
The Family Guide to 24-Hour Home Care in Houston, TX
What It Means: Around-the-clock caregiving by a rotating team in your loved one’s home, ensuring safety, personal care, and companionship.
Our 5-Step Process: Call us, schedule a free in-home assessment, conduct a safety review, craft a personalized plan, then meet your 24/7 care manager and caregiving team.
Who’s on Your Team: A dedicated care manager plus 4–5 screened, trained caregivers—matched for skills and personality—working in shifts.
Specialized Skills: Expertise in Dementia, Parkinson’s, post-surgery recovery, and other chronic needs, reinforced by immersive empathy training.
Next Steps & Rates: Hourly pricing, private pay or long-term care insurance; Call (713) 231-5288 to start your loved one’s care journey.
What Is 24-Hour Home Care in Houston TX?
24-Hour Home Care provides continuous, in-home support from a rotating team of professional caregivers, ensuring someone is always there to help with daily activities and respond immediately to needs. Unlike live-in nursing, this model uses multiple caregivers working shifts to avoid burnout and maintain high quality care. Families opt for it to keep seniors safe, comfortable, and independent in their own homes—no hospital stays, no institutional moves, and no gaps in coverage.
Our Streamlined 5-Step Onboarding Process
1. Connect With Us
Call (713) 231-5288 to speak with a care manager. This direct line guarantees the fastest response and lets us schedule your no-obligation visit right away.
2. Free In-Home Assessment
We arrive at your home at a convenient time to learn more about your needs and goals.
We discuss medical needs, daily routines, personal preferences, and any safety concerns to fully understand your family’s situation.
3. Detailed Home Safety Inspection
Our team tours every room to identify fall risks—uneven flooring, dim lighting, loose rugs—and recommends practical upgrades like grab bars, night-lights, and shower chairs.
4. Custom Care Plan
Your care manager drafts a tailored plan that aligns with your goals and adjusts as conditions change.
All caregivers complete Dementia Live™, an immersive simulation that builds empathy and teaches best practices to care for someone with cognitive challenges.
5. Meet Your Care Team & Ongoing Support
We introduce you to your care manager and the 4–5 caregivers assigned to your case—each selected for the right skills and personality fit.
Your care manager remains on call 24/7 by phone, text, or email to adjust schedules, update the plan, and answer questions.
Meet Your Houston Care Team
Care Manager
Always On-Call: Reachable day or night for updates, questions, or emergency plan changes.
Plan Oversight: Keeps the care schedule running smoothly and reassesses needs after any hospital visits or health changes.
Caregivers
Shift-Based Model: A rotation of 4–5 caregivers ensures rest for each team member and consistently high energy and focus.
Vetted & Skilled: All caregivers undergo thorough background checks, drug screening, and reference verification before joining Monarch Care Co.
Personality Match: We prioritize both caregiving skills and personality. If a caregiver isn’t a good fit, we will do our best to find a better match.
Core Home Care Services We Provide
Personal Care Assistance: Bathing, dressing, grooming, toileting, and incontinence support, all delivered with dignity and respect.
Medication Reminders & Monitoring: Reminding which medications to take at the right time.
Meal Planning & Preparation: Nutritionally balanced meals tailored to dietary needs—diabetic, low-sodium, or soft diets—and hydration monitoring.
Light Housekeeping: Tidying up, laundry, dishwashing, and other household chores so your loved one’s environment stays clean and safe.
Mobility & Fall Prevention: Supervised walking, transfer assistance, and installation of safety equipment to minimize fall risks.
Companionship & Engagement: Conversation, games, music, and outings to local Houston spots, boosting their mood and preventing isolation.
Specialized Support for Chronic Conditions
Dementia & Alzheimer’s: During our assessment, we will learn more about the type and stage of Dementia they have. We have lots of engaging games and activities we can include in their care plan. All caregivers complete Dementia Live™ training which gives them a better understanding of what someone is going through that has Dementia and allows them to provide a higher level of care.
