Home care services for Sanibel & Captiva seniors
Every plan is reviewed by a nurse and built around three things: the diagnosis, the home itself, and how your family’s week actually runs. We keep the same caregiver on the case whenever we can.
Conditions our Sanibel & Captiva caregivers support
The diagnosis drives the plan, not the other way around. Here’s what most often brings Sanibel and Captiva families to the phone.
Dementia Care in Sanibel and Captiva
Dementia care in Sanibel and Captiva means building a routine that holds, heading off wandering, redirecting gently, and staying patient through the questions that come around again and again.
Parkinson’s Home Care
Parkinson’s home care leans on mobility cueing, medication that lands on time, calm responses when the gait freezes, and exercises that line up with what the PT is already working on.
Stroke Recovery Care at Home
Stroke recovery care at home covers therapy-aligned exercises, swallowing precautions, safe transfers, and communication that meets aphasia where it is instead of rushing past it.
Post-Surgical Care at Home
Post-surgical care at home gets folks through the first weeks after a hip or knee replacement or a cardiac procedure. We cover the ride back from HealthPark and keep an eye on the incision.
Cancer Care at Home
Cancer care at home means rides to oncology, a plan for the nausea, fluids tracked, and a steady, familiar presence on the days when treatment leaves someone wrung out.
Congestive Heart Failure Care
Congestive heart failure care is mostly the daily habits that keep someone out of the hospital: weight checks every morning, low-sodium meals, watching for swelling, and reminders so no dose slips.
COPD & Respiratory Care
COPD and respiratory care includes oxygen support, pursed-lip breathing reminders, and knowing the triggers that flare up in Florida humidity before they turn into a bad day.
Diabetes Care at Home
Diabetes care at home covers glucose checks, meals that fit the diet, a daily look at the feet, and keeping insulin on schedule so the numbers stay where they should.
Hospice Support at Home
Hospice support at home wraps around the hospice team: comfort positioning, gentle daily care, and an overnight presence so family can finally get some rest.
Island life takes extra planning. That part’s on us.
Sanibel and Captiva aren’t like serving a mainland street. Bridge timing, snowbird schedules, and the long tail of Ian recovery all change how a shift gets staffed. Our care manager walks every plan against those island realities before a caregiver ever heads over.
RN-supervised plans
A registered nurse signs off on every plan, then revisits it each quarter as things change.
Caregiver matching, not assignment
We aim for continuity of care, the same caregiver on the same days when possible, because the chemistry between two people is what holds a relationship together over months.
No surprise contracts
Hourly, daily, or live-in. Cancel anytime. Dial it up or down as recovery moves along.
LTC insurance & VA handled
We bill John Hancock, Genworth, Mutual of Omaha, Transamerica, and the VA Community Care Network directly, so you’re not stuck filing claims yourself.
Same-day & next-day starts
Most Sanibel and Captiva hospital discharges go home with care already in place, usually within 24 hours of the first call.
Neighborhoods & hospitals we serve in Sanibel & Captiva
Every caregiver dispatches from our Fort Myers office and crosses the causeway to you.
Neighborhoods we cover
Hospitals & rehab partners
How home care starts in Sanibel & Captiva
For most Sanibel and Captiva families, a caregiver is in the home within 24 to 48 hours of that first call.
Free phone consult
Fifteen minutes on the phone. We talk through the situation, the diagnosis, what’s working and what isn’t.
In-home assessment
A nurse or care manager comes out to the Sanibel or Captiva home, goes over the meds, and writes the plan right there in person.
Caregiver match
Our care manager introduces the matched caregiver in person before the first shift. No stranger at the door.
Quarterly check-ins
We revisit the plan every quarter, and the care manager is on call around the clock when needs shift.
How much does home care cost in Sanibel & Captiva?
Private-pay companion or personal care in Sanibel and Captiva usually runs $34 to $42 an hour. The effective rate drops on multi-hour packages, and again on 24-hour or live-in coverage.
Private Pay
The most flexible route for Sanibel and Captiva families. Hourly, daily, or live-in, with no paperwork, no pre-authorization, and no copay to reconcile later.
Best for: short-term recovery, families who want full schedule control.
Long-Term Care Insurance
We bill John Hancock, Genworth, Mutual of Omaha, Transamerica, and most major LTC carriers directly, so the policy you’ve paid into for years actually gets used.
Best for: Sanibel & Captiva seniors activating an LTC policy.
VA Community Care Network
Veterans on Sanibel and Captiva who are approved through the VA can get in-home care with nothing out of pocket, handled under our CCN authorization.
Best for: service-connected veterans, Aid & Attendance recipients.
Medicaid Waiver Programs
Florida’s SMMC-LTC program covers home-based care for eligible seniors. We work with select waiver MCOs, and eligibility comes down to income and a functional assessment.
Best for: seniors on fixed incomes meeting Florida’s eligibility criteria.
Want a real quote for Sanibel & Captiva? Call (239) 400-4514 and we’ll work out an exact estimate based on hours, level of care, and how you’re paying.

