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Non-Medical Home Care

24-Hour Home Care in West Palm Beach & South Florida

Focus Family Care provides 24-hour home care in West Palm Beach and across Palm Beach, Broward, Miami-Dade, Martin, and St. Lucie counties. Focus Family Care staffs each 24-hour case with licensed caregivers who work in rotating shifts, so a trained, awake caregiver is present at every hour of the day and night.

Licensed by Florida AHCA & Medicare Certified
ACHC Accredited Home Health Agency
Medicare, Medicaid & Private Pay Accepted
Level 2 Background Checked, Licensed & Insured

What 24-Hour Home Care Includes

Continuous Supervision

A caregiver stays awake and alert through the night to monitor safety, prevent falls, and respond to emergencies.

Personal Care Around the Clock

Caregivers assist with bathing, dressing, toileting, and transfers at any hour, not only during daytime visits.

Medication Reminders

Caregivers prompt each dose on schedule and alert the supervising nurse to missed or refused medications.

Meals and Hydration

Caregivers prepare meals, honor dietary restrictions, and keep clients hydrated across all three shifts.

Mobility and Repositioning

Caregivers reposition bed-bound clients every two hours to prevent pressure sores and support circulation.

Nurse Oversight

A registered nurse writes the care plan and supervises the caregiver team assigned to each 24-hour case.

Focus Family Care Clinical Team· Medically reviewed by Stephanie Marshall, APRN, Director of Nursing, Focus Family Care· Updated August 2026

Quick Answer

24-hour home care is around-the-clock caregiving in which a rotating team of awake caregivers covers every hour of the day and night in the client's home. In West Palm Beach, 24-hour home care costs about $28–$35 per hour, or roughly $5,400–$6,400 per week. Focus Family Care accepts Medicaid, Medicare, VA benefits, and long-term care insurance, which brings the out-of-pocket cost to $0 for many families.

Key Takeaways

  • 24-hour home care uses 2–3 **awake** caregivers in rotating shifts, unlike live-in care, where one caregiver sleeps overnight.
  • In West Palm Beach, 24-hour care runs about **$28–$35/hour** (roughly $5,400–$6,400/week), but Medicaid, VA benefits, and long-term care insurance can reduce that to **$0**.
  • Focus Family Care accepts **Florida Medicaid and Medicare**, most West Palm Beach private-pay agencies do not.
  • Every caregiver passes a **Level 2 (fingerprint) background screening**, works under a **registered nurse**, and the agency is **ACHC-accredited**.
  • Caregivers speak **English, Spanish, and Haitian Creole**, and care can start in **as little as 24 hours**.

What Is 24-Hour Home Care?

24-hour home care is continuous in-home caregiving in which a rotating team keeps one awake caregiver on duty at every hour of the day and night. It lets a person who is no longer safe alone stay at home instead of moving to a nursing facility.

Focus Family Care delivers 24-hour home care through licensed home health aides and certified nursing assistants, supervised by a registered nurse. The service covers personal care, medication reminders, mobility help, meals, and overnight monitoring, the full range of daily support, without gaps.

24-Hour Home Care vs. Live-In Care: What's the Difference?

The main difference between 24-hour home care and live-in care is sleep. In 24-hour care, two or three caregivers work rotating shifts and each stays fully awake; in live-in care, one caregiver lives in the home and takes a scheduled 8-hour sleep period. Focus Family Care offers both and recommends 24-hour care when a client needs active attention overnight and live-in care when a client is stable through the night.

Feature24-Hour Home CareLive-In Care
Caregivers per day2–3 in rotating shifts1 caregiver, plus relief
OvernightAwake and alert all nightScheduled 8-hour sleep period
Best forWandering, repositioning, medical monitoringStable overnight, needs presence
Typical weekly cost$5,400–$6,400$4,200–$5,600
Private bedroom requiredNoYes
24-hour home care vs. live-in care, as staffed by Focus Family Care across South Florida.

How Much Does 24-Hour Home Care Cost in West Palm Beach?

24-hour home care in West Palm Beach costs about $28 to $35 per hour (roughly $5,400 to $6,400 per week) for private-pay clients in 2026. Live-in care costs less because the overnight sleep period is not billed hourly. Focus Family Care reduces or eliminates these costs for families with Medicaid, VA benefits, or long-term care insurance, and provides a free written quote before care begins.

Care optionTypical rateApprox. weeklyApprox. monthly
Hourly / part-time care$28–$35 / hourVaries by hoursVaries by hours
Live-in care (sleep period)Flat daily rate$4,200–$5,600$18,000–$24,000
24-hour care (awake shifts)$28–$35 / hour$5,400–$6,400$23,000–$28,000
With Medicaid / VA / LTC insuranceReduced or **$0**Reduced or **$0**Reduced or **$0**
Estimated 2026 home care costs in West Palm Beach, FL. Focus Family Care verifies your exact rate and insurance coverage at no charge.

