Hands-on personal care assistance for seniors throughout
Berks, Lehigh, Lancaster & Montgomery Counties, Pennsylvania.
Hands-on personal care assistance for seniors throughout Berks, Lehigh, Lancaster & Montgomery Counties, Pennsylvania.
No Place Like Home Care provides hands-on, non-medical personal care assistance for seniors throughout Berks, Lehigh, Lancaster, and Montgomery Counties, Pennsylvania.
We help with the Activities of Daily Living, bathing, dressing, grooming, toileting, mobility, and meals, that make it possible for someone to continue living safely at home. Our caregivers come to your loved one's residence on a scheduled basis, providing the physical assistance and daily routine support that keeps independent home life sustainable.
Care is nurse-led by Kelly Tyrrell, RN. No physician's order is required to begin. Private pay and long-term care insurance accepted. VA Aid & Attendance benefits welcomed. First 4 hours free for qualifying new clients.
Call or text: (610) 492-6632
There is a moment most families can identify in hindsight, when they noticed the signs but weren't quite ready to name what they meant.
The same clothes worn three days running. A refrigerator with little in it and a parent who says they're "not that hungry." A bathroom that hasn't been properly cleaned. Unexplained bruising from a fall they didn't mention. A smell in the house that wasn't there six months ago.
These are not small things. They are signals that the dailytasks that every person needs to manage to live safely at home are becoming more than your loved one can handle alone.
No Place Like Home Care exists for exactly this moment. We provide non-medical personal care assistance, hands-on help with bathing, dressing, grooming, toileting, mobility, and daily household routines, for seniors and adults throughout Berks, Lehigh, Lancaster, and Montgomery Counties who need more support than companionship alone can provide.
If you've been watching and wondering, trust what you're seeing.
Call us: (610) 492-6632
When doctors, discharge planners, and home care agencies talk about someone needing "help with their ADLs," they are referring to six fundamental tasks that every person must manage to sustain daily life safely and hygienically at home.
No Place Like Home Care provides hands-on non-medical assistance with all six:
Bathing — Washing the body, hair, and face. We assist with the full bathing process: gathering supplies, adjusting water temperature, providing hands-on washing, thorough drying, and skin care. Safety equipment, shower chairs, grab bars, handheld shower heads, is incorporated from the first visit.
Dressing — Choosing appropriate clothing and physically putting it on. We help with selecting weather-appropriate clothing, dressing and undressing, and managing fasteners (buttons, zippers) when grip strength or range of motion is limited.
Toileting — Getting on and off the toilet and maintaining personal hygiene. We assist with the complete bathroom process, including safe transfers, personal hygiene care, and clothing adjustment. All toileting assistance is performed with maximum privacy and dignity.
Transferring — Moving the body safely from one position to another. Transfers, from bed to chair, chair to standing, in and out of a vehicle, are among the highest fall-risk moments in daily senior care. No Place Like Home Care caregivers are trained in safe transfer mechanics and use gait belts when appropriate.
Continence — Managing bladder and bowel function. We assist with scheduled toileting, incontinence product changes, and skin protection protocols. Non-medical continence care only, catheter insertion and clinical management require a licensed medical provider.
Eating — Physically feeding oneself (not cooking). We provide physical feeding assistance when needed, along with meal preparation, hydration monitoring, and encouragement of regular nutritious eating.
Beyond the six ADLs, No Place Like Home Care caregivers also assist with IADLs, Instrumental Activities of Daily Living, the household and community tasks that support independent living: grocery shopping, light housekeeping, laundry, meal preparation, transportation to appointments, and verbal medication reminders.
Note on medication reminders:
No Place Like Home Care caregivers provide verbal prompting when it is time for a client to take their medication. They may hand a client a pre-filled pill organizer or open a medication bottle. They do not administer, measure, pour, or make clinical decisions about medications. If medication administration is required, a licensed nurse must be involved.
No Place Like Home Care is a non-medical home care agency. Knowing our scope is as important as knowing our services.
