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Licensed & Insured
ALS Home Care
ALS Home Care in Southwest Florida
ALS asks for more help every few months. We staff for where you are going, not just where you are.
Most families do not go looking for ALS home care until three things have gone wrong at once. A fall in the hallway. A shower that now takes forty minutes and two people. A spouse who has not slept properly since spring. ALS does not wait for anybody to get organized, and the amount of hands-on help it asks for keeps climbing. We are a Florida-licensed home care agency, in business since 2021, and we provide one-on-one care for people living with ALS across Fort Myers, Cape Coral, Naples, Sarasota, Lakewood Ranch, and the towns around them.
Here is the part families tell us they were not ready for. The medical side of ALS is well organized in this corner of the state. The Lee Health ALS Clinic in Fort Myers serves ten counties, ours included, and one visit puts a neurologist, a dietitian, a respiratory therapist, an occupational therapist and a care coordinator in front of you in a single appointment. What that team cannot do is be in the house on a Tuesday at six in the morning when your husband needs help getting out of bed and into the bathroom. That part falls to the family, and it is the part that gets heavy first. Home care for ALS patients does not replace the clinic. It covers the hours in between.
HHA Licensed
VA Approved
No Contracts
What We Provide
What's Included in ALS Home Care
Every care plan is fully customized. Here's what our als home care typically includes.
Care That Keeps Up
ALS changes what it needs every couple of months. Families usually start with a few hours a week for showers and end up somewhere they never pictured. Planning the next stage before it arrives matters more than it sounds, because finding good overnight coverage is much harder in a crisis than it is in advance.
The Same Caregivers, Deliberately
Speech is often one of the first things ALS takes, and once it goes, a caregiver who already knows your husband can read him. Which sound means the pillow, which one means the straw. A stranger cannot do that, and starting over every week wears out the person who has to keep being understood. We keep the roster small and consistent on purpose.
Transfers and Positioning
Once a wheelchair, a hospital bed and a lift are in the house, moving somebody safely becomes a job done a dozen times a day. Our caregivers are trained in safe transfer technique, and we match you with people already comfortable around the equipment you have. Regular repositioning matters just as much, and it is the first thing to slide when a family is doing everything alone.
Meals That Still Work
Swallowing gets complicated and mealtimes stretch out. Meals get made to the consistency your clinic dietitian has asked for, and the caregiver sits with your loved one rather than hovering, giving the meal the time it now takes. We follow the plan the clinic sets. We do not write it.
Nights, Which Are the Hard Part
Nearly every ALS family hits the same wall, and it is the nights. Repositioning at two and four and six, a spouse who has not slept through in months, and a workday waiting in the morning. Awake overnight shifts and full 24-hour coverage are the two ways out of that. This is the single most common reason ALS families in Fort Myers and Sarasota call us.
Relief for Whoever Carries It
There is usually one person doing most of this, and ALS burns that person out faster than almost anything else we see. Respite is not a luxury here. A caregiver in the house for six hours so a wife can go to her own appointment, sleep, or sit somewhere quiet is often what keeps the whole arrangement standing.
How We Help
Why Families Choose A Perfect Choice for ALS Home Care
We understand that choosing a care provider is one of the most important decisions your family will make. Here's what sets us apart:
- Custom care plans built around your family's unique needs and schedule
- Trained, background-checked caregivers matched to your loved one
- No long-term contracts, flexible scheduling you can adjust anytime
- Two offices serving 6 counties across Southwest Florida
- Licensed, bonded, insured, and VA Community Care Network approved
Frequently Asked Questions
ALS Home Care Questions & Answers
Common questions families ask about our als home care in Southwest Florida.
Yes, and most people are, for most of the illness. What it takes is honest planning about hours. Early on, help with showers, dressing and meals a few times a week covers it. As arms and legs weaken, transfers and toileting need somebody there for most of the waking day. Later, many families move to awake overnight or full 24-hour care. The households where this works best are the ones that added help gradually instead of waiting until everything was already too hard. If you are somewhere on that curve and not sure what comes next, call (239) 400-4514 and we will talk it through.
