Four levels of home care
Care that grows with you. Each level builds on the last, so you or your loved one always has the right support, at the right time.
How care starts, and how it grows
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It starts with a conversation
Call us, or answer a few simple questions in the instant quote. Tell us about your loved one and what an ordinary day looks like now.
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A free care assessment
Before care begins, a free care assessment confirms the level of care, the schedule, staffing, and the cost. Until then, your instant quote is an estimate.
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Care grows when needs do
Care often starts with a few hours a day and grows as needs do. When needs change, care moves up a level, and each level includes all services offered in the levels before it.
Level 1: Companion Care
For seniors who are generally independent but need companionship and help around the home.
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Includes:
- Companionship and conversation
- Light housekeeping and laundry
- Grocery shopping and errands
- Medication reminders
- Social activities, games, and hobbies
- Meal preparation
- Transportation to appointments and outings
- General safety observation
Important to know
Does not include hands-on bathing, dressing, toileting, or transfer assistance.
Level 2: Personal Care
For seniors who need routine physical assistance with daily activities.
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assistance -
& grooming -
assistance
Adds to the level before:
- Bathing and shower assistance
- Toileting and routine incontinence care
- Safe single-caregiver transfers
- Morning and bedtime routines
- Dressing and grooming
- Walking and mobility assistance
- Eating and hydration assistance
Level 3: Enhanced Care
For seniors with increased physical limitations or moderate cognitive impairment.
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support -
support -
structure
Adds to the level before:
- Frequent assistance with multiple activities of daily living
- More involved mobility support within single-caregiver limits
- Increased fall-risk supervision
- Enhanced care documentation and family communication
- Higher-frequency toileting and incontinence care
- Dementia-related reminders, cueing, and redirection
- Structured daily routines
Level 4: Specialized Care
For seniors with advanced dementia or complex nonmedical care needs manageable by one caregiver.
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support -
support -
coordination
Adds to the level before:
- Advanced Alzheimer’s and dementia support
- Support for agitation, sundowning, and resistance to care
- Complex nonmedical personal care routines
- Enhanced family communication and care coordination
- Specialized Positive Approach to Care (PAC) techniques
- Close supervision for wandering and unsafe behaviors
- Individualized cognitive and sensory engagement
Transitions without starting over
Home care can be a great starting point. If your loved one later needs around-the-clock care in a Silverleaf community, the caregiver you have built a relationship with can come with them. That way, when they move in, they already know somebody.
Explore Silverleaf Eldercare-
at home. -
that continues. -
when care needs change.
Care can change without every relationship changing.
Common questions
Is home care medical care?
No. Silverleaf Home Care is nonmedical. Caregivers help with daily living, from companionship and meals to bathing, getting around, and help with memory, as described in the four levels above.
How is the level of care decided?
The instant quote asks three simple questions: how much help is needed with daily tasks, with getting around, and with memory. The highest level any answer points to is the recommended level. A diagnosis alone does not set the level; it reflects the actual help and supervision needed.
What if my loved one needs more than one caregiver?
Custom quotes are available for unique cases. If your loved one needs two-person transfers or a mechanical lift, we can put together a custom quote and send two caregivers. Call us at (512) 831-5600 or request a free care assessment.
Is transportation included?
Transportation to appointments and outings is part of every level. Each week includes a set number of client transportation miles, and the instant quote shows the allowance and any extra. Transportation hours are included in scheduled caregiver hours.
Who are the caregivers?
Every Silverleaf Home Care caregiver is a certified nursing assistant (CNA) or in training to become one, held to the same standard as our Silverleaf communities. More about our caregivers
Can my loved one keep the same caregiver if they move?
Yes. If your loved one moves into a Silverleaf community, the caregiver they know can come with them.
Answer a few simple questions
Discover your recommended level of care and receive an instant estimate in less than two minutes.
Get an instant quote