A parent comes home from Baptist Health Richmond, UK Albert B. Chandler, or CHI Saint Joseph, and the first 72 hours feel like a blur. Most families don’t know whether they need a nurse or a helper, and Transition Care is built for that gap.
We coordinate meal preparation, hydration prompts, medication reminders, mobility support, and steady communication back to the family. The Transparency Room shows visit notes in real time, so the daughter in Louisville knows her mother ate lunch. A customized transition plan is built around discharge instructions and the home environment.
A Richmond parent home alone while the adult child works in Lexington feels the days get long. Conversation, errands, and light routine support fill the quiet hours, and that’s the work of companion care services.
Caregivers are matched by personality, not by who’s open on the schedule. The same caregiver returns visit after visit and builds a real rapport. Friends and family notice the difference when your loved one has consistent companionship.
Bathing, dressing, toileting, grooming, and mobility help are the daily living tasks that keep an elderly parent safely at home. Personal Care covers the hands-on routine without rushing your loved one through a checklist.
The care plan is built around the person’s actual day, not a template. The same caregiver returns each visit so the routine stays familiar. Each personalized care plan is reviewed every 90 days and adjusted as needs change.
Madison County families often ask whether a loved one with dementia can still stay home. Specialized companion-level support reduces stress on the family and keeps the home familiar, which is the heart of Dementia Care.
Caregivers are trained in redirection, routine reinforcement, and home safety. The same caregiver visits every time, which lowers confusion and builds trust. Maintaining dignity and independence at home becomes possible with the right support.
What helps in early Alzheimer’s is different from what helps in middle and late stages. Alzheimer’s Care keeps routines steady, reduces overstimulation, and supports the spouse or adult child carrying the weight at home.
Customized care plans adjust as the disease progresses, and respite blocks are built in so the family caregiver doesn’t burn out. Safety routines are part of the plan from day one. Flexible scheduling means care adapts to your loved one’s changing needs.
The Richmond family caregiver who hasn’t taken a real day off in months needs a break before something gives. Respite Care covers a few hours, an afternoon, a weekend, or a longer stretch.
Scheduling fits your family’s life rather than a fixed block. Meals, light housekeeping, and laundry are part of the visit so the home runs while you step away. Managing your own well-being matters just as much as the care you provide.
Nighttime is often the worry: wandering, falls, sundowning. A caregiver in the home around the clock costs less than facility placement and keeps your loved one in Richmond, which is what live-in care is built around.
A dedicated caregiver provides overnight presence with rest blocks structured to Kentucky labor standards. A backup caregiver is pre-assigned for continuity. Elderly people who need around-the-clock support can remain in their own homes with this level of care.
End of Life Care is companion-level support during hospice. Not nursing. Presence, comfort, and family relief during the hardest stretch.
We work alongside the family’s hospice provider and handle the household and companion work. That gives you space to simply be present. Compassionate care during this journey means treating your loved one with dignity every single day.
Our caregivers are matched by personality, not by next available slot. Each one is screened through our 7-step process with background checks before stepping into your loved one’s home. The Transparency Room gives the family a real window into visits, notes, and schedules, and that’s the kind of strong relationship we build with every household we serve in the Richmond area.
Step 01
Reach our Lexington office and tell us what’s happening at home.
Step 02
An in-home consultation maps the routine, the risks, and what would actually help. We create a customized care plan based on your loved one’s specific needs.
Step 03
We pair your loved one with a caregiver based on personality, schedule, and care needs. This kind of matching is what builds consistency and trust.
Step 04
Visits begin on the agreed start date, and the Transparency Room keeps the family in the loop. You’ll have access to updates and visit notes from day one.
Madison County is a mix of in-town Richmond households, EKU-area neighborhoods, the Eastern Bypass corridor, and rural homes spread across the county. These are the situations we hear about most.
Challenge
What It Looks Like
How We Help
Distance between family and parent
What It Looks Like
Adult children in Lexington, Louisville, or out of state can’t drive to Richmond every day to check in or run errands, and the worry compounds at night.
How We Help
Companion or live-in coverage gives the family eyes on the home. The Transparency Room sends real-time updates so the long-distance daughter knows mom ate lunch.
Challenge
Aging in place in older homes
What It Looks Like
Many Richmond and Madison County homes have stairs, narrow bathrooms, and rural driveways that turn small mobility issues into fall risks for an elderly parent.
How We Help
Personal care covers bathing, dressing, and mobility transfers. Homemaker tasks (meals, laundry, light housekeeping) keep the home navigable. Maintaining independence at home becomes safer with the right assistance.
Challenge
Confusion about what’s licensed in Kentucky
What It Looks Like
Families assume any agency offering “home care” is the same. Kentucky regulates personal services agencies separately from Medicare-certified home health, and the two cover different things.
How We Help
We’re licensed in Kentucky as Personal Services Agency PSA500533 and stay in our non-medical lane: companion, personal, dementia, respite, live-in, and end-of-life support.
Challenge
Mistaking home care for home health
What It Looks Like
Searches for “in home care Richmond KY” return medical home health agencies, adult day programs, and non-medical agencies side by side, and the differences aren’t obvious.
How We Help
Home health services are doctor-ordered medical care. We do the daily-living, household, and companion work that home health doesn’t cover and Medicare doesn’t pay for.
Challenge
Hospital discharge with no plan
What It Looks Like
A parent comes home from Baptist Health Richmond or UK in Lexington, and the family has 24 hours to figure out meals, bathing, transportation to follow-up appointments, and overnight safety.
