Live In Caregiver: Roles & Responsibilities, Differences Between Nursing Home Care & More

The concept of a live in caregiver is appealing to many families caring for their senior loved ones because they offer an alternative to assisted living or nursing homes. Many seniors desire to live in the comfort of their home and want to age in place.

There are specifically two types of live in caregivers: “Live-in” and “24-hour” caregiving. There are distinctions between the two that can differentiate which type of care you may need for your senior loved one.

Live in caregiver

“Live in caregiver” is someone who actually lives in the home of the client and has a dedicated bedroom and bathroom, providing constant oversight during that time. They provide care, companionship and activities during the client’s awake hours.

The live in caregiver has an 8-hour period to sleep where no care is provided and additional breaks during daytime working hours. The caregiver is in the home to assist in an emergency, but care is not expected to be routinely provided during the overnight hours.

“24-hour” caregiving are several caregivers who work back-to-back 8-hour shifts in the care recipient’s home. This type of care is more appropriate for clients who have significant care needs throughout the day and night, such as fall risk when using the restroom or medication reminders, or the client’s living arrangement doesn’t support the requirements of a dedicated bedroom for a live in caregiver.


Live in Caregiver vs. Assisted Living/Nursing Facility Care

Live In Caregiver Facility Care
Offers 1-on-1 personal care Care is shared among many residents
Familiar home environment more conducive to someone with memory impairment New facility environment can exacerbate behaviors for someone with a memory impairment
Social and recreational opportunities and car transportation to events (with neighbors, family members, friends, etc) In-house social and recreational opportunities (albeit with strangers and other residents)
Complete control on timing and type of meals Scheduled meal times and limited options
Maintain familiar living environment Move to unfamiliar living environment
Allows pets Most residences prohibit pets


The Role and Responsibilities of a Live In Caregiver:

  • Companionship and socialization
  • Assistance with activities of daily living (personal hygiene, dressing, feeding, etc)
  • Meal preparation, shopping, transportation
  • Medication reminders
  • Liaising with family members and medical team


Five Star Home Health Care Fully Integrates Healthcare Needs

Five Star Home Health Care makes tomorrow a better day. Seniors and individuals with disabilities prefer to live in the comfort of their own home near family, friends and pets. We ensure that our clients are safe, comfortable and thriving in their own home by providing the services necessary to make independence at home a reality. Our clinicians provide treatment after an accident, surgery, illness or other disabling event. We also provide assistance with activities of daily living on an hourly, overnight or live-in basis.

We provide the following professional services in the home, all coordinated and integrated for great outcomes: Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Medical Social Worker and Home Health Aide.

Our specialty programs include: Advanced Wound Care, Parkinson’s care with LSVT Big & Loud and we treat chronic diseases such as CHF, COPD, diabetes and infections.

Five Star Home Health Care has a strategic partnership with Heal for physician house calls to our patients within their service area (limited to Arlington, Alexandria and Fairfax). Heal is a Medicare-covered service which provides a licensed Physician and Medical Assistant to provide medical care in the comfort of home that compliments our health services. Heal can adjust medications, perform blood work and they regularly communicate with your primary care physician.

Half of all individuals discharged from the hospital require additional care, treatment or rehabilitation. They want to go directly home – not to a nursing facility. The problem is that care is often poorly coordinated and it’s divided among many different providers. We make the process smoother and less worrisome by integrating home health services from one company. We are preferred by clients, hospitals and payers with our fully integrated post-acute care solution.

We provide 24/7 local management and staff in the markets we serve. We do not use centralized call centers. This approach has earned us an A+ rating with the Better Business Bureau. All of our services and locations are accredited by The Joint Commission – the hospital standard. We are Medicare certified.


Choose and Stay Connected with Five Star Home Health Care

When it comes to choosing the best agency for your home care, we can offer you something other agencies cannot – a direct connection to the caregivers working with your loved one! With Family Connect, staying in touch has never been easier. Whether your family lives down the street or across the country, they can login and:

  • See the caregiver currently onsite
  • View a monthly schedule
  • Review care notes and activities
  • Read messages from caregivers
  • Access documents
  • See caregiver bios
  • Communicate with the office
  • And 24/7 access

If you’re still unsure about choosing home health care, Five Star Home Health Care offers a free day of personal care with ZERO obligation! There truly is no place like home, and we want everyone to understand that no matter the age, living in the comfort of your own home should never be an issue.

  • Our private duty personal care service provides 1 on 1 care in your home.
  • We help with bathing, dressing, grooming, meals, medication reminders and car transportation.
  • We can directly bill your Long Term Care insurance.

Live in caregivers can be seen as a stepping-stone for seniors who are still independent enough to live at home and do not require constant medical care, but do need help with the logistics of maintaining a comfortable and healthy lifestyle. They allow a renewed sense of freedom without invasion of privacy and provides relief for friends and family.