Parkinson’s Care: Assistance with exercises, meal prep, and medication timing to ease symptoms.
Post-Surgery Rehabilitation: Coordination with therapist, and mobility exercises to support recovery.
Other Chronic Illnesses: Customized approaches for COPD, heart disease, and diabetes management.
Communication & Family Peace of Mind
Daily Updates: Your care manager sends a concise summary of the day’s activities, mood, nutrition, and any concerns.
Real-Time Alerts: Immediate notifications for emergencies or medical changes.
Family Conferences: Scheduled check-ins—weekly, bi-weekly, or as you prefer—to review progress and adjust the care plan.
Pricing & Payment Options
Hourly Rates: Clear, upfront pricing—no hidden fees.
Accepted Payments: Private pay and long-term care insurance (verification required)..
For a Personalized Quote, Call (713) 231-5288
Serving All Corners of Houston
Monarch Care Co. proudly supports families across Greater Houston, including:
Downtown & Midtown: Safe walks through Discovery Green or Museum District outings.
Memorial & Spring Branch: Visits to Memorial Park’s trails or brunch at Vintage Park.
Galleria Area & River Oaks: Shopping trips to The Galleria and leisurely afternoons at River Oaks Park.
West University & Bellaire: Strolls through Rice Village or picnics at Hermann Park.
Local Amenities & Outings
We love sharing Houston’s best with our clients:
Hermann Park: Scenic train rides, reflection pool strolls, and Japanese Garden visits.
Houston Museum District: Accessible tours at the Museum of Natural Science.
Buffalo Bayou Park: Gentle creekside walks or art installations.
Rice Village: Boutique shopping and outdoor café lunches.
Bayou City Farmers Market: Fresh produce and live music every weekend.
Frequently Asked Questions
Q: What if I’m unhappy with a caregiver?
A: We’ll quickly assign a replacement who better matches your loved one’s needs and personality.
Q: Can I add extra social visits or errands?
A: Yes—appointments, family events, grocery runs—we tailor schedules to your calendar.
Q: How do you handle care changes?
A: Your 24/7 care manager reassesses and updates the plan within 24 hours of any new hospital discharge or health shift.
Meet Our Founders

Alice Neves, Co-Founder
A seven-year senior care veteran, Alice earned Best of Home Care Employer and Provider awards before launching Monarch Care Co. Caring for her parent with Dementia—and experiencing firsthand the emotional and practical challenges—sparked her deep commitment to helping seniors receive the respectful, high-quality care they deserve. That personal journey, combined with her strong Houston roots, shapes every detail of how we train our caregivers and support local families.

Maverick Vance, Co-Founder
Inspired by his grandfather’s Alzheimer’s and grandmother’s dementia, Maverick knows firsthand the importance of uplifting caregivers so they can uplift seniors. With a background in sales, marketing, and recruitment—and a Texas A&M degree—he ensures Monarch Care Co. attracts and retains top talent.
Get Started with Monarch Care Co.
Give your loved one the compassionate, expert support they deserve—right here in Houston.
Call (713) 231-5288 or email info@monarchcareco.com anytime.
Let’s build a care plan around your family’s needs—24/7, 365 days a year. Because with Monarch, you’re never alone.
Contact Us Today, to learn how our Home Care Services can help.
