Overnight Care at Home in Ocean & Monmouth Counties
Our caregivers stay in your loved one's home through the night, providing supervision and support so your family does not have to cover those hours alone.
- New Jersey License #HP0314200
- CHAP accredited
- BBB accredited, A+ rating
- Registered nurse oversees every care plan
- Free in-home assessment
For families in Ocean and Monmouth Counties, Award Homecare's Overnight Care provides supervision and hands-on help during the night hours. Depending on the care plan, overnight help can include mobility and transfer assistance, incontinence care, medication reminders and safety supervision. Care begins with a free in-home assessment.
Reasons Families Arrange Overnight Care
Bathroom Trips and Fall Risk
According to the CDC, 1 in 4 older adults report falling each year (CDC page updated September 2026). The National Institute on Aging (NIA) notes that conditions causing rushed trips to the bathroom, such as incontinence, may also raise the chance of a fall. Mobility and transfer assistance is part of our care.
Confusion and Restlessness at Night
According to the NIA, people with Alzheimer's disease may wake many times during the night and become restless or confused as daylight begins to fade. Our caregivers provide safety supervision and wander prevention, and our Dementia and Alzheimer's Care page describes that service.
Returning Home From the Hospital
MedlinePlus notes that people coming home from a hospital may still need help with personal care such as bathing, eating, dressing and toileting. It also lists a hospital stay as a risk for delirium, a state of confusion that usually starts suddenly. People with delirium are usually less alert at night. Questions about a sudden change belong with your loved one's doctor. Our Hospital-to-Home Care supports this period, and we do not provide skilled nursing or medical care.
Rest for Family Caregivers
When a person with Alzheimer's has sleep problems, the NIA observes, the caregiver's sleep can suffer as well. An overnight caregiver gives a family caregiver the opportunity to rest.
What an Overnight Caregiver Provides
Of the services listed on our services page, these are the most relevant at night:
- Incontinence care
- Mobility and transfer assistance, such as getting in and out of bed or a chair
- Medication reminders
- Safety supervision and wander prevention
- Companionship
The tasks on any given night follow your loved one's care plan. Each overnight plan is overseen by a registered nurse and coordinated by your family's dedicated case manager. During the in-home assessment, we will review your loved one's evening routine and any concerns about the night.
Awake and Sleeping Overnight Shifts
Home care agencies commonly describe two overnight arrangements, although the names vary. During an awake shift, the caregiver remains alert throughout the night. During a sleeping shift, the caregiver may rest but wakes when help is needed. Awake care is generally suited to frequent needs at night, while sleeping care is generally suited to quieter nights.
When we prepare a quote for overnight care, we confirm which arrangement it covers. A sleeping shift may no longer be appropriate if your loved one needs help many times a night. Under 2016 U.S. Department of Labor guidance, a worker who does not live in the home and works a shift of less than 24 hours must be paid for the entire shift, even when allowed to sleep.
We review which arrangement suits your loved one's nights, along with overnight shift lengths, at the free in-home assessment. For daytime help, our Hourly Care runs in four-hour shifts, with at least 20 hours a week.
Overnight Care Compared With Live-In Care
Both arrangements place a caregiver in the home at night, but they meet different needs. Our overview of how live-in care works covers that service in full.
| Overnight care | Live-in care | |
|---|---|---|
| When help is there | At night only | Through the day. The caregiver usually sleeps at night and can help if needed |
| Daytime | Covered by family or other help | The live-in caregiver is in the home |
| Often considered when | Nights are the main concern and days are manageable | Help is needed through the day, and nights are mostly quiet |
The phrase "24 hour home care in NJ" can mean either a live-in caregiver or caregivers who rotate in shifts, and Award Homecare offers both. We review which one fits your loved one at the free in-home assessment, and our live-in care page compares them.
Paying for Overnight Care
Overnight quotes are given by phone or after the free in-home assessment, and they reflect the schedule and the help your loved one needs. Our guide to home care costs in New Jersey explains what drives the price. Overnight Care can be paid for privately or through long-term care insurance or VA benefits. Award Homecare is in-network with CareScout as well.
In most cases, Medicare does not cover this kind of care. Medicare.gov lists 24-hour-a-day care at home among the services its home health benefit does not pay for. Personal care is also excluded when it is the only care needed. The same site notes that some people may be eligible for long-term care through Medicaid if they meet their state's rules. Award Homecare does not accept Medicaid or JACC.
A long-term care insurance policy deserves a close reading on two points. According to the Administration for Community Living, most policies begin paying when a person needs help with two or more of six daily activities or has a cognitive impairment. Most also allow the policyholder to choose an elimination period of 30, 60 or 90 days, during which the family pays for care directly. Your insurer can confirm the terms of your policy.
This overview is general information. For advice on a specific situation, please speak with your loved one's physician, an attorney or the program concerned.
Overnight Care Questions
What is overnight home care?
Overnight home care is a caregiver staying in your loved one's home through the night to provide supervision and support. Depending on the care plan, the help can include mobility and transfer assistance, incontinence care and safety supervision.
Is overnight care the same as 24-hour care?
Overnight care is different from 24-hour care because it covers only the night. In 24-hour shift care, caregivers rotate so someone is awake at all hours, while a live-in caregiver lives in the home but usually sleeps at night. When nights are the only gap in coverage, overnight care may be enough.
Does Medicare pay for an overnight caregiver?
In most cases, Medicare does not pay for an overnight caregiver. The home health benefit excludes round-the-clock care and personal care that is the only help a person needs. Medicare also generally does not pay for long-term care. For overnight care with Award Homecare, families use private pay, long-term care insurance or VA benefits.
Can overnight care help someone with dementia?
Overnight care can be part of a care plan for someone living with dementia. The NIA lists waking many times at night and restlessness among the sleep problems people with Alzheimer's may have. We offer safety supervision and wander prevention, and our dementia care page explains more. As with all our services, caregivers receive training, and you may ask what training your loved one's caregiver has had.
How do we get started?
To get started, call 732-994-0309 or request a free in-home assessment. We will ask about your loved one's nights and needs, then explain the options. An overnight caregiver can often be scheduled within 24 hours, and at times the same day.
Arrange Overnight Care with Award Homecare
Call us or request a free in-home assessment. We will review your loved one's evening and overnight routine and discuss the support that fits.
Award Homecare LLC, 2214 Route 37 East, Suite 9, Toms River, NJ 08753. New Jersey License #HP0314200.
