24-Hour Home Care
Care that never stops. Peace of mind that lasts all day and all night.
Some seniors need more than a few hours of help.
They need someone there—all day, all night.
We do exactly that.
As a nurse-led, veteran-owned, award-winning agency, we provide compassionate 24-hour home care in San Diego that families trust. Two caregivers rotate 12-hour shifts. One stays awake during the day. One stays awake overnight.
Your loved one is never alone. Never without help. Never at risk. This is support you can count on—every hour, every day.
AROUND-THE-CLOCK PROTECTION.
What Is 24-hour home care?
24-hour home care means your loved one has support every minute of the day and night. Caregivers work in awake, rotating shifts, ensuring:
- Continuous supervision
- Instant emergency response
- Safe mobility at any hour
- Round-the-clock comfort
- Assistance with personal care, meals, and companionship
Unlike live-in care (where the caregiver sleeps at night), 24/7 home care provides awake caregivers at all hours.
No gaps. No waiting. No unsafe moments. Whether it’s 2 PM or 2 AM, someone is there.
WHEN 24-HOUR HOME CARE BECOMES ESSENTIAL.
Who needs 24-hour home care?
24-hour care is ideal when your loved one needs continuous supervision, safety, or comfort. You might consider round-the-clock care if any of these situations sound familiar:
Advanced dementia or Alzheimer's
Wandering. Confusion. Anxiety. Evening restlessness.
Constant oversight and calm redirection make home safer and more peaceful. Familiar faces. Consistent routines. Support that reduces fear and keeps your loved one grounded.
High fall risk or mobility challenges
Late-night bathroom trips. Dizziness. Unsteady walking.
If your loved one is prone to falls, having someone always present ensures they can move safely day and night. Even at 3 AM, a caregiver is there to help—preventing injuries and giving your family peace of mind.
Serious medical conditions or frailty
Parkinson’s. Stroke recovery. Chronic illness.
Clients who need help with repositioning in bed, medication reminders, or comfort care benefit from continuous assistance. 24-hour care prevents gaps that could lead to medical complications and ensures your loved one receives attentive support at all hours.
Frequent nighttime needs
Insomnia. Sundowning (evening confusion). Repeated restroom visits.
For elders who wake frequently or experience nighttime confusion, our overnight care ensures there’s an awake caregiver to help. Family members can rest knowing an expert is handling all the interruptions.
Exhausted family caregivers
If you’ve been caring for an aging parent 24/7 and are exhausted, round-the-clock home care can relieve you.
When caregiving becomes overwhelming, we step in so families can breathe again. Professional caregivers provide full-time support so you can recharge, work, or focus on other responsibilities while knowing your loved one is in good hands.
Avoiding nursing home placement
When care needs have become too advanced for intermittent visits, 24-hour home care is a valuable alternative to a facility.
It provides the intensive support of assisted living while keeping your loved one in the familiar surroundings of home—where they feel safest and most comfortable.
COMPLETE CARE, DAY AND NIGHT.
What our 24-hour care includes.
When you choose All Heart’s 24-hour home care in San Diego, you receive comprehensive non-medical caregiving services covering both days and nights.
Every care plan is personalized, but round-the-clock care typically includes:
Personal care
As care needs increase, essential tasks require support at all hours. Bathing. Dressing. Grooming. Toileting. Incontinence care.
Our caregivers provide patient, respectful personal care any time of day or night—ensuring your loved one stays clean, comfortable, and maintains dignity. Morning routines. Evening care. Overnight bathroom assistance and comfort for nighttime confusion. During overnight shifts, our caregivers stay awake and attentive—not sleeping on duty.
Nutritional support and meal assistance
Proper nutrition matters around the clock. Energy. Recovery. Mood. Long-term health.
Our caregivers prepare three nutritious meals daily plus snacks, tailored to each client’s needs and preferences. Heart-healthy dishes. Diabetic-friendly recipes. Comforting favorites that bring joy. Breakfast at 8 AM. A light snack at midnight. Hydration monitored throughout the day and night. Whatever your loved one needs, whenever they need it.
Light housekeeping
Maintaining a clean home can be challenging for families managing 24-hour care. We understand.
Our caregivers handle light household tasks efficiently—tidying up, washing dishes, laundry, making the bed, taking out trash. The home remains comfortable, organized, and hazard-free around the clock, providing a safe environment for your loved one.
Reminders and household management
Managing a household becomes harder when providing constant care. Doctor appointments. Medication schedules—even at 2 AM. Bills. Prescriptions.
