Service · ACHC-Accredited · PA Medicaid CHC In-Network

24-Hour & Live-In Care at Home — Greater Philadelphia & Bucks County

Some loved ones cannot be left alone — not even for an hour. Whether it's advanced Alzheimer's, post-hospital recovery, or a fall-risk that never rests, A-Team Home Care delivers round-the-clock coverage — by rotating shift caregivers or live-in arrangements — so families can sleep, work, and breathe again. ACHC-accredited. RN-supervised. PA Medicaid CHC, VetAssist, private pay.

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Pennsylvania Family Caregiver Program

Providing Overnight Care Yourself? You May Qualify to Be Paid.

Adult family members (not spouses, not POA holders) providing personal care — including overnight shifts — for a loved one on Pennsylvania Medicaid may qualify for A-Team's Family Caregiver Program. State-provided DCW training included. RN tasks are excluded from the program.

PA Community HealthChoices funded State DCW training provided Overnight hours count Spouses & POA holders excluded by state rule
See If You Qualify → Free eligibility check · No obligation

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8 Services — Round the Clock

What A-Team 24-Hour Home Care Includes

Every hour of the day and night covered — by trained caregivers who know the difference between a quiet overnight and a crisis that needs immediate response.

Overnight Monitoring

Caregiver remains awake and responsive through nighttime hours — fall prevention, bathroom assistance, and immediate response to distress at any hour.

Medication Management

Reminders and supervision for nighttime and early-morning medications — ensuring schedules are maintained regardless of the time of day.

Bathroom Assistance Any Hour

Safe transfer to and from the bathroom at any hour — critical for clients who fall when trying to get up at night without assistance.

Bed Transfers

Safe repositioning in bed, getting in and out, and transfer assistance — reducing pressure injury risk and maintaining dignity through every movement.

Sundowning Support

Structured late-afternoon and evening routines for clients with dementia — minimizing the agitation that peaks as daylight fades.

Wandering Prevention

Nighttime supervision for clients who are at risk of wandering — active monitoring without physical restraint.

Emergency Response

Caregiver trained to recognize and respond to falls, medical events, and behavioral crises — and to alert family and emergency services immediately when needed.

Family Respite

Round-the-clock coverage gives exhausted family caregivers the ability to sleep through the night without fear — and to resume their own lives during the day.

Shift-based vs. live-in 24-hour care comparison diagram — A-Team Home Care Greater Philadelphia and Bucks County
How 24-Hour Coverage Works — shift rotation vs. live-in arrangement, and when each is appropriate
Who 24-Hour Care Is For

4 Families Who Most Often Call A-Team for 24-Hour Care

Not every family needs round-the-clock coverage from the start. Here's when 24-hour care becomes necessary.

Advanced Alzheimer's at home

Nighttime wandering. Sundowning at 4 PM every day. Resistance to bathing that turns into a two-hour ordeal. When dementia reaches mid-to-late stage, the care needs don't stop at 6 PM. A-Team's 24-hour coverage brings shift caregivers trained in dementia management — so someone qualified is always present, and the family member sleeps.

Post-hospital recovery

Hospital discharges after hip replacement, stroke, major surgery, or serious illness often come with instructions the family is not trained to execute. A-Team's 24-hour post-hospital care pairs a skilled nursing case manager with round-the-clock aide coverage — covering the high-risk first 30 days when readmission rates peak.

Family who cannot leave their loved one alone

When a parent or spouse has reached the point where they cannot be left alone at any point — not for a shower, not for a quick errand, not for a night's sleep — A-Team 24-hour care removes that impossibility. You go back to being a family member instead of a round-the-clock caregiver.

Spouse caregiver burnout

Spousal caregivers are among the highest-risk group for health breakdown. When a husband or wife has been managing every overnight bathroom trip for months, A-Team's live-in or overnight caregiver placement restores the spouse's sleep and health — before the caregiver becomes the next patient. See also: Respite Care.

How It Works

How A-Team 24-Hour Care Works

From your first call to continuous coverage — typically within 24 to 48 hours.

Free Consultation

Call (215) 490-9994. We'll assess nighttime care needs, determine shift vs. live-in fit, and explain coverage options: PA Medicaid CHC, VetAssist, private pay, long-term care insurance.

In-Home RN Assessment

A registered nurse evaluates the home, writes a 24-hour care plan, and specifies nighttime protocols — including fall risk, wandering, medication schedule, and emergency response triggers.

Caregiver Team Match

A-Team assigns a consistent team of caregivers covering day, evening, and overnight shifts — matched to the client's needs, language preference, and behavioral history.

Continuous Care Begins

First shift starts within 24 to 48 hours. Your RN supervisor monitors the care plan. Coverage adjusts as needs change — including transitions to skilled nursing oversight if clinical needs increase.

A-Team in Action

See How A-Team Home Care Works

A 90-second look at why Greater Philadelphia and Bucks County families trust A-Team around the clock.