No Place Like Home Care personal care does not include:
Medication administration of any kind, injections, liquid doses, medicated creams, or clinical medication decisions
Wound care, sterile dressing changes, or infection management
Catheter insertion or advanced bowel and bladder care requiring clinical skill
Physical therapy, occupational therapy, or prescribed therapeutic exercises
Vital signs monitoring or any clinical nursing assessment
IV therapy or any medically ordered clinical procedure
These services require a licensed home health agency or skilled nursing provider. No Place Like Home Care can help coordinate referrals to appropriate clinical providers when skilled care is needed alongside our non-medical personal care, and many families use both services concurrently.
If you're unsure whether what you need falls within No Place Like Home Care's non-medical scope, call us and we'll tell you honestly: (610) 492-6632
No Place Like Home Care provides non-medical in-home support for adults living with a range of cognitive and neurological conditions, and for their families.
The terminology in home care can be confusing. Here's a clear breakdown of what distinguishes each level of service, and how No Place Like Home Care fits in.
COMPANION CARE (No Place Like Home Care provides this)
Companion care is non-medical and hands-off. Caregivers provide social engagement, conversation, errand support, meal preparation, and light housekeeping, but no hands-on physical assistance. The right choice if your loved one is independent with personal hygiene but needs company, household support, and daily oversight.
PERSONAL CARE (No Place Like Home Care provides this)
Personal care includes everything companion care provides, plus trained hands-on physical assistance with the six ADLs, bathing, dressing, grooming, toileting, transferring, and eating. The right choice if your loved one needs physical help with daily hygiene or mobility, or if their personal care is being neglected.
HOME HEALTH AIDE (HHA) OR SKILLED NURSING (No Place Like Home Care does not provide)
Home health aides work under a licensed nurse or physician's supervision and can perform basic clinical tasks: monitoring vital signs, changing simple bandages, assisting with prescribed therapeutic exercises. Skilled nurses provide clinical care.
These services require a separate licensed medical home health agency. Many families engage both No Place Like Home Care for daily non-medical personal care and a medical home health agency for skilled clinical visits, the two services complement each other fully.
You may also see personal care called:
personal care assistance · personal care attendant services · personal care aide services · in-home personal care · non-medical home care
All refer to the same category of hands-on non-medical daily living support. Different names, same service.
The simplest rule of thumb:
If your loved one needs physical help with bathing, dressing, or toileting, or cannot safely be left alone to manage their own hygiene and routine, personal care is the right level.
Call us and we will confirm: (610) 492-6632
If your loved one has a long-term care insurance (LTCI) policy, there is a very good chance it covers No Place Like Home Care's personal care services, and you may be closer to the benefit trigger threshold than you realize.
Most standard LTCI policies activate benefits when the policyholder is certified by a physician as needing assistance with at least two of the six Activities of Daily Living (ADLs). That threshold, two of six, is the clinical determination point.
If your loved one requires assistance with bathing and dressing, that is already two of six. If they need help with toileting as well, that is three. Most families who have reached the point of calling No Place Like Home Care are already at or past the LTCI trigger.
No Place Like Home Care accepts LTCI directly. Our Registered Nurse conducts the intake assessment and provides the clinical documentation your carrier needs to activate and maintain your policy's benefit period. We help families identify and activate LTCI coverage during the intake conversation, so the financial support begins as soon as the care does.
LTCI policies also activate coverage when a policyholder has severe cognitive impairment, such as Alzheimer's disease or dementia, regardless of physical ADL scores. If your loved one has received a cognitive diagnosis, their policy may already be payable today.
Bring your LTCI policy information to the intake assessment.
We will help you understand what it covers and how to activate it. Call us at (610) 492-6632
Bathing is the ADL families find most difficult to initiate help with. For the senior, it requires accepting a level of physical vulnerability and intimacy with a caregiver that takes real adjustment. For the family, it means acknowledging that something profoundly personal can no longer be managed independently.
No Place Like Home Care's approach to bathing, and to all personal care, is built around two words: dignity and safety.
Dignity means the partial coverup technique. Throughout the bathing process, a No Place Like Home Care caregiver keeps the client covered with a bath blanket or large towel, exposing and washing only one area of the body at a time. If the client is physically able to wash their own private areas, the caregiver hands them the washcloth and steps back.
