Providing exceptional home care services in Silver Spring, MD, and surrounding areas.

Home Care in Columbia


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Providing exceptional 24-Hour Home Care for seniors and families in Silver Spring, Bethesda, Potomac, Chevy Chase, Rockville, Olney, Laurel, Columbia, & Ellicott City and near by cities.

What is the Difference Between Hourly Home Care and Live-In Home Care in Columbia?

Home Care in Pikesville by Care at Home MD
Home Care in Pikesville by Care at Home MD

Hourly home caregivers arrive for an 8-12 hour shift and stay awake to care for you or your loved one the entire time. They then go home at the end of their shift when another caregiver arrives. Live-in caregivers get 8 hours off every night to sleep.

Each type of 24-hour care has its own pros and cons.

While live-in home care is cheaper than hourly home care and you or your loved one get to know fewer caregivers, somebody else (including a loved one) must able to provide care for the patient while the live-in caregiver sleeps each night.

Hourly home care is more expensive and more caregivers will come to your home, but there will always be somebody awake and available to assist you or your loved one.

Can Hourly Home Care Also Be 24-Hour Home Care?

Yes. With hourly home care, you can pay for as few or as many hours of care as you need, and the caregiver will be awake for their entire shift (unless you allow them to sleep).

If you or your loved one need around-the-clock care, you don’t necessarily need to go to an assisted living facility or nursing home. You may be able to age in place with 24-hour home care.

What is 24-hour home care? Do overnight caregivers sleep? How much does 24-hour care at home cost? Does Medicare pay for 24-hour home care?

Here’s what you need to know about 24-hour home care and how it can help keep you or your loved one at home through an illness, injury, dementia, Alzheimer’s disease, or chronic health problems.

What is 24-Hour Care at Home in Columbia?

24-hour home care is nonmedical assistance provided in the home. It can be an excellent solution to prevent seniors with dementia from wandering, to help elderly people safely get to the toilet or commode as needed throughout the night, and to keep incontinent patients clean so they don’t need to sleep in their own waste.

What Does a 24-Hour Caregiver Do?

24-hour caregivers can provide a variety of services day or night, including:

  • Incontinence care
  • Assistance with bathing, dressing, and grooming
  • Meal planning, preparation, and help with eating
  • Monitoring to prevent wandering
  • Light housekeeping
  • Laundry
  • Medication reminders
  • Transportation to appointments
  • Grocery and prescription pickup
  • Companionship

While companionship may seem like an afterthought in the grand scheme of elderly care, it’s vitally important to the physical and mental health of seniors. The Centers for Disease Control and Prevention (CDC) says [1]:

“Loneliness and social isolation in older adults are serious public health risks affecting a significant number of people in the United States and putting them at risk for dementia and other serious medical conditions…Social isolation significantly increased a person’s risk of premature death from all causes, a risk that may rival those of smoking, obesity, and physical inactivity.”

Do Overnight Caregivers Sleep?

It depends on whether you get hourly home care or live-in home care. With hourly 24-hour home care, two caregivers work 12 hours each or 3 caregivers work 8 hours each to provide care around the clock. In this case, each caregiver is being paid to stay awake for their entire shift.

If you have a live-in caregiver, you are required to give them 8 hours off every night to sleep, and you may be required to give them time off during the day, as well.

Companion Care for Seniors in Columbia

Companion care is a valuable service for seniors in need of assistance in Columbia, MD. Seniors often require companionship and support to maintain their independence and overall well-being. Companion caregivers provide emotional support, engage in meaningful conversations, and offer assistance with daily tasks. They can also accompany seniors on outings, appointments, and social events, ensuring they stay connected and active within the community.

Furthermore, companion caregivers can help seniors with light housekeeping, meal preparation, and medication reminders. Their presence not only helps seniors feel safe and secure but also reduces feelings of loneliness and isolation. By providing companionship and practical assistance, companion care enhances the quality of life for seniors in Columbia, MD, enabling them to age in place comfortably and happily.

Personal Care for Seniors in Columbia

When seniors in Columbia, MD require assistance with personal care, such as grooming and hygiene, they can rely on professional caregivers for support and assistance. These compassionate caregivers understand the importance of maintaining personal hygiene and can provide the necessary help to ensure seniors feel clean and comfortable. Here are some key aspects of personal care services for seniors in Columbia, MD:


  • Caregivers can assist with tasks like hair brushing, shaving, and nail care, promoting a well-groomed appearance.
  • They can also help seniors select appropriate clothing and ensure they are dressed comfortably and stylishly.


  • Caregivers can provide assistance with bathing or showering to help seniors maintain their personal hygiene.
  • They can also assist with oral care, ensuring seniors have a clean and healthy mouth.

