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HOME HEALTH CARE · IN-HOME · SOUTHEAST FLORIDA

Private Duty Nursing
Skilled Care, On Your Schedule

ACHC Accredited  ·  Medicare Certified  ·  Florida AHCA Licensed #20646095 and #21585096  ·  200+ Five-Star Google Reviews  ·  25+ Years  ·  RN-Led

Private-pay skilled nursing on your schedule, with no physician order required. Our licensed RNs and LPNs bring clinical care into your home, from a few hours a day to around the clock.

ABOUT OUR PRIVATE DUTY NURSING SERVICE

Private Duty Nursing Tailored to Your Needs

At Health at Home, private duty nursing brings licensed clinical care directly into your home, on a schedule that works for your family. Because it is private-pay, there is no physician order or homebound requirement and no waiting on approvals. Our Registered Nurses and Licensed Practical Nurses can be there for a few hours, overnight, or around the clock, working alongside your caregivers, therapists, and physicians as one coordinated team.

From medication management and wound care to IV therapy, catheter and tracheostomy care, and ongoing health monitoring, every visit is built around your loved one’s needs and preferences. If you want skilled, compassionate nursing care with the flexibility to scale up or down as needs change, contact us today to learn how we can help.

"Our goal is simple: to provide the level of care we would want for our own parents, delivered by caregivers we would trust with our own family."

Black woman patient talking to nurse during private duty nursing appointment
WHAT'S INCLUDED

Our Private Duty Nursing Services

This service is part of our in-home care program: hourly, private-pay help at home with no physician order required, supervised by a registered nurse.

Medication Management

Our licensed nurses make sure medications are taken safely, correctly, and on time. We handle medication setup, injections, ongoing monitoring, and coordination with your physicians and pharmacy to prevent errors, manage side effects, and protect overall health.

Wound Care

Proper wound care is critical to healing and preventing infection. Our nurses deliver expert wound assessment, treatment, and ongoing monitoring for surgical wounds, pressure injuries, diabetic ulcers, and more, helping promote faster recovery and reduce complications.

Chronic Disease Management

Living with a chronic condition takes consistent, attentive care. Our nurses support seniors managing diabetes, heart disease, COPD, and more with hands-on monitoring, education, and a personalized care plan, helping reduce hospital visits and improve day-to-day quality of life.

IV Therapy

We provide professional IV therapy at home, including medications, hydration, and nutrients. Our nurses ensure safe delivery, watch closely for any reaction, and coordinate with your physician to support recovery and ongoing treatment.

Catheter & Tracheostomy Care

Our nurses provide skilled management of specialized clinical needs, with training, precision, and respect for your loved one’s dignity. This includes catheter care to prevent infection and ensure comfort, tracheostomy care for safe airway management, and ostomy and feeding-tube support for daily health and nutrition.

KNOW THE SIGNS

When Is It Time for Private Duty Nursing?

Private duty nursing is the right fit when you want skilled clinical care at home with more flexibility and continuity than occasional visits can offer. If you or a loved one are experiencing any of the situations below, it may be time to call Health at Home.

  • Returning Home from the Hospital or Surgery

    The transition from hospital to home is a critical time. Skilled nursing care ensures proper follow-up, medication management, wound care, and monitoring to reduce the risk of complications or readmission.

  • Managing a Complex or Chronic Condition

    Conditions like diabetes, heart disease, COPD, or other chronic illnesses often require ongoing clinical oversight. Our nurses provide education, monitoring, and care coordination to help manage symptoms and prevent flare-ups.

  • New or Worsening Symptoms

    Shortness of breath, swelling, dizziness, confusion, or sudden changes in health shouldn’t be ignored. Skilled nurses can assess symptoms early, provide care, and communicate with physicians before issues escalate.

  • Need for Wound Care or In Home Medical Treatment

    If you or a loved one has a surgical incision, pressure injury, or chronic wound, professional care is essential for proper healing. The same applies for treatments like injections or IV therapy that require clinical expertise.

  • Difficulty Managing Medications

    Multiple prescriptions, changing dosages, or confusion about medication schedules can be dangerous. Skilled nursing ensures medications are administered safely and effectively.

  • Decline in Strength, Mobility, or Function

    If everyday activities are becoming more difficult after illness or injury, in-home rehabilitation services, like physical, occupational, or speech therapy, can help restore independence.

  • Frequent Hospital or ER Visits

    Repeat trips to the hospital are often a sign that more consistent medical oversight is needed. Skilled nursing care at home can help stabilize health and reduce unnecessary visits.

Your exact rate is set at the free in-home assessment, which carries no charge and no obligation. See how home care compares to a registry, assisted living and a nursing home.

Private Duty Nursing FAQs

What can a nurse do at home that an aide cannot?

A licensed RN or LPN can administer medication, manage wounds and dressings, care for catheters, feeding tubes and ostomies, assess vital signs clinically, manage diabetic care and injections, and teach the family to manage a condition safely.

An aide can support daily living and remind a client about medication, but cannot administer it or perform any clinical task. Under Fla. Stat. 464.015 only a licensed RN or LPN may be called a nurse. If the care plan involves anything clinical, it needs a nurse, and many plans pair the two.

Do I need a doctor order for private duty nursing?

No. Private duty nursing is arranged directly by the family and does not require a physician order or a qualifying hospital stay. You can request it at any point.

This is the main difference from Medicare home health, which does require a physician order, a face-to-face encounter and documented homebound status. Private duty nursing has none of those gates, which is why it is often the right answer when someone needs nursing care but does not meet Medicare criteria, or has exhausted a Medicare episode and still needs clinical support.

Is private duty nursing covered by insurance?

Private duty nursing is generally not covered by Medicare or standard health insurance. It is most often paid privately, through a long-term care insurance policy, through VA Aid and Attendance for eligible veterans, or through a Florida Medicaid long-term care program.

Some long-term care policies pay for skilled nursing at a different rate from aide care, so it is worth checking the policy language before assuming a benefit. If Medicare home health criteria are met, some of the clinical need may be covered that way instead.

What is the difference between private duty nursing and Medicare home health?

Medicare home health is intermittent, physician-ordered, time-limited, and requires the patient to meet coverage criteria including homebound status. Private duty nursing is arranged by the family, requires no order, and continues for as long as it is needed.

Medicare home health visits are short and scheduled around a plan of care, typically a few visits a week for a defined episode. Private duty nursing can be scheduled in longer blocks, on an ongoing basis, and shaped around the family schedule. The two are not alternatives so much as different tools, and some families use Medicare home health for the covered episode and private duty nursing for everything around it.

Expert Care, Right Where You Need It

You don’t have to manage complex medical needs alone, or wait on an approval to get help. With private duty nursing from Health at Home, skilled RN and LPN care comes to you on your schedule, keeping your loved one safe, supported, and comfortable at home.

Talk to us about care for your parent

Tell us when care needs to start and we will build a plan around it.

Care can start within 24 hoursA real person answersFree in-home assessment, no obligation