2 times per night on a routine basis, live-in care is not the right structure.
A caregiver whose 8-hour rest period is repeatedly interrupted cannot provide safe, effective care, and employment law requires additional compensation in that scenario.
Our nurse-led team will assess nighttime patterns during your in-home assessment and recommend the right structure honestly.
What A Live-In Or 24-Hour
Caregiver Does Every Day
What A Live-In
Or 24-Hour
Caregiver Does Every Day
Every continuous care caregiver at No Place Like Home Care is trained, background-checked, and matched to your loved one's specific needs and personality before placement begins.
Personal Care
Bathing, grooming, dressing, toileting, and mobility assistance, provided with dignity and patience at every stage.
Meal Preparation
Three daily meals and snacks tailored to dietary needs, preferences, and any physician-recommended restrictions.
Medication Reminders
Verbal and visual reminders to take medications as prescribed. No Place Like Home Care caregivers provide reminders only, never administration.
Household Support
Light housekeeping, laundry, dishes, and home organization to maintain a clean, comfortable, and safe living environment.
Transportation & Errands
Driving to medical appointments, pharmacy runs, grocery shopping, and community outings. Mileage billed at the IRS standard rate.
Companionship
Conversation, activities, hobbies, and social engagement, the daily human connection that protects against isolation and cognitive decline.
Safety Oversight
Continuous presence that reduces risk during daily activities, mobility, and nighttime movement without making clinical claims or guarantees.
Why Families Choose An Agency
Over a Private Hire Caregiver
Hiring a live-in caregiver independently, through a classified site or word of mouth, may appear less expensive at first. But independent hiring comes with significant responsibilities most families don't anticipate.
When you hire a live-in caregiver privately, the IRS classifies them as a household employee. You become legally responsible for withholding Social Security and Medicare taxes, paying federal unemployment taxes, and issuing a Form W-2 at the end of the year. You also carry all liability if the caregiver is injured in your home.
With No Place Like Home Care, every one of those responsibilities belongs to us, not you. We handle payroll taxes, worker's compensation insurance, background checks, training requirements, and backup coverage when the regular caregiver is unavailable. You get dependable, vetted, insured care. We handle everything else.
Transparent Pricing:
No Hidden Fees
Live-In Care Flat Daily Rates
Weekday (per 24-hour period): $544
Weekend (per 24-hour period): $576
Holiday (per 24-hour period): $608
Hourly Rates (for 24-hour awake shift care)
Weekday day shifts: $34/hr
Evening, night & weekend day shifts: $36/hr
Weekend evening, night & holiday: $38/hr
What Does The Care Coordination Fee Cover?
One-Time Care Coordination Fee: $375
Covers the nurse assessment, care plan development, caregiver matching, scheduling coordination, and onboarding. Non-refundable once services begin.
Payment: Private pay and long-term care insurance (LTCI) accepted. We do not accept Medicare or Medicaid.
Important Note: Live-in care at a flat daily rate is significantly more cost-effective than round-the-clock hourly shift coverage for families whose loved one's nighttime needs are manageable.
Our nurse-led team will help you identify which structure makes clinical and financial sense for your situation.
Frequently Asked Questions About Live-In & 24-Hour Care
What is the difference between live-in care and 24-hour awake care?
Live-in care places one caregiver in the home who works during the day and is legally entitled to an uninterrupted 8-hour sleep period at night. They remain on the premises but are not actively working during that rest period. 24-hour awake care uses two to three caregivers rotating through sequential shifts so that a fully alert caregiver is present and awake at every hour. The right choice depends on how your loved one sleeps at night and what level of nighttime supervision is truly needed.
What happens if my loved one wakes up frequently at night?
If a loved one routinely wakes more than one or two times per night, live-in care is not the right structure. A caregiver whose rest period is repeatedly interrupted cannot provide safe, effective care the following day, and labor law requires additional compensation in that scenario. For loved ones with frequent nighttime needs, advanced dementia, or high fall risk after dark, we recommend 24-hour awake shift care or dedicated overnight coverage. Our nurse-led assessment will evaluate nighttime patterns and recommend the right structure honestly.
How much does a live-in caregiver cost?
No Place Like Home Care's live-in care rates are $544 per day for weekday coverage, $576 per day for weekends, and $608 per day for holidays, billed as a flat daily rate per 24-hour period. This is significantly more cost-effective than round-the-clock hourly shift care for families whose loved one sleeps reasonably well at night. A one-time care coordination and onboarding fee of $375 also applies.
