Home Care FAQs: Montgomery County, MD

Reviewed by Linda Lennon, BSN, RN, Director of Nursing · Last reviewed October 5, 2026

Most families who call us are still trying to understand their options. These are the questions we hear most often about starting home care, scheduling, care providers, cost, and how and where we provide care.

Have a question about a specific service or condition? Each service and condition page has its own FAQs, linked at the bottom of this page.

Caregiver playing board game with senior in wheelchair
Caregiver reassuring woman on sofa
Caregiver visiting senior woman in armchair

Getting Started

Most families can have a home care provider in place within a few days of calling. If your loved one is being discharged from a hospital or rehab soon, tell us when you call. We prioritize discharge timelines and can often start sooner.

Every client begins with an assessment and an individualized care plan, so the right support is in place from the first visit.

support after a hospital stay >

You’ll talk with our care coordinator about what’s happening at home and what kind of help you need. From there, we introduce you to a dedicated team member, match a home care provider to your loved one, and start care with a plan everyone understands.

Within the first few days, we check in to make sure the match is a good fit. As needs change, we stay involved and adjust the care plan.

see exactly what to expect >

No. You don’t need to know which service to ask for before you call. Tell us what’s been changing at home, and our care team will help you understand your options and find the type and level of care that fits.

Many families aren’t sure whether they need companion care, personal care, skilled nursing, overnight support, or a combination. That’s exactly what the first conversation is for.

home care services >

It may be time to consider home care when everyday routines are becoming harder to manage safely, or when the family member providing care can’t keep doing it alone. It’s rarely one big event. More often, it’s a pattern of smaller changes.

Families often call when daily routines get harder, medications become more complicated, memory changes raise safety concerns, a loved one is coming home from the hospital, or nights become the hardest part of the day.

find the right type of care >

Scheduling & Hours

Care is scheduled around your loved one’s needs and your family’s routine. It can start with a few hours a day and grow to overnight or 24-hour care as needs change. Overnight care is scheduled in shifts of at least 8 hours.

Yes. We provide overnight care and around-the-clock support for families who need continuous supervision at home. Care is delivered in scheduled shifts by members of our care team. We do not provide live-in care.

Overnight shifts can be combined with daytime personal care or skilled nursing in a single care plan.

overnight and 24-hour home care >

Caregivers & Nurses

We carefully screen, vet, and train every care provider and nurse before they join our team. Many of our care providers complete Alzheimer’s Association-recognized dementia care training. Through our Parkinson’s Foundation Community Partner program, our team also has access to Parkinson’s-specific education.

meet our team >

We match care providers based on experience, skills, personality, availability, and your family’s situation. Before care begins, we learn about your loved one’s needs, routines, and preferences, so the care provider arrives fully informed about the care plan.

For skilled nursing clients, we match an RN or LPN whose clinical experience fits the specific medical needs. Nurses are never assigned at random.

in-home skilled nursing care >

Tell us, and we’ll make a change. Within the first few days of care, we check in to make sure the match is a good fit, and the care meets your expectations. After that, our team stays in touch and adjusts as needed.

We work to keep the same familiar faces. Care is usually supported by a small, consistent team of care providers who know your loved one’s care plan, routines, and preferences, so coverage stays dependable, and your loved one isn’t meeting someone new every visit.

Cost & Payment

Home care cost depends on three things: how many hours of care you need, the level of support required, and whether care is scheduled hourly or around the clock. Because every family’s situation is different, we don’t publish a flat rate. We’ll give you a clear, specific number based on your loved one’s needs.

Light housekeeping is included with personal and companion care and isn’t billed separately. Many families also use long-term care insurance or VA benefits to offset part of the cost.

Medicare does not cover ongoing private duty home care. It covers only limited, short-term medical care at home under specific conditions, such as a physician’s order and homebound status. Advanced Nursing & Home Care does not bill Medicare or Medicaid directly.

We know this can be confusing. We’re happy to walk you through the difference and what applies to your situation.

Most clients use private pay, which offers the most flexibility in scheduling and control over care. Many long-term care insurance policies also help cover home care, and we’ll help you understand your benefits and documentation requirements.

Eligible veterans and surviving spouses may be able to use VA benefits, including Aid & Attendance or VA Community Care, toward in-home care.

VA benefits for home care >

Service Area

We provide private duty home care throughout Montgomery County, Maryland, including Bethesda, Chevy Chase, Rockville, Potomac, Silver Spring, Gaithersburg, Germantown, Kensington, North Bethesda, North Potomac, Olney, Takoma Park, Montgomery Village, and other surrounding areas.

Not sure if we serve your area? Call us at (240) 430-1500, and we’ll be happy to confirm.

see all the communities we serve >

Yes, in select communities.

Call us at (240) 430-1500 to confirm whether we serve your loved one’s address.

Advanced Nursing & Home Care has offices in Rockville and Elkridge, Maryland. Most care is provided in your loved one’s home, and our care team can answer questions by phone at (240) 430-1500.

It may be time to consider home care when everyday routines are becoming harder to manage safely, or when the family member providing care can’t keep doing it alone. It’s rarely one big event. More often, it’s a pattern of smaller changes.

Families often call when daily routines get harder, medications become more complicated, memory changes raise safety concerns, a loved one is coming home from the hospital, or nights become the hardest part of the day. find the right type of care >

Still Have Questions?

You don’t need to have every answer before you call. Tell us what’s been changing at home, and our care team will help you figure out what comes next.