24-Hour Home Care, Live-In Care, Overnight Care in South Shore & the Greater Boston Area
Compassionate, Reliable Care When You Need It Most – Day or Night
Around-the-Clock In-Home Care for Seniors Who Shouldn't Be Alone
24-hour home care puts a trained caregiver with your parent at every hour, so help is always in the room, day or night. Cottage Caregivers provides it, along with live-in and overnight care, across the South Shore and Greater Boston, often starting after a fall, a hospital discharge, or dementia symptoms that begin disrupting nights at home.
Based in Hanover, our team of more than 100 caregivers serves over 50 Massachusetts communities, from Quincy and Hingham down to Plymouth and into Greater Boston towns like Newton and Wellesley. Whether your family needs a few nights of coverage or care with no end date, one local agency handles every schedule.
“We are incredibly grateful to Cottage Caregivers for the remarkable care they provided.” Rose D.
Client Testimonials of Our in South Shore & the Greater Boston Area 24-Hour Home Care Services
Hands-On Help at Every Hour of the Day
Caregivers provide the same hands-on support whether it’s midday or the middle of the night, including:
- Bathing, dressing, and toileting, including nighttime incontinence care
- Bed and wheelchair transfers, plus repositioning overnight
- Fall prevention on stairs and during nighttime bathroom trips
- Medication reminders on schedule, day and night
- Meal preparation and hydration
- Light housekeeping and laundry
- Recovery support after a hospital or rehab discharge
- Rides to errands and Boston specialist appointments
- Companionship to ease loneliness and nighttime anxiety
Choosing Between 24-Hour, Live-In, and Overnight Care
If your parent only needs a few hours of help each day, part-time home care across the South Shore may be enough. When needs stretch into the night, we’ll help you choose the right schedule.
24-Hour Care
Caregivers rotate in shifts so someone is awake at every hour, the right fit when nights bring frequent bathroom trips, wandering, or fall risk. Shift caregivers don't need a spare bedroom, so it also works in condos and apartments, whether you're arranging 24-hour home care in Brookline or Cambridge.
Live-In Care
A live-in caregiver stays in the home for daily routines and companionship, but needs a private room and an 8-hour sleep break, so it suits seniors who sleep through the night. In winter, families using live-in care in Duxbury or Marshfield don't need anyone to travel in for a shift change when a nor'easter closes coastal roads.
Overnight Care
Overnight caregivers help seniors who manage well by day with bathroom trips, medication reminders, and nighttime confusion. It's a common starting point for families arranging overnight care in Plymouth, where many seniors live independently in 55+ communities, and it can expand to 24-hour care as needs change.
Overnight and 24-Hour Support for Alzheimer's and Dementia
Dementia is often hardest to manage after dark, when sundowning brings agitation and a parent may try to leave the house at 2 a.m. Our caregivers are trained in Alzheimer’s and dementia care, so they respond to confusion and mood changes calmly while managing fall risks and medications around the clock.
During the day, gentle routines, puzzles, music, and conversation keep your parent engaged, which can make for calmer nights. Whether your parent was recently diagnosed at a Boston memory clinic or is in the later stages at home in Weymouth, our dementia home care adapts as needs change.
Why South Shore & the Greater Boston Area Families Trust Our Superior Overnight Care
Continuous care means several caregivers in your parent’s home each week. Here’s what keeps that safe and consistent.
Locally Owned and Nurse-Led
Our president lives in Marshfield, and co-founder Amy McDonnell, RN, BSN, has nursed on the South Shore since 1993, including home care with the South Shore VNA. In 2024, our agency was also selected for the Vizient Inc. Summit.
Our Own Caregivers, Never Subcontractors
Every caregiver is a Cottage Caregivers employee, never a subcontractor, so everyone rotating through your parent's 24-hour schedule meets the same standard. Our HHAs, CNAs, and caregivers all clear state and national background checks, license and reference verification, a competency exam, and training in memory care and fall prevention.