Our Sanibel & Captiva caregivers: vetted, trained, supervised
Roughly one in twelve applicants makes it through our hiring, and that’s by design. Before anyone works a Sanibel or Captiva shift, they clear a Florida AHCA Level 2 background check, a drug screen, reference calls, and a face-to-face interview with our care manager.
- ✓HHA or CNA certified. Every caregiver holds an active Florida certification.
- ✓Dementia-trained. Alzheimer’s Association curriculum, with refreshers every year.
- ✓Safe-transfer & fall prevention. Gait belts, two-person lifts, a hazard check every visit.
- ✓CPR & first aid certified. Emergency drills twice a year.
- ✓Fully bonded & insured. Workers’ comp and general liability on every caregiver.
What Southwest Florida families say
We would rather show you the real thing than tell you about it. Read verified reviews from families across Southwest Florida on Google.
Common questions about home care in Sanibel & Captiva
How much does home care cost in Sanibel & Captiva?
Private-pay companion or personal care in Sanibel and Captiva runs $34 to $42 an hour. 24-hour and live-in packages bring the effective rate down. In a lot of cases LTC insurance or VA benefits cover the whole thing. Call (239) 400-4514 for a quote built around your situation.
How quickly can a caregiver start in Sanibel & Captiva?
Most assessments happen within 24 hours and a caregiver starts the next day. Discharges from HealthPark are often same-day. A complex 24-hour schedule can take 2 to 3 days to staff with the right team, and we’ll tell you straight if that’s the case.
Are your caregivers employees or contractors?
Every caregiver is a W-2 employee of A Perfect Choice. Not contractors, not a registry. We carry the payroll taxes, workers’ comp, and liability insurance so you never do.
What if the caregiver isn’t the right fit?
Just call us. We re-match, no questions and no fee. Personality fit matters every bit as much as the clinical side, and we’d rather get it right than have anyone settle.
Do you accept Medicare?
Generally no, not for the work we do. Original Medicare doesn’t pay for ongoing companionship, personal care, or 24-hour coverage at home, on the islands or anywhere else. Sanibel and Captiva families fund that through private pay, long-term care insurance, the VA Community Care Network, or Florida Medicaid for folks who qualify. Where Medicare helps is short-term skilled nursing or therapy a doctor orders after a hospital stay, and that comes from a Medicare-certified home health provider, which is a different service than ours. Many clients pair the two, and we coordinate gladly with whoever handles the medical visits. Call (239) 400-4514 and we’ll sort out which side of that line fits your situation.
Can you provide 24-hour or live-in care?
Yes to both. True 24-hour care means two awake caregivers on rotating shifts. Live-in means one caregiver with a protected 8-hour sleep window. We staff either one in Sanibel and Captiva.
Are you licensed to operate in Sanibel & Captiva?
Yes. We’ve been Florida-licensed since 2021, AHCA license HHA #299995428, and we’re authorized across Lee County.
Will Medicaid pay for home care in Sanibel & Captiva?
It can. Florida’s Statewide Medicaid Managed Care Long-Term Care waiver, the SMMC-LTC, covers in-home help for eligible seniors based on income and a functional assessment. We work with several of the plans. I’ll be honest, though, eligibility really does depend on the individual, so call (239) 400-4514 and we’ll help you figure out where you stand.
Can veterans in Sanibel & Captiva get free home care through the VA?
Often, yes. We’re a VA Community Care Network provider, and eligible veterans pay nothing out of pocket. If you’re receiving Aid & Attendance, that can factor in too. We handle the authorizations and bill the VA directly, so there’s no paperwork waiting on you. Call (239) 400-4514 and we’ll walk you through it.
Can someone with dementia stay safely at home in Sanibel & Captiva?
Usually, yes. A steady routine, a few home-safety tweaks, and caregivers trained in redirection go a long way toward keeping someone with dementia at home in Sanibel and Captiva. If wandering or sundowning starts to take over, we can scale up to 24-hour coverage. Call (239) 400-4514 to talk through what your loved one needs.
Is A Perfect Choice a home health agency in Sanibel & Captiva?
Yes. We’re a Florida-licensed home health agency serving Sanibel and Captiva, AHCA license HHA #299995428. In Florida, that license covers exactly what we do: one-on-one care from CNAs and Home Health Aides, meaning companionship, personal care, dementia care, respite, and 24-hour or live-in help out on the islands. It doesn’t make us a nursing provider. Doctor-ordered nursing or therapy comes from a Medicare-certified agency, and if your loved one needs that for a few weeks, we’ll work around those visits and keep the daily routine steady. Call (239) 400-4514 and we’ll figure out which part you need.
Ready to talk through home care in Sanibel & Captiva?
It’s a free 15-minute call with a care manager. No pressure, no commitment, just a clear picture of what care could look like for your family.
A Perfect Choice Home Care · HHA #299995428 · Serving Lee County, Florida
Request a Free Home Care Assessment in Sanibel & Captiva
Tell us what your family needs and we will call you back the same day, usually within the hour. Prefer to talk now? Call (239) 400-4514.
Ready to Get Started? Contact us today for a free in-home consultation.






