Around-the-Clock Care · Las Vegas
24-Hour Home Care in Las Vegas: What Around-the-Clock Care Actually Involves
Written and reviewed by Halston Juracka, RN-BSN, CBIS and Kayla Juracka, RN-BSN · Updated August 2026
When a family starts searching for 24-hour care, something has usually already happened. A fall at 3am. A wandering episode. A hospital discharge with the quiet warning that mom cannot be alone anymore. This page is the honest guide we wish every family had at that moment, written by the two nurses who build these care teams for Las Vegas families.
Tell us what's going on. Get a nurse's honest read.
Nevada Licensed PCA No. 12250-PCS-0 · Nurse Owners · Consistent Matched Teams
Serving Summerlin, Henderson & Las Vegas
What is 24-hour home care?
24-hour home care means trained caregivers are present and awake in the home around the clock, working in shifts, so someone is always watching, always ready, day and night. It is the highest level of support available at home, and for many families it is the alternative that keeps a loved one out of a facility entirely.
Done properly, it is not just coverage. It is a small, consistent team, usually four to six caregivers on rotating 12-hour shifts, who know the person, the routines, the medications, and the warning signs, with a nurse supervising the whole picture. Done poorly, it is a parade of strangers on a schedule, and families feel the difference within a week.
What is the difference between 24-hour care and live-in care?
24-hour care uses awake caregivers in shifts, typically two 12-hour shifts a day, so the overnight caregiver is alert and working, not sleeping down the hall. Live-in care places one caregiver in the home for days at a time; they are entitled to sleep at night and to daily breaks, which makes it less expensive and genuinely appropriate for people who sleep through the night safely.
24-Hour Care
Awake caregivers, two 12-hour shifts
Someone is alert and working through the night, not sleeping down the hall.
Right when nights are the risk.
Live-In Care
One caregiver, sleeps at night
Lives in the home for days at a time, with nightly sleep and daily breaks. Costs less.
Right when nights are safe.
The honest rule from our practice: if the nights are the problem, wandering, confusion, falls on the way to the bathroom, breathing trouble, live-in care is usually the wrong tool, because the caregiver is asleep exactly when the risk is highest. Families sometimes choose live-in to save money and end up paying for it in 2am emergencies. A nurse assessment sorts this out in one visit, and it is the first thing we look at.
What does 24-hour home care cost in Las Vegas?
At standard Las Vegas agency rates of $30 to $40 per hour, true around-the-clock care runs roughly $21,000 to $29,000 per month. Live-in arrangements, where permitted and appropriate, typically cost less. Our own around-the-clock plans are custom-built after a free in-home nursing assessment and include a discounted hourly structure for high-hour commitments, full nursing oversight, and a consistent matched team; our care memberships range from $3,000 biweekly for twenty hours a week of support up to $9,500 biweekly and beyond for the most involved plans. For a complete breakdown of what care costs in this valley and the four ways families actually pay for it, including long-term care insurance and VA benefits, see our honest guide to home care costs in Las Vegas.
One thing worth saying plainly: around-the-clock care is a five-figure monthly commitment from any licensed provider, and the families who navigate it best are the ones who acted before it was needed. Twenty hours a week at the first warning signs prevents many of the crises that later demand 168.
Tell us what's going on. Get a nurse's honest read.
When does a family actually need 24-hour care?
The signs we look for as nurses: falls or near-falls happening at night, wandering or exit-seeking with dementia, someone who can no longer transfer or toilet safely alone, swallowing or breathing issues that need rapid response, a spouse caregiver past the edge of exhaustion, or a hospital team saying "she cannot be alone" at discharge. If two or more of those sound familiar, the conversation is due, and having it now, while options are open, is the whole game.
The Signs We Look For as Nurses
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Falls or near-falls happening at night
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Wandering or exit-seeking with dementia
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Can no longer transfer or toilet safely alone
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Swallowing or breathing issues that need rapid response
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A spouse caregiver past the edge of exhaustion
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A hospital team saying "she cannot be alone" at discharge
Required of licensed Nevada agencies like ours, and our files prove it.
There is also a version of this decision families rarely hear about: 24-hour care as a bridge. After a hospitalization, during a decline that hospice is managing, or while waiting for a bed at a chosen community, a few weeks of round-the-clock support at home can be exactly the difference between a safe transition and a spiral.
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How does 24-hour care work alongside hospice or home health?
Hospice and home health are visit-based: skilled professionals come for an hour, then leave. The family holds the other 160-plus hours a week. That is the gap 24-hour care fills, and we fill it deliberately alongside those teams, never in place of them: our caregivers handle the hours, the hands-on care, and the watching, our nurses catch changes early and communicate them, and hospice or home health keeps doing what they do. Families who layer these correctly get the best of every system, and it is one of the most common configurations we build.
What makes around-the-clock care actually work?
Three things, learned across two decades at bedsides. Consistency: for a person with dementia especially, every new face is a fresh disorientation, so we build small matched teams and keep them, the same caregivers, who learn the person, not just the tasks. Clinical oversight: 24-hour care generates an enormous amount of information, how she slept, what she ate, the cough that started Tuesday, and it is worthless unless someone trained reads it, which is why a registered nurse reviews every shift note and sets written escalation thresholds for every client. And honest ramping: a proper around-the-clock team is hand-picked, which takes a little time, so we typically begin support within 72 hours of an assessment and build to the full team over the following weeks, and we say so upfront, because families deserve a plan, not a promise that quietly breaks.
This is the same nurse-led model behind everything we do. The full picture of how it works is at our concierge nursing practice, and our free family guides live in the Apex Resource Library.
Start with the free assessment
Whether the answer is twenty hours a week or a full around-the-clock team, it starts the same way: a free, unhurried in-home nursing assessment from one of the two nurse owners, and a written plan with an exact price your family keeps either way. Take the free two-minute Home Safety Check, or call us directly
Halston Juracka, RN-BSN · (702) 843-7402
Kayla Juracka, RN-BSN · (702) 280-4348
Email: admin@apexhomenursing.com
BOOK YOUR 15-MINUTE NURSE CALL FOR MORE INFORMATION
HJ
About the owners
Halston Juracka, RN-BSN, CBIS and Kayla Juracka, RN-BSN are the registered-nurse owners of Apex Home Nursing Services, a premium private-pay home care agency serving Summerlin, Henderson, and the greater Las Vegas valley. Halston is a Certified Brain Injury Specialist and nurse educator. They founded Apex to give referral partners a clinically serious, reliable resource and to give families nurse-led care that actually keeps people safe at home.
References
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U.S. Centers for Disease Control and Prevention. Facts About Falls, Older Adult Fall Prevention, 2026. cdc.gov/falls
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Reducing Hospital Readmissions, StatPearls, NCBI, 2024; and 30-day readmission analyses among older adults. ncbi.nlm.nih.gov
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Genworth and CareScout 2024 Cost of Care Survey; Nevada cost data. payingforseniorcare.com/nevada
This guide is general educational information, not medical, legal, or financial advice. Apex Home Nursing Services is an RN-owned, private-pay personal care agency in Las Vegas, Nevada. Registered nursing services, where applicable, are provided by the RN owners under their own Nevada licenses, coordinated by, not provided by, the agency.