Our caregivers help keep daily life organized at all hours. They track medication dosing and give gentle reminders so no dose is missed, day or night. Peace of mind that everything stays on track around the clock.
Memory engagement
For clients with Alzheimer’s or dementia, continuous routine and engagement are essential. Care that honors the person, not just the diagnosis.
Our caregivers provide thoughtful memory activities throughout the day—puzzles, music, reminiscing, orientation exercises. Consistent faces. Calming routines. Support that reduces confusion and provides comfort around the clock.
Transportation assistance
Many seniors still want to go places. Still need to go places. Doctor appointments. Pharmacy pickups. Outings for fresh air.
Our caregivers provide safe, insured transportation using the client’s vehicle or their own—fully covered by supplemental auto insurance. Professional, reliable support that keeps your loved one connected to their community.
Companionship
The need for connection doesn’t stop at bedtime. Loneliness can feel heavier in the quiet hours.
Our caregivers provide warm, engaging companionship day and night—conversation, games, and activities during the day, reassuring presence during evening and overnight hours. Your loved one is never alone. Never without someone to talk to or ask for help.
Technology assistance
Staying connected with loved ones matters at any hour.
Our caregivers provide patient, step-by-step tech support—video calls with family, telehealth appointments, streaming favorite shows. Smartphones. Tablets. Computers. No judgment. No frustration. Just help when it’s needed.
Mobility and transfer support
Safe movement matters around the clock—especially during vulnerable nighttime hours.
Our caregivers provide assistance with getting in and out of bed, chairs, or wheelchair. Repositioning in bed to prevent bedsores. Help with walking or gentle exercises. Falls are prevented. Safe movement is supported—morning, afternoon, and throughout the night.
Only provide non-medical home care
We keep families informed through All Heart’s Care Journal system—daily documentation of activities, mood, and changes. We coordinate with healthcare providers or hospice as needed to ensure 24/7 continuity of care.
We do not perform skilled nursing tasks such as injections or wound care, but we work alongside home health or hospice nurses to support all your loved one’s needs.
THE ALL HEART DIFFERENCE
How our 24-hour care is different
This combination is rare. It’s why families choose All Heart.
Awake overnight caregivers
Our caregivers remain fully awake & attentive throughout every overnight shift, ensuring safety, comfort, & immediate response at any hour.
Flat daily rate
One predictable daily rate with no overtime fees, ever. Families get transparent pricing & dependable support without surprise increases.
Veteran-owned, nurse-led leadership
Your care is guided by experienced nurses & veteran leadership focused on integrity, clinical oversight, and dependable accountability.
Consistent 2-caregiver team
We assign a steady, dedicated 2-caregiver team—never a rotating group of unfamiliar faces—building trust, routine, and connection.
Low-rate guarantee
We match or beat competitor pricing, giving families high-quality care at a fair rate while maintaining exceptional service standards.
Award-winning, top-rated
Recognized as one of San Diego’s top home care agencies, trusted for reliability, compassion, & an unmatched client experience.
Real Stories. Real Families. Real Relief.
Families who found peace of mind with 24-hour care.
Safety After Sundowning
Helen, 84, had moderate Alzheimer’s and experienced severe sundowning every evening. She would wander at night, opening doors and getting confused. Her daughter was terrified. Exhausted. At the end of her rope.
We placed two caregivers on rotating 12-hour shifts. The evening and overnight caregiver established a calming bedtime routine—warm tea, soft music, gentle redirection when Helen became restless.
Within a week, Helen’s anxiety decreased. She stopped wandering. Her daughter finally slept through the night for the first time in months.
“I didn’t know I could feel this kind of relief,” her daughter told us. “You gave me my life back.”
— A grateful daughter in San Diego
Preventing Hospital Readmission
Robert returned home after a stroke. He needed help with everything—transfers, toileting, medication, meals. His wife couldn’t lift him safely or stay awake all night to help him.
Our 24-hour care team stepped in immediately. One caregiver handled daytime therapy exercises and nutritious meals. The overnight caregiver assisted with repositioning and bathroom trips every few hours.
Robert’s recovery stayed on track. No falls. No missed medications. No return to the hospital.
His wife got rest. Their home felt peaceful again. Robert regained strength steadily, safely, and with dignity.
— A grateful wife in San Diego
Comfort in the Final Days
Maria’s family wanted her to spend her final weeks at home, not in a hospital. She was on hospice and needed constant comfort care—repositioning, hydration, gentle presence.
