24-Hour Home Care in Los Angeles, CA
When someone can no longer be left alone, part-time help stops being enough. Urban Health Care Solutions provides 24 hour home care across Los Angeles using rotating teams of trained caregivers, so there is always someone awake, alert, and in the room. Your loved one stays in their own bed, in their own home, with support that never clocks out.
The Night You Realized They Can't Be Alone Anymore
For most families, there is a specific moment. A fall in the bathroom at 3 a.m. A pot left on the stove. A front door found standing open. A phone call from a neighbor. Or a hospital discharge nurse saying the words "they'll need someone with them around the clock" while you are still trying to process everything else.
Up until that point, you were managing. A few hours of help here, a daughter stopping by after work there, a neighbor keeping an eye out. Then something happens, and the gaps in that schedule stop being inconvenient and start being dangerous.
You are probably weighing two options right now: move them into a facility, or figure out how to keep them home safely. Most families we meet want the second one. They just don't know it's actually possible.
It is. Round the clock care at home is what we do.
What Is 24 Hour Home Care?
24 hour home care means a trained caregiver is present in the home at all times, day and night, with no unsupervised gaps. Care is delivered by a rotating team, typically two or three caregivers working scheduled shifts, so that the caregiver on duty is fully awake and attentive for their entire shift.
That last part matters more than most families realize when they start comparing options.
24 hour rotating shift care (what we provide)
Caregivers work in scheduled shifts and hand off to the next caregiver. Every caregiver on shift is awake and on duty the whole time. There is no expectation of sleep, no need for a spare bedroom, and no drop in attentiveness overnight.
Live-in care
One caregiver lives in the home and is granted a sleeping period and break time under California labor rules. It costs less, but there is a tradeoff: overnight coverage is not truly continuous, and the arrangement requires private sleeping accommodations.
Signs Your Family May Need Around the Clock Care
Not everyone who needs help needs 24 hour support. These are the situations where families usually do:
Nighttime falls or unsteady bathroom trips.
Most falls happen between the bed and the bathroom, in the dark, with no one there.
Wandering or exit-seeking
Someone with dementia who has left the house once will very likely try again.
Sundowning
Confusion, agitation, and restlessness that get worse in the late afternoon and evening, right when family caregivers are most exhausted.
A recent hospital or rehab discharge
The first 30 days home carry the highest risk of a readmission, and that is exactly when supervision matters most.
Medication timing across the full day
Doses at 6 a.m. and 10 p.m. only work if someone is there to remind them.
Family caregiver burnout
If a spouse or adult child has stopped sleeping through the night, the safety risk now includes two people, not one.
Advanced illness or end of life at home
Continuous comfort and presence, alongside a hospice team if one is involved.
They live alone and something has already happened
Once is a warning. Families rarely regret acting on it.
What's Included
What Our 24 Hour Caregivers Do
Care is built around your loved one’s actual routine, not a generic checklist. A typical round the clock care plan includes:
Through the day
Through the night
How It Works
Getting 24 Hour Care Started
Call Us
Tell us what's happening. If you're calling from a hospital room or a rehab hallway, say so. Discharge situations get moved to the front of the line.
Free in-home assessment
We come to the home, meet your loved one, look at the space with fall risk in mind, and build a shift schedule around their real routine. We'll be honest with you about what level of care the situation actually calls for.
Meet your care team
We match caregivers based on the care needed, personality, and language, then introduce the team before the first overnight shift so no one is meeting a stranger in the dark. Care can typically begin within a few days, and faster for urgent discharges.
Client Feedback
Why Clients Love Us
Linda R.
Marcus T.
Diane P.
Helen S.
Why Los Angeles Families Trust Us With the Night Shift
Awake caregivers, always
Rotating shifts mean the person on duty at 3 a.m. is as alert as the one at 3 p.m.
Screened, registered, and trained
Every caregiver is listed on the California Home Care Aide Registry and cleared through DOJ and FBI background checks.
Consistent teams
We build a small dedicated team around each client so the same familiar faces come back, which matters enormously in dementia care.
We cover the call-outs
A caregiver calling in sick is our problem to solve, not yours. Coverage is guaranteed.
Real supervision
A care manager oversees the plan, checks in, and adjusts as things change.
No long-term contracts
Start when you need it, adjust when things change, stop when you no longer do.
You Don't Have to Get Through Tonight Alone
If you're reading this at the end of a long day, or after a phone call you didn't want to get, here's the short version: keeping your loved one at home safely is possible, and it can start this week.
Call us for a free in-home assessment. We'll listen, we'll tell you honestly what level of care the situation calls for, and we'll build a schedule that lets everyone in your family sleep again.