Medications, on the minute
Carbidopa/levodopa works in narrow windows. A 30-minute delay can mean a freezing episode, a fall, or a lost day. We dose to the clock.
Parkinson's Care at Home · Houston
Parkinson's home care in Houston.
Care led by former Neuro ICU nurses who know Parkinson's by the minute, not by the checklist.
Parkinson's doesn't move in straight lines. Medication windows shift, freezing hits at the worst moment, falls and swallowing changes sneak up between visits. Our nurse-supervised team builds a plan around the person you know, then a movement-trained caregiver keeps the rhythm steady at home.
Movement-trained caregivers, nurse-supervised care plansNo.1
In Houston
Activated Insights · 2025
1.2M
Live with Parkinson's
U.S. adults today (Parkinson's Foundation)
4.9★
On Google
107 verified reviews →
A note to families
If you're reading this, you've probably already noticed the changes are no longer just the occasional tremor.
- A medication missed by twenty minutes that changed the whole afternoon.
- A near-fall on the way to the bathroom at 2 a.m.
- Soup or water that suddenly causes a cough.
You don't need to know the next step yet. Most families call us not for a caregiver, but for guidance on how to keep someone safer between neurology visits. When you call, you'll speak with a nurse, not a salesperson.
What matters most
What Parkinson's families need most.
Falls prevented, not reacted to
Roughly 60% of people with Parkinson's fall every year. We change the home, the routine and the moment, not just the response.
Eyes on swallowing, mood, and sleep
Dysphagia, depression, and REM sleep changes are common and quietly serious. Nurse-trained eyes catch them early.
Why nurse-supervised matters
In Parkinson's, the difference is what gets noticed.
Parkinson's changes day by day, sometimes hour by hour. Two of our care managers are former Neuro ICU nurses from Houston Methodist, and every caregiver receives Parkinson's-specific training before the first visit.
A change in 'on/off' patterns
When good hours shrink and freezing creeps earlier, we note it, log it, and prompt a neurology call.
A new cough at meals
A subtle wet cough or throat-clearing during meals can mean aspiration risk. We flag it before pneumonia does.
A near-fall, treated like a fall
Every stumble is logged with what changed, meds, sleep, footwear, lighting, so we adjust before the next one is real.
A medication that no longer fits
Dyskinesia, hallucinations, or hypotension can mean the regimen needs a look. We raise it with you and the prescriber.
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 the care team
Parkinson's care takes a team. We're the bridge between home and neurology.
We don't replace your neurologist, your physical therapist, or your speech-language pathologist. We make sure the plan they wrote actually happens, every day, at home.
What we do
Day-to-day Parkinson's support
Personal care, mobility help, on-time medications, meals adapted for chewing and swallowing, sleep routines, and steady companionship.
WHAT WE MANAGE
Symptoms, safety, and small changes
Former Neuro ICU nurses build the plan, track on/off patterns, fall data, and swallowing or mood changes, and bring them to your neurologist before a crisis.
What we coordinate
Therapy and clinical follow-through
We work alongside PT/OT/SLP and home health, reinforce LSVT BIG and LOUD exercises between visits, and loop in the care team when something changes.
Care by stage
Parkinson's progresses. The care plan moves with it.
Hoehn & Yahr stage one looks nothing like stage four. We adjust as motor symptoms, autonomic function, mood and cognition change.
Protect independence, build habit
Symptoms are mild and one-sided. The goal is medication discipline, daily exercise, fall-proofing before the first fall, and a routine that supports neurology visits.
- Strict medication timing and missed-dose tracking
- LSVT BIG/LOUD reinforcement at home
- Fall and home-safety check, footwear review
- Driving, cooking, and stove-safety conversations
- Mood and sleep monitoring, gently
Stabilize the on/off years
Freezing, dyskinesia, and balance changes appear. Medication windows narrow. A consistent, movement-trained caregiver is what keeps the day on its feet.
- Hands-on transfer and gait support
- Cueing through freezing episodes
- Adapted meals for chewing and swallowing safety
- Bathing, dressing, and toileting with dignity
- Respite for the spouse running the schedule
Comfort, mobility, presence
Care becomes more continuous. The focus shifts to safe transfers, skin and wound prevention, swallowing safety, and coordination with palliative or hospice teams when appropriate.
- 24-hour and overnight awake care
- Safe transfers, repositioning, fall prevention
- Mealtime support and aspiration-risk awareness
- Bowel, bladder and skin protection
- Hospice coordination and family relief
Not sure what stage your loved one is in? We can help you think through the safest next step.
Speak with a Parkinson's care managerDay to day
What Parkinson's care actually looks like.