Hospitals Near Columbia, MD

There are several hospitals near Columbia, MD that cater to the needs of the local community. John Hopkins Howard County Medical Center is among these hospitals that provide essential medical services and care for individuals of all ages, including seniors who may require in-home care assistance. Seniors in Columbia have access to top-notch healthcare facilities that offer a wide range of services, from routine check-ups to specialized treatments.

These hospitals prioritize the well-being and comfort of their patients, providing senior-friendly activities and amenities. They understand the unique needs of older adults and strive to create an environment that promotes healing and recovery. Whether it’s for routine medical appointments or emergency situations, the hospitals near Columbia, MD ensure that seniors receive the quality care they deserve. Families can have peace of mind knowing that their loved ones are in capable hands within their community.

How Much Does Senior Home Care Cost in Columbia?

In-home elderly care costs vary widely across the country [2]. For 24-hour care, you could expect to pay an average of $23,295 per month for a home health aide in California, $24,387 in Colorado, $17,472 in Texas, $14,196 in Lousiana, $14,559 in Mississippi, or $21,111 in New York State. The national monthly median cost for 24-hour care is $19,656.

24-hour home care can be an excellent solution to prevent seniors with dementia from wandering, help elderly people safely get to the toilet throughout the night, and keep incontinent patients clean.

Home Care in Pikesville by Care at Home MD
Home Care in Pikesville by Care at Home MD

How to Tell When a Parent Needs 24-Hour Care

If you have been caring for your loved one yourself or if they have been getting by with part-time in-home care, it can be hard to know when it’s time to transition them to 24-hour care. Here are some ways to figure out whether a senior needs full-time home care:

  • Physical care requirements change
  • Repeated accidents happen (falls, bruising, or incontinence)
  • Safety considerations arise
  • Cognitive impairment
  • Reliance on assistive equipment
  • Sundowning occurs
  • You experience caregiver burnout or feel like you are no longer able to meet all of your parent’s needs

Finding the Right Home Care Provider in Columbia

It may seem overwhelming to try to find the best around-the-clock care for your loved one. As you research various agencies, here are some questions you can ask to help you identify the best place to meet your needs [4]:

  • How do you provide seniors with high-quality care?
  • Are you licensed by the state?
  • Do you have references for your agency and your caregivers?
  • What kind of employee screening do you do?
  • Will you give us a patient’s bill of rights?
  • When can services begin?
  • How do you handle emergencies or problems with caregivers?
  • Can we interview potential caregivers?
  • How do you handle billing and expenses?

Searching for the right 24-hour home care agency? Let us help.


  1. Centers for Disease Control and Prevention, Loneliness and Social Isolation Linked to Serious Health Conditions,
  2. Genworth, Cost of Care Survey,
  3. Mayo Clinic, Home Care Services: Questions to Ask,

About Columbia, MD

Columbia, MD is a vibrant and thriving community located in Howard County. This beautiful city offers a range of amenities and opportunities for its residents.

When it comes to care at home, Columbia, MD has a variety of options to meet the needs of seniors. It is known for its safe neighborhoods and friendly atmosphere, making it an ideal place for seniors to receive home care assistance.

The city is home to top-notch medical facilities and hospitals, ensuring that seniors have easy access to quality healthcare services. From beautiful parks and walking trails to cultural events and social clubs, Columbia, MD offers plenty of opportunities for seniors to stay active and engaged.

Columbia also boasts numerous shopping centers, restaurants, and entertainment venues, providing seniors with easy access to daily necessities and leisure activities.

Map of Columbia, MD

Map of Driving Directions from Columbia, MD to Care at Home

Driving Directions from Columbia, MD to Care at Home


Head northeast toward US-29 S
0.2 mi
Merge onto US-29 S/Columbia Pike
6.4 mi
Take the exit toward MD-198/Laurel/Burtonsville
0.3 mi
At the traffic circle, take the 2nd exit onto New Columbia Pike/Old Columbia Pike
Continue to follow Old Columbia Pike
0.8 mi
Turn left onto National Dr
427 ft
Turn right
161 ft
Turn right
Destination will be on the right
154 ft

Care at Home

3901 National Dr Suite 220, Burtonsville, MD 20866

Senior Friendly Activities in Columbia, MD

Seniors in Columbia, MD can engage in a variety of senior-friendly activities that promote socialization and overall well-being. Columbia offers a range of options to cater to the diverse interests and preferences of older adults. The Columbia Association, for instance, organizes fitness classes, yoga sessions, and walking clubs, providing opportunities for seniors to stay active and maintain their physical health.

Additionally, local community centers host art classes, book clubs, and gardening workshops, fostering creativity and intellectual stimulation. For those who enjoy the outdoors, Columbia boasts beautiful parks and trails where seniors can go for leisurely walks or picnics. Social events like bingo nights, movie screenings, and senior group outings are also popular in the area. These activities not only keep seniors engaged and entertained but also create a sense of belonging and camaraderie within the community.

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