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Care Guide

What Is Private Duty Nursing?

Private duty nursing is continuous, one-on-one skilled nursing care delivered in the home by a licensed registered nurse (RN) or licensed practical nurse (LPN), usually in shifts of 8 to 24 hours a day. It is meant for people whose medical needs are too complex or too constant for short, occasional nursing visits.

A private duty nurse providing one-on-one care to a patient at home
Licensed by Florida AHCA & Medicare Certified
ACHC Accredited Home Health Agency
Medicare, Medicaid & Private Pay Accepted
Level 2 Background Checked, Licensed & Insured
Focus Family Care Clinical Team· Medically reviewed by Stephanie Marshall, APRN, Director of Nursing, Focus Family Care· Updated August 2026

Quick Answer

Private duty nursing is one-on-one skilled nursing at home, provided in shifts of 8 to 24 hours by a licensed RN or LPN. Unlike short Medicare skilled-nursing visits, a private duty nurse stays with a single patient for the whole shift. Florida Medicaid, private insurance, and VA benefits often cover it.

Key Takeaways

  • Private duty nursing is **one-on-one, shift-based** nursing, not brief intermittent visits.
  • It is delivered by a licensed **RN or LPN**, for **8 to 24 hour** shifts.
  • It supports **medically complex adults and children**, including trach, ventilator, and feeding-tube patients.
  • **Florida Medicaid, private insurance, and VA benefits** often pay for it.

Private Duty Nursing vs. Skilled Nursing Visits

The most common point of confusion is the difference between private duty nursing and intermittent skilled nursing visits. Skilled nursing visits are short, physician-ordered visits (often 30 to 60 minutes) that Medicare covers for a homebound patient, for example to change a wound dressing or give an injection.

Private duty nursing is different. A private duty nurse stays in the home for an entire shift, caring for one patient continuously. That makes it the right choice when someone needs constant monitoring, ventilator or tracheostomy management, or hands-on nursing through the day and night.

Who Needs Private Duty Nursing?

Private duty nursing serves both adults and children whose conditions require ongoing skilled care. That includes patients on a tracheostomy or ventilator, patients who use a feeding tube, and patients who need continuous monitoring for seizures, heart conditions, or breathing problems.

For medically fragile children, private duty nursing is often combined with pediatric home care so a nurse can care for the child at home and, when approved, at school.

How Is Private Duty Nursing Paid For?

Florida Medicaid covers private duty nursing for eligible children and adults with complex medical needs through its private duty nursing benefit, and through long-term care Medicaid. Many private insurance plans, long-term care insurance policies, and VA benefits also cover it, and families can arrange it through private pay. Focus Family Care verifies your nursing benefits for free before care begins.

Getting Private Duty Nursing in South Florida

Focus Family Care provides private duty nursing across Palm Beach, Broward, Miami-Dade, Martin, St. Lucie, Indian River, and Okeechobee counties, with local pages for West Palm Beach, Fort Lauderdale, Miami, and more. A registered nurse writes and supervises every care plan.

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. Guidance on this page is reviewed by the agency's Director of Nursing, and coverage details are verified with each family's insurance before care begins.

Sources

Frequently Asked Questions

What is the difference between private duty nursing and home health care?

Private duty nursing is continuous, one-on-one skilled nursing for a full shift. Home health care is a broader term that includes short skilled-nursing visits, therapy, and non-medical help such as home health aides. Focus Family Care provides both.

How many hours a day is private duty nursing?

Private duty nursing is usually provided in shifts of 8 to 24 hours a day, depending on the patient's needs and what their coverage authorizes.

Does Medicaid pay for private duty nursing in Florida?

Yes. Florida Medicaid covers private duty nursing for eligible children and adults with complex medical needs. Focus Family Care verifies your benefits for free before care begins.

Can a child get private duty nursing at school?

Yes. When it is approved, Focus Family Care can provide private duty nursing for a medically fragile child both at home and at school.

Request Home Health Care Today

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