A predictable, calm day
TBI brains hate surprises. We build days with rhythm, light, and structure that let healing happen.
Brain Injury Care at Home · Houston
Brain injury home care in Houston.
Care led by former Neuro ICU nurses who recognise brain injury when the world doesn't.
Traumatic brain injury rewires more than memory. Sleep, mood, attention, behaviour, and the small judgements that keep someone safe all get touched. Our nurse-supervised team builds the patient, calm structure that lets a brain heal, and protects the family while it does.
Neuro-trained caregivers, nurse-supervised care plansNo.1
In Houston
Activated Insights · 2025
2.5M
TBIs each year
in the U.S. (CDC, 2024)
4.9★
On Google
107 verified reviews →
A note to families
If you're reading this, you probably already know they're not who they were last month.
- A short fuse that wasn't there before.
- Conversations that disappear by morning.
- Energy that runs out in the afternoon.
You don't have to figure this out alone. Most families call us not for a caregiver, but for guidance on what's normal, what's not, and what to do next. When you call, you'll speak with a nurse, not a salesperson.
What matters most
What brain-injury families need most.
Behaviour seen as symptom
Outbursts, perseveration, disinhibition, these are the injury, not the person. We respond, we don't react.
Family relief and coaching
TBI exhausts marriages and adult children. We teach the spouse, give them a break, and stand between them and the hardest moments.
Why nurse-supervised matters
In brain injury, the difference is what gets understood.
A companion will be confused by the same behaviour the family is confused by. A nurse-trained care manager recognises post-traumatic amnesia, executive dysfunction, and the disinhibition that comes with frontal-lobe injury. Two of our care managers are former Neuro ICU nurses from Houston Methodist.
Memory that comes and goes
We expect it, plan for it, and design routines that don't depend on yesterday being remembered.
Behaviour that surprises everyone
Disinhibition, agitation, apathy, we recognise them as injury patterns and respond with proven techniques.
Sleep–wake disruption
Post-TBI sleep is a mess. Light, schedule and quiet protect the recovery the brain only does asleep.
Mood and emotional regulation
Crying that comes from nowhere, anger over small things, we recognise it and protect the dignity of the moment.
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 in brain-injury recovery
Brain-injury care is a team. We're the steady hand at home.
We don't replace the neuro-rehab clinician, the speech-language pathologist, or the psychiatrist managing mood. We make sure the plan they wrote actually happens, day after day, with calm structure.
What we do
Day-to-day brain-injury support
Personal care, safety supervision, calm routines, meal schedules, sleep protection, and meaningful engagement that respects the recovery.
WHAT WE MANAGE
Symptoms, safety, and the patterns
Former Neuro ICU nurses build the plan, track behaviour and cognition changes, flag medication concerns, and keep the rehab team informed.
What we coordinate
Therapy, psychiatry and home health
We carry SLP and OT exercises into the day, drive to follow-ups, and keep the neuro-rehab team and psychiatrist aligned.
How we think about brain injury
We don't push through. We meet the brain where it is.
Brain-injury recovery is non-linear. Good days and bad days are the disease, not the person. We accept both and build accordingly.
Structure beats intensity.
Predictable days do more than ambitious goals. We protect the rhythm.
Rest is a treatment.
Cognitive fatigue is real. We schedule rest before exhaustion forces it.
Behaviour is communication.
Outbursts usually mean overstimulation, pain, hunger or fear. We look for the cause first.
Consistency is calm.
The same caregiver, the same rhythm, the same words, they all reduce confusion and anxiety.
Day to day
What brain-injury care actually looks like.
Brain-injury care isn't companionship alone. These are the specific, trained ways we protect the day and the recovery.
Structured daily routine
Wake, meals, rest, therapy and sleep all on a calm schedule the brain can lean on.
Safety supervision
Stove, doors, stairs, decisions about money and medication, we're the safety net while judgement returns.
Medication management
Anticonvulsants, mood stabilizers, sleep medications and pain control, sorted and tracked.
Cognitive engagement
Memory and attention exercises woven into normal life, never feeling like school.
Behaviour de-escalation
Trained responses to agitation, disinhibition and repetition that keep dignity intact.
Sleep protection
Bedtime routine, light management, and quiet, because TBI heals while it sleeps.
Speech therapy carryover
Aphasia, word-finding and pragmatics work continued into ordinary conversation.
PT & OT carryover
Daily walking, balance and affected-side practice between therapy visits.
Personal care, dignified
Bathing, dressing, toileting and grooming with patience and the right precautions.
Family coaching & relief
Spouses and adult children learn how to respond, and they get sleep, work, and breath.
Follow-up management
Driver and chaperone to neuro-rehab, psychiatry, and primary care, with notes the team can read.
24-hour & overnight awake
Continuous awake coverage for the first weeks after discharge or during high-need periods.
Brain-injury types we know
Brain injury comes in many forms.
Mild concussion looks nothing like diffuse axonal injury. What care looks like changes with the severity, location, and stage of recovery.