Maximum independence, maximum privacy, at every step.
Safety means knowing that the bathroom is the most common site for falls in the home. No Place Like Home Care caregivers use shower chairs, transfer benches, handheld showerheads, and non-slip mats. Our intake assessment evaluates the bathroom specifically and recommends equipment before the first shift begins.
For clients with dementia who resist bathing, No Place Like Home Care caregivers use four specific techniques: warming the bathroom before undressing; reframing the language ("Let's get cleaned up before lunch" instead of "time for a shower"); maintaining a privacy towel throughout; and providing a calming distraction, familiar music, a washcloth to hold, during the process.
Bathing resistance in dementia is almost always driven by fear, not willfulness. Our caregivers are trained to respond to the emotion, not the behavior.
Bathing assistance from No Place Like Home Care covers the full process: gathering supplies, adjusting water temperature, assisting the transfer in and out of the shower or tub, providing hands-on washing, thorough drying (especially in skin folds where moisture causes breakdown), and applying moisturizer afterward. Nothing is rushed. Nothing is skipped.
No Place Like Home Care's personal care services are available to any adult 18 or older who cannot safely or independently complete daily self-care tasks. No physician's order is required.
The families who call us most often are managing one of these situations:
Aging seniors who can no longer manage personal hygiene safely.
Falls during bathing or transfers, self-neglect of hygiene due to difficulty, or nutritional decline from not cooking consistently, any of these signal the need for personal care assistance.
Adults recovering from surgery, stroke, or hospitalization.
Post-discharge recovery often requires temporary personal care support while strength and independence are rebuilt. No Place Like Home Care can begin within 24 to 72 hours of a hospital discharge call.
→ See also: Hospital-to-Home Recovery page
Individuals managing chronic conditions.
Arthritis limiting dressing and grooming. Parkinson's disease affecting mobility and transfers. COPD making basic exertion
difficult. Diabetes requiring meal preparation support and consistent routine. No Place Like Home Care provides the daily non-medical personal care layer across chronic conditions.
→ See also: Chronic Disease Support page
Adults with cognitive decline.
When dementia, Alzheimer's, or Parkinson's disease dementia begins to affect daily self-care, personal care is the service that keeps the person safely at home. No Place Like Home Care caregivers placed in memory care assignments complete specialized dementia training before their first visit.
→ See also: Cognitive & Memory Care page
Veterans and surviving spouses.
Eligible wartime veterans whose loved ones need ADL assistance may qualify for the VA Aid & Attendance benefit, a tax-free monthly pension that funds No Place Like Home Care's personal care directly. "Special Compensation for Assistance with Activities of Daily Living" is also available through the VA for veterans with service-connected conditions.
→ See our Veterans & VA Care page
The most common thing families tell us before the first visit is: "I'm not sure they're going to accept this."
For personal care, which involves intimate physical assistance, the resistance can feel especially high. And it is nearly universal. It almost never means the arrangement won't work. It means the introduction needs to be done carefully.
No Place Like Home Care uses a structured Trust Validation Phase for all new personal care clients.
Same caregiver, every visit. Rotating caregivers are destabilizing for anyone, but especially for seniors who need to accept hands-on physical help from another person. The same face, same schedule, same approach, trust builds through repetition and familiarity.
Short, task-focused initial visits. The caregiver arrives first as a "helper", preparing lunch, doing light tidying, being simply present without physical intrusion. Personal care tasks are introduced gradually, once the relationship has some footing.
Language that de-medicalizes the interaction. "Let's get you freshened up" lands better than "time for your bath." "I'll help you with your shirt" is less alarming than formal clinical language. No Place Like Home Care caregivers are trained in the exact communication style that reduces resistance.
Family presence in early visits when possible. Having a familiar family member present for the first one or two visits allows the caregiver to be normalized before the family member steps away.
Most families find that within two or three visits, the resistance has shifted, and by the end of the first month, the caregiver relationship is the most consistent, calming part of their loved one's day.
Most non-medical home care agencies do not have a nurse on staff.
No Place Like Home Care is different.
