Thank you for working with us and making a tough time easier, it really was a stress reliever. Your staff were kind, and took great care of dad. We especially appreciated JJ’s gentle and kind heart, and love for dad. We appreciate you helping us in our time of need. you were the extra set of hands that we needed!
24-Hour Home Care for Seniors
24-hour care from Generations Home Care is around-the-clock, non-medical home care for seniors who need support at any hour. Caregivers in Spokane, Tacoma, and Bremerton, Washington, and McKinney, Texas cover days, evenings, overnights, and weekends in shifts, with an on-call team families can always reach.

What is 24-hour home care?
Some needs do not keep business hours. 24-hour care means a caregiver is with your loved one day and night, working in scheduled shifts so someone attentive is always present. It is how seniors who can no longer be safely alone, even briefly, keep living at home instead of moving to a facility.
We provide care 24 hours a day, 365 days a year, including holidays, and we offer shifts from one hour all the way to 72 hours.

What's the difference between 24-hour care and live-in care?
With live-in care, one caregiver moves into the home and sleeps there, which means long stretches where they are off duty or asleep. We do not offer live-in care, on purpose. With our 24-hour care, caregivers work in shifts: each one arrives rested, and your loved one always has someone attentive nearby. Behind every shift is a local office and an on-call team, so there is always a person your family can reach.
What does 24-hour care include?
Everything in our care services, around the clock:
- Personal care: bathing, dressing, grooming, toileting, and mobility
- Overnight support: help to and from the bathroom, repositioning, and reassurance after dark
- Meals, hydration, and medication reminders through the day
- Companionship and engagement during waking hours
- Light housekeeping and laundry along the way
- A consistent small team of caregivers, so faces stay familiar

How does 24-hour care start?
Call us or fill out our contact form
Around-the-clock needs often arrive suddenly, after a fall, a diagnosis, or a hospital discharge. Tell us what is happening.
Free in-home assessment
We map the full 24 hours: where the risks are, what the nights look like, and what routine will serve your loved one best. No obligation.
Your care team begins
We build a small, consistent team of caregivers and a shift schedule around your loved one’s day, then adjust as needs change.

Why choose Generations Home Care for around-the-clock care?
We are locally owned in every city we serve, not a franchise, and we have cared for families since 2015.
- Every caregiver passes a background check before entering a client’s home, and a fingerprint background check in Washington
- Our Washington caregivers are HCA or CNA certified, with annual continuing education
- Our Texas caregivers are screened against the state Employee Misconduct Registry and Nurse Aide Registry, and complete nine hours of continuing education each year
- Caregivers are W-2 employees, never contractors, supported by a local office team
- Licensed by the Washington State Department of Health (IHS.FS.60603640) and by Texas Health and Human Services (024759)
- No minimum hours, no long-term contract, and our rates are published on every location page
Frequently Asked Questions
Is 24-hour care the same as live-in care?
No. Live-in care places one caregiver in the home who also sleeps there. Our 24-hour care uses rotating shifts so an attentive, rested caregiver is always present. We do not offer live-in care.
How much does 24-hour care cost?
Care is billed hourly at the rates published on each location page. For around-the-clock coverage we will walk you through the numbers at the assessment, including how long-term care insurance may help. You receive a clear bill twice a month.
Can 24-hour care be temporary?
Yes. Many families use it for a recovery period after a hospital stay, during a family caregiver’s absence, or through a rough stretch of an illness, then step back down to daily visits. There is no minimum commitment.
Do the same caregivers come every day?
We build a small, consistent team for each 24-hour client so your loved one sees familiar faces on a predictable rotation, and we introduce any new team member properly.
Is 24-hour care available at all your locations?
Testimonials
Worrying about the hours you can't be there is exhausting
You don’t have to carry them alone. Schedule a free in-home assessment and we will help you figure out what your family needs.