CNA Certified · MA DPH #CNA54796 · Insured

24-Hour Home Care on Cape Cod, So Nobody Is Alone at Three in the Morning

MF Family Home Care provides 24 hour home care on Cape Cod for older adults who can no longer safely be by themselves at any hour.

What we do not do

We provide non-medical home care. We do not perform skilled nursing, we do not operate a hospice program, and we do not bill Medicare.

Three home care aides in uniform inside a client home on Cape Cod

Live-in care

means one caregiver stays in the home, works through the day, and sleeps there at night in a bed you provide. They are present and available overnight, but the expectation is that they get a reasonable stretch of sleep.

Home care aide bringing water to a senior man recovering in bed after surgery in Yarmouth, MA

24-hour shift care

means caregivers rotate in blocks, usually two or three a day, and someone is awake and working the entire time. This is what you need if your parent requires help repeatedly through the night, or has dementia with significant night-time activity.

Home care aide sitting with a senior woman on a sofa in West Yarmouth, MA

How to start

One call, a free visit at home, and a written plan you can change. Most families begin smaller than they expect.

Home care aide holding hands with a senior woman in her living room on Cape Cod

After a fall

The first fall is frequently followed by a second within months. Overnight coverage during recovery is often what prevents it.

Home care aide and a senior man talking over coffee on a porch in Yarmouth, MA

After a hospital discharge

Discharge instructions routinely assume a competent adult is present at all hours. Frequently no such person exists.

Family caregiver resting while a home care aide sits with her mother during respite care on Cape Cod

With advancing dementia

Sundowning, night-time wandering and confusion on waking make the overnight hours the hardest of the day.

Three generations of a family sitting with a senior woman outside a Cape Cod home

When a spouse is the caregiver

An eighty-year-old husband caring for his wife through the night is two emergencies waiting rather than one.

Three home care aides in uniform inside a client home on Cape Cod

In the last stretch at home

When a family has decided their parent will not move, round-the-clock care is what makes that promise keepable.

What is the difference between live-in care and 24-hour shifts?

This is the question that decides your monthly cost, and almost nobody explains it.

Live-in care means one caregiver stays in the home, works through the day, and sleeps there at night in a bed you provide. They are present and available overnight, but the expectation is that they get a reasonable stretch of sleep. This suits a parent who needs supervision, help getting to the bathroom, and someone there if something happens — but who generally sleeps through.

24-hour shift care means caregivers rotate in blocks, usually two or three a day, and someone is awake and working the entire time. This is what you need if your parent requires help repeatedly through the night, or has dementia with significant night-time activity.

The cost difference is substantial, and it runs in that order. If a family is quoted rotating shifts when live-in would have worked, they can end up paying far more than necessary. Ask any agency to explain which one they are quoting before you compare two numbers.

We will tell you honestly which one your parent’s situation actually calls for, including when the answer is the cheaper one.

When families need round-the-clock care

After a fall. The first fall is frequently followed by a second within months. Overnight coverage during recovery is often what prevents it.

After a hospital discharge. Discharge instructions routinely assume a competent adult is present at all hours. Frequently no such person exists.

With advancing dementia. Sundowning, night-time wandering and confusion on waking make the overnight hours the hardest of the day.

When a spouse is the caregiver. An eighty-year-old husband caring for his wife through the night is two emergencies waiting rather than one.

In the last stretch at home. When a family has decided their parent will not move, round-the-clock care is what makes that promise keepable.

Three home care aides in uniform inside a client home on Cape Cod

What the caregiver does through the day and night

Bathing, dressing and grooming. Help getting in and out of bed, and to the bathroom safely at night — the single most common cause of falls in this age group. Meals, snacks and hydration. Medication reminders. Light housekeeping and laundry. Company through the long afternoons. And a person awake or nearby when something goes wrong at an hour when nobody else is reachable.

For live-in arrangements, the household provides a bed and reasonable private space for the caregiver. We will walk through what that means practically during the home visit, and it is usually simpler than families expect.

Who will be in the house?

This matters more with round-the-clock care than with any other arrangement, because the person is in your parent’s home continuously.

Every caregiver clears a Massachusetts CORI background check before entering a client’s home, and MF Family Home Care carries insurance covering the work our caregivers do in your home. Ask any agency for both — a household letting someone in unsupervised should not have to wonder. For live-in placements we match especially carefully — temperament, routine, language and household habits — because a mismatch that would be tolerable for four hours a week becomes untenable when someone lives there.

MF Family Home Care is owned by Marlene Plouf, a Certified Nurse Aide registered with the Massachusetts Department of Public Health under CNA54796 — a credential with a number the state can confirm.

Areas we serve on Cape Cod

We serve families throughout Barnstable County, including Bourne, Sandwich, Falmouth, Mashpee, Barnstable, Hyannis, Yarmouth, West Yarmouth, Dennis, Harwich, Brewster, Chatham, Orleans, Eastham, Wellfleet, Truro and Provincetown.

Our office is at 21 College Road, West Yarmouth, MA 02673. We also serve families across Massachusetts.

Talk to us today, not next week

We answer 24 hours a day, seven days a week. The first conversation costs nothing and commits you to nothing.

Frequently asked questions

The questions families ask us most, answered plainly.

Is live-in care cheaper than 24-hour shifts?

Usually yes, and often by a wide margin — provided your parent needs presence and supervision rather than continuous hands-on help through the night. It is worth asking about specifically, because the difference in monthly cost is large.

Yes. A live-in arrangement assumes the caregiver gets a reasonable stretch of sleep, in a bed the household provides. If your parent needs help repeatedly through the night, live-in is the wrong arrangement and we will tell you that.

A bed and reasonable private space. We go through the specifics during the free home visit.

Frequently within days. Overnight coverage is one of the most requested arrangements we handle, and we answer the phone at any hour because these decisions are rarely made during business hours.

Yes, and many families do exactly that. Overnight coverage alone is often enough to stabilise a household.

We cover the shift. With round-the-clock care this is not a nicety — a gap at 2 a.m. is the whole problem you were solving.