Does Medicare or Medicaid Pay for 24-Hour Home Care?

Medicare does not pay for ongoing 24-hour custodial home care, but Florida Medicaid, VA Aid & Attendance benefits, and most long-term care insurance policies do cover it for clients who qualify. This is where Focus Family Care differs from most West Palm Beach agencies: Focus Family Care is enrolled with Florida Medicaid and accepts more than 100 plans, while many local competitors accept private pay only.

Focus Family Care verifies your coverage at no charge before the first shift, handles the insurance paperwork, and explains exactly what you will owe out of pocket. Families can review the accepted insurance plans before they call.

Who Needs 24-Hour Home Care?

24-hour home care serves people who cannot safely be left alone at any point in the day or night. Focus Family Care most often places 24-hour caregivers for these situations:

  • Advanced dementia: Clients who wander or become disoriented at night benefit from Alzheimer's and dementia care around the clock.
  • Post-surgical recovery: Clients who need help moving and managing pain during post-surgical recovery after an operation.
  • High fall risk: Clients who cannot transfer or walk without assistance and could fall if left unattended.
  • End-stage illness: Clients who need comfort care and monitoring through the night alongside hospice or palliative support.

How Focus Family Care Staffs a 24-Hour Case in West Palm Beach

Focus Family Care divides each 24-hour day into two or three shifts and assigns a consistent team, so the same caregivers rotate through the case. Every caregiver passes a Florida Level 2 (fingerprint-based) background screening before entering a client's home, and a registered nurse writes and supervises the care plan.

Focus Family Care matches caregivers to each client by care need, schedule, and language, and its caregivers speak English, Spanish, and Haitian Creole. Because the agency is based in West Palm Beach at 515 N Flagler Drive, a coordinator can complete an assessment and begin care in as little as 24 hours.

Areas Focus Family Care Serves for 24-Hour Home Care

Focus Family Care provides 24-hour home care across five South Florida counties. Focus Family Care serves Palm Beach County, including West Palm Beach and Boca Raton. Focus Family Care serves Broward County, including Fort Lauderdale and Hollywood. Focus Family Care serves Miami-Dade County, including Miami and Hialeah. Focus Family Care also serves Martin County and St. Lucie County across the Treasure Coast.

How We Know This

Focus Family Care is a Florida-licensed home health agency and nurse registry (License NR #30211928, HHA #299995403) accredited by ACHC. Cost figures reflect 2026 West Palm Beach market rates and are verified against each family's insurance before care begins.

Sources

Insurance & Payment

We Accept Medicare, Medicaid, Private Pay, and 100+ Insurance Plans

Focus Family Care accepts Medicare, Florida Medicaid, private pay, and more than 100 private insurance plans, including most long-term care policies. We verify your coverage at no charge before the first visit.

Not sure what your plan covers? Call (561) 693-1311 for free insurance verification, no obligation.

Frequently Asked Questions

How many caregivers are needed for 24-hour home care?

A 24-hour home care schedule uses two or three caregivers who each work a defined, awake shift. Focus Family Care assigns a consistent team so the same caregivers rotate through the case and stay familiar with the client.

Is 24-hour home care the same as live-in care?

No. In 24-hour home care every caregiver stays awake for the full shift, while a live-in caregiver takes a scheduled 8-hour sleep period at night. Focus Family Care recommends 24-hour care when a client needs active attention overnight.

How much does 24-hour home care cost in West Palm Beach?

24-hour home care in West Palm Beach costs about $28–$35 per hour, or roughly $5,400–$6,400 per week, in 2026. Medicaid, VA benefits, and long-term care insurance can lower this to $0 for eligible families. Focus Family Care gives a free quote at (561) 693-1311.

Does Medicare pay for 24-hour home care?

Medicare does not cover ongoing 24-hour custodial care, though it may cover short-term skilled nursing visits. Florida Medicaid, VA Aid & Attendance, and long-term care insurance do cover 24-hour care. Focus Family Care accepts Medicaid and Medicare and verifies coverage for free.

Is 24-hour home care cheaper than a nursing home?

For many families, 24-hour home care costs about the same as or less than a private room in a West Palm Beach nursing home, while letting the person stay in familiar surroundings. Focus Family Care provides a free side-by-side cost comparison.

How quickly can 24-hour home care start?

Focus Family Care can complete an in-home assessment and begin 24-hour care in as little as 24 hours, because non-medical home care does not require a physician's order.

Request Home Health Care Today

Focus Family Care starts care in as little as 24 hours. Call now or request an in-home assessment. We answer around the clock.

515 N Flagler Drive, Suite 350, West Palm Beach, FL 33401