Around-the-clock care, when overnight isn't enough.
Two- or three-caregiver rotation so someone is always awake. Used for late-stage dementia, hospice support, and high fall risk.
We accept Medicaid, mostly through the K Plan (Community First Choice). Ways to pay →
The shape of a 24-hour rotation.
Around-the-clock care is a system, not a shift. A small fixed team, a written log at every handoff, and one care plan they all work from.
Every caregiver in the rotation is trained and delegated by our RN for the same nurse-delegated tasks, so medications, insulin, and vitals checks happen correctly at 2pm and 2am. Under a basic license, the medical side of the plan would stop every time the family went to bed.
Three homes where someone is always awake.
Families arrive at 24-hour care when the risk stops keeping business hours.
Late-stage dementia and a door that opens at 2am
Dad started wandering at night and the family was sleeping in shifts. A rotation with someone always awake means the door is watched, the redirection is calm and practiced, and the family sleeps in their own beds again.
Hospice at home, family running on fumes
Hospice manages her comfort, but hospice visits, they don't stay. We hold the hours in between: personal care, repositioning, presence at 4am, and a family that gets to be family for the time that's left.
The third fall was the tie-breaker
Two falls were bad luck. The third meant someone has to be there when he stands up, every time, or the next stop is a facility. Around-the-clock care was the version of safe that let him stay in his own house.
Four steps. About a week.
Free 15-min call
Tell us where things stand. No pressure, no obligation.
In-home visit
We come out, meet your parent, and walk the home.
Written care plan
Drafted in plain language. You approve before anything starts.
First visit
Same caregiver. Family check-in after. Adjustments any time.
Hourly. No onboarding fees. No surprise charges.
Rates vary by service mix and visit length. We'll quote a clear estimate on the 15-minute call, in writing.
Medicaid accepted. Most major LTC insurance policies welcome.
What adult children ask first.
Conditions that bring families to around-the-clock care.
Three more from the same caregiver.
Personal Care
Pasha Personal CareHands-on daily care from the same caregiver each visit, including nurse-delegated medical tasks under doctor's orders. Dementia-specialized since day one.
Around-The-Home Help
Pasha Around The HomeThe quiet upkeep that keeps a home livable, without disrupting the day.
Senior Transportation
Pasha TransportationDoor-to-door, never rushed. The driver is also the caregiver. Same person, same trust.
We provide 24-hour care across Salem and the mid-Willamette Valley and in the Portland metro.
Estimate the monthly cost.
Pick the hours that match your parent's week, adjust the rate if you have a quote in hand, and see the weekly, monthly, and yearly picture.
Pre-filled with the Oregon median from the 2025 CareScout Cost of Care Survey. Adjust it to any quote you have in hand.
Estimates only, using the market rate you set above. Real quotes depend on care level, schedule, and location. This is not a Pasha price.