Awake caregivers in rotating shifts, around the clock.
Who it is for: Someone who cannot be left alone safely at any hour — advanced dementia with night wandering, high fall risk, or a condition that needs response at unpredictable times.
What to know before you call anyone
24-hour care and live-in care are not the same product
24-hour care means caregivers work in shifts — typically two twelve-hour shifts or three eights — and every one of them is awake and on duty. Live-in means one caregiver stays in the home and sleeps there. They cost very different amounts and they are appropriate for very different situations. If an agency quotes you a “24-hour rate” without clarifying which one it is, that is your first question.
It is usually the most expensive option on the table
At the Nevada statewide median of $37 an hour, awake around-the-clock coverage runs past Nevada's median cost for a private room in a nursing home. That does not make it wrong — many families choose it deliberately, for months, and would again — but it should be a decision made with the comparison in front of you rather than by drift.
Ask what happens at shift change
Handoff is where things get dropped: the medication that was skipped, the bruise nobody logged, the fact that dinner was refused. Strong agencies have a written handoff at every change and a shared log the family can see. Ask to see the log format before you sign.
What it costs
There is no separate price list for 24-hour home care — it is priced off the same hourly structure as any other in-home care, with differentials. The Nevada statewide median for a non-medical caregiver is $37 an hour.
See what care costs per month at every hours-per-week level.
Full cost breakdown, including shift minimums and differentials.
Find in-home care that fits — in about 60 seconds
Six quick questions. No cost, no obligation, and we tell you straight if what you need is not what we do.
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Licensed agencies in Las Vegas and Clark County
We track 405 agencies licensed by Nevada HCQC to provide personal care services in the home across Las Vegas and Clark County, pulled from the state's public license registry in November 2026. Nearly all of them provide 24-hour home care in some form; what varies is depth of experience and whether they can actually staff your specific schedule. Browse the full list, or answer the questions above and we will narrow it for you.
See what a licensed caregiver is allowed to do.
See the tasks state regulation forbids a caregiver to do.
Related
Hourly in-home care
The most common way care starts: a caregiver for a set block of hours on set days.
Live-in caregivers
One caregiver stays in the home, with a private place to sleep and defined off-hours.
Overnight caregivers
Coverage from evening to morning, awake or asleep depending on need.
Respite care at home
Short-term coverage so the family caregiver can rest, travel, recover, or simply stop.
Personal care and bathing help
Hands-on help with bathing, dressing, grooming, the bathroom, and getting around.
Companion care
Company, conversation, activity and light supervision — without hands-on personal care.
Common questions
Is 24-hour home care covered by Medicare?
No. Medicare covers skilled, doctor-ordered home health for homebound patients. Personal care at home — help with bathing, dressing, meals, mobility and company — is not a Medicare benefit, whichever form it takes.
How much does 24-hour home care cost in Las Vegas?
It is priced off the standard hourly structure. The Nevada statewide median for a non-medical caregiver is $37 an hour per the CareScout Cost of Care Survey 2025, with differentials for overnights, weekends and higher acuity.
Do I need a licensed agency for this in Nevada?
To buy it as a service, yes — Nevada requires an agency providing personal care services in the home to hold a license under NRS Chapter 449B. You can also hire a caregiver privately, which is legal and shifts the employer obligations, background checks, insurance and backup coverage onto you.
Sources for this page
- CareScout Cost of Care Survey 2025 — state data tables — CareScout (Genworth), 2025. More than 25,000 rates collected from long-term care providers nationwide between July and November 2025. Annual figures assume 44 hours a week for 52 weeks.
- Home health services — Medicare.gov, Centers for Medicare & Medicaid Services, 2026.
- NAC Chapter 449 — including NAC 449.396 to 449.3982 — Nevada Legislature, 2026.
- NRS Chapter 449B — Agencies to Provide Personal Care Services and Related Entities — Nevada Legislature, 2025.
Reviewed by the Vegas Senior Advisor care team. Last updated November 11, 2026. Spot something wrong? Call (725) 465-8617 and we will correct it within one business day.