This is the question we get most, and the answer has two halves. Medicare may authorize a home health benefit, which sends a nurse or a therapist to the house for short visits when a doctor orders it. That is skilled care, it comes from a Medicare-certified agency, and A Perfect Choice is not one. What Medicare generally does not pay for is the other half: the daily hands-on hours, the showers, the transfers, the meals, the nights. Families cover those through private pay, long-term care insurance, VA benefits, or Florida Medicaid for those who qualify. The ALS Association publishes a guide to paying for home care that lays the options out plainly, and your clinic social worker will know which ones you actually qualify for.
Our caregivers handle bathing, dressing, grooming, toileting and incontinence care, safe transfers, repositioning, meal preparation, help with eating, medication reminders, light housekeeping, rides to clinic appointments, and being awake through the night. We want to be just as clear about the other list. We do not manage ventilators or BiPAP, we do not suction, we do not handle feeding tubes, we do not give injections, and we do not provide nursing or therapy of any kind. Those are skilled tasks and they belong to clinicians. Families who need that level of respiratory support usually have a Medicare-certified agency or hospice working alongside us.
Nobody can hand you a schedule for ALS, but the shape is familiar. Many families start around eight to twelve hours a week, mostly mornings and evenings when the physical help is heaviest. Within six to twelve months that often doubles. The two thresholds that push families toward full coverage are transfers becoming a two-person job and nights becoming unmanageable. The plan gets reviewed with you every few weeks, and the hours move as things change. There is no contract to renegotiate.
We plan for it before it arrives. If your loved one uses a communication board, a text-to-speech app or an eye-gaze device, our caregivers learn that system, and we keep the same small group of people coming so the shorthand does not have to be rebuilt every shift. Families also tell us what to listen for and what a particular look means, and we write it down. None of this is complicated. It just takes continuity, which is the one thing an agency sending whoever is free that day cannot give you.
Alongside both, and it happens all the time. The clinic sets the medical plan and reviews it every few months. If hospice comes in later, they manage comfort and symptoms and send a nurse on a schedule. Neither of them staffs the daily hours in the house, and that is where we fit. Our caregivers keep notes on what they see, appetite, breathing, skin, mood, and pass it to the family so it reaches the clinical team early instead of at the next appointment. We do not diagnose and we do not make clinical decisions. We notice, and we tell you.
Hourly rates around here generally run about 28 to 38 dollars an hour, depending on the hours, the location and how much hands-on help is involved. With ALS the monthly total matters more than the rate, because the hours climb over time, so it is worth mapping the next twelve months rather than just the next month. Long-term care insurance covers this for a lot of families, VA benefits cover it for veterans, and Florida Medicaid covers it for those who qualify. You get a real number after a free assessment rather than a guess over the phone. Call (239) 400-4514 or request a free assessment.
Request a Free ALS Home Care Consultation
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From the Blog
More on ALS Home Care
Practical reads from our care team to help you make the right decision for your family.
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Read MoreWhere We Serve
Communities We Serve Across Southwest Florida
We provide als home care in all 24 communities across Lee, Collier, Charlotte, Sarasota, Manatee, and Hillsborough counties. Find your area:
Home care in Fort Myers
Home care in North Fort Myers
Home care in Fort Myers Beach
Home care in Cape Coral
Home care in Bonita Springs
Home care in Estero
Home care in Lehigh Acres
Home care in Sanibel & Captiva
Home care in Naples
Home care in Marco Island
Home care in Golden Gate
Home care in Punta Gorda
Home care in Port Charlotte
Home care in Sarasota
Home care in Venice
Home care in North Port
Home care in Longboat Key
Home care in Siesta Key
Home care in Lakewood Ranch
Home care in Bradenton
Home care in Palmetto
Home care in Tampa
Home care in Brandon
Home care in Sun City Center
Ready to Get Started?
Contact us for a free, no-obligation consultation about ALS Home Care.
Ready to Get Started? Contact us today for a free in-home consultation.