Continuous, awake when it matters
Awake overnight when safety calls for it. Sleeping overnight only when the situation supports it, and never both shifts run by the same exhausted person.
24-Hour Care at Home · Houston
24-hour & live-in home care in Houston.
Continuous, awake coverage from caregivers who actually rotate, no one is on shift for 24 hours.
When the situation needs someone always there, the model matters. We staff multiple caregivers in rotation, with awake overnights when safety calls for it. The care manager owns the schedule, the family knows every face, and nobody is exhausted into a mistake.
Awake overnight coverage availableNo.1
In Houston
Activated Insights · 2025
100+
Caregivers on staff
no staffing gaps, no waiting
4.9★
On Google
107 verified reviews →
A note to families
If you're reading this at 2 a.m., we already know the day has been long enough.
- A spouse who hasn't slept through the night in a month.
- A bathroom trip that's no longer safe alone.
- A house too big for one person to watch.
You don't have to commit to anything yet. Most 24-hour cases start with one overnight to bring the spouse back to themselves. When you call, you'll speak with a nurse, not a salesperson. We can start tonight.
What matters most
What round-the-clock care really needs to be.
A small, consistent team
Two to four named caregivers, rotated by the care manager. The household keeps the same faces, no agency parade.
A nurse running the case
A care manager, not a scheduler, owns the plan, the medications, the safety routines, and the after-hours calls.
Why nurse-supervised matters
In 24-hour care, the difference is what gets staffed.
A 24-hour plan that puts one tired caregiver on a 24-hour shift is unsafe and predictable in its mistakes. We run real rotations, with the right model for the situation. Two of our care managers are former Neuro ICU nurses from Houston Methodist, and every case has a clinician owning the plan.
Awake overnight, when needed
Wandering, falls, behavior changes, or post-op delirium make 'sleeping overnight' unsafe. We staff awake.
Real rotations, no 24-hour shifts
Caregivers work 8–12 hour shifts. The household gets a small, consistent team, not one exhausted person.
Medications on the clock
Round-the-clock cases mean round-the-clock dosing. We track every dose, every shift change.
Daily logs and family updates
Each shift documents what happened, sleep, meals, bathroom, mood, falls, and the family reads it the next morning.
Your care team
The nurses behind your care plan.
Every family is assigned a dedicated care manager who stays involved as needs change. Two of our three care managers are former Neuro ICU nurses from Houston Methodist.
Andrew Harris, RN
Clinical Director
“What gets noticed at home keeps you out of the hospital.”
- Former Neuro ICU nurse, Houston Methodist
- Charge Nurse, Barnes-Jewish
- Owner of Homewatch CareGivers Houston Galleria
Kimberly Pierce, RN
Care Manager
“Small changes often tell us the most.”
- 16+ yrs Neuro ICU
- Charge Nurse, Houston Methodist
- Houston Chronicle Top 150 Nurses
Chandeep Sharma, CSA
Care Manager
“No family should have to navigate this alone.”
- 20+ yrs Houston senior care
- Certified Senior Advisor
- Alternate Administrator
Every client is assigned a named care manager, not a rotating coordinator. See our full team →
Our role around the clock
24-hour care is a system. We run it like one.
Live-in and 24-hour care aren't a single caregiver pulled to the limit. They're a small, rotating team owned by a nurse care manager, with documentation, escalation, and family updates that actually flow.
What we do
Continuous day-to-day support
Personal care, mobility, meals, medications, hydration, sleep protection, and the calm rhythm continuous care needs.
WHAT WE MANAGE
The system
Care manager owns the schedule, the medications, the documentation, the family updates, and the after-hours calls. We don't outsource the brain of the case.
What we coordinate
Therapy, home health, hospice
Skilled clinicians visit; we make sure their plans actually happen between visits, around the clock.
How we think about 24-hour care
Continuous care is a rotation, not one caregiver pushed past their limit.
24-hour cases fail when the model is wrong. We pick the model first, staff it correctly, and run it like a hospital floor.
Continuity above all.
Rotations are designed so the same handful of caregivers covers every shift. The household keeps the same faces, not a parade.