Backup Caregivers for Every Call-Out
A 24-hour schedule only works if every shift is covered. When a caregiver calls out sick, takes a vacation, or has an emergency, we fill the shift with a backup from our own vetted, insured team, so a missed shift doesn't become your family's problem.
Updates After Every Shift
Caregivers leave a detailed voice message after each shift, and our scheduling software tracks check-ins in real time, so you know how the night went even from Boston or out of state. Third-party client surveys keep us accountable.
How We Set Up Your Loved One's Care
- Free consultation. Call our Hanover office or fill out our online home care needs assessment to tell us what’s happening at home.
- No-pressure assessment. We talk with you and your loved one about daily routines and flag nighttime risks, like stairs to a second-floor bathroom in an older South Shore Cape or colonial.
- RN-generated care plan. A registered nurse builds the plan, covering schedule type, daily tasks, and safety needs.
- Caregiver matching. We match caregivers on care level and personality, then set a consistent rotation so your parent sees familiar faces.
- Ongoing adjustments. After the first shift, we update the care plan as your loved one’s needs change.
Areas We Serve in Massachusetts
Abington
Andover
Bedford
Belmont
Bolton
Boston
Braintree
Bridgewater
Brookline
Burlington
Cambridge
Canton
Carlisle
Carver
Chatham
Clinton
Cohasset
Concord
Dedham
Dover
Dukes County
Duxbury
East Bridgewater
East Walpole
Easton
Falmouth
Foxboro
Halifax
Hanover
Hanson
Hingham
Holbrook
Hopkinton
Hull
Kingston
Lexington
Lincoln
Marion
Marshfield
Marshfield Hills
Mattapoisett
Medfield
Mendon
Middleborough
Millis
Milton
Nantucket County
Natick
Needham
Newburyport
Newton
Norfolk
Norwell
Norwood
Osterville
Peabody
Pembroke
Pepperell
Plymouth
Plympton
Quincy
Randolph
Rockland
Rockport
Scituate
Sharon
Sherborn
Stoughton
Sudbury
Swansea
Walpole
Wayland
Wellesley
West Bridgewater
West Newbury
Weston
Westport
Weymouth
Whitman
Winchester
From Boston to the Cape: Answers Before Care Begins
How much does 24-hour home care cost in Massachusetts?
Non-medical home care statewide typically runs from the high $30s to low $40s an hour, per CareScout’s Cost of Care Survey, with Greater Boston often at the higher end. Live-in care is usually billed as a daily rate, which often costs less than hourly 24-hour shifts.
Does Medicare cover live-in or overnight care in Massachusetts?
No. Medicare covers short, skilled home health visits, not ongoing non-medical care. Most families pay privately or through long-term care insurance.
Can Massachusetts veterans use Aid & Attendance for around-the-clock care?
Often, yes. Wartime veterans and surviving spouses may qualify, and our team can walk you through veterans home care benefits, from gathering documents to following up with the VA.
Can we arrange care before a parent leaves South Shore Hospital or a Boston hospital?
Yes. Call as soon as a discharge date comes up, so the assessment and caregiver match are done before your parent gets home.
Do you offer 24-hour and live-in care on Cape Cod and the Islands?
Yes. Our service area reaches Chatham, Falmouth, and Osterville, plus home care on Martha’s Vineyard and Nantucket. Island schedules take extra planning, so reach out early.
When You Can't Be There Every Night, We Can
If you’re losing sleep over what happens at your parent’s house after dark, you don’t have to keep carrying it alone. Many families wait until a fall or a hospital stay forces the decision, when one conversation could have put a plan in place sooner.
Call our Hanover team at (781) 430-8599 or schedule a free consultation. We’ll talk through what nights look like at home, recommend the right mix of 24-hour, live-in, or overnight care, and start building a caregiver team your parent can count on.