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Live-In Care
Live-In Care
For many seniors, maintaining independence is possible with minimal support through hourly home care. However, when a higher level of care becomes necessary—either temporarily or permanently—live-in home care may be the safest and most supportive solution.
Live-in caregiver services offer 24-hour assistance with the added benefit of continuity, safety, and peace of mind. Unlike multiple caregivers rotating through shifts, a live-in caregiver provides personalized, consistent support. In many cases, the cost of live-in senior care is equivalent to 8-10 hours per day of hourly care, making it a practical and cost-effective option, especially for families who do not live nearby or are available to provide consistent care and oversight.
Is live-in care right for your loved one? Ideal candidates for live-in home care services often share one or more of the following characteristics:
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Experience memory impairment (e.g. Alzheimer's disease)
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Have an unsteady gait or are non-ambulatory
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Require intermittent personal care through the day and night
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Lack nearby family support for daily caregiving needs
At Boardwalk Homecare, every live-in care case begins with a thorough consultation. Our experienced case managers ensure that seniors, family members, and our certified home health aides have a clear understanding of expectations, responsibilities, and procedures, as outline in our Home Care Policy Manual.
Before setting up live-in services through a licensed agency or on their own, families should be familiar with key labor and legal regulations, including:
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Live-in domestic service worker rules
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Overtime and minimum wage requirements
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Record-keeping obligations
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On-duty vs. off-duty time distinctions
Whether you hire a licensed home care agency like Boardwalk Homecare or choose to employ a private caregiver, both options must comply with U.S. Department of Labor employment laws and IRS tax guidelines. Families hiring private caregivers are also encouraged to seek legal guidance regarding:
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Risk management and compliance
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Proper insurance coverage (professional liability, worker's compensation)
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Medicaid spend-down eligibility
Understanding these factors can help families protect themselves from potential liabilities such as workplace injuries, property damage, or fraudulent activity.

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