The handoff is documented.
Shift change happens face-to-face whenever possible, and always in writing. Nothing is left to memory.
Awake or sleeping is a clinical decision.
We choose based on the person and the risk, not on what's cheaper. Wandering, falls and post-op delirium always get awake overnight.
The household is more than a job.
We respect the home's culture, the family's routines, and the spouse's need for some space of their own.
How we compare
Choosing 24-hour care? Compare line by line.
The differences in round-the-clock care show up at 3 a.m., not on the sales call.
| What matters | Homewatch CareGiversHouston Galleria | Standard home care model |
|---|---|---|
| How fast can you start? | Same-day in Houston. We can have a caregiver in the house within hours of a discharge call. | Multi-day intake, scheduling delays, partial coverage at first. |
| Awake overnight, or sleeping? | Awake when safety requires it. Sleeping only when the situation supports it. Never pretended one is the other. | 'Live-in' often means a single caregiver who is expected to sleep through emergencies. |
| How many caregivers? | A small, consistent rotation, typically 2–4 named caregivers your loved one will know. | Whoever the agency can find that week. Rotation is unpredictable. |
| Who answers at 2 a.m.? | Our own local team. The care manager knows the case, the meds, and your family. | Answering service or a stranger. |
| What happens during a call-out? | Care manager has the back-up roster ready. The schedule never has a hole. | Families get the call to scramble. |
| Documentation | A daily care log the family reads each morning. Vitals where ordered. Trend reports for the physician. | Verbal handoff between shifts, if that. |
| When needs change | Plan and staffing scale up or down without starting over. Hospice coordination handled without a new agency. | Higher-acuity needs are often referred elsewhere. |
Need 24-hour care today?
Speak with a nurse care manager now. Same-day starts are routine.
Speak with a care managerDay to day
What 24-hour care actually looks like.
Continuous care isn't a different service so much as a different schedule. The depth shows up at hour 18, hour 21, and hour 3.
Awake overnight coverage
For wandering, falls, post-op delirium, advanced dementia, or after a stroke.
Continuous awake care
Two to three shifts a day with no gap, run by a single care plan.
Round-the-clock medications
Every dose, every shift, every change, tracked and verified.
Personal care, multiple times daily
Bathing, dressing, grooming, toileting handled with patience around the clock.
Three meals + snacks
Prepared to dietary needs, with hydration tracking and aspiration awareness.
Mobility and therapy carryover
Walking, transfers, prescribed exercises continued across shifts.
Fall prevention 24/7
Bathroom escorts, gait belts, monitored transfers, not 'I'll be right back.'
Cognitive engagement
Conversation, activities, music, daytime hours filled with meaning, not television.
Daily shift documentation
What happened, what changed, what needs the family or doctor's attention.
Family updates
Every morning the family reads the night. Every evening, the day. No surprises.
Follow-up & appointment support
Driver and chaperone for medical visits, with notes back from the appointment.
Hospice coordination
Comfort-focused continuous support layered with hospice when the time comes.
How we work
A schedule built in a day, owned by a nurse.
24-hour care fails when it's stitched together by phone. Ours is built like a hospital floor's schedule, then humanised for a family's home.
A care manager assesses, fast
Same-day visit for the home, the routine, the meds, and the people. We build the first 48-hour schedule before we leave.
We staff with a small named team
Two to four caregivers, each briefed on the plan, each with their shift assignments and back-up roster.
We run the rotation
Schedule, sick coverage, shift change handoffs, medication checks, daily documentation, all owned by the care manager, not the family.
We adjust as the situation moves
Sleep changes, behaviour changes, hospitalizations, hospice, the schedule adapts without restarting.
What families say
Trusted by Houston families.
