24-hour home care in Charlotte & Rock Hill

24-Hour Home Care & Live-In Care in Charlotte, NC

Round-the-clock care so your loved one is never alone, in the home they love, with caregivers you can trust day and night.

  • Care around the clock, 7 days a week
  • CNAs supervised by an RN
  • No minimums, no contracts
Quick answer: 24-hour home care puts a caregiver on duty in your loved one's home around the clock, usually in rotating shifts so someone is always awake. Live-in care is one caregiver who stays in the home for extended periods with sleep and meal breaks. CarePoint provides both across Charlotte and Rock Hill, delivered primarily by Certified Nurse Aides supervised by a registered nurse, with no minimum hours and no long-term contracts.
Is it time?

Signs your loved one needs care around the clock

Most families don't start with 24-hour care. They start with a few hours a week, then nights get harder. If any of these sound familiar, it may be time to talk about round-the-clock support.

Getting up at night

Wandering, confusion, or sundowning after dark, often with dementia.

Falls or a high fall risk

A fall, a near-fall, or trouble getting to the bathroom safely at night.

Coming home from the hospital

The first weeks after a hospital stay or surgery, when recovery support matters most.

Help needed at all hours

Toileting, incontinence care, or repositioning that can't wait until morning.

End-of-life care at home

Comfort and company between hospice visits with home care for hospice patients.

A family caregiver at the limit

A spouse or adult child who hasn't slept a full night in weeks. Even short-term respite care helps.

Two ways to get care around the clock

24-hour care vs. live-in care

Both keep someone in the home day and night. The difference is how the caregivers' time works, and that decides which one fits your loved one.

24-hour shift careLive-in care
How it worksTwo or more caregivers rotate in shiftsOne caregiver stays in the home for extended periods
OvernightA caregiver is awake and on duty all nightThe caregiver sleeps, and helps if needed
BreaksFresh caregivers at each shift changeScheduled sleep and meal breaks
What the home needsNo extra space requiredA private place for the caregiver to sleep
Best forLoved ones who need help at night: toileting, repositioning, wandering, or close monitoringLoved ones who usually sleep through the night but shouldn't be alone
Good to knowEvery hour is an awake, working hourUnder federal rules, interrupted sleep counts as work time, so frequent night care usually means shift care is the better fit

Choose 24-hour shift care if…

  • Nights are busy or unpredictable
  • Dementia brings wandering or sundowning
  • Your loved one needs help to the bathroom or turning in bed
  • You're coming home from the hospital and want eyes on them all night

Choose live-in care if…

  • Your loved one sleeps through most nights
  • The main need is daytime help plus a reassuring presence
  • There's a private bedroom for the caregiver
  • One familiar face matters most

Not sure which fits? That's exactly what our free in-home assessment sorts out.

What care looks like

A day (and night) with around-the-clock care

Every plan is built around your loved one's routine, but here's what a typical day can include. It's the same hands-on help as our personal and companion care, extended through the night.

  • Morning

    Help getting out of bed safely, bathing or showering, dressing, grooming, and medication reminders.

  • Midday

    Cooking and eating meals together, light housekeeping, laundry, and rides to appointments or errands.

  • Afternoon

    Conversation, activities, a short walk, snacks, and plenty of water to stay hydrated.

  • Evening

    Dinner, a calm evening routine, and help getting ready for bed.

  • Overnight

    Help to the bathroom, incontinence care, repositioning, and a reassuring presence if your loved one wakes confused or tries to wander.

Paying for 24-hour care

How families cover it

Private pay is most common for non-medical home care.

Long-term care insurance often covers in-home care once a policy's conditions are met. We'll help with the paperwork.

VA benefits can help pay for care for veterans and surviving spouses, and CarePoint can bill the VA directly. Read our VA home care guide.

Medicare doesn't cover ongoing non-medical home care, including 24-hour care.

Why families choose CarePoint

24-hour care from a team you can trust

Certified Nurse Aides, supervised by an RN

Around-the-clock care means transfers, toileting, and incontinence care. Ours is delivered primarily by experienced Certified Nurse Aides, supervised by a registered nurse.

Never subcontracted

Every caregiver is a CarePoint employee who has passed criminal background checks, drug screens, and driving record reviews, with annual training and skills verification.

A plan built in your home

A free in-home assessment shapes the care plan, and we review it with you every quarter as needs change.

No minimums, no long-term contracts

Start with overnights, step up to 24/7, or step back down. You only pay for the care your family needs.

Approved by the VA

We can bill the VA directly for authorized care. See our guide to VA benefits for home care in Charlotte.

Two offices, two states

Licensed in North and South Carolina, with offices in Charlotte and Rock Hill, caring for families since 2009.

Areas we serve

24-hour home care near you

CarePoint provides 24-hour and live-in care across nine counties on both sides of the state line. See all of our locations.

Charlotte area, NC

  • Charlotte
  • SouthPark
  • Ballantyne
  • Matthews
  • Mint Hill
  • Huntersville
  • Concord
  • Gastonia
  • Monroe
  • Waxhaw
  • Mooresville
  • Salisbury

Rock Hill area, SC

  • Rock Hill
  • Fort Mill
  • Tega Cay
  • York
  • Clover
  • Lancaster
  • Chester

Comparing options? Read our guide to the best home care agencies in Charlotte, or our Rock Hill caregiver guide.

Questions families ask

24-hour home care FAQs

What is 24-hour home care?

24-hour home care means a caregiver is on duty in your loved one's home around the clock, every day. Caregivers typically work in shifts so someone is always awake and ready to help, including overnight. It lets a person who can't safely be alone stay in their own home instead of moving to a facility.

What's the difference between 24-hour care and live-in care?

With 24-hour care, caregivers rotate in shifts so someone is awake around the clock. With live-in care, one caregiver stays in the home for extended periods and gets sleep and meal breaks. Live-in care fits loved ones who usually sleep through the night. 24-hour shift care fits those who need help at night, such as with toileting, repositioning, or wandering.

Does a live-in caregiver sleep at night?

Yes. A live-in caregiver has sleep and meal breaks and needs a private place to sleep. Under federal rules, if the caregiver's sleep is interrupted to provide care, that time counts as work. If your loved one needs help most nights, 24-hour shift care is usually the better fit.

Does Medicare pay for 24-hour home care?

Original Medicare doesn't cover ongoing non-medical home care, including 24-hour care. Families typically pay privately or use long-term care insurance or VA benefits. CarePoint is approved by the VA and can bill the VA directly for authorized care.

Can we start with overnight care and add more later?

Yes. CarePoint has no minimum hours and no long-term contracts, so you can start with the hours your family needs most, such as overnights, and move to full 24-hour care if needs change.

Do you provide 24-hour care for dementia and hospice patients?

Yes. Around-the-clock care is common for people living with dementia, especially when wandering or sundowning starts, and for loved ones receiving hospice care at home. Our team is trained in dementia care, and we work alongside hospice teams to cover the hours between their visits.

What areas do you serve?

CarePoint provides 24-hour and live-in care in Charlotte and Mecklenburg County, plus Union, Cabarrus, Gaston, Iredell, and Rowan counties in North Carolina, and in Rock Hill and York, Lancaster, and Chester counties in South Carolina.

Never alone, day or night

Tell us what nights look like right now, and we'll help you find the right kind of around-the-clock care. With us, you're family.

Schedule a free assessment with a Carepoint team member today to get started.