Dementia and Memory Care Maryland
Dementia Care That Treats the Person, Not Just the Diagnosis
Comfi-Kare provides specialized in-home dementia and Alzheimer’s care for Maryland families through our White Glove Caregiver Program™. Care includes wandering prevention, sundowning support, redirection techniques, communication strategies, and personal care delivered with dignity. RN founder Magna Johnston (MSN, CMSRN, CSA) builds every memory care plan. Available across Montgomery, Howard, Frederick, and Carroll counties.
This is the moment most readmissions are made.
Wandering Prevention
Safe & Secure at Home
White Glove Trained
Dementia-Specific Techniques
Sundowning Support
Calm Evening Routines
Care in 24-48 hrs
From Hospital Discharge
The Reality
Dementia is the loneliest disease in the family.
It’s lonely for the person who has it — confused in their own home, frightened by people they should recognize, watching the world get smaller.
It’s lonely for the family — grieving someone who is still alive, exhausted from repeating the same answers, terrified of what’s coming next.
And it’s especially lonely at night, when sundowning starts, when the wandering starts, when the agitation makes no sense. A regular caregiver doesn’t know what to do when your mother demands to “go home” while standing in her own living room. A White Glove dementia caregiver does.
The hospital can’t fix this — they’ve already discharged the patient. The home is where the next 30 days are won or lost.
And home is where Comfi-Kare lives.
The Comfi-Kare Difference
What dementia care should actually look like.
Caregivers assigned to dementia clients receive deep additional training in:
Communication for dementia — short sentences, validation over correction, avoiding “do you remember”
Redirection techniques — moving past agitation without arguing or restraining
Sundowning support — environmental cues, lighting, routine, calming activities
Wandering prevention and response — door alarms, safe walking routes, identification protocols
Personal care without resistance — bathing someone who doesn't understand why they're wet
Mealtime and swallowing safety — common in moderate-to-late dementia
Behavioral symptoms (BPSD) — recognition and de-escalation
This isn’t generic care. It’s a specialty.
Magna Johnston, RN
MSN, CMSRN, CSA · Founder of Comfi-Kare
From Our Founder
“The disease takes enough. We’re not going to let bad caregiving take more.”
“In Rockville, Mr. D dementia turned to fear — he struck his daughter, Anne, mid-panic. Magna knelt low, softened her voice, handed him his old watch. His hands stilled. She taught Anne: aggression is fear, not him. That day, Magna learned real care means meeting terror with patience.”
WHAT’s INCLUDED
What dementia care covers
All personal care using dementia-aware techniques
Sundowning support — routines, lighting, calming activities
Medication reminders (timing-critical meds)
Family communication and education
Coordination with neurologists and memory clinics
Wandering prevention and safe-environment monitoring
Mealtime support and feeding assistance
Engagement — music, photo albums, reminiscence
24-hour care availability for late-stage dementia
RN review tied to disease-progression milestones
WHAT’s INCLUDED
Three steps to care
Free Nurse-Led Assessment
Includes a home safety review for wandering and falls
Specialized Caregiver Match
From the White Glove dementia-trained pool
Care Begins in 24–48 Hours
Extra check-ins during the first two weeks while routine builds
Without specialized dementia care
- A wandering incident — police, ER, sometimes worse
- A medication mistake from inconsistent reminders
- Falls from agitation or sundowning
- Aspiration pneumonia from missed swallowing changes
- A spouse-caregiver's health collapses under chronic stress
- Premature facility placement that home care could have prevented
What skilled memory care makes possible
- Mom stays home longer than the family thought possible
- Routines hold. Sundowning eases.
- Wandering doesn't happen — the environment and caregiver are ready
- The spouse gets to sleep
- Family visits become connection, not management
SERVING MARYLAND
Montgomery County
Rockville · Bethesda · Potomac · Gaithersburg · Germantown · Silver Spring · Olney
Howard County
Columbia · Ellicott City
Frederick County
Frederick
Carroll County
Westminster
Common Questions
Frequently asked questions
At what stage of dementia should we bring in home care?
Earlier is almost always better. Building familiarity with a caregiver in the early/mild stage means fewer behavioral issues in moderate stages, when a stranger in the home becomes harder to accept.
How do you prevent wandering?
Through environmental safety reviews (door alarms, locks, identification jewelry), structured routines that reduce restlessness, and trained caregivers who recognize wandering precursors and redirect early.
Can you handle sundowning?
Yes — sundowning support is a core piece of White Glove dementia training. Techniques include adjusted lighting, calm pre-evening routines, reduced stimulation, and validation-based communication.
When is home care no longer enough?
When 24-hour care plus environmental modifications can’t keep the person safe — typically late-stage with severe behavioral symptoms or significant medical complexity. The RN will tell you honestly when that line is approaching.
How much does dementia home care cost in Maryland?
Standard Comfi-Kare hourly rates apply ($30–$34/hr in 2026). Specialized dementia training is included, not upcharged. 24-hour dementia care typically runs $700–$900/day for shift care or $400–$550/day for live-in.
Help that knows what dementia actually demands.
A nurse-built memory care plan and a specially trained caregiver, starting in 24–48 hours.