For over 40 years, Preferred Care at Home has helped families navigate life’s most difficult time. Our Lexington location is led by Ethan Guerrieri, son of Preferred Care at Home founders Frank and Jody Guerrieri, who brings decades of senior care experience and a deep personal commitment to this community. We match caregivers to your family by personality, not just availability. Our rigorous 7-step screening process includes background checks and reference checks, so you have peace of mind knowing your loved one is in good hands.
In Lexington, families want their loved ones’ final days to be filled with dignity, not stress. Our comfort care focuses on relief from pain and symptoms while keeping your person at ease in the home they love. Caregivers assist with positioning, hydration reminders, and creating a calm environment. Every care plan is built around your family’s wishes and your loved one’s comfort.
Bathing, dressing, and toileting assistance become essential as a terminal illness progresses. Our personal care team provides gentle, hands-on help that preserves dignity throughout every stage. We develop a personalized care plan with your family so daily tasks are handled with compassion. Your loved one receives care from someone who truly understands their needs.
Loneliness can creep in during end of life, even when family members are near. Our companion care provides emotional support, conversation, and a reassuring presence for patients and families alike. Whether it’s reading together, sharing memories, or simply sitting quietly, our compassionate caregivers bring genuine human connection. That matters more than most people realize.
When end-of-life care is the focus, daily tasks like meal preparation and light housekeeping often fall behind. Our homemaker care keeps the home running so family caregivers can focus on what matters most. We handle grocery runs, laundry, and errands that pile up during a difficult time. A clean, organized home brings calm to everyone receiving care under that roof.
End-of-life care often requires overnight coverage that family members simply cannot sustain. Our live-in care provides 24-hour support in your loved one’s home, giving families the relief they need. Caregivers are matched by personality and experience so the relationship feels natural. We provide care around the clock at prices that are more affordable than most families imagine.
Step 01
Call us or reach out online, and we’ll listen to your situation right away.
Step 02
We visit your loved one’s home to understand their care needs and your family’s goals.
Step 03
Together, we develop a personalized care plan that fits your family’s life and budget.
Step 04
We match a compassionate caregiver to your loved one based on personality and experience with similar clients.
Step 05
Care starts quickly, and our team provides ongoing communication and adjustments as needs change.
Lexington families face unique challenges when supporting a loved one through the end of life. Central Kentucky’s healthcare infrastructure, climate, and housing all play a role. Here is how we help.
Challenge
What It Looks Like
How We Help
Older homes with safety barriers
What It Looks Like
Many Lexington homes were built around 1985, with stairs and narrow bathrooms that create fall risks for patients.
How We Help
Our caregivers assist with safe transfers and mobility in your loved one’s home, reducing physical risk.
Challenge
Hospital discharge complexity
What It Looks Like
UK Chandler Hospital and Baptist Health Lexington discharge hundreds of patients monthly, often with confusing instructions.
How We Help
We coordinate transition care from hospital to home so nothing falls through the cracks.
Challenge
Cold winters increasing isolation
What It Looks Like
Central Kentucky winters keep older adults indoors for months, deepening loneliness during end of life.
How We Help
Our companion care brings daily life, conversation, and emotional connection even when the weather keeps others away.
Challenge
Family caregivers stretched thin
With over 47,000 seniors in Lexington, many families juggle caregiving with work and their own health.
How We Help
We provide care that gives family caregivers real relief, from a few hours to around-the-clock support.
Challenge
Confusion about hospice coverage
Many families assume the hospice team provides 24/7 bedside care, then discover gaps in daily assistance.
How We Help
We discuss care needs alongside your hospice team and fill the gaps with personal care, meal preparation, and comfort care.
Challenge
Emotional and spiritual stress
The weight of a terminal illness diagnosis affects every person in the family, not just the patient.
How We Help
Our dedicated caregivers provide emotional support, compassion, and a calm presence during life’s most difficult chapter.
Preferred Care at Home of Lexington continues this tradition by only referring the most reliable, compassionate, experienced and affordable caregivers to clients’ homes or care facilities throughout the Lexington area and surrounding Central Kentucky communities.
We Serve:
Lexington
Ashland Park
Chevy Chase
West Fayette
Hamburg
Andover
Hartland
Three things set us apart. First, we have over 40 years of experience as a family-operated company, now in our third generation. Second, every caregiver passes our rigorous 7-step screening process, including background checks and reference checks. Third, we match caregivers by personality so the relationship with your loved one feels genuine.
They serve different roles and work best together. Hospice and palliative care address medical needs, pain relief, and treatment decisions for patients with a terminal illness (typically when a doctor certifies a prognosis of six months or less). Non-medical home care provides daily assistance like bathing, meal preparation, light housekeeping, and companionship. Many families in Lexington KY use both simultaneously.
We understand that when a diagnosis changes or health declines, families need support fast. Our process is designed to begin care as quickly as possible after your initial consultation. Call us at (859) 800-6237 and we will walk you through every step so your loved one is not waiting.
If daily tasks like bathing, toileting assistance, or meal preparation have become difficult, it may be time. Other signs include family caregiver burnout, frequent falls, or a new hospice referral. You do not have to wait for a crisis. We can help you assess the situation during a free consultation.
Yes. Our proprietary Transparency Room portal gives authorized family members real-time access to caregiver notes, schedules, and care updates. You can track daily tasks, review visit summaries, and even receive voice messages from caregivers. This ongoing process keeps everyone connected and informed throughout the care journey.
Our caregivers handle daily life support (personal care, homemaker tasks, companionship) while the hospice team manages medical needs like pain relief and symptom treatment. We communicate with your healthcare providers so everyone stays aligned. Nurses from the hospice team focus on clinical care, and our caregivers focus on comfort, dignity, and daily assistance.
Kentucky requires licensed personal services agencies to conduct criminal background checks under state regulation 906 KAR 1:180. We go further with our 7-step screening process, which includes reference checks, skills assessments, personality evaluation, and ongoing quality monitoring. Every caregiver earns their place on our team.
Yes. We provide care from as little as one hour to 24 hours per day, seven days a week, including holidays. End-of-life care needs do not follow a schedule, so our team is available whenever your family needs us. Overnight and live-in options are available for families who need continuous support.
Many Lexington homes were built decades ago, and features like steep stairs and narrow bathrooms can create risk. Our team can help identify hazards and recommend adjustments such as grab bars, clear pathways, and proper lighting. A safe physical environment lets your loved one spend their final days at home with less stress for the entire family.