A-Team Home Care · Greater Philadelphia & Bucks County · 90-second overview

A-Team Home Care — Family Caregiver Program, get paid to provide overnight care for a loved one

Providing Overnight Care for a Family Member?

If you're an adult family member (not a spouse, not a POA holder) who has been doing the overnight shifts yourself — the bathroom trips at 2 AM, the transfers, the monitoring — you may qualify to be paid through A-Team's Family Caregiver Program. Pennsylvania Community HealthChoices funds personal care hours including overnight coverage. All paid family caregivers complete state-provided DCW training.

See If You Qualify →
Quick Reference · 4 Tabs

24-Hour Home Care — Service Snapshot

Everything a family member, hospital discharge planner, or referral partner needs to know — at a glance.

TermDefinition · Reference
24-Hour Home CareAround-the-clock supervision and care delivered in the home by caregivers working alternating shifts — or a live-in caregiver. Learn more
Live-In CaregiverA caregiver who resides in the client's home and provides around-the-clock availability — with required sleeping hours as defined by Pennsylvania law.
Aging in PlaceThe ability to live in one's own home safely regardless of age — 24-hour care is the most intensive version, used when facility placement is being considered. Learn more
SundowningEvening and nighttime agitation common in dementia — 24-hour care ensures a caregiver is always present during these high-risk hours. Learn more
Fall RiskFalls are the leading cause of injury in adults over 65 — 24-hour care provides continuous supervision to prevent and respond immediately to falls. Learn more
Hospital Readmission PreventionThe 30-day post-discharge window when readmission risk is highest — 24-hour care provides the continuous monitoring that prevents returns to the hospital. Learn more
TaskWhat A-Team 24-Hour Home Care Includes
Around-the-Clock SupervisionContinuous caregiver presence — two-shift rotation (no sleep requirements) or live-in with required sleep hours
Nighttime Safety & Fall PreventionNighttime ambulation assistance, bathroom transfers, fall response, and repositioning for clients active at night
Bathing, Dressing & ADLsFull personal care assistance across all shifts — morning routine, afternoon hygiene, evening prep
Medication RemindersConsistent medication schedule across all shifts with care log documentation for the supervising RN
Meal Preparation & FeedingThree meals plus snacks prepared and served daily — dietary restrictions observed and documented
Behavior & Dementia ManagementSundowning protocol, wandering prevention, de-escalation — caregiver trained for dementia clients
Medical Appointment AccompanimentTransportation and escort to physician visits, labs, therapy — caregiver provides status report to RN
Family CommunicationDaily status updates to family, incident documentation, and direct reporting to supervising RN on any changes
AudienceWhen 24-Hour Home Care Is the Right Fit
Advanced Dementia PatientClient with advanced dementia who wanders, sundowns, or needs constant redirection — cannot safely be left alone
High Fall RiskClient with a history of falls or significant balance impairment who needs someone present at all times
Post-Hospital DischargePatient discharged with complex care needs requiring continuous monitoring during the critical 30-day window
Family Avoiding Nursing HomeFamily where a loved one is being considered for nursing home placement but wishes to stay home with maximum support
Critically Ill at HomePatient with advanced illness choosing to remain home — 24-hour care provides comfort and family peace of mind
Caregiver Vacation or EmergencyFamily caregiver who needs a block of time away — temporary 24-hour coverage for a week or more
Payer / Source24-Hour Home Care Coverage Details
PA Medicaid (CHC)Pennsylvania Community HealthChoices via Keystone First, UPMC, and PA Health & Wellness — covers care for eligible adults
Medicare Part AHome health aide visits when patient is also receiving skilled nursing or therapy and is homebound — short-term only
Long-Term Care InsuranceMost LTC policies reimburse home care · A-Team intake handles verification, claim submission, and care logs
VetAssist (VA Aid & Attendance)Wartime veterans & surviving spouses — A-Team is an authorized VetAssist provider
JFCS EnrollmentJewish Family and Children's Service partnership — open to all faiths · sliding fee available
Family Caregiver ProgramAdult family members (not spouses or POA holders) can be paid as Direct Care Workers if loved one is on PA Medicaid
Private PayAvailable · rate provided at free in-home assessment · no long-term contract
Why A-Team for 24-Hour Care

Why Greater Philadelphia & Bucks Families Choose A-Team for Round-the-Clock Coverage

Consistent teams. RN supervision. No staffing gaps at 3 AM.

No Staffing Gaps

A-Team maintains consistent shift teams — minimizing the caregiver turnover that disrupts dementia and medically complex clients overnight.

Dementia-Specific Overnight Protocols

Caregiver trained in sundowning management, wandering prevention, and non-confrontational nighttime redirection — not just a general aide.

RN-Supervised Care Plans

Every 24-hour care client has a written nursing care plan with overnight protocols, emergency triggers, and medication schedules — supervised by a registered nurse.

