Since 1984, Preferred Care at Home has been a beacon of hope for families seeking reliable and affordable care. It all started with a vision to offer a quality of service that would allow seniors to age in place with dignity and grace. Recognizing the need for compassionate caregivers who could provide assistance without breaking the bank, our founders established the first agency with a commitment to excellence that continues to drive us today.
In 2007, recognizing that the need for quality senior care was not limited to one community, Preferred Care at Home began its nationwide expansion. This growth allowed us to bring our unique philosophy of care to families across the country. By partnering with like-minded individuals who shared our passion for service, we were able to extend our reach while maintaining the personal touch that defined our very first agency.
Today, Preferred Care at Home stands as a testament to the enduring power of compassionate care. We remain dedicated to our founding principles, constantly innovating to meet the evolving needs of our clients. As we look to the future, our mission remains unchanged: to improve the quality of life for those we serve, safeguarding their independence and dignity in the home they love.
“For many older people, home is everything. It’s a window to the past, a safe haven for the present and the legacy they long to leave for the next generation.
Since 1984, the husband-and-wife founders of Preferred Care at Home have been helping seniors stay in their homes, happily and safely. Now a nationally franchised but still family-run business, Preferred Care at Home offers high-quality in-home care at affordable rates.”
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.
Driven by Passion, Committed to Compassion
Quin’s commitment to quality senior care grew from personal experience. After watching his own parents navigate aging with cancer, stroke, and heart disease, he saw firsthand how the right caregiver transforms difficult seasons into manageable ones. A close friend’s struggle to find reliable care for her MS deepened his resolve. Today, Quin’s mission is connecting compassionate caregivers with seniors who deserve dignity, independence, and genuine companionship. When he learned about Preferred Care at Home, something woke up inside him: he could make a difference.
Richard discovered his calling at 14, working in an assisted living facility where relationships with residents gave him purpose during uncertain teenage years. After five years in the funeral industry helping families plan ahead, he recognized a gap: widows and widowers returning home alone, facing physical limitations without support. He wanted to own a business that truly helps people, and Preferred Care at Home was the answer. For Richard, this work is about facilitating meaningful connections that enrich both caregiver and client.
Experience, Compassion, and Commitment to Excellence
Office Manager & Logistics Coordinator
Licensed Practical Nurse
Transition Liaison
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
We serve Lexington and communities throughout Central Kentucky, including Ashland Park, Chevy Chase, West Fayette, Beaumont Centre, Hamburg, Andover, Hartland, Versailles, Georgetown, Nicholasville, Winchester, Paris, and Ford. Whether your loved one lives in a quiet Chevy Chase neighborhood or in nearby Woodford County, we’re here to help.
Everything from companionship and conversation to hands-on assistance with bathing, dressing, and grooming. Caregivers help with meal preparation, light housekeeping, medication reminders, and transportation. We build care plans around individual needs, from light help with errands to comprehensive daily support.
While most of our clients are seniors, we also serve younger adults with disabilities, people recovering from surgery, and anyone who needs support living independently at home. Age isn’t the determining factor. Need is what matters.
We provide care wherever someone lives. Many Lexington families bring us into assisted living facilities to provide extra attention beyond what the facility offers. We go where you need us, whether that’s a private home, retirement community, or assisted living residence.
Hospital-to-home transitions are our top-priority service here in Lexington. Coming home after a stay at UK Chandler, Baptist Health Lexington, or CHI Saint Joseph is overwhelming. Medications, follow-up appointments, rehabilitation exercises, diet changes. We provide transition care that guides recovery and helps prevent readmission. With Lexington being home to major hospital systems and the region’s only Level I trauma center, families here face complex discharges regularly. We make that transition smoother.
Costs depend on how many hours you need and what type of care makes sense. We start with low rates and no long-term commitments. Live-in care costs significantly less than hourly rates around the clock. We’ll give you clear pricing so you can plan appropriately. Here’s helpful information about paying for home care.
Medicare typically doesn’t cover non-medical home care like companionship, homemaker services, or personal care assistance. It may cover skilled nursing if a physician orders it. We’ll help you understand what Medicare does and doesn’t pay for so you can explore other options.
Long-term care insurance often covers home care services. Check your policy benefits. If your loved one or their spouse served in the military, veteran benefits through Aid and Attendance can help considerably. Learn about Aid and Attendance benefits here. There are also community resources throughout the Lexington area many families don’t know exist.
Yes. The Bluegrass Area Agency on Aging and Independent Living connects families with local resources, and the Lexington-Fayette County Health Department offers programs for seniors. Many Central Kentucky communities provide meal delivery, transportation assistance, and senior center activities at no cost. Explore free services for seniors to discover what’s available locally. These can supplement the care we provide.
