A safer first 90 days at home
Falls, missed meds, aspiration, and confusion are highest in the first three months. We protect each one.
Stroke Recovery at Home · Houston
Stroke recovery home care in Houston.
Care led by former Neuro ICU nurses who know strokes from the first hours, not the brochure.
The months after a stroke decide what comes back. Mobility, swallowing, language, mood, and the next stroke are all in play. Our nurse-supervised team builds a plan that protects the recovery window, and the second stroke many families never see coming.
Neuro-trained caregivers, nurse-supervised care plansNo.1
In Houston
Activated Insights · 2025
1 in 4
Second stroke risk
within 5 years (American Stroke Assoc.)
4.9★
On Google
107 verified reviews →
A note to families
If you're reading this, the hospital probably already told you everything would be fine at home.
- A medication list nobody had time to explain.
- A walker that's still in the box.
- A new look in their eyes you can't quite place.
You don't have to figure this out tonight. Most families call us in the week after discharge, when the gap between 'fine' and 'safe' becomes obvious. When you call, you'll speak with a nurse, not a salesperson.
What matters most
What stroke recovery really needs.
Second-stroke prevention
Blood pressure, cholesterol, anticoagulant timing, atrial-fibrillation watching, the boring work that keeps the next stroke away.
Carryover of speech, OT, and PT
Therapy gains disappear without daily reinforcement. We carry the exercises into ordinary days.
Why nurse-supervised matters
After a stroke, the difference is what gets caught early.
Companions help with the day. Nurse-trained eyes catch the signal that means the second stroke is on the way. Two of our care managers are former Neuro ICU nurses from Houston Methodist, and every caregiver is briefed on the specific stroke before the first visit.
A new TIA or stroke sign
Sudden weakness, facial drooping, slurred speech, vision change, even briefly, gets a same-day call, not a 'wait and see.'
Blood pressure drifting
Hypertension is the single biggest second-stroke risk. We track and flag readings that need a same-week medication review.
Swallowing trouble at meals
Aspiration pneumonia is one of the top reasons stroke survivors return to the hospital. We watch for it daily.
Mood and cognition changes
Post-stroke depression is common and quietly devastating. We notice the shift and bring it to the family and physician.
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 stroke recovery
Stroke recovery is a team. We're the bridge between rehab and home.
We don't replace your neurologist, physical therapist, speech-language pathologist, or home-health nursing. We make sure the recovery plan actually happens, every day, at home.
What we do
Day-to-day recovery support
Personal care, transfers, supervised walking, meals adapted for swallowing safety, medication timing, and the steady routine recovery needs.
WHAT WE MANAGE
Symptoms, safety, and second-stroke risk
Former Neuro ICU nurses build the plan, track blood pressure and warning signs, manage anticoagulant routines, and escalate fast.
What we coordinate
Therapy and clinical follow-through
We reinforce PT/OT/SLP exercises between visits, drive to follow-ups, and keep neurology, primary care, and home health aligned.
Recovery by stage
Stroke recovery has phases. The plan changes with each.
What helped in week two will hold the survivor back in month six. We adjust as mobility, language, mood, and stamina change.
Land safely
Discharge can mean 6–10 new medications, brand-new precautions, and a body that's not the same. The first 14 days are about not going back.
- Same-day hospital-to-home transition
- Medication organization and missed-dose tracking
- Fall-proofing the bathroom, bedroom, stairs
- Swallowing-safe meals from day one
- Daily check-ins with the family
Push the recovery
Therapy is daily. Carryover between visits is what actually creates the comeback. Caregivers reinforce every exercise.
- LSVT or speech-therapy carryover
- Walking, balance, transfer practice
- Affected-side use during dressing and meals
- Cognitive engagement and structured days
- Mood monitoring and family coaching
Hold the gains, prevent the next stroke
Therapy ends. The work doesn't. Blood pressure, sleep, weight, mood, and exercise become the second-stroke prevention plan.
- Daily blood-pressure and weight logs
- Diet aligned with cardiology guidance
- Atrial-fibrillation watching, anticoagulant routine
- Re-entry to social and community life
- Hospice or palliative coordination when needed
Not sure what stage of recovery you're in? A nurse care manager can review the discharge and tell you honestly what your loved one needs.
Speak with a stroke care managerDay to day
What stroke recovery care actually looks like.
Stroke care is not companionship alone. These are the specific, trained ways we keep someone safer, stronger, and on the recovery curve.
Blood pressure & vitals
Daily readings, trend logs, and a clear threshold for calling the prescriber.
Medications on time
Anticoagulants, antihypertensives, statins, antiplatelets, sorted, tracked, and never missed.
Swallowing-safe meals
Texture-modified meals, slow pacing, chin-tuck posture, and aspiration vigilance.
Speech therapy carryover
Aphasia or dysarthria cues built into ordinary conversation and reading aloud.
PT & OT carryover
Daily walking, transfers, affected-side use, and balance practice between therapy visits.
Personal care, dignified
Bathing, dressing, grooming, and toileting with patience and the right precautions.
Fall prevention
Home re-engineering, gait belts where needed, and never walking unassisted during fatigue.
Cognitive engagement
Memory, attention and language work woven into music, conversation, and routine.