We needed sudden in home care for my father after he took a sudden decline - I received HomeWatch Caregivers from a colleague and they were amazing- Andrew came to do an introductory visit and assessment and his thoughts were spot on- he could see what we needed and put a plan into motion extremely quickly- we had 24/7 caregiving in place with experienced caregivers within a day. The group of caregivers were amazing. I would recommend them to anyone
Google review
My family is incredibly grateful for the outstanding care and support provided by our at-home care manager, Kim Pierce, and our at-home caretaker(s), Mariah, Marisol and Tish, for my 100-year-old grandfather! From day one, they have shown genuine compassion, patience, professionalism, and attention to every detail of his needs. Managing care for a loved one at this stage in life can be overwhelming, but they have made the entire process smooth and reassuring for our family. They consistently go above and beyond to ensure my grandfather has been comfortable, respected, and well cared for. Their communication is excellent, and they treat him with kindness and dignity at all times. It is rare to find a care team so dedicated and trustworthy. Our family truly appreciates everything they have done, and we highly recommend Kim and her team of nursing aids at Homewatch CareGivers of Houston Galleria to anyone looking for exceptional home care support.
Google review
After my husband had two emergency surgeries in a week, I was extremely concerned about what would happen when he came home, because when he was given discharge instructions we each heard something different even though we were both right there. We did not agree on what was said or on the importance of actually doing it. He also made it clear that he did not want me to tell him what to do. Kimberly Pierce, our care manager, was a gift from God. She was a neurology ICU nurse for 16 years, and was able to explain what needed to be done and exactly why it was important and necessary. When I thanked her for helping us both understand and get on the same page instead of arguing and becoming upset, she joked that saving marriages was all just part of her job.
Google review
I got excellent and immediate assistance at home around the clock from Homewatch after I had surgeries at Methodist Hospital. On short notice, they sent a representative to the hospital to assess my needs, drove us to our home when I was released from the hospital, and then healthcare workers worked shifts for several days to provide home assistance until I was better. Excellent service and responsiveness all around.
Google review
I wanted to add some comments about the very caring caregivers from Homewatch Randy, Loretta, Rocio, and Victoria, went over and above to make my father in law feel comfortable in his last days. They were a blessing to our family and I highly recommend them DRU
Google review
10/10 experience! The staff is truly kind and helpful, especially Mariana! They truly care about their clients and caregivers! Everyone is well taken care of!! Great place to work for and to hire for care for loved ones!
Google review
We are very grateful fot having the support and help we needed to navigate a difficult time. The people sent to our home were very helpful, kind and committed. Loretta and Vincent, top notch. Great -and trustworthy service should you need home care and assistance
Google review
As a caregiver, I value environments built on compassion, structure, and respect — and HWCG Houston Galleria consistently delivers on all three. Leadership fosters excellence while making sure both clients and staffs feel supported. It's a well-managed agency dedicated to dependable, dignified care. 10/10
Google review
Home Watch did a great job of finding someone to help us out. I'm very short notice. Ronda was great and we would highly recommend her and Home Watch to anyone.
Google review
Thank you so very much for everything Chandeep You are the best
Google review
My firm and my team have had a great experience collaborating with the Homewatch team.. As an Aging Life Care firm, I am intentional about who we partner with, and they've proven to be an excellent extension of our firm with the care they provide. Their team leadership and in office team specifically Chandeep, worked closely with one of our client's after a hospital discharge to coordinate care, secure the right caregiver, and ensure a smooth transition home, providing real peace of mind for a family caring from a distance. Responsive, professional, and proactive. We truly value this collaboration. Thank you, Homewatch Houston team! Special shout out to Miranda who is the wonderful caregiver helping out mutual client! Lina CEO Mir Care Consultants, Inc.
Aging Life Care partner · Google review
10/10! Very friendly staff and great location. These guys are really professional and love what they do. Highly recommend
Google review
They were prompt and efficient and sent me a caregiver who worked out very well. She helped with household chores and with my husbands care and exercise. Highly recommend
Google review
The staff was so patient in finding the right fit for us, in particular Chandeep Sharma, who assisted in finally finding the right caregiver for our situation. Thank you also to Andrew and finally to Margie, the caregiver. I would highly recommend Homewatch Caregivers.
Google review
Chandeep is an absolute delight to work with! She truly cares about her clients and works to ensure the best match between caregiver and client needs. She responds to requests promptly and has excellent follow through.