Kelly Tyrrell, RN, founder and clinical director of No Place Like Home Care, brings nearly 20 years of nursing experience to every care relationship. Her background spans Medical-Surgical nursing, Emergency and Trauma care, Telemetry, Acute Rehabilitation, and Home Health, including executive-level roles in care management. She founded No Place Like Home Care specifically to bring nurse-led accountability to the non-medical home care space.
What this means practically for personal care families: The intake assessment is conducted by a nurse. Kelly Tyrrell, RN
or a member of our nurse-led team evaluates your loved one's ADL needs, home safety, medical history, and functional limitations, not just a care coordinator checking boxes.
Supervisory visits are clinical. Kelly conducts regular in-person supervisory visits to evaluate care quality, assess for changes in your loved one's condition, and adjust the care plan when needs evolve. These visits are what make the nursing layer real rather than nominal.
Caregiver placement has clinical oversight. No Place Like Home Care does not simply match availability to a schedule. Caregiver selection considers your loved one's specific ADL needs, behavioral patterns, and care complexity, reviewed through a clinical lens.
LTCI documentation carries clinical authority. Kelly Tyrrell, RN's intake assessment and ongoing supervisory documentation supports the physician certification process your LTCI carrier requires for benefit activation. A nurse-signed clinical report carries weight that a non-clinical care coordinator's assessment does not.
Long-Term Care Insurance (LTCI)
Most modern LTCI policies cover in-home personal care from a licensed home care agency. The trigger is typically physician certification of deficiency in at least two of the six ADLs, or severe cognitive impairment. No Place Like Home Care accepts LTCI directly and provides the documentation your carrier needs. Bring your policy to the intake assessment and we will review benefit eligibility with you.
VA Aid & Attendance Benefits
For eligible wartime veterans and surviving spouses, VA Aid & Attendance pension funds apply directly to No Place Like Home Care's personal care services, no VA contract required. The monthly tax-free benefit is designed specifically to offset the cost of in-home care for veterans who need ADL assistance. Veterans with service-connected conditions may also qualify for VA Special Monthly Compensation (SMC-L) for ADL assistance.
→ See our Veterans & VA Care page
Pennsylvania Caregiver Support Program
Through your county's Area Agency on Aging, Pennsylvania's Caregiver Support Program provides sliding-scale financial
reimbursement for home care and respite services.
Berks County: (610) 478-6500 · Lehigh County: (610) 782-3034 ·
Lancaster County: (717) 299-7979 · Montgomery County: (610) 278-3601
Private Pay
No Place Like Home Care accepts private pay directly. Our rates begin at $34/hour for personal care, consistent with the national median for non-medical in-home care.
A Note on Medicare and Medicaid:
Traditional Medicare does not cover non-medical personal care, the daily help with bathing, dressing, grooming, and meals that families need most. Medicare only covers short-term, physician- ordered skilled home health services.
No Place Like Home Care does not accept Medicaid.
Qualifying new clients receive their first 4 hours of care complimentary after completing the intake assessment and placing a payment method on file.
No Place Like Home Care bills by the hour. A 4-hour minimum applies per visit. A 16-hour minimum applies per week. No long-term contracts.
The national median hourly rate for in-home personal care is $34–$35/hour. No Place Like Home Care's weekday rate begins at exactly that benchmark, with evening, weekend, and holiday rates reflecting the premium those shifts carry industry-wide.
HOURLY RATES
─────────────────────────────────────────────────────────
Weekday day shifts - $34/hour
Evening, night & weekend day shifts - $36/hour
Weekend evening/night & holiday shifts - $38/hour
LIVE-IN / 24-HOUR FLAT DAILY RATE
─────────────────────────────────────────────────────────
Weekday - $544/day
Weekend - $576/day
Holiday - $608/day
MINIMUMS
─────────────────────────────────────────────────────────
Per visit - 4 hours
Weekly - 16 hours
ONE-TIME FEE
─────────────────────────────────────────────────────────
Care Coordination & Onboarding - $375
(Non-refundable. Covers nurse-led intake assessment, caregiver matching, and care plan development.)
NEW CLIENT OFFER
─────────────────────────────────────────────────────────
First 4 hours complimentary after assessment and payment method on file.
