24-Hour Home Care in Washington DC, DC

Around-the-clock care is the most expensive home care option, but for seniors in Washington DC, DC with advanced dementia, mobility issues, or a recent hospital discharge, it's often less costly than assisted living. The key is picking the right structure: live-in with one primary caregiver plus respite, or three 8-hour shift caregivers. Each has tradeoffs.

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Frequently asked questions

How much does 24-hour home care cost?

In Washington DC, DC, expect $15,000-$22,000 per month for full 24-hour shift coverage with 3 caregivers rotating 8-hour shifts. Live-in care (one caregiver sleeping in the home) runs $12,000-$17,000. Both are typically 20-30% cheaper than memory care facilities.

Live-in vs shift — which is better?

Live-in is cheaper and more consistent (same caregiver builds trust) but has a legal requirement for 8 hours of unbroken sleep. Shift is more expensive but safer if your parent needs overnight assistance and can't go 8 hours without help. Most Washington DC, DC families start with live-in and graduate to shift when symptoms progress.

Does Medicare cover 24-hour care?

No. Medicare only covers short-term skilled home health after a hospitalization. Long-term custodial care in Washington DC, DC is out of pocket, paid from long-term care insurance, or covered by Medicaid waivers if your parent qualifies financially.

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