Sleep & night safety
Bed transfers, bathroom escorts, and the quiet routine recovery needs.
Follow-up management
Driver and chaperone to neurology, cardiology, PCP. Notes from home the doctor can read.
Family coaching & relief
Spouses learn cueing, transfers, BP routines, and they get to sleep.
24-hour & overnight awake
Continuous awake coverage for severe stroke, post-hospital, or family relief.
Stroke types we know
Not every stroke is the same stroke.
What you can do, what's likely to come back, and what to watch for, all change with the kind of stroke. Knowing the difference shapes the care plan.
Ischemic stroke (clot-based)The most common stroke, caused by a blocked artery in the brain.
What families often notice
Sudden weakness on one side, facial drooping, speech difficulty, vision changes; risk factors usually include atrial fibrillation, high blood pressure, diabetes.
Why care is different
Care centers on second-stroke prevention: anticoagulant timing, blood pressure control, atrial-fibrillation watching, and aggressive vascular risk-factor management.
Hemorrhagic stroke (bleeding)A blood vessel ruptures in or around the brain.
What families often notice
Sudden severe headache, vomiting, decreased alertness, weakness; longer recovery and higher initial mortality.
Why care is different
Strict blood-pressure control is the whole game, alongside careful rehab pacing and watching for re-bleed risk.
TIA (transient ischemic attack)A 'mini-stroke' that resolves but signals real danger.
What families often notice
Brief weakness, vision loss, or speech difficulty that resolves within minutes to hours, easy to dismiss.
Why care is different
Up to 1 in 5 TIA patients have a full stroke within 90 days. We treat every TIA as a same-day medical call.
Brainstem & cerebellar strokeSmaller area, often dramatic functional impact.
What families often notice
Balance loss, swallowing difficulty, double vision, dizziness, dysarthria, often without obvious limb weakness.
Why care is different
Aggressive aspiration precautions, balance-aware transfers, and slow careful mobilization shape the day.
Multiple strokes / vascular dementiaStep-wise cognitive decline after repeated vascular events.
What families often notice
Slowed thinking, planning difficulty, mood swings, balance problems, often layered on top of motor changes.
Why care is different
Care blends stroke and dementia approaches: structured days, calm routines, medication discipline, and prevention of further strokes.
Not sure what kind of stroke happened, or what to do next?
Our Neuro ICU nurse care managers can review the hospital records, discuss care options, and tell you what level of support fits.
Speak with a stroke care expertWhat to watch for
These stroke signs need 911, not a callback.
Time is brain. Anything that looks like a new neurologic change is treated as a stroke until proven otherwise. We train every caregiver on FAST and act on it.
Face drooping
One side of the face doesn't move with the other when smiling. Ask them to smile.
Arm weakness
One arm drifts down when both are raised. Ask them to raise both arms.
Speech changes
Slurred speech, wrong words, or inability to repeat a simple sentence.
Time to call 911
Even if symptoms pass in minutes. TIAs warn of strokes 1–7 days ahead.
This is where nurse-supervised care earns its keep. We train, drill, and document, and we make the call families hesitate to make.
How we work
A recovery plan that's supervised, not set-and-forget.
Stroke recovery 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 recovery progresses.
A care manager assesses, in person, at home
We review the hospital records, walk every transfer, time meds against meals, and meet the family before the first shift.
We build a plan around the survivor
Affected side, swallowing precautions, mood, sleep, fall risk, blood pressure goals, all documented.
We match and prepare the caregiver
Caregivers are briefed on the specific stroke, the therapy goals, and the warning signs to escalate.
We reassess as recovery progresses
What worked in week two won't work in month four. We update the plan with neurology and 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.
Can you start at the hospital?
Yes. For stroke discharges in Houston we routinely meet the family at the hospital, review the discharge instructions with the case manager, and ride home so the first 24 hours don't collapse. Same-day starts are normal.
Are your caregivers trained in stroke care?
Every caregiver on a stroke case is briefed on the specific stroke, the precautions (swallowing, hemiplegia side, anticoagulant), and the warning signs. Our caregivers have 10+ years of experience on average. Care plans are built by a registered nurse.
How do you prevent a second stroke?
Second-stroke prevention isn't a single thing, it's daily blood pressure, medication discipline (antihypertensives, statins, anticoagulants), watching for atrial fibrillation, weight, diet, and the warning signs of TIA. We do all of it and share the data with cardiology and neurology.
What about speech therapy and physical therapy?
We don't provide skilled therapy (that's home health). We carry it over, meaning every PT/OT/SLP exercise gets reinforced between visits. Therapy gains live or die on the in-between days.
Do you work alongside home health?
Yes, on virtually every stroke case. Medicare-covered home health handles skilled nursing and rehab visits. We handle every other hour of the day, meds, mobility, meals, safety, exercise carryover, and family coordination.
How much does stroke recovery care cost in Houston?
Cost depends on hours of care (hourly, overnight, or 24-hour) and how long you need it. Most stroke cases run 1–6 months at varying intensity. A care manager will visit, build a plan, and give you a clear itemized quote before any commitment.
Which Houston areas do you serve?
Our primary stroke-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 stroke families so every household has direct access to a dedicated care manager and same-day responsiveness. Many discharges reach us through neurologists, 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.