Providing home care services in the Swampscott, MA and surrounding areas. We are available 7 days a week, 24 hours a day.

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Difference Between Live-In and 24-Hour Home Care

Home care

As seniors age, many find themselves needing more help around the house to maintain their independence. Two common options are live-in care and 24-hour home care. While both provide around-the-clock assistance, there are some key differences families should understand when choosing care.


What is Live-In Care?

With live-in care from Nurta Home Healthcare, a caregiver lives full-time in the senior’s home. The caregiver works set hours, such as 7am to 7pm, but remains on-site overnight in case needs arise.

Live-in caregivers help seniors with:

  • Daily tasks like bathing, dressing, grooming, eating, toileting
  • Medication reminders
  • Meal preparation
  • Light housekeeping
  • Companionship and conversation

Families pay a flat daily or weekly rate for live-in caregiving. This bundles together the caregiver’s active work hours with overnight on-call availability.


Benefits of Live-In Care

There are many unique advantages to having a live-in caregiver:


Consistent Caregiver

Unlike hourly caregivers who rotate schedules, live-in caregivers are the same person every day. This builds trust and rapport between the senior and caregiver.



While live-in caregivers have set responsibility hours, they have more flexibility to help as casual needs arise like assisting with a midnight bathroom trip.


Social Connection

The consistent one-on-one interaction combats loneliness and depression. Outgoing caregivers engage clients with activities, conversations, and companionship.



Seniors can maintain independence at home with full-time support available. Live-in care is ideal for those not ready for assisted living.



You only pay one flat rate instead of accumulating hourly caregiver fees around the clock. Live-in care averages $300-$400 per day compared to $20-$35 per hour for hourly care.


What is 24-Hour Home Care?

With 24-hour home care from Nurta Home Healthcare, an hourly caregiver provides around-the-clock care in set shifts such as:

  • Morning shift: 8am-4pm
  • Evening shift: 4pm-midnight
  • Overnight shift: midnight-8am

These scheduled blocks provide total home care coverage. Shifts may be longer or shorter as families need and with caregivers working 8-12 hour days.

24-hour caregivers help with the same daily assistance as live-in providers. The difference lies in the shift-based model rather than one consistent caregiver.


Benefits of 24-Hour Home Care

While not the same caregiver every day, 24-hour home health still offers advantages:


More Caregiver Oversight

With frequent shift changes, new caregivers identify and address evolving senior needs. Multiple perspectives lead to better quality care.


No Overnight Obligations

Caregivers clock out at shift’s end. Unlike live-ins, which are always “on-call”, 24-hour caregivers completely sign-off while off duty.


Seamless Coverage

Meticulous shift coordination ensures caregivers pass health/care information to those next on duty. This prevents lapses when changing from one caregiver to the next.


Lower Cost

Paying hourly only for care hours needed is generally more affordable than live-in care’s flat all-inclusive rate. Savings add up without paying for a caregiver’s overnight downtime.


Key Differences at a Glance

Live-In Care 24-Hour Care
Single consistent caregiver Rotating assigned caregivers
Flat daily/weekly rate Hourly pay rate
Caregiver lives in home Caregivers work shifts
Flexible ongoing availability Structured shift schedule
Social and bonded relationship Changing caregiver perspectives
Always on-call overnight Defined on/off-duty cycles


Which is Right For Your Family?

So should you choose live-in or 24-hour home health care? Key factors include your budget, care needs, and preferences for a consistent caregiver versus schedule flexibility. Most importantly, consult with a home care advisor to ensure you make the best decision for your situation.

Nurta Home Healthcare’s care planning team will listen to your needs, explain options, and craft a caregiver solution tailored for your loved one’s better health and safety. Reach out today to get started!


Frequently Asked Questions

How quickly can you start live-in or 24-hour care?

In emergency situations, we can arrange quality care in as little as 24 hours. More commonly we require 5-7 days to conduct intake assessments, craft care plans, and assign fully vetted caregivers.


What tasks do live-in and 24-hour caregivers perform?

Caregivers are cross-trained for total daily assistance like bathing, dressing, meal prep, light cleaning, companionship, transportation, medication reminders, mobility help, and more. Some can also provide more advanced nursing and medical care.


Do live-in caregivers get time off?

Yes. Live-in caregivers receive scheduled periods for meals, sleep, and monthly days off. We coordinate substitute caregiver coverage for these routine breaks.


How are 24-hour caregivers scheduled?

Clients choose their preferred shift durations and coverage times. We then staff rotations of caregivers to provide around-the-clock care with no gaps between shift changes.


What training do your caregivers receive?

All caregivers complete certification courses for safety, infection control, proper body mechanics, and special conditions like dementia before assignment. We further orient them on individual care plans.


Start Planning Quality Care in Your Home

Connecting with a Nurta Home Healthcare advisor starts the process for high-level caregiving in the comfort of home. Our first consultation and needs assessment is completely free. Call today to learn more and get started!

Ogechukwu Anuta

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