How many hours a day does a live-in caregiver actually work?
A live-in caregiver is physically on the premises for 24 hours but actively works 8 to 10 hours per day. Labor regulations require a designated daytime break of 4 to 5 hours of personal time and an uninterrupted 8-hour overnight rest period. The caregiver remains in the home throughout but is not on active duty during those periods.
What are the household requirements for a live-in caregiver?
The home must provide a private bedroom with a standard adult bed and adequate storage for the caregiver's personal belongings. The caregiver must also have regular access to a bathroom and a reliable food supply provided by the family. If a private bedroom cannot be provided, live-in care is not feasible and we would recommend 24-hour shift care instead.
Do live-in caregivers work 7 days a week?
No. A single caregiver cannot safely provide live-in care 7 days a week indefinitely. No Place Like Home Care schedules two rotating live-in caregivers, a primary caregiver who covers the majority of the week and a secondary relief caregiver for the remaining days. This protects both caregiver wellbeing and the consistency of care for your loved one.
What specific duties does a live-in or 24-hour caregiver perform?
Continuous care caregivers provide personal care assistance including bathing, dressing, grooming, toileting, and mobility support. They prepare daily meals, perform light housekeeping, provide transportation to appointments and errands, issue medication reminders, and offer companionship and social engagement. All duties are non-medical, live-in and 24-hour caregivers do not administer medications, perform wound care, or provide clinical services.
Does Medicare cover live-in or 24-hour home care?
No. Medicare does not cover live-in or 24-hour non-medical home care. Medicare's home health benefits are limited to short-term, medically necessary skilled care ordered by a physician. Long-term custodial care, including live-in and 24-hour coverage, must be funded through private pay or long-term care insurance. No Place Like Home Care accepts both.
Is it better to hire a private live-in caregiver or go through an agency?
Hiring privately may appear less expensive initially, but families who hire independent caregivers become their employer, responsible for payroll taxes, Social Security withholding, federal unemployment taxes, and Form W-2 issuance. They also carry liability if the caregiver is injured on the job. With No Place Like Home Care, all payroll, tax, insurance, and backup coverage responsibilities belong to us. You receive a vetted, trained, insured caregiver, without the administrative and legal burden of direct employment.
How do we get started with live-in or 24-hour care?
Call or text us at (610) 492-6632 or visit noplacelikehomepa.com to schedule. We will arrange a free in-home assessment with a Nurse Care Navigator who will evaluate your loved one's daily routines, nighttime patterns, home layout, and care needs. From that assessment, we will recommend the right care structure, develop a personalized care plan, and match your loved one with the right caregiver. We can typically begin services within days of completing the assessment and onboarding process.
Live-In & 24-Hour Care Across Southeastern Pennsylvania
No Place Like Home Care provides live-in, 24-hour, and overnight care throughout Berks, Lehigh, Lancaster, and Montgomery Counties. Our caregivers are local, living in the same communities they serve, which means reliable coverage without long commutes affecting shift reliability.
Lehigh County: Allentown, Bethlehem, Emmaus, Macungie, Coopersburg, Schnecksville, Slatington
Lancaster County: Lancaster, Lititz, Ephrata, Manheim, Elizabethtown, Quarryville
Montgomery County: Norristown, Blue Bell, Lansdale, Horsham, Pottstown, King of Prussia, Ambler
Not sure if your address falls within our service area?
Call us. We serve a broad region and are expanding. (610) 492-6632
Not Sure Which Option Is Right?
Let's Talk It Through.
Most families don't know whether they need live-in care, 24-hour awake care, or overnight coverage when they first call us. That's exactly what our nurse-led in-home assessment is for.
Kelly Tyrrell, RN and her team will evaluate your loved one's needs, honestly, thoroughly, and without pressure, and recommend the structure that is genuinely right for your family's situation and budget.
There is no cost to the assessment. Qualifying families receive their first 4 hours of care complimentary.
Compassionate Care. Right Where You Belong.
Serving families throughout Southeastern Pennsylvania:
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No Place Like Home Care is a Registered Non-Skilled Home Care Agency licensed by the Pennsylvania Department of Health under License No. HC-XXXXXX.
To report a consumer complaint or concern, contact the PA DOH Home Health Hotline: 1-800-254-5164