Parkinson's care is not companionship alone. These are the specific, trained ways our caregivers keep someone safer, steadier, and more comfortable at home.
On-the-minute medications
Carbidopa/levodopa, agonists, MAO-B inhibitors and rescue doses, tracked to the clock with missed-dose logging.
Fall prevention
Home re-engineering, footwear, lighting, cueing, and never walking unassisted during off periods.
Freezing-of-gait cueing
Visual, auditory and tactile cues to break freezing in doorways, turns and tight spaces.
Swallowing-safe meals
Texture-modified meals, slow pacing, and chin-tuck posture for anyone with dysphagia.
LSVT LOUD carryover
Daily voice cues, reading aloud and reminders to project, between speech-therapy visits.
LSVT BIG carryover
Big-movement reminders during dressing, walking and turning, so therapy gains last.
Personal care
Bathing, dressing, grooming and toileting handled patiently around on/off cycles, never rushed.
Sleep & nighttime safety
Bed transfers, bathroom escorts, REM-behaviour vigilance and dignified incontinence support.
Cognitive engagement
Music, conversation and meaningful routine to push back on apathy and the slowing of thought.
Family coaching
Spouses learn cueing, transfers and how to spot the off-period change worth a neurology call.
24-hour & overnight awake
Continuous awake coverage for advanced stages and post-DBS or hospital recovery.
Hospice coordination
Comfort-focused support alongside hospice and palliative teams when that time comes.
What to watch for
Some Parkinson's changes need a same-day call.
Parkinson's rarely declines on a tidy schedule. These changes are often medical, not 'just the disease,' and getting them seen quickly keeps people out of the hospital.
Sudden confusion or hallucinations
Often a sign of infection, dehydration, or a new medication, not the disease progressing.
A real fall, with or without injury
Even a 'soft' fall demands a review of meds, blood pressure and the home before the next one is harder.
Choking, gagging, or new cough at meals
Aspiration pneumonia is one of the leading causes of hospitalization in Parkinson's. Don't wait.
Off-periods that last hours
If 'off' time grows quickly, the medication regimen likely needs a neurology call this week.
This is where nurse-supervised care earns its keep. Our care managers and caregivers catch these signals early, document them, and prompt the right call before they become a crisis.
How we work
A plan that's supervised, not set-and-forget.
Parkinson's 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 disease moves.
A care manager assesses, in person, at home
We watch a real morning routine, measure on/off windows, time meds against meals, and walk every transfer and threshold with you.
We build a plan around the person
Triggers, freezing patterns, swallowing precautions, sleep, mood and the spouse's role are all documented so care is consistent, not improvised.
We match and prepare the caregiver
Caregivers are selected for the situation, briefed on the care plan, and trained on Parkinson's-specific cueing and transfers before day one.
We reassess as the disease moves
Plans are reviewed regularly and any change, a new med, a fall, a hospitalization, triggers a same-week update with the family 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.
Are your caregivers actually trained in Parkinson's?
Yes. Every caregiver on a Parkinson's case completes Parkinson's-specific training (medication timing, freezing cueing, safe transfers, swallowing safety, LSVT BIG/LOUD reinforcement) before the first visit. The care plan is built by a care manager, two of whom are former Neuro ICU nurses from Houston Methodist.
How is this different from a regular companion?
A companion keeps someone safe and good company. A Parkinson's-trained caregiver knows that a 20-minute medication delay is a problem, that a doorway is a freezing trigger, and that a new mealtime cough deserves a call.
Can you handle Parkinson's plus dementia or hallucinations?
Yes. Lewy body and Parkinson's disease dementia are part of our core work. Care managers coordinate with neurology on medication safety and caregivers are trained to respond to hallucinations without correcting or escalating.
Do you help between neurology visits?
That's much of what we do. We track on/off times, falls, swallowing changes and mood, share that information with the neurologist before appointments, and adjust the home routine the same day the prescriber adjusts the medication.
What about after a DBS surgery or hospital stay?
We routinely staff same-day after DBS, joint replacement and hospital discharge for people with Parkinson's. Our care managers coordinate with home health for wound care and PT, and our caregivers carry the daily routine.
Is Parkinson's home care covered by insurance?
Traditional Medicare does not cover ongoing non-medical home care, but long-term care insurance, VA Aid & Attendance, and some Medicare Advantage plans may. We bill long-term care insurers directly.
Which Houston areas do you serve?
Our primary Parkinson's-care 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 Parkinson's families so every client has direct access to a dedicated care manager and highly responsive support. Many families reach us through neurologists, movement-disorder clinics, attorneys, financial advisors, 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.