24-Hour & Live-In Home Care in Columbia, SC
When part-time help isn't enough anymore, around-the-clock care at home is still an alternative to facility placement — often a better one.
You make one call. We do the rest.
Around-the-Clock Care, Without Leaving Home
There's a moment many families recognize: a nighttime fall, a stove left on, a loved one with dementia found outside at 3 a.m. It feels like the moment a facility becomes inevitable. It usually isn't. American Allied Health provides 24-hour and live-in care that delivers constant supervision and support in the one place your loved one most wants to be — and unlike a facility, it's one-on-one attention, not one aide per hallway.
Two Ways to Cover the Clock
- 24-hour shift care — caregivers rotate in 8- or 12-hour shifts so someone is awake and attentive at all hours; best for clients who need active nighttime support
- Live-in care — a caregiver resides in the home, providing daytime care and overnight availability; a cost-effective option for clients who sleep through most nights
- Overnight-only care — a caregiver covers the night hours so a family caregiver can finally sleep; pairs well with daytime personal care visits
What Round-the-Clock Care Includes
- All personal care — bathing, dressing, toileting, and continence support, day or night
- Safe transfers and fall prevention, including overnight bathroom trips (when most falls happen)
- Medication reminders on schedule, around the clock
- Dementia supervision — wandering prevention, sundowning support, and calm nighttime reassurance
- Meals, housekeeping, laundry, and companionship woven through the day
- Regular family updates so everyone knows how days and nights are actually going
Compare the Real Costs
Families are often surprised: for couples, live-in care at home frequently costs less than two facility placements — and home care means keeping the house, the pets, and the routines. We'll walk you through honest numbers, including what Medicaid CLTC may cover, during a free assessment.
When It's Time for 24-Hour Care
Strong signs include falls or wandering at night, a dementia diagnosis progressing past the point of safe alone-time, discharge from a hospital or rehab stay with orders for supervision, or an exhausted spouse who has become a full-time overnight caregiver. If you're checking the baby monitor at 2 a.m. to make sure a parent is still in bed, it's time to call. Care is available throughout our six-county service area — Richland, Lexington, Kershaw, Fairfield, Sumter, and Lee Counties — from Columbia to our most rural addresses.
It's okay that you're looking
Most people who call us start by apologizing. They feel like looking into care means they've failed someone — a parent, a spouse, a promise they made years ago about never putting anyone anywhere.
You haven't failed anyone. Looking into options is what people do when they're taking someone's wellbeing seriously. Nothing here commits you to anything, and you can stop at any point.
Completely confidential
What you tell us stays with us. We don't sell or share your information, and we don't add you to marketing lists. If someone else in the family doesn't know you're calling yet, that's your business to share when you're ready.
No pressure, ever
We don't work on commission and we don't chase people. If you're gathering information for later, we'll answer your questions and let you go. If we're not the right fit, we'll tell you that too.
We do the paperwork
Medicaid applications, CLTC coordination, eligibility checks, insurance verification, authorizations, scheduling, payroll. You've got enough to carry — the administrative weight is ours.
Go at your pace
Some families start care next week. Some call back in six months. Both are fine. There's no expiration date on the conversation and no cost to have it.
Frequently Asked Questions
24-hour care uses rotating shifts so a caregiver is always awake — right for clients needing active help through the night. Live-in care places one caregiver in the home who sleeps there and is available if needed — usually more economical for clients who mostly sleep through the night. We'll recommend the right model at assessment.
It depends on the care model and coverage. Live-in care is often comparable to or less than facility costs — especially for couples — and Medicaid CLTC coverage can substantially reduce out-of-pocket costs for eligible clients. We provide transparent quotes during a free assessment.
Yes — round-the-clock dementia care is one of the most common reasons families call us. Our dementia-trained caregivers manage wandering risk, sundowning, and nighttime confusion while keeping days structured and calm.
Yes, live-in arrangements require a private sleeping space for the caregiver. If that's not available, 24-hour shift care provides the same coverage without a residency requirement.
Absolutely. Many families begin with overnight coverage so the primary family caregiver can sleep, then expand to full 24-hour care as needs grow. Care plans scale in either direction without contracts.
Related Services & Areas
You make one call. We do the rest.
Ready to Get Started?
Call today for a free, no-obligation in-home assessment. We'll answer your questions, explain payment options including Medicaid, and build a care plan around your family.