Aging parents in Lansdowne’s established homes rarely need just one kind of help. Errands, bathing, memory support, and recovery after a hospital stay tend to arrive in overlapping waves, and coordinating that piecemeal is what wears families down. Preferred Care at Home of Lexington provides non-medical in-home care across all of those needs from one Central Kentucky office, supporting dignity and independence through every stage.
Preferred Care at Home is a national home care company founded in 1984, and our Lexington office serves Central Kentucky from 110 W. Vine St, Suite 300, licensed in Kentucky as Personal Services Agency PSA500533. Our footprint covers Fayette County and reaches into Woodford, Scott, and Jessamine counties. The office is locally owned by Chad Farmer, who led a Preferred Care at Home branch for over a decade before opening here.
We match caregivers by personality rather than by availability, every caregiver clears our 7-step screening with background checks, and owner Chad Farmer stays directly involved instead of routing your call through a corporate center. The Transparency Room online portal lets families see and manage care details as the plan unfolds.
Quality in-home care begins with the right caregiver match. Our comprehensive approach includes rigorous background checks and a thorough vetting process to ensure every caregiver on our team meets our high standards for compassion, reliability, and skill.
We take time to understand your loved one’s personality, preferences, and unique needs before thoughtfully matching them with a caregiver who shares compatible interests and values. Our consistent team approach means you’ll work with dedicated care professionals who provide ongoing education, regular supervision, and care plan adjustments as needs change.
The first weeks home from UK HealthCare, Baptist Health Lexington, or CHI Saint Joseph are when readmission risk runs highest. Our Transition Care meets families on discharge day and follows the discharge plan non-medically—medication reminders, mobility assistance, meal preparation, and the logistics of follow-up appointments—scaling with what recovery actually requires.
Many older adults in Lansdowne are still mostly independent but alone too many hours of the day. Our Companion Care keeps daily life moving without taking it over: conversation, light meal prep, errands, medication reminders, and rides to appointments, with the same person back each week so companionship grows into a real relationship.
When the house gets ahead of a parent, our Homemaker Care covers light housekeeping, meals, laundry, and grocery runs on a daily or weekly schedule—keeping the household running so the pressure to leave home doesn’t grow for the wrong reasons.
There’s a clear line where companion care alone stops being enough, usually around bathing, dressing, or moving safely from bedroom to kitchen. Our Personal Care crosses that line with hands-on assistance at the times of day that matter most—morning routine, evening wind-down, the hours when falls are likeliest—with the same caregiver on a consistent schedule.
Wandering risk, sundowning, repeated questions. Our Dementia and Alzheimer’s Care is built for it, with caregivers trained in dementia-specific communication, gentle redirection, and routine anchoring. Care is staged to match Alzheimer’s progression, and we coordinate with the UK Sanders-Brown Center on Aging when your family is engaged there.
When overnight safety is the worry—falls in the hallway, wandering at 3 a.m.—hourly visits stop being enough. Our Live-In Care puts a caregiver in the home around the clock; the same small team rotates on shift to protect care quality, handling meal prep, mobility, overnight presence, and the morning routine.
Step 01
You talk with us about what is happening at home, and we answer the first questions families always have. Call (859) 800-6237 to start.
Step 02
We meet you at home—or by phone if that is easier—for a free assessment to determine what kind of help fits your household.
Step 03
We search our roster for the caregiver whose personality and skills fit your loved one, then create a care plan you approve.
Step 04
Care starts within days, we check in often, and we adjust the plan as your family’s situation shifts.
We serve Lansdowne residents and families across Lexington, Fayette County, and the surrounding Bluegrass communities of Central Kentucky.
We Serve:
Asking for help is not easy. We understand. That’s exactly why Ethan Guerrieri founded Preferred Care at Home of Lexington: because every elderly person deserves to age with dignity, comfort, and genuine compassion in the home they love.
Ethan grew up in a family where caring for others wasn’t just a profession. It was a way of life. That upbringing shaped who he is, and it led him to build a career dedicated to home care. Over the past decade, Ethan has served as a Director of Long Term Care, led day-to-day operations, and guided new franchise owners through the process of building their own care teams. He’s sat with families navigating difficult decisions. He’s worked alongside caregivers on the front lines. And through it all, he’s learned that great care comes down to one thing: treating every person the way you’d want your own family treated.
That experience is what he brings to Lexington. Together with his team, Ethan helps Central Kentucky families find peace of mind when caring for an elderly loved one feels overwhelming. Because home is where memories have been made, and are still being created. And he’ll be there for you, by your side, every step of the way.
Yes—our Lexington office covers Lansdowne and the surrounding Central Kentucky neighborhoods every day. Our office at 110 W. Vine St serves families across Fayette County and into Woodford, Scott, and Jessamine counties. Call (859) 800-6237 to confirm coverage for your specific address.
We provide companion, personal, dementia, Alzheimer’s, respite, live-in, transition, and end-of-life care, all non-medical. Most Lansdowne families start with companion care or daily-living assistance, then move into memory care or Alzheimer’s care when memory loss is the concern, or transition care after a hospital discharge.
It starts with a free in-home consultation, an assessment, a written care plan, and a caregiver matched to your loved one by personality, not just availability. Care can begin within days of the consultation, and we adjust the plan as needs change.
Companion care covers company, errands, meals, and light help; personal care adds hands-on assistance with bathing, dressing, and mobility. Companion care fits when your loved one is mostly independent but lonely; personal care fits when they need someone in the bathroom or steadying them on the stairs. Many families start with one and add the other.
Yes—we provide live-in care and 24-hour coverage using rotating caregivers to keep care quality steady. Around-the-clock coverage matters most when overnight falls, wandering, or hospice transitions are the concern, and we strive to keep the same small team on your loved one.
Pricing depends on the type of care, hours per week, and whether overnight coverage is needed. Companion, personal, and live-in care each price differently because they require different caregiver skill levels and schedules. Call (859) 800-6237 for directional pricing—we walk through cost in the free consultation, no commitment.
