24-hour home care · Greenwich, CT
24-hour home care in Greenwich
Someone awake and ready to help in your parent's home at any hour, from caregivers who work in shifts. Here is how round-the-clock care works in a Greenwich home and around the town's hospital and services.
Do you provide 24-hour home care in Greenwich, CT?
Yes. We offer hourly, overnight and 24-hour schedules in Greenwich, and we arrange care for the town from our office in neighboring Stamford. In 24-hour care, caregivers work awake shifts, usually two 12-hour or three 8-hour shifts a day. A registered nurse visits first, and a Care Manager keeps your family updated as things change.
What 24-hour care with awake shifts looks like in a Greenwich home
Caregivers take turns through the day and night, and whoever is on shift stays awake. Someone is up at three in the morning as well as at breakfast, so there is help with a trip to the bathroom in the dark or a restless hour before dawn. Your Care Coordinator looks after the rotation and the caregiver match, and each person on it is chosen for your parent and introduced before their first visit. A backup plan is written into the care plan.
On each shift the help can be companion care, meaning company, meals, the house, errands and reminders, or personal care, which adds hands-on help with bathing, dressing, the bathroom and moving around safely.
A few changes help a house that is busy day and night: a lit path from the bed to the bathroom, loose rugs out of the hallway, grab bars where they help, and the medicine list kept by the phone. At Home in Greenwich is a membership organization open to any Greenwich resident 60 or older. Its membership includes a free home safety assessment, and its volunteers lend a hand with jobs like a lightbulb or a smoke detector battery.
Source: At Home in Greenwich: membership
Live-in, an awake overnight caregiver, or 24-hour care: let the nights decide
These schedules look alike on paper, and the nights tell them apart. A live-in caregiver lives in the house, with agreed working time and a night's sleep. An awake overnight caregiver covers the night hours only, while family or hourly help takes the day. In 24-hour care, someone is awake at every hour.
You can move between them as needs change. Live-in stops fitting when your mother is up again and again and the caregiver cannot get the rest the plan sets out. After a fall or a hospital stay, 24-hour care can carry the first weeks and then step down to overnight or live-in care.
If you are also touring assisted living, ask each place who is awake at night and when a nurse is there. The Mews, in downtown Greenwich, publishes its answer: certified aides on duty 24 hours a day, and a nurse on duty from 8:00 to 4:30 who is on call outside those hours.
Source: The Mews: assisted living
The first nights after Greenwich Hospital or The Nathaniel Witherell
If your parent is at Greenwich Hospital now, start the conversation on the ward. The hospital says discharge planning starts on the day of admission and asks families to tell the nurse about discharge needs as soon as possible, and awake care for the first nights at home is one of them. Its emergency care at 5 Perryridge Road is open 24/7, which belongs at the top of the sheet by the phone.
At The Nathaniel Witherell, the town-owned center for skilled nursing and rehab, short-term rehabilitation covers recovery after a stroke, back surgery, heart surgery or a heart attack, among others its page lists. Physical, occupational and speech therapy are also offered there on an outpatient basis, and a caregiver on the day shift can drive your parent back for those sessions once they are home.
At Stamford Hospital, the case manager will talk with you about your parent's admission status, such as observation or inpatient, and what it means for the discharge plan. Endurance Homebound is our plan for the first 72 hours after discharge. Skilled nursing, home health aides and physical therapy at home come from Endurance Home Health, a separate company that provides them in Connecticut only.
Sources: Greenwich Hospital: Discharge and Going Home; Greenwich Hospital: 5 Perryridge Road; The Nathaniel Witherell: about; The Nathaniel Witherell: short-term rehab; Stamford Health: Care Management
Round-the-clock care and the town's rides, meals and services
Call-A-Ride, free for seniors 60 and older, will take your parent to and from anywhere in Greenwich. It lists its hours as 9 a.m. to 4 p.m. and recommends calling a week or two ahead, so book trips early. Riders may call on the day, but Call-A-Ride says it cannot promise a ride then, so a caregiver who drives covers the short-notice trips.
Meals-on-Wheels of Greenwich volunteers bring meals to the door Monday through Friday. The caregiver on shift can take the meal in and eat with your parent, and you plan the weekend meals with us.
Some help comes to the house. A parent who no longer gets to the library can still have books, because the Greenwich Library's Homebound Delivery Service serves residents who are physically unable to visit it or its branches. Greenwich Human Services, whose managers specialize in elder services, runs energy assistance, Operation Fuel and Renter's Rebate for senior and disabled residents, with transportation and home visits for people who cannot come to its offices.
Sources: Call-A-Ride of Greenwich; Meals-on-Wheels of Greenwich: services; Greenwich Library: accessibility and homebound delivery; Town of Greenwich: Human Services
Dementia, and the hours that are hardest
If your husband has dementia and is most confused or restless in the late afternoon and at night, awake care means the person with him at those hours is alert and expecting it. Our caregivers complete three-hour sessions on managing dementia and Alzheimer's symptoms, and our nurses are Certified Dementia Educators, an eight-hour certification.
There is help for you too. At Greenwich Hospital's Center for Healthy Aging, a licensed clinical social worker sits down privately with families caring for someone with dementia or a chronic disease. The Center's Women's Spousal Support Group, for women caring for a chronically ill spouse, meets on the second and fourth Thursdays from 1:00 to 2:15 p.m. Call to confirm, and the day caregiver can stay with your husband while you go. Waveny LifeCare Network says its Alzheimer's and dementia Navigators are here to help 24 hours a day, 7 days a week.