PA Medicaid CHC In-Network

In-network with all three Pennsylvania CHC plans. Personal care hours — including overnight — can be authorized at the highest tier for clients with complex needs.

VetAssist Provider

Authorized VetAssist provider — VA Aid & Attendance benefit can fund 24-hour and live-in care for qualifying veterans and surviving spouses.

ACHC Accredited

Hospital-grade accreditation. The same oversight standard applied to in-patient care — brought into the home, around the clock.

Multilingual Teams

English, Spanish, Russian, and Ukrainian-speaking caregivers. For clients with dementia, continuity of language through overnight shifts is clinically significant.

Transitions to Skilled Nursing

When nighttime clinical needs escalate, A-Team coordinates with skilled nursing oversight — so the care plan evolves without a disruptive agency change.

Bucks Happening 6× & HealthLeaders #1

HealthLeaders #1 Bucks County and Philadelphia 2025. Bucks Happening 2026 Best Senior Care — 6 consecutive years. Read the story →

24-Hour Home Care FAQ

The most common questions Greater Philadelphia and Bucks County families ask before starting 24-hour care.

What is the difference between 24-hour care and live-in care?
24-hour shift care uses rotating caregivers in 8-or-12-hour shifts — someone is always awake and active. Live-in care means one caregiver stays in the home with scheduled sleep time and a designated sleeping area. Clients with frequent nighttime needs (wandering, bathroom trips every 1-2 hours) typically need shift coverage rather than live-in, since live-in caregivers must have adequate sleep per state labor rules.
Does Medicaid cover 24-hour care in Pennsylvania?
Pennsylvania Community HealthChoices (CHC) covers personal care hours that can reach near-24-hour coverage for clients with the highest assessed need. A-Team works with CHC managed care organizations to maximize authorized hours. Additional hours can be covered through private pay, long-term care insurance, or VA Aid & Attendance via VetAssist.
Can a family member be paid for overnight care?
Yes — through A-Team's Family Caregiver Program. Adult family members (not spouses, not POA holders) can be paid as Direct Care Workers for personal care tasks including overnight hours through Pennsylvania Community HealthChoices. All paid family caregivers complete state-provided DCW training before the first paid shift. Family Caregiver Program →
What does overnight monitoring include?
Overnight monitoring includes the caregiver remaining awake and responsive to the client's needs through the night — bathroom assistance, fall prevention during nighttime transfers, monitoring for wandering (common in dementia), medication reminders, and emergency response. In live-in arrangements, the caregiver has scheduled sleep time.
How quickly can 24-hour care start?
A-Team typically arranges 24-hour coverage within 24 to 48 hours of the initial call. The process: free in-home RN assessment, written care plan, caregiver team assignment, and care begins. For urgent hospital discharges, A-Team expedites the intake process.
Who needs 24-hour home care?
24-hour care is appropriate for clients who cannot be safely left alone at any point — advanced Alzheimer's or dementia with nighttime wandering, post-hospital recovery requiring intensive support, clients with fall risk or mobility dependency, or when a spouse caregiver can no longer manage overnight care alone.
Where does A-Team provide 24-hour care?
A-Team provides 24-hour and live-in care across all five counties: Philadelphia, Bucks, Montgomery, Delaware, and Chester. Two offices: Philadelphia (2751 N. 5th Street) and Feasterville-Trevose (2 Park Lane, Suite 106).

Two Offices · Five Counties

24-hour care coordination available across Greater Philadelphia and Bucks. Local intake, local care coordinators, local supervision.

A-Team — Philadelphia

2751 N. 5th Street
Philadelphia, PA 19133
(215) 490-9994

A-Team — Bucks County

2 Park Lane, Suite 106
Feasterville-Trevose, PA 19053
(215) 490-9994

Medical disclaimer: The information on this page is general guidance about home care services. It is not medical advice and is not a substitute for consultation with your physician, nurse, or licensed care coordinator. A-Team Home Care's clinical decisions are made by RN-supervised care teams under physician orders where applicable. Always consult your healthcare provider for advice specific to you or your loved one's medical situation. ACHC-accredited · PA Department of Health licensed · Medicare-certified.

Contact Us

Call us today at (215) 490-9994 to book a free in-home consultation with a member of our dedicated staff and discover all the ways A-Team Home Care can support you or your loved ones.

Irina Rabovetsky, CEO of A-Team Home Care

Irina Rabovetsky

CEO, A-Team Home Care

Our team is here to listen, answer your questions, and help you build the right care plan for your loved one — whether you need care now or are just exploring options.

Round-the-Clock Care That Keeps Your Loved One At Home.

ACHC-accredited. RN-supervised. 24-hour shift teams or live-in placement. PA Medicaid CHC, VetAssist, private pay. Most clients placed within 24 to 48 hours.