EXCELLENT Based on 11 reviews Sierra JFebruary 12, 2025Trustindex verifies that the original source of the review is Google. Maverick and his team do a great job providing care to seniors or anyone in need of a caregiver. They also offer an AI fall detection service for hours when a caregiver is not with them. Giving you a peace of mind any time! Piper MJanuary 30, 2025Trustindex verifies that the original source of the review is Google. There are not many people in the world who you can trust to care for your loved ones the way you do, but I can tell you that Alice is an exception to this by far! I have never known a more compassionate and loving human before Alice. I have known her since we were little girls and her faith and love for people only grows stronger with her life experience. She will care for your loved ones the way you will expect. Dinora HJanuary 16, 2025Trustindex verifies that the original source of the review is Google. I have known the providers and Caregivers for 8 years, they are reliable and compassionate, excellent communication with family members, prompt responses to needs, professionalism in handling delicate situations and their ability to provide care plans with both the patients and as well as personalized employees who truly satisfy the individual's requirements, making them feel safe and comfortable as if they were at home. The truth is we were impressed with the exhaustive evaluation process that ensured our loved one received the appropriate level of care. MONARCH CARE caregivers are incredibly kind and patient, always going the extra mile to make our loved one feel cared for. They appreciate flexibility in each schedule and the ability to adjust care plans as needed. Sincerely: Dinora Hernandez Tammy WJanuary 9, 2025Trustindex verifies that the original source of the review is Google. Sometimes in life, you are fortunate enough to meet and work with someone who is simply amazing and that person for me was Alice. While my shift started at 7:00 a.m. Alice was already making her rounds in the building greeting residents with a warm smile and helping where help was needed. I witnessed first hand Alice's commitment, patience and overwhelming amount of love she has for people. I recommend Monarch Care because Alice understands that each person needs are unique, requiring careful evaluation of care without taking away their independence. I highly recommend Monarch Care Company!!! Julie HDecember 15, 2024Trustindex verifies that the original source of the review is Google. Trusting someone to care for our loved ones, can be very worrisome. If you are needing someone to care for your elderly family members, you can trust Monarch Care Co. I have known the owner, Alice Neves, for more than 35 years. She is such a kind, caring and genuine person who will provide top quality care for your loved one. Let Monarch Care Co. help take the stress away for caring for those you love; you will be thankful to have Alice and her staff assisting in you in your time of need. Amber gDecember 15, 2024Trustindex verifies that the original source of the review is Google. I’ve known Alice for some years now. She is a wonderful and caring person and she is very compassion with her clients. I highly recommend this company to care for your love ones. Steven HDecember 15, 2024Trustindex verifies that the original source of the review is Google. I’m very impressed with Monarch Care Company providing specialized in-home care for seniors. Transitioning from one’s home in which they’ve lived for decades is a significant emotional and physical event. If seniors can stay in their home longer, that’s wonderful. Decisions may have to be made later regarding assisted living or other arrangements, but if seniors can stay in their own home where they feel comfortable, that’s a tremendous win! Alice and Monarch Care Company provide the level of assistance allowing seniors to remain in their homes even while they experience limited abilities to care for themselves. Many people do not consider or plan for getting old. Monarch Care Company can provide in-home care which will help seniors remain somewhat independent while planning for the future. I heartily endorse Monarch Care Company. Kimberly ADecember 14, 2024Trustindex verifies that the original source of the review is Google. I’ve known Alice for many years and her heart for seniors and her staff is unmatched. She’s full of compassion, empathy and love which shows in every case she’s taken on. She’s honest and always believes a caring heart for seniors is something you can’t train it’s something you have to have within. Although training her staff is included in the hand pick hiring process! Compassion and love comes from within. I can vouch that if you choose this Organization with your love one you’re choosing the best! Lisa HDecember 14, 2024Trustindex verifies that the original source of the review is Google. This is a very great company to work for and the workers go Above and Beyond to care for the clients I highly suggest this company if you are looking for someone to care for your love ones Katia CDecember 14, 2024Trustindex verifies that the original source of the review is Google. I can attest to the character, integrity and caring of those behind this company. I have witnessed with my own eyes the level of dedication and personal care given by them, and would not hesitate to recommend their services. Finding caring care givers who understand the particular needs for each of their patients is rare. They provide more than just health services. They perform their services with unparalleled care.Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more
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OUR SERVICES
- Companionship
- Personal Care
- Homemaking
- Dementia Care Support
- Post Surgery & Rehabilitation Care Support
- Fall Prevention and Recovery Support
- Respite Care
- Veterans Care
- Virtual Care Assistant