Mild TBI (concussion)Symptoms outlast the diagnosis, sometimes by months.
What families often notice
Headache, light or noise sensitivity, fatigue, difficulty concentrating, mood swings, sleep disruption, brain fog.
Why care is different
Care is calm, quiet, structured. We protect rest, manage screens, and watch for the symptoms that mean a same-day call to the doctor.
Moderate–severe TBILonger hospital course, lasting cognitive and behavioural change.
What families often notice
Memory loss, executive dysfunction, behavioural change, slowed thinking, mood disturbance, mobility impact.
Why care is different
Highly structured care plans, full safety supervision, behaviour-trained caregivers, and aggressive family coaching and respite.
Anoxic / hypoxic brain injuryBrain injury from oxygen loss (cardiac arrest, drowning, overdose).
What families often notice
Memory, balance, movement and mood changes, often diffuse rather than focal.
Why care is different
Care emphasises slow, patient mobilization, sensory simplification, and realistic family conversations about prognosis.
Post-concussion syndromeSymptoms that don't follow the textbook timeline.
What families often notice
Persistent headache, dizziness, sleep changes, irritability, depression, months after a 'minor' injury.
Why care is different
Care manages the day so the survivor can keep working with their concussion clinician and rehab specialists, and keeps family hope realistic.
TBI with seizures or mood instabilityWhen the injury comes with epilepsy, depression, or PTSD.
What families often notice
Breakthrough seizures, mood swings, sleep loss, social withdrawal, sometimes substance use as self-treatment.
Why care is different
Caregivers are trained on seizure response, mood-stabilizer routines, and the moments that need psychiatry today, not next week.
Not sure what your loved one's injury is going to look like?
Our Neuro ICU nurse care managers will sit with the rehab summary, walk the home, and tell you honestly what care fits, and what doesn't.
Speak with a brain-injury care expertWhat to watch for
Some TBI changes need a same-day call.
Brain injuries change. Some changes are recovery. Some are a slow second injury. We train our caregivers on the difference.
New or worsening headache
Especially with vomiting, drowsiness, or vision change, possible bleeding or hydrocephalus.
New seizure activity
Any seizure, even brief, in a TBI patient gets a same-day neurology call.
Sudden mood or behaviour shift
A jump in agitation, paranoia or withdrawal often signals a medication issue, infection, or sleep collapse.
Family caregiver burnout
When the spouse stops sleeping, the injury is now harming two people. Asking for help is the right next step.
This is where experience matters. Our care managers and caregivers catch these signals early and prompt the right clinical call.
How we work
A brain-injury plan that's supervised, not set-and-forget.
TBI care fails when it's handed off and left alone. Ours stays under a care manager's supervision, built around the person, taught to the caregiver, and updated as the brain changes.
A care manager assesses, in person, at home
We meet the survivor, the family, and the rehab notes. We walk the home and the routine before recommending anything.
We build a plan around the person
Triggers, cognitive level, behaviour patterns, sleep, mood and family goals are documented so care stays consistent.
We match and prepare the caregiver
Caregivers are selected for temperament and trained on TBI-specific cueing, de-escalation, and routine.
We reassess as recovery moves
TBI recovery is non-linear. Plans are updated regularly with the family and rehab team in the loop.
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.
Can you handle severe TBI at home?
Yes. We provide 24-hour and overnight awake care for severe traumatic brain injury, including post-rehab transitions, behavioural disturbance, and the unpredictable recovery course. Every plan is supervised by a care manager.
Are caregivers trained in behaviour management?
Yes. Every caregiver on a TBI case is trained in non-pharmacological de-escalation, recognising overstimulation, and the dignity-first approaches that prevent crises rather than respond to them.
Do you work with our neuro-rehab team?
Always. We carry SLP, OT, and PT exercises into daily life, drive to follow-ups, and keep the rehab team and psychiatrist informed of what's changing at home.
What about seizures?
All TBI caregivers are trained on seizure response, post-ictal care, and when to call 911. Anticonvulsant timing is treated with the same seriousness as cardiac medication.
How long do families usually need care?
It varies hugely. Mild TBI may need a few weeks of structure. Severe TBI can be a multi-year arrangement. We reassess regularly and step the care down, or up, as recovery moves.
Is brain-injury care covered by insurance?
Traditional Medicare does not pay for ongoing non-medical home care, but long-term care insurance, VA Aid & Attendance, auto/workers'-comp settlements (common in TBI cases), and some Medicare Advantage plans may.
Which Houston areas do you serve?
Our primary brain-injury neighborhoods are River Oaks, Memorial, Tanglewood, West University, and Bellaire, along with the wider Galleria and Uptown area.
Concierge home care
Personal attention. Professional discretion.
We intentionally serve a limited number of brain-injury families so every household has direct access to a dedicated care manager and highly responsive support. Many families reach us through neurologists, neuro-rehab centers, attorneys handling injury settlements, 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.