Google review
Reached out on a Sunday afternoon for some in facility assistance for my MIL who is recovering from a hip fracture. The response was almost immediate and they were able to accommodate our request. The best part, Mom is happy and attended to.
Google review
Company is a good place to work to help clients in need
Google review
Homewatch has been incredibly supportive in caring for my aging parents. The entire team is friendly, professional, and very knowledgeable. Our Care Manager/Family Liaison, Chandeep, is always responsive and easy to reach by phone, text, or email at any time of day. Homewatch has consistently provided compassionate, trustworthy, and dependable caregivers for both of my parents. I highly recommend their services to anyone seeking quality care for themselves or a loved one.
Google review
The Holstead family are big fans of Homewatch. They have been wonderful caregivers and as professional as they come. It has been a true blessing in our lives to know our loved one is cared for and safe. We highly recommend them.
Google review
They are very professional people, take care people with lot needs, socks....
Google review
Chandeep Sharma is the best home care manager I have ever worked with. She helped me with my wife. To me, she focused on personal care as opposed to a generic general care. I felt my wife was in the best of hands. She also exudes a happy positive attitude. That kind of attitude support is very important for the patient and the family.
Google review
HomeWatch CareGivers of Houston Galleria has been caring for my parents for over a month now. They have provided staff 7 days a week and give our family peace of mind that they are being cared for and supported. They are professional and very easy to work with. The in home assessment gave everyone the right place to start from and they continue to be an integral part of our care plan.
Local Guide · Google review
I can honestly say this company has been a blessing to me. From the very first day, the caregivers have treated me with kindness, patience, and genuine compassion. They take the time to really get to know their clients, and it shows in the way they care, it never feels rushed or routine. The staff is dependable, professional, and always willing to go the extra mile to make sure everything is done right. They communicate well, keep me updated, and give me complete peace of mind knowing my health is in good hands. It's rare to find a caregiving company that truly feels like family, but this one does. I'm so thankful for everything they do and would recommend them to anyone who wants care that truly comes from the heart. Thank you Homewatch Caregivers of Houston Galleria
Google review
The staff provided exceptional care with genuine compassion and patience. They treated my family member like their own, and that gave us such peace of mind. Every nurse and caregiver was reliable, skilled, and respectful. This company truly makes a difference in people's lives!
Google review
Homewatch CareGivers are professional and caring. They take wonderful care of everyone. I felt so comfortable leaving my loved one in their care! I highly recommend them to help take care of your family members!! Thank you for allowing me peace of mind to leave town and know my family was being taken care of.
Google review
I am currently being visited by an assistant named Maria who is with HomeWatch CareGivers of Houston Galleria. Maria not only provides companionship but a level of expertise in her care. She is an excellent representative of this company. I've met and visited with the companies leaders. They are all wonderful representatives of the kind of care team one looks for. I have personally visited with Andrew on several occasions and he is quite proficient in knowledge of the duties of an excellent caregiver/owner. Also after first meeting with the owner and the other members of this company I was convinced this was the company who could provide the compassionate caring service I was looking for Excellence is their standard. I would not choose any other company with lessor qualities. I deem them the best here in the Houston area. Very happy to have this opportunity to share my thoughts on a remarkable care service! J Buongiorno
Google review
Shauna has been a perfect fit for my wife after her knee replacement. Homewatch found the right caretaker and she has bonded well with my wife during her rehab process. I would recommend Andrew and his company to anyone who needs home care for a family member or friend.
Google review
These guys truly go above and beyond. Andrew and I share a mutual patient. Unfortunately Andrew had to call 911 when he went to visit. Not only did he go to the hospital with him, but he stayed for several hours to make sure he was stable, checked on him multiple times in the hospital and helped coordinate his discharge. I can't say enough about how much he cares about his families.
Google review
As a client, a business owner, and a dear friend, I can attest to the professionalism, extraordinary level of service and care, and the conviction of the heart of this organization led by Serhat and Andrew. Compassionate care is the cornerstone of their business. If you are looking for a home healthcare provider and or a career home in home healthcare, look no further. No one delivers like Homewatch CareGivers of Houston Galleria. Period.
