You haven’t really slept in months. You wake at every sound. You check the baby monitor you bought to keep an eye on your mother. You’ve started keeping your phone under the pillow.
This isn’t sustainable — you already know that. 24-hour care is the answer when “she can’t be alone” stops being a sometimes-thing and becomes an always-thing.
You’re allowed to sleep again.
Rotating Shift or Live-In
Built by RN Founder
Dementia, Stroke & End-of-Life
From Hospital Discharge
The Reality
You’ve already tried the workarounds — the medical alert pendant, the family rotation, the neighbor checking in. Maybe a part-time caregiver for eight hours, then you cover the rest.
But here’s the truth families don’t say out loud: the rest is the hardest part. Sundowning happens at night. Falls happen at night. Wandering happens at night. And so do the 3 AM phone calls that wake the whole household.
You’re not failing. You’re running an unfundable nursing operation out of your kitchen, by yourself, with no shift change. That’s why 24-hour care exists.
The Comfi-Kare Difference
We don’t sell you the more expensive option — the RN recommends the right one during the assessment.
Shift Care (recommended for most clinical situations) — two or three caregivers rotating through 8- or 12-hour shifts. No one is on-duty more than 12 hours, so coverage stays alert and awake. Ideal for dementia, fall risk, or clients who wake at night.
Live-In Care — a caregiver lives in the home, with a Maryland-required 8-hour sleep period and breaks. More cost-effective than shift care, but only appropriate for clients who sleep predictably through the night.
We don’t sell you the more expensive option — we recommend the right option.
Magna Johnston, RN
MSN, CMSRN, CSA · Founder of Comfi-Kare
From Our Founder
“There is no medal for trying to do nights yourself. There is only exhaustion, and eventually, a crisis.”
“In Poolesville, the Carver family covered nights themselves — until exhaustion caused a fall. Comfi-Kare brought overnight caregiver Joy, trained and steady. Dad slept safely; the family finally slept too. Four years later, Joy is still there. Rest, not heroics, built lasting peace and trust.”
WHAT’s INCLUDED
Continuous safety monitoring, day and night
Medication reminders on schedule, including night doses
Transfers and ambulation assistance any time
Hygiene and bathing
Wandering prevention (critical for dementia)
Weekly RN review of the care plan
Toileting and incontinence care overnight
Repositioning every 2 hours for bedbound clients
Meal preparation and feeding assistance
Companionship during waking hours
Family communication and shift-change handoffs
WHAT’s INCLUDED
The RN walks you through shift vs. live-in
We staff a primary team of 2–3 caregivers, minimizing substitutions
Often same-day for urgent hospital discharges
When 24-hour care gets delayed
What changes with full coverage
SERVING MARYLAND
Rockville · Bethesda · Potomac · Gaithersburg · Germantown · Silver Spring · Olney
Columbia · Ellicott City
Frederick
Westminster
Common Questions
24-hour shift care uses two or three caregivers rotating through 8- or 12-hour shifts, with someone awake and alert at all times. Live-in care uses a single caregiver who lives in the home, with a designated overnight sleep period required by Maryland labor law.
24-hour shift care in Maryland in 2026 generally runs $700–$900 per day, depending on acuity. Live-in care typically runs $400–$550 per day. The free assessment includes a transparent cost estimate.
For urgent post-hospital situations in Montgomery, Howard, and Frederick counties, we can often start same-day or next-day. Call (240) 981-4713 and we’ll work the staffing.
We assign a primary team (usually 2–3 for shift care) and minimize substitutions. CareOps HQ tracks every assignment so you always know who’s on shift.
Yes. Many families use 24-hour care for 2–6 weeks after a hospital discharge or surgery, then step down to fewer hours.
A free nurse-led assessment, the right care model, and coverage in 24–48 hours.
