One-on-one attention
Bathroom trips, meals, walks, and the conversation no facility can deliver at 8-to-1 ratios.
Care in Facilities · Houston
One-on-one care where they already live.
Private-duty caregivers in assisted living, memory care, skilled nursing, or the hospital.
Even excellent facilities have staffing ratios that can't deliver one-on-one attention. We bring it, for a few hours a day, an overnight, or around-the-clock, so your loved one gets the personal care, supervision, and dignity facility staffing can't.
Private duty, anywhere in HoustonNo.1
In Houston
Activated Insights · 2025
8:1
Typical AL ratio
vs 1:1 with us
4.9★
On Google
107 verified reviews →
A note to families
If you're reading this, the facility is probably doing its best with the staffing it has.
- A call-light that takes ten minutes to answer.
- A shower delayed because the day was busy.
- A confused parent who would do better with someone consistent.
You don't have to move them. Supplemental private-duty care brings the personal attention facility staffing can't, in the place where they already live. When you call, you'll speak with a nurse, not a salesperson.
What matters most
What private-duty facility care really provides.
Fall and wandering supervision
Especially for memory care residents, the one-on-one attention prevents the falls facility staffing can't always catch.
A family update they can trust
Our caregiver becomes your family's eyes on the facility, and the consistent face for your loved one.
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 facilities
We're not a replacement. We're a supplement.
Facility staff handle the medical and licensed care. We bring the one-on-one personal attention, supervision, and dignity that staffing ratios can't allow.
What we do
One-on-one private duty
Personal care, meals, supervised walks, conversation, mobility, and the constant attention assisted living, memory care, or skilled nursing can't deliver.
WHAT WE MANAGE
Family liaison and continuity
Care managers stay in touch with the facility care team, share daily notes with family, and coordinate around the facility's schedule.
What we coordinate
Facility staff, family, physicians
We work alongside facility nurses and aides without overlapping, and we keep the family informed about what we observe across hours staff can't.
How we think about facility care
The facility is the bed. We're the person.
Even excellent facilities run at 8-to-1 ratios. A familiar face, an undistracted hour, a calm bath, those don't fit inside the schedule. We bring them.
The facility is the bed; we're the person.
Continuity of a familiar face matters even more when the room is shared and the staff rotates.
We work with the facility, not around it.
Nurses, aides, social workers, we cooperate openly, document our observations, and never duplicate skilled visits.
The plan is documented in both directions.
Facility chart and our caregiver log align so nothing is duplicated or missed across shift change.
Privacy in a shared space.
Modesty, dignity and confidentiality stay protected even in a four-bed room or a busy hospital corridor.
Common arrangements
What facility-based one-on-one actually looks like.
We bring different levels of care depending on the situation. These are the most common.
Daytime companionship
A few hours daily of conversation, walks, meals, and activity participation.
Mealtime support
Cueing, feeding assistance, and the social aspect of eating that staff can't always deliver.
Overnight sitter
Awake overnight presence for high-fall-risk or wandering residents, common in memory care and post-hospital.
Hospital sitter
One-on-one presence during a hospital stay, for older adults at delirium risk or families who can't be there.
Hospice-at-facility support
End-of-life one-on-one presence in the facility, working alongside hospice.
24-hour facility care
Continuous private-duty during acute illness, post-surgery, or in the final weeks.
Personal care supplement
Help with bathing, dressing, and toileting on the days staff is stretched thin.
Mobility & PT carryover
Daily walking and prescribed exercises reinforced between PT sessions.
Outside-appointment escort
Driving and chaperoning to doctor appointments outside the facility.
Family eyes-and-ears
Daily notes back to family, what was eaten, what was done, what was missed.
Memory-care engagement
Personalized cognitive engagement that group activities can't always deliver.
Post-discharge from hospital to facility
Bridging the days after a hospitalization when adjustment back to the facility is hardest.
How we work
Working inside a facility requires diplomacy.
Private-duty care inside someone else's building is its own discipline. We respect the facility staff and stay clearly inside our scope.
A care manager visits the facility
We meet the facility's care team, learn the routine, the schedule, and the rules, before the first shift.
We coordinate clearly with staff
Care plan shared, scope clarified, expectations aligned, so the facility and our team work together, not parallel.
We staff a consistent caregiver
The resident, the family, and the facility staff get the same trusted face, not a parade.
We adjust as needs change
When the resident moves between levels of care (AL to memory care, AL to skilled nursing), we adapt 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.
Will the facility allow private-duty caregivers?
Almost all assisted-living, memory-care, and skilled-nursing facilities in Houston welcome private-duty caregivers. We've worked alongside most of the major ones.
Are you replacing facility staff?
No. Facility staff handle medical care, licensed nursing, medications, and emergency response. We provide one-on-one supplemental care that staffing ratios don't allow.
Can the same caregiver come every shift?
Yes. Continuity is the whole point. We match for chemistry with the resident and family.
Can you sit with someone in the hospital?
Yes. Hospital sitters are one of our most common short-term arrangements, especially for older adults at delirium risk during admissions.
Can you continue if my parent moves between facility levels?
Yes. Many of our facility cases follow a resident as they move from independent living to assisted living to memory care to skilled nursing. The same caregiver continues.
Is facility one-on-one care covered by insurance?
Long-term care insurance, VA Aid & Attendance, and some Medicare Advantage plans may cover supplemental one-on-one care in a facility. We bill long-term care insurers directly.
Which Houston facilities have you worked in?
We've supported residents across most major Houston assisted-living, memory-care, and skilled-nursing facilities, including those in the Galleria, River Oaks, Memorial, Tanglewood, West University, and Bellaire areas.
Concierge home care
Personal attention. Professional discretion.
Private-duty facility care is intimate work in someone else's building. We limit our intake so every resident gets the consistent caregiver and dedicated care manager this arrangement requires.
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.