Our caregivers provided compassionate 24-hour support. Repositioning for comfort every two hours. Ice chips when she could take them. Holding her hand. Playing soft music she loved.
The family could be present without bearing the physical burden of care. They could simply be family—talking to her, sharing memories, loving her in those precious final days.
Maria passed peacefully at home, surrounded by love. Her family said having our caregivers there gave them the gift of being family—not just caregivers—when it mattered most.
— A grateful family in San Diego
Staying Home Instead of a Facility
James, 89, had advanced Parkinson’s and needed assistance day and night. His children researched assisted living facilities, but James begged to stay in his house of 50 years. The home where he raised his family. Where every room held a memory.
We created a 24-hour care plan with four consistent caregivers who became like family. They learned James’s routines, his stories, his preferences. They helped him stay safe, comfortable, and engaged.
Three years later, James is still at home. Still telling stories about the neighborhood in the 1960s. Still tending to his small backyard garden with his caregiver’s help. Still in the place he loves most.
“We almost put him in a facility,” his daughter said. “Now I can’t imagine that. This is where he belongs.”
— A grateful daughter in San Diego
THE ALL HEART DIFFERENCE
Why families trust All Heart for 24-hour care in San Diego
Choosing a provider for 24-hour home care is one of the biggest decisions families face. Here’s what sets us apart:
PROFESSIONAL CARE, GENUINE WARMTH
Experienced and compassionate caregivers
Caregivers who feel like family.
Our 24-hour care team includes Certified Nursing Assistants (CNAs) and experienced home care aides. We carefully screen, background-check, and train each caregiver to ensure they meet our high standards.
Just as importantly, we look for caregivers with warm and caring personalities. Your loved one will be cared for by professionals who are not only skilled but truly compassionate and patient—treating your family member with respect, kindness, and personal attention.
ALWAYS AVAILABLE
Local expertise and reliability
Real support at any hour. Not an answering service.
As a locally owned company based in La Mesa, we know San Diego County and its resources inside and out.
Our management team is on-call and available 24/7 for any needs or last-minute schedule changes. You’ll never get an answering service at 2 AM—you get quick, caring support from our staff at any hour.
If an emergency arises or a caregiver is sick, we have backup caregivers ready so your care is never interrupted. With All Heart Home Care, you can count on reliable coverage every hour of every day.
PERSONALIZED CARE PLANS
Comprehensive support beyond the basics
More than safety. Quality of life.
We go the extra mile for our clients.
We create a customized care plan for each 24-hour client, tailored to their routines, preferences, and health needs. We use our All Heart Care Journal to keep everyone informed with daily documentation. We can coordinate with doctors, physical therapists, or hospice if needed.
Our goal is holistic support—not just keeping your loved one safe, but truly improving their quality of life at home. Meaningful engagement. Comfort. Compassion. Connection. All the things that make home feel like home, 24 hours a day.
Where we provide care.
All Heart Home Care proudly serves seniors throughout San Diego County. Whether your loved one lives in San Diego or elsewhere in the county, we can provide 24-hour home care wherever it’s needed.
Our service area includes:
- Carlsbad
- Chula Vista
- Coronado
- Del Mar
- Encinitas
- Escondido
- La Jolla
- La Mesa
- Pacific Beach
- Point Loma
- Poway
- Rancho Bernardo
- Rancho Santa Fe
- San Diego
- Scripps Ranch
- Solana
We have local caregivers across the region, reducing long commutes and ensuring timely, reliable service.
Wherever your loved one is located in San Diego County, All Heart Home Care will come to you with a smile and a helping hand.
Frequently asked questions.
How does All Heart Home Care staff 24-hour care? Will my loved one have multiple caregivers?
At All Heart Home Care, we assemble a dedicated team of caregivers to provide continuous, around-the-clock assistance tailored to your loved one’s needs. Typically, this involves two caregivers alternating 12-hour shifts—one covering daytime hours and the other overnight. To accommodate rest days and ensure uninterrupted care, an additional two caregivers may be introduced into the rotation. We prioritize consistency by assigning the same professionals to your loved one, fostering trust and familiarity. During shift transitions, our caregivers conduct thorough handovers, sharing essential information to maintain seamless care. This structured approach ensures that, although multiple caregivers are involved, each is well-acquainted with your loved one and adheres to a personalized care plan, delivering reliable and compassionate support 24/7.
How do I know if my loved one needs 24-hour home care?
