Tier 1 — Companion Care

(Presence)

Minimum: 4 hours per visit

    • Companionship and engagement

    • Light meal preparation and daily routine support

    • Medication reminders (no administration)

    • Light housekeeping related to the client

    • Transportation and errands (Mileage will be added using “IRS Standard Mileage Rate for the current year”)

    • General safety presence and observation

    • No hands-on personal care

    • No transfers

    • No medication administration

    • No advanced care coordination

  • Observable decline, new diagnosis, or increased need for physical assistance.

Tier 2 — Personal Care & Assisted Daily Living (ADL) Support

(Physical Support)

Minimum: 4 hours per visit

    • Extended or continuous bedside presence

    • Comfort care (repositioning, hygiene support, environmental calm)

    • Coordinated support for mobility needs (including 2-person assist when required)

    • Proactive communication with hospice teams, facility staff, and family

    • Monitoring condition changes and escalating concerns

    • Emotional support for both patient and family

    • Full continuation of Tier 2 services

    • Coverage for most hospice care needs, including light support for Alzheimer’s and

    • dementia patients*

    • We are no longer just assisting, we are actively advocating

    • We are operating in a dynamic, changing condition environment

    • Family communication becomes a core responsibility

  • Rapid decline, active transitioning, or need for continuous 24/7 support.

  • “Thank you for taking such great care of my Dad, we don't know what we would have done without you!”

    -- Former Care Family

  • “I thought we were buddies!!”

    -- Former Care Client

  • “You are the best care manager we have ever seen at our facility!”

    -- Care Facility Charge Nurse

My parents need care!

Looking for trusted elder care for an aging parent? Tell us what your family needs, including in-home senior care, companionship, personal support, facility-based care, hospice support, and end-of-life care.