How Much Does 24/7 In-Home Care Cost?

A Compassionate Guide for Families

Overview

Caring for a loved one around the clock is a big decision, both emotionally and financially, and an act of love. However, it can also come with overwhelming questions.

One of the most common concerns families have is: “How much does 24/7 in-home care cost?”

If you're searching for answers, you’re not alone.

At GW Home Care, we understand how emotionally and financially challenging this journey can be.

This guide will help you explore your options, understand the costs involved, and make informed decisions that honor your loved one’s needs and your family’s peace of mind.

The truth is, while the cost can vary depending on location and the level of care needed, knowing what to expect can ease the stress of planning. In this guide, we break down the average costs of live-in or 24-hour care, what factors affect pricing, and what options might be available to help your family afford the support your loved one deserves.

What Is 24/7 In-Home Care?

24/7 In-Home Care occurs when a caregiver provides nursing care to someone at home. The caregiver can be a hired person or family member.

Two Common Types of In-home Caregiving

  • Live-in - One caregiver lives in and stays in the home for 24 hours and is available during the day, with time for sleep at night(usually sleeping breaks at night).

    Often requires providing a private room and meals for the caregiver.

    Typically more affordable but may not cover overnight needs if active assistance is required.

  • Live-out - Caregiver does not live in the home and comes to work as scheduled.

Scheduling:

24-Hour Awake Shifts:

Around-the-Clock Shifts - Multiple caregivers rotate in 8- or 12-hour shifts, ensuring someone is awake and alert 24/7.

  • Two or three caregivers rotate shifts to provide uninterrupted care.

  • Ideal for clients who need frequent assistance overnight or are at high risk (e.g., fall risk, dementia).

  • More intensive and therefore more expensive than live-in care.

Average Cost of 24/7 Home Care

Several factors can influence the final cost of care:

Location – Urban areas like DC tend to have higher rates than rural towns.

Level of Care Needed – Clients needing skilled nursing, dementia care, or mobility assistance may cost more.

Day vs. Night Support – Overnight support or awake shifts are more expensive.

Agency vs. Private Hire – Agencies offer reliability, background checks, and insurance—but may charge more.

What Services Are Included?

At GW Home Care, our 24/7 services are customized to your loved one’s needs.

Services may include:

  • Personal hygiene (bathing, toileting, dressing)

  • Medication reminders or administration

  • Mobility and fall prevention support

  • Meal preparation and feeding assistance

  • Light housekeeping and laundry

  • Transportation to appointments

  • Companionship and emotional support

  • Memory care for Alzheimer’s and dementia

Need guidance on what care plan is right for your loved one?
Contact GW Home Care today to schedule a complimentary consultation

Let’s work together to provide the round-the-clock support your family deserves

Delivered with dignity, warmth, and heart

📞 Call us at (202)900-5293
🌐 Visit gwhomecare.com/contact
📩 Email us at [email protected]

How to Pay for 24-Hour Home Care

Many families use a combination of the following to manage the cost:

Private Pay – The most common method for long-term home care.

Long-Term Care Insurance – Policies often cover in-home care if ADL assistance is needed.

Veterans’ Benefits (VA Aid & Attendance) – May help cover costs for eligible veterans and spouses.

Medicaid Waivers – Depending on income, some home care may be covered under state-specific waiver programs.

Reverse Mortgages or Family Contribution Plans – Used as creative financing methods for in-home care.


Tips for Making It Affordable

Start with part-time care and gradually scale up as needed.

Use live-in care when possible, as it's more affordable than hourly shifts.

Look into respite care, which gives families temporary relief without long-term commitments.

Ask about agency discounts for long-term or bundled services.

Combine support from family members and caregivers to share responsibility and cost.

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