─────────────────────────────────────────────────────────
Payment: Private pay and LTCI accepted. VA Aid & Attendance accepted as private pay. Medicare and Medicaid not accepted.
PERSONAL CARE COSTS IN CONTEXT
────────────────────────────────────────────────────
No Place Like Home Care at 20 hours/week - $2,720/month
No Place Like Home Care at 40 hours/week - $5,440/month
National ALF median - $6,200/month
Nursing home (semi-private) - $9,450/month
Nursing home (private room) - $10,650/month
────────────────────────────────────────────────────
Personal care through No Place Like Home Care costs less than the national assisted living median, and your loved one stays home.
HOURLY RATES
───────────────────
Weekday day shifts - $34/hour
Evening, night & weekend day shifts - $36/hour
Weekend evening/night & holiday shifts - $38/hour
LIVE-IN / 24-HOUR FLAT DAILY RATE
───────────────────
Weekday - $544/day
Weekend - $576/day
Holiday - $608/day
MINIMUMS
───────────────────
Per visit - 4 hours
Weekly - 16 hours
ONE-TIME FEE
───────────────────
Care Coordination & Onboarding - $375
(Non-refundable. Covers nurse-led intake assessment, caregiver matching, and care plan development.)
NEW CLIENT OFFER
───────────────────
First 4 hours complimentary after assessment and payment method on file.
───────────────────
Payment: Private pay and LTCI accepted. VA Aid & Attendance accepted as private pay.
Medicare and Medicaid not accepted.
PERSONAL CARE COSTS IN CONTEXT
───────────────────
No Place Like Home Care at 20 hours/week - $2,720/month
No Place Like Home Care at 40 hours/week - $5,440/month
National ALF median - $6,200/month
Nursing home (semi-private) - $9,450/month
Nursing home (private room) - $10,650/month
───────────────────
Personal care through No Place Like Home Care costs less than the national assisted living median, and your loved one stays home.
The families who call us earliest have the most options. The families who wait until a crisis have fewer. If you've read this far, you already know something needs to change.
Here's what happens when you call:
Call or text (610) 492-6632. We'll talk through your loved one's situation, what they're struggling with, what your family is managing, and what personal care might look like. No pressure. No commitment. No cost.
Kelly Tyrrell, RN or a member of our nurse-led team meets with you and your loved one at home. We assess ADL needs and functional limitations, review the home environment for safety concerns (bathroom, bedroom, walkways), discuss the daily routine, and identify caregiver matching criteria. If your loved one has an LTCI policy, bring it, we will review benefit eligibility during the assessment.
We identify the right caregiver for your loved one's specific needs, temperament, and schedule. For personal care, caregiver matching is not a scheduling exercise, it is a clinical and interpersonal assessment. The care plan documents the daily routine, ADL assistance protocol, medications to remind, known preferences, and communication guidelines for the family.
We can typically begin within 24 to 72 hours for families in Berks, Lehigh, Lancaster, and Montgomery Counties. For urgent
situations, post-hospital discharge, rapid decline, or primary caregiver emergency, call us directly and we will prioritize.
Qualifying new clients receive their first 4 hours of care complimentary.
Call or text: (610) 492-6632
Email: [email protected]
No Place Like Home Care provides in-home personal care for seniors and adults throughout Berks, Lehigh, Lancaster, and Montgomery Counties. Our caregivers live and work in the same communities they serve.
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
Personal Care Is Closer Than You Think.
The step most families delay longest is the first one. Not because the care isn't needed, but because asking for help with something this personal is genuinely hard. We understand that. It's why we built a care model that starts with dignity, moves at your pace, and puts the same familiar caregiver in your loved one's home every visit.
Call or text (610) 492-6632. The first conversation costs nothing and commits you to nothing.
Qualifying families receive their first 4 hours of care complimentary.
The six basic Activities of Daily Living are bathing, dressing, toileting, transferring (moving from bed to chair or chair to standing), continence (managing bladder and bowel function), and eating (physically feeding oneself, not cooking). These six tasks form the clinical baseline used to measure a person's ability to live independently at home. No Place Like Home Care provides hands-on non-medical assistance with all six ADLs for seniors throughout Berks, Lehigh, Lancaster, and Montgomery Counties, Pennsylvania.