We recruit only the most qualified and compassionate caregivers, then put them through our comprehensive 7-step screening process including background checks, reference verification, skills assessment, and personality evaluation. We promise to serve your loved one as if we were caring for our own family.
The same caregiver. We match based on personality and care needs, then maintain that relationship. Consistency builds trust and genuine connection. Your parent won’t face a parade of strangers. If your regular caregiver needs a day off, we arrange qualified backup, but constant turnover isn’t part of our approach.
Tell us immediately. We’ll find someone different. Personal chemistry matters tremendously, especially when someone is helping with intimate tasks. We want your loved one comfortable and happy.
We provide access to non-medical senior home care 24 hours a day, seven days a week. There are no minimum hours required. We work around your schedule, not the other way around.
Yes. Our caregivers receive specialized training for memory care. They understand how to communicate when memory fails, how to create calm environments, and how to maintain dignity as abilities decline. With UK’s Sanders-Brown Center on Aging right here in Lexington, families in Central Kentucky are particularly aware of these challenges. Many trust us with loved ones facing cognitive changes. Learn more about our dementia and Alzheimer’s care.
We provide compassionate support during life’s final chapter, working alongside hospice providers. We help with comfort care, offer companionship, and give exhausted family members respite. These are precious moments. We treat them with deep respect. Our end-of-life care services honor this sacred time.
Contact us by phone at (859) 800-6237 or through our website. We’ll discuss your situation, then schedule a complimentary in-home consultation at your convenience. There’s no obligation. We’ll assess needs, answer questions, and explain how we work. Think of it as getting acquainted before making any decisions.
We sit down together and talk through daily routines, challenges, and goals. We explain our services and pricing clearly and answer every question. The conversation typically takes about an hour. It’s relaxed and informative, not a sales pitch.
Usually within days. When families reach out, they often need help soon. We understand urgency and move as fast as we can to get the right caregiver in place.
No long-term commitments. We believe you should stay with us because the care is excellent, not because paperwork traps you. Needs change. We stay flexible.
We adjust the plan. Maybe you start with a few hours weekly and later need daily support. Maybe intensive help is needed after a hospital stay but then scales back during recovery. We adapt as situations evolve. Take this quiz if you’re unsure what level of care makes sense right now.
Pride runs deep. Fear of losing independence is powerful. Sometimes starting small helps, like someone helping with housework or errands rather than personal care. Once trust builds, she may become more accepting. Our caregivers respect dignity while providing needed support. These fall prevention strategies might help you address safety without undermining independence.
Many adult children live elsewhere while parents remain in Central Kentucky. We use an online portal called the Family Room where you can access caregiver schedules, visit confirmations, daily notes, and updates from anywhere. Complete transparency is part of our commitment to keeping you connected. Learn about our Transparency of Care technology.
Hourly care means a caregiver comes for specific hours each day or week. Live-in care means a caregiver stays in the home 24/7, sleeping there and providing around-the-clock presence. Live-in care costs far less than paying hourly rates for 24-hour coverage. Learn about live-in care costs and how it compares to other options.
We plan ahead. Central Kentucky experiences four distinct seasons, and each brings challenges for elderly people. Summers are hot and humid, creating risks for heat-related illness and dehydration. Winters bring ice, snow, and cold temperatures that make falls more likely and getting to appointments more difficult. Our caregivers help families prepare for seasonal changes, including ensuring proper heating and cooling, maintaining hydration, stocking emergency supplies, and handling weather-related appointment adjustments. We maintain communication through severe weather to ensure your loved one stays safe and supported. Learn more about disaster preparation for seniors.
We’re a third-generation home care company with a proud history going back to 1984. Founded by a registered nurse who saw that older people simply wanted to stay home rather than move into nursing homes, that personal experience drives our commitment to helping your loved ones find the care and compassion they deserve. Here in Lexington, owner Ethan Guerrieri is the third generation of that founding family, growing up alongside a mission his parents, Frank and Jody Guerrieri, built from the ground up. His deep understanding of home care comes not just from years of operational and franchise support experience at the corporate level, but from a lifetime of watching this work change lives. We treat every client as if they were our own family.
It means we believe home is everything to a senior. It’s a window to their past, a safe haven for the present, and a legacy for the future. Our mission since 1984 has been to give seniors the option to remain in their homes with dignity and independence intact. That’s what drives us every day across Lexington, throughout Central Kentucky, and in communities nationwide.
