Around-the-clock support for loved ones who shouldn't be alone.
There comes a point in many families’ caregiving journeys when a few hours of help each day isn’t enough. Maybe your loved one has started wandering at night. Maybe a recent fall has made leaving them alone feel unsafe. Maybe advancing dementia, serious illness, or frailty means they need someone nearby every hour of every day — not just for tasks, but for safety, reassurance, and peace of mind.
At Lonestar Home Healthcare, our Live-In and 24-Hour Care services provide continuous, trusted support that lets your loved one stay in their own home — where memories live, where routines feel safe, and where dignity stays intact — even when round-the-clock care is needed.
For many families, this is the alternative to a nursing home or assisted living facility. And for most seniors, home wins every time.
Live-In Care vs. 24-Hour Care — understanding the difference.
These two services are often confused, but they work differently. We offer both, and the right choice depends on your loved one’s needs.
Live-In Care A single caregiver stays in your loved one’s home for 24-hour shifts (typically 2–5 days at a time). The caregiver has designated sleep hours at night — usually 8 hours of rest in a provided bedroom — and is available to respond if needed during those hours. Best for clients who sleep through the night reliably and need daytime support plus overnight reassurance.
24-Hour Care (Around-the-Clock Care) Two or three caregivers rotate through shifts (typically 8–12 hours each), ensuring a fully awake, alert caregiver is present at all times — including overnight. Best for clients who wake frequently, wander, have advanced dementia, or need hands-on care during the night.
During your free consultation, we’ll help you figure out which option fits your loved one’s actual care needs and your family’s budget.
What Live-In & 24-Hour Care includes:
Whether live-in or rotating shift, our caregivers provide the full spectrum of Personal Assistance Services:
Daytime support:
- Bathing, dressing, grooming, and full personal hygiene care
- Meal planning, preparation, and feeding assistance
- Medication reminders and routine tracking
- Mobility support, safe transfers, and fall prevention
- Light housekeeping, laundry, and home organization
- Companionship, conversation, and engagement
- Transportation to appointments, errands, and outings
Evening & overnight support:
- Bedtime routines and nighttime preparation
- Toileting assistance during the night
- Repositioning for bedridden or limited-mobility clients
- Supervision for wandering, restlessness, or sundowning
- Quick response to calls, falls, or emergencies
- Reassurance for clients with nighttime anxiety or confusion
Continuous safety monitoring:
- Fall prevention throughout day and night
- Medication schedule adherence
- Monitoring for changes in condition, mood, or behavior
- Emergency response and family communication
Every care plan is built around your loved one’s specific needs — whether that’s gentle daytime companionship with overnight reassurance, or intensive around-the-clock care for a complex condition.
Who benefits from Live-In & 24-Hour Care?
Continuous care is ideal for:
- Seniors with advancing dementia, Alzheimer’s, or cognitive decline
- Clients who have fallen recently or are at high risk of falling
- Adults recovering from major surgery, stroke, or serious illness
- Individuals with Parkinson’s, ALS, or other progressive neurological conditions
- Bedridden or severely mobility-limited clients
- Seniors living alone who can no longer safely manage independently
- Families who want to avoid — or delay — moving a loved one into assisted living or a nursing home
- Households where a spouse is the primary caregiver and can no longer manage alone
If you’re lying awake at night worrying about your loved one, or making the exhausting drive back and forth daily to check on them — continuous care is what brings that worry to an end.
Why families across DFW choose home-based continuous care:
Choosing Live-In or 24-Hour Care instead of a nursing home offers significant advantages:
- Familiar environment — home is where memories live, especially important for clients with dementia
- Higher quality of life — seniors in their own homes consistently report better mood, less anxiety, and stronger cognitive function than those in facilities
- One-on-one care — in a facility, one aide cares for 10–20 residents. At home, your loved one has undivided attention.
- Consistent caregivers — the same trusted faces, not rotating staff strangers
- Family access without restrictions — visit anytime, no visiting hours, no lockdowns
- Personalized routines — meals, wake times, activities, and preferences stay intact
- Often more affordable than nursing homes — especially when compared to private-pay memory care facilities in DFW
Why families choose Lonestar for continuous care:
- Carefully matched caregiver teams — we assemble a small, consistent team so your loved one sees the same familiar faces
- Experienced with complex cases — dementia, post-stroke, hospice support, and advanced mobility needs
- Background-checked, drug-tested, and trained — trusted professionals living in or spending extended hours in your home
- Detailed care documentation — every shift logged, every change communicated, every family member kept informed
- Supervisor oversight — our team checks in regularly to ensure quality and address any concerns
- Flexible start and scaling — begin with part-time care and expand to 24/7 as needs evolve
- Texas HHSC licensed — fully regulated under state home care standards
- Serving Dallas, Fort Worth, and surrounding counties