Personal care is non-medical assistance with daily living, bathing, dressing, grooming, toileting, mobility support, meal preparation, and light housekeeping. No physician's order is required. Home health care involves skilled medical services, wound care, physical therapy, injections, vital signs monitoring, ordered by a physician and delivered by licensed clinical professionals. No Place Like Home Care provides non-medical personal care. For skilled home health services, a licensed medical home health agency is required. Many families use both services concurrently.
A personal care aide cannot perform any task requiring clinical judgment or medical licensing: administering medications, giving injections, measuring liquid doses, applying medicated creams, inserting or managing catheters, treating open wounds, changing sterile dressings, or performing physical therapy exercises. No Place Like Home Care caregivers provide verbal medication reminders only, the client takes their own medication independently. If medication administration is required, a licensed nurse must be involved.
Most long-term care insurance (LTCI) policies require physician certification that the policyholder needs assistance with at least two of the six basic Activities of Daily Living to trigger benefits. Some policies also activate coverage for severe cognitive impairment, such as Alzheimer's disease, regardless of physical ADL scores. No Place Like Home Care accepts LTCI directly and Kelly Tyrrell, RN provides the clinical documentation your carrier needs to activate and maintain benefits.
No. Traditional Medicare does not cover long-term, non-medical personal care, the daily help with bathing, dressing, grooming, meals, and mobility that families need most. Medicare covers only short-term, physician-ordered skilled home health services such as nursing visits or physical therapy. No Place Like Home Care's personal care services are funded through private pay, long-term care insurance, or VA Aid and Attendance benefits for eligible veteran families. We do not accept Medicare or Medicaid.
No Place Like Home Care's personal care rates begin at $34 per hour for weekday day shifts, $36 per hour for evening, night, and weekend day shifts, and $38 per hour for weekend evenings, nights, and holidays. The national median for non-medical in-home personal care is $34 to $35 per hour, No Place Like Home Care's pricing is consistent with that benchmark. A four-hour minimum per visit and 16-hour weekly minimum apply. A one-time Care Coordination and Onboarding Fee of $375 also applies. Qualifying new clients receive their first four hours complimentary.
A Personal Care Aide (PCA) provides strictly non-medical custodial care: hands-on help with bathing, dressing, grooming, toileting, mobility, meals, and household support. A Home Health Aide (HHA) operates under a licensed nurse's or physician's supervision and can perform basic clinical tasks: checking vital signs, assisting with prescribed therapeutic exercises, and changing simple bandages. No Place Like Home Care provides PCA-level non-medical personal care. If HHA-level clinical services are needed, a licensed medical home health agency must be engaged separately. Many families use both services concurrently.
Common warning signs include poor personal hygiene (unwashed hair, body odor, clothing worn repeatedly), dramatic unexplained weight loss, missed or incorrectly taken medications, frequent falls or unexplained bruising, a noticeably cluttered or uncleaned home, and withdrawal from activities and relationships they previously valued. If you are seeing these signs in your loved one, they are not small things, they are signals that daily self-care has become more than your loved one can manage safely alone. Call us: (610) 492-6632.
No Place Like Home Care caregivers use the partial coverup technique throughout all personal care: the client remains covered with a bath blanket or large towel, with only the area being washed or cared for exposed at one time. When clients are physically able to manage any part of the task themselves, the caregiver hands them what they need and steps back, promoting maximum independence and privacy at every step. Dignity is not aspirational at No Place Like Home Care, it is a specific, trainable skill that every caregiver practices from their first shift.
Call or text No Place Like Home Care at (610) 492-6632 or visit noplacelikehomepa.com. We will discuss your situation, schedule a free in-home assessment with Kelly Tyrrell, RN or a member of our care team, match a caregiver specifically suited to your loved one's needs and personality, and confirm a start date. We can typically begin personal care within 24 to 72 hours for families in Berks, Lehigh, Lancaster, and Montgomery Counties. No physician's order is required. Qualifying new clients receive their first four 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