Skilled service

Private Duty Nursing for Adults at Home

When you or your loved one needs a nurse for hours at a time — not a short visit — our licensed nurses come to the home for full shifts, day or night. Steady, one-on-one nursing, in the place that feels like yours.

A nurse in blue scrubs helping an older man in a wheelchair with a meal at home

You may be arranging this for a parent, a spouse, or a grown son or daughter. Maybe it's a brain or spinal cord injury. Maybe it's ALS, MS, or a serious stroke. Maybe there's a feeding tube, a tracheostomy, or a ventilator, and the family has been taking the nights in turns. That is a lot to carry.

Private duty nursing puts one nurse with one person for hours at a time — any hour of the day or night, up to 24 hours a day when that's what is needed. The nurse follows the doctor's plan of care, watches for small changes, and handles the medical tasks, so you can go back to being a daughter, a son, a husband, or a wife. A hospital stay is not required to start.

What's included

What our nurses do during a shift

  • Tracheostomy care and suctioning
  • Ventilator, BiPAP, and CPAP support
  • Tube feedings, pump setup, and care of the skin around the tube
  • Seizure watch, seizure response, and monitoring afterward
  • IV therapy ordered by your doctor
  • Medicines given on schedule — including insulin and injections
  • Wound care, turning, positioning, and pressure-sore prevention
  • Catheter and ostomy care
  • Vital signs, oxygen levels, and blood sugar checks
  • Safe transfers and range-of-motion exercises
  • Nursing notes every shift, and a call to the doctor when something changes

Tell us what the care involves, and we'll let you know whether we can staff it.

Who it helps

Private duty nursing fits an adult, 21 or older, whose medical needs call for a nurse for hours at a time — after a brain or spinal cord injury, with ALS, MS, or muscular dystrophy, after a serious stroke, or when someone depends on a ventilator, tracheostomy, or feeding tube. It also fits young adults who had home nursing as children. Turning 21 changes the coverage, not the need.

Coverage & payment

Private duty nursing for adults can be paid for in different ways. Some long-term care programs and insurance policies may cover it, and families can also pay privately — with no approval to wait for. Call us and we'll talk it through with you.

Paying for private duty nursing →

Getting started

What to expect

From your first call to the first shift at home.

1

Call us or send a request

Tell us what's going on and which hours are hardest. We acknowledge every referral the same business day, and we let you know if we cannot staff the hours. Please keep medical details out of the web form — we take those by phone.

2

A registered nurse visits and writes the plan

Our RN comes to the home, does a full assessment, and builds the plan of care from the doctor's orders. If a health plan or program is paying, we send the request and they decide the hours. If you are paying privately, you and your doctor set them.

3

We match the nurses, then shifts begin

We match nurses to the care needed and the hours you want, and tell you who is coming. The start date depends on any approval and on the shifts to fill, so we tell you where things stand at every step.

For physicians, discharge planners & case managers

We accept adult private duty nursing referrals in Hillsborough, Polk, Manatee, Highlands, and Hardee counties — RNs and LPNs, any hour of the day or night, up to 24 hours a day. We acknowledge every referral the same business day and let you know which shifts we can staff. Our RN completes the home assessment and plan of care, and we submit the authorization request. Start of care follows authorization and a staffed schedule — the 24-hour start for home health visits does not apply to private duty nursing. Fax orders and clinical documents to (813) 864-7271; please don't send patient details through the web form. See our referral page or call (813) 400-0324.

Behind the care

Who is behind the care

A shift nurse is never on their own. Here is who stands behind them.

A registered nurse leads the team

Our Director of Nursing, a registered nurse, leads the clinical team and supervises care. A registered nurse visits your home, does the assessment, and writes the plan of care from the doctor's orders.

Licensed and screened

Every nurse is a licensed RN or LPN. We check each licence and run a background screening before the first shift.

Ready before the first shift

Each nurse goes over the plan of care, the equipment, and the emergency steps for you or your loved one before working a shift.

Matched to your family

We look for nurses who fit the care needed, your home, and your hours, and we work to keep the same small group coming back. If we cannot cover a shift, we tell you as early as we can.

Someone to call, day or night

Call the same number any time: (813) 400-0324. After hours it reaches our on-call line.

Accredited and licensed

Joint Commission accredited. Medicare certified. Licensed by Florida AHCA, #299995051. Locally owned since 2016.

Questions families ask

Common questions

Who is private duty nursing for?

It fits an adult who needs a nurse's skills for hours at a time, not a short visit — for example tracheostomy or ventilator care, tube feedings, frequent medicines, or seizure watch. A doctor has to order it. You do not need to be coming from a hospital. If you're not sure, call us and we'll help you work out which service fits.

What is the process?

You call, or your doctor or case manager sends a referral. Our registered nurse visits the home and writes a plan of care from the doctor's orders. If a health plan or program is paying, it decides the approved hours. If you are paying privately, you and your doctor set them. Then we match the nurses and build the schedule with you.

What are the payment options?

Some long-term care programs and insurance policies may cover private duty nursing, and families can also pay privately, with no approval to wait for. We check your coverage first and tell you about any cost before care starts. There is no charge for the first conversation.

How is this different from home health visits or a home health aide?

A home health visit is short — a nurse comes, does a task, and leaves. A home health aide helps with bathing, dressing, and meals, but can't do nursing tasks. Private duty nursing is a licensed nurse who stays the whole shift. Some families use more than one, and one local team provides all three.

Will we have the same nurses each week?

That is the goal. We build a small group of nurses around each person and work to keep it steady. When someone is out, we tell you who is coming.

Looking for nursing for a child? →

RN or LPN? We're hiring for adult shift cases — days, evenings, and nights. See open roles →

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Questions about private duty nursing?

We're glad to talk it through with you and help you find the right next step for your family.

Call now