Sources: Greenwich Hospital: Center for Healthy Aging; Waveny LifeCare Network: Navigator Adult Day Program
What Connecticut requires in writing, and how to check an agency
No later than seven calendar days after a homemaker-companion agency starts providing services, it must give the person receiving care, or their authorized representative, a written contract or service plan. For 24-hour care, it should spell out the shifts and the help on each one. Rate changes for the same level or type of services need at least 60 days' advance written notice, and a plan with no specific period of duration can be cancelled by the client at any time.
The state's consumer guide says a registered agency must hold a $10,000 surety bond or insurance policy and train staff as mandated reporters. Since July 1, 2025, agencies have had to require caregivers scheduled to work with a client to wear a badge, an easy check at each shift change. Registrations expire every October 31, so look up an agency's current status at CT eLicense.
A registry works differently. Connecticut requires a registry to advise you that you may be considered the employer, responsible for taxes, Social Security, overtime and minimum wage, unemployment and workers' compensation, which adds up when shifts run around the clock. Hiring privately puts the vetting, the payroll, the schedule and the backups on you. Endurance Home Care hires and screens its own caregivers, and as a registered Connecticut Homemaker-Companion Agency we carry our number, HCA.0002450, in our advertising, as the state requires.
Sources: Connecticut General Statutes, section 20-679; Connecticut General Statutes, section 20-679a; Connecticut General Statutes, section 20-679d; Connecticut General Statutes, section 20-677; Connecticut DCP: consumer's guide to homemaker-companion agencies; Connecticut DCP: homemaker-companion agency registration
How to start
Call our care team or send a request. Tell us where in Greenwich your parent lives and, most of all, what the nights are like: how often they are up and who has been getting up with them. If you have a list of what must be covered, such as help to the bathroom at night, transfers, meals or a diabetes-friendly routine, bring it. Tell us when you need care and we explain the next steps.
You do not have to settle the whole schedule on the first call. Some families begin with days and evenings, or nights alone, and add hours as they go. If your parent is unsure, start with what they want, such as staying in their own home, and suggest trying it for a short while. They stay in charge of their day.
If your parent is in the hospital, share the likely discharge date with the case manager and with us.
Questions about 24-hour home care in Greenwich
Do you provide 24-hour home care in Greenwich?
Yes, across Greenwich, from our office at 60 Long Ridge Road in Stamford. Caregivers work awake shifts around the clock, as companion care or personal care. A registered nurse visits first and writes the plan with you, and your Care Manager keeps you posted as needs change.
What is the difference between live-in care and 24-hour care?
It comes down to who is awake at night. A live-in caregiver lives in the home, with agreed working hours and a night's rest. In 24-hour care, caregivers rotate through awake shifts, so someone is alert at any hour, which suits a parent who needs help several times a night. Tell us about the nights and we will help you choose.
Can we have a caregiver only at night?
Yes. An awake overnight caregiver covers the night while family or hourly help covers the day, and plenty of families arrange overnight care on its own. If the days get harder, the plan can grow into 24-hour care. We offer overnight and 24-hour schedules in Greenwich.
Can 24-hour care help when my mother comes home from Greenwich Hospital?
Yes. Greenwich Hospital says plans for a safe discharge begin on the day of admission, so tell the nurse early that you want care at home. Awake caregivers can cover the first days and nights, and Endurance Homebound is our plan for the first 72 hours. Skilled nursing and home health aides come from Endurance Home Health, a separate company that provides them in Connecticut only.
My father has dementia and is up most nights. Can your caregivers help?
Yes. An awake caregiver can sit with him through the evening and help him back to bed when he is up in the night. Our caregivers have dementia training, and our nurses are Certified Dementia Educators. For your own support, a licensed clinical social worker at Greenwich Hospital's Center for Healthy Aging meets privately with families.
How much does 24-hour home care cost in Greenwich?
We do not publish prices, because the cost depends on the schedule: the length of each shift, how many people are being cared for, the tasks involved and where the home is. Endurance is private pay and does not accept insurance directly, and if there is a long-term care insurance policy, we help with the paperwork. Medicare does not pay for ongoing daily help at home.
Does Medicare pay for 24-hour care at home?
No. Medicare's coverage page lists 24-hour-a-day care at home among the things it does not pay for. Its home health benefit is for people who are homebound and need part-time or intermittent skilled services. The Greenwich Commission on Aging offers free, confidential counseling on Medicare, Medigap and Medicare D.
Will long-term care insurance help pay for round-the-clock care?
It can, depending on the policy. Long-term care insurance is designed to cover services including personal and custodial care at home, and policies reimburse a daily amount up to a limit chosen when the policy was bought. Compare that daily figure with the schedule you have in mind. We help families with the policy paperwork.
What does Connecticut require in writing?
Within seven calendar days of starting service, the agency must give you a written contract or service plan. A rate change for the same level or type of services needs at least 60 days' written notice, and a plan with no set duration can be cancelled at any time. Endurance Home Care is registered with the Department of Consumer Protection, HCA.0002450.
Talk with our care team
Let's talk about the help you need
Tell us a little about what's happening, and we'll call to talk it through. The first conversation is free, and nothing starts until you say so.