Google review
You all are "knocking it out of the ball park!" My clients adore you, as do their adult children! The relationship you built and your attention to detail have made such a wonderful impression. Thank you for going ABOVE and BEYOND for your clients! It is so evident that you and your staff truly care and want the very best for clients and families! Bless you for caring so well for others! I know you all will continue with your excellence in every way.
Local Guide · Google review
TL;DR - Years of consistent, compassionate care for our aging parents, the Directors are trusted partners, we have a fantastic team of Caregivers, excellent communications and follow through. They're worth every dollar. Homewatch has been fantastic for our family! We've been working with HWCG for over three years and I don't know now how we would have taken care of our aging parents without them. Homewatch has consistently provided fantastic Caregivers who have handled dementia and geriatric needs with compassion and excellence. We've never had a gap in coverage for 24x7 care, even though storms and holidays. The Caregivers genuinely care for our parents, and they have raised health concerns proactively. I'd gladly recommend HWCG to our friends and family.
Local Guide · Google review
Homewatch CareGivers has provided full time care for me and my husband for about 3 years. They are dependable and take good care of us. The caregivers are lovely and caring people. They are just what we need.
Google review
We want to express our deepest appreciation for the exceptional care and compassion you and your team recently provided to our mom. Your support during this difficult time was priceless. Homewatch went over and above to accommodate our needs (even through the snow storm) to ensure our mom was taken care of and she was comfortable and safe. We 100% recommend Homewatch to anyone looking for a company to care for a loved one.
Google review
I am extremely impressed with not only the high level of customer care but also the love and care my mother-in-law received from the caregiver, Ebony. We highly recommend Homewatch CareGivers. If you are looking to take a breath and know your person is being loved and cared for at the highest level, please call Homewatch CareGivers.
Google review
Homewatch provided care for my wife while she was at MH Hospital and MH TIRR in Houston. Homewatch provided an incredible level of service—they went above and beyond to help us and we are very grateful. The caregiver Monique was amazing too!
Local Guide · Google review
Worth asking
Questions families ask us first.
Honest answers to the things that keep families up at night.
What's the difference between live-in and 24-hour care?
Live-in care typically means one caregiver stays at the house with a designated sleep break (usually 8 hours of uninterrupted night sleep). 24-hour care means caregivers are awake the entire time, in shift rotations. We help you choose the right model based on safety, not on price alone.
Can you start tonight?
Often, yes. Same-day and same-night starts are routine for us in Houston.
How many caregivers will rotate through?
Usually 2–4 named caregivers, all of whom your loved one and family will know. We minimise the parade.
Who runs the case at night?
Our own local team answers 24/7. The care manager, the same person who built your plan, is reachable around the clock for clinical questions and emergencies.
Can we step down from 24-hour to part-time later?
Yes. Many cases start at 24-hour during a crisis (post-op, post-fall, post-discharge) and step down to 8–12 hours/day or less as recovery progresses.
How is 24-hour care billed?
Usually hourly for awake 24-hour coverage, or a daily rate for live-in with overnight sleep. We provide an itemized estimate based on the model that's safe for your situation.
Which Houston areas do you serve for 24-hour care?
Our 24-hour neighborhoods are River Oaks, Memorial, Tanglewood, West University, Bellaire, the Galleria, and Uptown, plus the wider Houston metro and surrounding suburbs.
Concierge home care
Personal attention. Professional discretion.
We intentionally serve a limited number of 24-hour households so every case has direct access to a dedicated care manager and same-day responsiveness. Many cases reach us through physicians, hospital case managers, attorneys, and referrals from families who trust us.
Begin with a conversation
Talk to a care manager who’s actually done this.
A 15-minute conversation. No pressure, no script, and no obligation. We’ll listen to what’s happening, help you understand your options, and tell you honestly what we’d recommend.
Take the first step
At home, as it should be.
You’ve read this far because someone you love needs care. The next step is simple: a private conversation with a Care Manager, not a coordinator, not a sales line.
Reply within two hours. After hours, our care team, the same people who manage your plan, picks up.