Consider 24-hour home care if your loved one exhibits signs such as frequent nighttime awakenings, increased risk of falls, recent hospital discharge requiring continuous monitoring, or if family caregivers are feeling overwhelmed by the demands of providing constant care.
Can 24-hour home care be a temporary arrangement?
Absolutely. Our 24-hour home care services can be tailored for both short-term and long-term needs. Whether your loved one requires intensive support during recovery from surgery or illness, or ongoing assistance due to chronic conditions, we can adjust the care plan accordingly.
Can I arrange for a caregiver just for overnight assistance?
Yes, we offer overnight care services for individuals who require assistance during nighttime hours but do not need continuous 24-hour support. This service is ideal for families who can manage daytime care but are concerned about their loved one’s safety and well-being at night. Our professional caregivers remain awake and attentive throughout the night to assist with needs such as bathroom visits, medication reminders, or responding to emergencies. A typical overnight shift might run from 8 p.m. to 8 a.m., ensuring your loved one receives compassionate care and supervision during the night, and assistance with morning routines before the caregiver departs. If your situation evolves and more comprehensive care becomes necessary, we can seamlessly transition to a full 24-hour home care plan tailored to your family’s needs.
What is the difference between 24-hour care and live-in care?
In 24-hour care, multiple caregivers work in shifts to provide continuous, around-the-clock assistance, ensuring someone is always awake and available. Live-in care typically involves a single caregiver residing in the home, who may require designated rest periods and sleep time, potentially leaving periods when they are not immediately available.
Why is 24-hour home care more cost-effective than live-in home care?
Live-in home care often results in higher expenses due to labor laws that require caregivers to be compensated for all hours spent at the client’s residence, including sleep and rest periods. This arrangement can lead to substantial overtime in payroll to the agency, significantly increasing overall costs for families. Imagine a single caregiver being compensated for a full 24-hour shift; the overtime expenses can be considerable. In contrast, 24-hour home care typically involves multiple caregivers working in shifts—for example, two caregivers each covering 12-hour periods—which minimizes overtime costs. This shift-based model not only ensures continuous, awake supervision but also offers a more economical solution for families seeking round-the-clock care.
How quickly can 24-hour home care services be arranged?
At All Heart Home Care, we understand the urgency that can accompany the need for 24-hour care. We strive to initiate services promptly, often within 24-48 hours of the initial consultation, to ensure your loved one receives the necessary support without delay.
Are your caregivers trained to handle specific medical conditions, such as dementia or Parkinson's disease?
Yes, our caregivers receive specialized training to care for clients with various medical conditions, including dementia and Parkinson’s disease. This ensures they are equipped with the knowledge and skills necessary to provide appropriate and compassionate care tailored to each client’s unique needs.
How does All Heart Home Care ensure continuity of care with multiple caregivers?
We prioritize consistent and seamless care by carefully coordinating our caregiving team. This includes comprehensive handover processes, detailed care plans, and regular communication among caregivers to ensure that all are informed about the client’s preferences, routines, and any changes in their condition
How does the cost of 24-hour home care compare to assisted living facilities?
The cost of 24-hour home care varies based on individual needs and circumstances. While it can be comparable to or sometimes higher than assisted living facilities, many families find value in the personalized, one-on-one attention and the ability for their loved one to remain in the comfort of their own home.
LEARN. PREPARE. FIND PEACE OF MIND
Guides and expert insights on 24-hour home care in San Diego.
Caring for a loved one who needs constant support is a deeply compassionate act—but it can also feel overwhelming. Our blog is here to help you navigate the journey of 24-hour home care with confidence. Whether you’re exploring the benefits of round-the-clock care, seeking tips on managing overnight needs, or trying to understand how 24/7 support can improve your loved one’s safety and quality of life, our articles offer expert guidance and heartfelt insights. Browse the posts below to learn how 24-hour care works, what to expect, and how to make the best choices for your family.
Preparing Your Loved One’s Home for 24-Hour In-Home Care
Bringing in 24-hour in-home care is more than a practical decision. It’s a commitment to keeping your loved one safe, comfortable, and
24-Hour Home Care and Assisted Living: Pros and Cons for Your Loved One
When it comes to ensuring the well-being of an aging loved one, families often find themselves weighing two distinct paths: 24-hour home
How 24-Hour Home Care Transformed Our Family’s Lives
Caring for an aging loved one is a journey filled with both rewarding moments and significant challenges. When the need for continuous
