Private Nursing · Owner-Delivered · Las Vegas
Private Duty Nursing in Las Vegas: Registered Nurse Care, Delivered by the Owners
Written and reviewed by Halston Juracka, RN-BSN, CBIS and Kayla Juracka, RN-BSN · Updated August 2026
Private duty nursing is the oldest idea in our profession: one nurse, personally responsible for one patient, in the patient's own home. Hospitals systematized it away. Insurance shortened it into visits. We built our practice to bring it back, and in our case, the private duty nurses are the owners.
Tell us what's going on. Get a nurse's honest read.
Nevada Licensed PCA No. 12250-PCS-0·RN Owners·LTC Insurance Friendly
Serving Summerlin, Henderson & Las Vegas
What is private duty nursing?
Private duty nursing is one-on-one care from a licensed nurse in a person's home, arranged and paid privately rather than through insurance. Unlike Medicare home health, which sends a nurse for brief visits on the insurer's schedule and ends when the benefit ends, private duty nursing works on the family's schedule, at the depth the situation actually requires, for as long as it is needed.
In our practice, private nursing is delivered personally by the two of us, both registered nurses with over a decade each across intensive care, neuro rehabilitation, brain injury, and hospice. Families are not assigned whichever nurse is available. They get the owners, every time, which means the nurse at the bedside on week twelve is the same one who built the plan on day one.
What does a private duty nurse actually do?
The visible work: head-to-toe nursing assessments in the home, medication review and oversight, wound checks and skin monitoring, vital sign and weight trend tracking, post-surgical and post-hospital monitoring, and hands-on clinical care within our licensed scope. The invisible work is where families say the value lives: reading every caregiver shift note, watching trends across days and weeks, setting written escalation thresholds so everyone knows exactly what change triggers exactly what response, briefing physicians before appointments, and translating everything for the family in plain language. A doctor sees your loved one for minutes a month. A private duty nurse sees the pattern.
The Visible Work
The lowest tier. A company that fills a shift. They send whoever is available, often a different person each visit, screened lightly and paid near minimum. There is no nurse, no real plan, and no one watching for change. You are renting a warm body to sit in a chair.
The Invisible Work
Reading every caregiver shift note. Watching trends across days and weeks. Written escalation thresholds, so every change triggers a known response. Briefing physicians before appointments. Translating everything for the family in plain language.
A doctor sees your loved one for minutes a month. A private duty nurse sees the pattern.
Who needs private duty nursing?
The situations that fill our practice: the first weeks after surgery or a hospital stay, when readmission risk is highest and the discharge paperwork answered nothing. Complex or unstable conditions, heart failure, Parkinson's, ALS, post-stroke, where small changes carry big consequences. Families managing dementia alongside other conditions, where our brain injury specialty does its best work. Adults with disabilities directing their own care. And families who simply want a clinician they trust personally accountable, rather than an agency dispatcher, especially when adult children live out of state and need eyes they can believe.
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What does private duty nursing cost in Las Vegas?
Skilled nursing at home in Las Vegas generally runs $90 to $200 or more per hour depending on the provider and the nurse's experience. Our nursing visits are $200 per hour, delivered by the owners, and most of our families receive nursing as part of a care membership, where caregiver hours, nursing oversight, and physician coordination are bundled: memberships begin at $3,000 biweekly, about $6,500 a month, with nursing oversight included at every tier. Exact plans are priced after a free in-home nursing assessment. For the full picture of care costs in this valley, and the ways families pay, see our honest guide to home care costs in Las Vegas.
Does long-term care insurance cover private duty nursing?
Very often, yes. Most long-term care policies reimburse in-home nursing and personal care once the policyholder needs help with daily activities or has cognitive impairment, and as registered nurses we are qualified under federal rules to certify need and author the required plan of care, which most non-medical agencies cannot do. Families pay us directly and the insurer reimburses them; we supply every document carriers require, itemized invoices, the nursing plan of care, credentials, and for our members we prepare the ongoing claim paperwork ourselves. Policies vary, including a few older ones with narrow definitions of covered providers, so we review the policy language with every family before care begins. Wartime veterans and surviving spouses should also ask us about VA Aid and Attendance, which helps many families fund exactly this kind of care.
Our free Ways to Pay guide covers LTC insurance, VA Aid and Attendance, HSA funds, and tax deductions in plain English. It lives in the Apex Resource Library.
Tell us what's going on. Get a nurse's honest read.
Private duty nursing vs. home health vs. caregivers
Home health is the insurance benefit: skilled, brief, temporary. Caregivers handle daily living: bathing, meals, mobility, companionship, ours are certified nursing assistants. Private duty nursing is the clinical layer above both: the licensed judgment that assesses, monitors, decides, and coordinates. Most of our families use nursing and caregivers together, the caregivers provide the hours, the nurses provide the vigilance, and many keep Medicare home health or hospice running alongside us, because we are built to work with those teams, never in place of them.
Home Health
The insurance benefit.
Skilled, brief, temporary.
Ends when the benefit ends.
Caregivers
Daily living: bathing, meals, mobility, companionship.
Ours are certified nursing assistants.
They provide the hours.
Private Duty Nursing
The clinical layer above both.
Licensed judgment: assess, monitor, decide, coordinate.
The nurses provide the vigilance.
When needs grow past part-time support, nursing oversight scales with the caregiver team, all the way to 24-hour home care. The full model behind it is our concierge nursing practice.
Start with a nurse in your living room
Every engagement begins with a free in-home nursing assessment, unhurried, thorough, and yours to keep in writing whether or not you hire us. Take our free two-minute Home Safety Check, or call the owners 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.