How We Help
Transition Care can start the day of discharge. Personal care, respite, or live-in coverage layers in based on what recovery needs. We assist families through every step of the process.
Challenge
Choosing on price, not personality fit
What It Looks Like
Hourly rates between agencies look similar, so families pick on price and end up with a rotating cast of strangers in the home.
How We Help
Caregivers matched by personality, with the same caregiver returning visit after visit. Whether it’s companion, dementia, or live-in care, the relationship is the work.
Our Lexington office reaches Richmond and the surrounding Madison County communities, plus nearby Bluegrass towns where families coordinate care across county lines.
We Serve:
Preferred Care at Home is a non-medical in-home care company founded in 1984. We provide companion, personal, dementia, respite, live-in, transition, and end-of-life care to elderly people who want to stay home. Our Lexington location, owned by Ethan Guerrieri, serves Central Kentucky and is licensed by the Commonwealth as Personal Services Agency PSA500533. Three generations of family experience, by your side.
Yes, our Lexington office covers Richmond and the surrounding Madison County area with non-medical in-home care.
Preferred Care at Home reaches Richmond, Berea, Waco, and rural Madison County from our Lexington office. We support elderly people who want to stay home with companion, personal, dementia, respite, live-in, transition, and end-of-life care. Elderly people across the Richmond area receive care delivered by caregivers who are matched by personality and screened through our 7-step process. Call us at (859) 800-6237 to talk through what’s happening at home.
We offer companion, personal, dementia, Alzheimer’s, respite, live-in, transition, and end-of-life care across Richmond and Madison County.
The two most common starting points are hospital-to-home recovery support, which covers the first weeks home from the hospital, and senior companionship at home, which fills daytime and evening hours with conversation, light housekeeping, and errands. Personal care, dementia support, and live-in coverage scale up from there. Services offered are tailored to what your loved one actually needs, not a one-size-fits-all package. Home care services in Richmond KY are built around your family’s actual routine.
A phone call, an in-home consultation, a personality-matched caregiver, and care starts on the agreed date.
You call our Lexington office, and we set up an in-home visit in Richmond or wherever in Madison County your loved one lives. We map the routine, match a caregiver by personality and schedule, and confirm a start date. Most families move from first call to first visit within a few days. Home care aides are assigned based on compatibility, not just availability. Flexible scheduling means we adapt to your timeline, not the other way around.
Home health is doctor-ordered medical care; home care is non-medical help with daily living and companionship.
Home health is provided by Medicare-certified agencies and includes skilled tasks ordered by a physician for a defined recovery period. Home care covers the rest of life: bathing, dressing, meal preparation, errands, companionship, and overnight presence. The two are licensed under different rules in Kentucky and serve different needs. Senior home care focuses on maintaining comfort and independence in your loved one’s own home.
Medicare may cover eligible skilled home health, but not homemaker or custodial care when that’s the only need.
Medicare’s home health benefit, per Medicare.gov, is tied to a doctor’s order and a defined skilled need. Non-medical in-home care is generally private pay, though some long-term care insurance policies, VA benefits, and Medicaid waivers help cover it. We can walk through what applies during the consultation. Home care agencies like ours work with families to find affordable payment options. Insurance coverage varies, so we help families understand what’s available.
Yes, the right caregiver match and a steady routine extend the time many people with dementia can stay home safely.
Stage-aware care planning matters. Early-stage support looks very different from late-stage, and consistent caregiver assignment lowers confusion and resistance. Our dementia and Alzheimer’s caregivers are trained in redirection and routine reinforcement, and respite blocks are built in so the family caregiver gets relief. Personality matching makes a big difference in outcomes, and quality of life improves when the same familiar face shows up every visit. Caregivers build continuity by seeing the same people visit after visit.
Bathing, dressing, meals, errands, companionship, reminders, light housekeeping, and overnight presence, none of it requires a nurse.
Most of what keeps an elderly parent home isn’t medical. It’s getting safely in and out of the shower, having someone to share lunch with, having a ride to the salon or follow-up appointment, and knowing someone is there at night. Our caregivers cover all of that and report back to the family through the Transparency Room. Home repairs and heavy maintenance fall outside our scope, but we handle the daily routines that enhance comfort and safety. Transportation to appointments and errands is part of what we do.
Respite is flexible: a few hours, an afternoon, a weekend, or a longer stretch.
Respite is a scheduling format, not a separate level of care. You can use it for a standing afternoon off, a weekend trip, or a few weeks of recovery from your own surgery. Visits include meal prep, light housekeeping, and laundry, so the home runs while you’re away. Richmond families benefit from knowing that respite can be scheduled around their actual lives.
Cost varies by hours, care level, and live-in versus visit-based coverage; we share specifics in the consultation.
Hourly rates depend on how many hours per week, whether visits are during the day or overnight, and whether your loved one needs companion, personal, or dementia-trained caregivers. Hands-on senior care services and live-in coverage price differently than companion visits. The in-home consultation is the right place to scope an honest estimate for your situation. Data rates and message fees may apply if you receive communications through our text notification system.
Care can often start within a few days of the consultation, and urgent hospital discharges can start same-day.
For a planned start, the typical path is consultation this week, caregiver match in a day or two, first visit shortly after. For a parent being discharged from Baptist Health Richmond or a Lexington hospital with no plan in place, Transition Care can begin the day of discharge. Call (859) 800-6237 if the timeline is tight. Families need care quickly, and our procedures are built to respond fast. Each situation is different, so we tailor the timeline to what your family needs.
