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Around-the-clock care

24-hour & live-in care so your loved one is never alone.

Continuous, watchful support at home — through the night, the early hours, and every moment in between. Clinician-led caregivers who keep your loved one safe, comfortable, and accompanied 24 hours a day across Houston.

When a loved one can no longer be safely left alone, the worry never really stops. Ama Ultimate Home Health Services provides true around-the-clock care — so there is always a trained, attentive caregiver in the home to help with every need, respond to every fall or wandering episode, and offer reassurance at 3am just as readily as at 3pm. Led by Dr. Amaette Okon, DNP, PMHNP-BC, FNP, our continuous-care teams bring more than two decades of clinical experience to the hours that matter most.

What 24-hour and live-in care mean

Families often use these terms interchangeably, but they describe two different ways of covering the day and night. We'll help you choose the right fit during your free assessment.

24-hour (shift-based) care

With 24-hour care, a team of caregivers rotates through scheduled shifts — typically two or three caregivers across a day — so that someone is always awake and alert. No one sleeps on duty. This is the right choice when your loved one needs active help during the night: frequent toileting, repositioning, medication timing, or close supervision because of wandering or fall risk.

Live-in care

With live-in care, a single caregiver lives in the home and is present throughout the day, with built-in rest periods and a private place to sleep at night. Live-in care offers wonderful continuity — one familiar face, one trusted routine — and works best when overnight needs are lighter and your loved one mostly sleeps through the night.

Who 24-hour and live-in care helps

Continuous care is most valuable when leaving someone alone — even for a few hours — simply isn't safe. We commonly support people living with:

  • Advanced dementia or Alzheimer's, including wandering and sundowning
  • High fall risk and unsteady, unsupervised mobility
  • A recent hospital discharge or fragile recovery at home
  • End-of-life comfort needs and a wish to remain at home
  • Complex conditions that require monitoring day and night

For families weighing options, this often sits alongside hands-on personal care and companionship or, after a procedure, structured post-surgery recovery support.

What's included around the clock

Care plans are built around the individual, but continuous care commonly includes:

  • Overnight supervision and rapid response to any need
  • Toileting, incontinence care, and discreet personal hygiene
  • Mobility assistance, safe transfers, and fall prevention
  • Medication reminders and routine monitoring
  • Meal preparation, feeding support, and hydration
  • Regular safety checks and a calm, reassuring presence

When medications are complex, our nurses can layer in dedicated medication management so nothing is missed across the day or night.

Real peace of mind for families

The hardest part of caregiving is often the fear of what happens when you're not there. With round-the-clock care, you can finally sleep, work, and breathe — knowing a professional is awake and watching. Many of our families pair continuous care with short-term respite care so that a primary family caregiver can rest and recover without any gap in coverage.

Care that's clinician-led and carefully vetted

Every caregiver is background-checked, drug-screened, insured, and continuously trained. Continuous-care assignments are designed and supervised by Dr. Okon's clinical team, with consistent caregivers wherever possible so your loved one sees familiar faces. Because Dr. Okon is dual-certified as a Family Nurse Practitioner and a Psychiatric Mental Health Nurse Practitioner, we can coordinate physical and mental health needs together — especially important for dementia, anxiety, and end-of-life comfort.

Paying for around-the-clock care in Texas

Continuous care is a meaningful commitment, and many families pay far less than they expect. We accept Molina, Traditional Medicaid, Community Health Choice, UnitedHealthcare, and most major Texas managed-care plans, and we handle the paperwork from start to finish. The hours authorized depend on assessed need and your plan — see our insurance & Medicaid guide or contact us for a free eligibility check.

Frequently asked questions

What's the difference between 24-hour and live-in care?

With 24-hour care, a team of awake caregivers rotates in shifts so someone is always alert and watching, day and night. With live-in care, one caregiver lives in the home and is present across the day, with scheduled rest periods and a private place to sleep. Continuous-shift care suits clients who need active overnight support, while live-in care offers consistency and a familiar single companion.

Does Medicaid cover 24-hour care in Texas?

Many qualifying Texans receive substantial in-home support through Traditional Medicaid and managed-care plans such as Molina, Community Health Choice, and UnitedHealthcare. The exact hours covered depend on assessed need and your plan. We confirm eligibility, explain what's authorized, and handle the paperwork at no charge.

Can live-in care help with dementia?

Yes. Live-in and 24-hour care are well suited to advanced dementia and Alzheimer's, where wandering, sundowning, and nighttime confusion create real safety risks. A consistent caregiver provides routine, reassurance, redirection, and overnight supervision, and our clinical team adjusts the care plan as the condition changes.

Related services

More ways we help at home.

Never leave your loved one alone?

Tell us about your loved one. We'll talk through round-the-clock needs, confirm your insurance, and schedule a free home assessment — usually right away.

Mon–Fri · 9am–5pm
(713) 988-8668