Home Care in Boston, MA
Dignity for your loved ones. Relief for families
Compassionate in-home senior support that adapts to every Boston neighborhood
Dignity for your loved ones. Relief for families. When you are looking for home care in Boston, you deserve to know a parent or spouse is truly safe with caregivers who understand how this city lives.
A fourth-floor walk-up with no elevator, icy sidewalks after a nor’easter, or resident-permit parking all change how support gets delivered. Our non-medical senior care is built around the home itself, in Back Bay, Dorchester, South Boston, Jamaica Plain, West Roxbury, Roxbury, Charlestown, East Boston, and nearby neighborhoods.
In-home consultations are typically scheduled within 24 to 48 hours.
“We are incredibly grateful to Cottage Caregivers for the remarkable care they provided.” Rose D.
What Boston Families Are Saying
Home Care Built Around Boston’s Daily Realities
The right level depends on how much supervision your loved one needs and when the risk actually peaks. Overnight wandering is a different problem from needing a steady arm on the stairs, and a compact city condo asks for different coverage than a multi-level home in nearby Newton.
24-Hour Care
Awake support around the clock when risk does not stop at bedtime. Covers mobility, medication reminders, fall risk, and wandering in apartments and multi-level homes.
Live-In Care
One consistent caregiver through the day, covering meals, mobility, personal routines, and light housekeeping, with an overnight rest period when nights are calm.
Overnight Care
For loved ones who wake often or get confused after dark. Caregivers assist with bathroom trips, repositioning, medication reminders, and late-hour safety.
Alzheimer’s & Dementia Care
Shared hallways, elevators, and unfamiliar layouts make memory loss riskier in Boston's multi-unit housing. Our Alzheimer's and dementia care provides calm redirection, structure, and supervision.
Comparing Levels of In-Home Support
Most families start hourly and add coverage as needs grow. If nights are the real problem, compare 24-hour, live-in, and overnight coverage closely, since that is where cost and staffing differ most. Dementia support is layered onto whichever level fits.
From First Call to Care at Home
- Free needs assessment.
A short needs assessment and a no-pressure call tell us what is happening day to day, what the medical picture looks like, and where the family is stretched thinnest. - In-home evaluation.
We walk the home and assess mobility, stairways, bathroom safety, and elevator access. For families coming home from Massachusetts General, Brigham and Women’s, Beth Israel Deaconess, or Tufts Medical Center, including those returning to Brookline beside the Longwood hospitals, we review discharge instructions so nothing gets missed in the first week. - RN care plan and caregiver match.
Our nurse writes the plan. We then choose a caregiver from our own staff based on care level and personality, and introduce them before the first shift. - Care begins, with real oversight.
Management checks in regularly, caregivers log every visit, and the plan is adjusted as mobility, memory, or safety needs change.
What Sets Our Boston Home Care Apart
Most agencies subcontract and send whoever is free that day. We do the opposite. Every caregiver on our team is our own employee, vetted and trained in-house, then matched to your loved one by care level and personality rather than by who lives closest.
- No subcontractors, ever. The caregiver at your Back Bay condo or Dorchester triple-decker is on our payroll. Every hire clears state and national background checks, license verification, reference checks, and a competency exam.
- RN-generated care plans. A registered nurse writes each care plan. At many agencies that job falls to a scheduler.
- Accredited and recognized. We hold Better Business Bureau accreditation and a Best of In-Home Care award, and our president carries the Certified Senior Advisor designation.
- More than task-based help. Our pet therapy visits and Brainy Day cognitive program give seniors something to look forward to, not just assistance getting through the day.
- Families stay in the loop. Caregivers log a detailed update after every shift, and our software lets an adult child track visits and view invoices from anywhere.
- Backed in writing. Our First Caregiver Session Guarantee and third-party satisfaction surveys hold us accountable from the first visit.
- Local roots. Locally owned, with coordinators who know Boston housing and city resources like the Age Strong Commission, backed by a South Shore home care team serving more than 50 Massachusetts towns.
Areas We Serve Across Greater Boston
Abington
Andover
Bedford
Belmont
Bolton
Boston
Braintree
Bridgewater
Brookline
Burlington
Cambridge
Canton
Carlisle
Carver
Chatham
Clinton
Cohasset
Concord
Dedham
Dover
Duxbury
East Bridgewater
East Walpole
Easton
Falmouth
Foxborough
Halifax
Hanover
Hanson
Hingham
Holbrook
Hopkinton
Hull
Kingston
Lexington
Lincoln
Marion
Marshfield
Marshfield Hills
Martha’s Vineyard
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
Questions Families Ask Before Starting Care
Does MassHealth or Medicare cover non-medical home care in Massachusetts?
Traditional Medicare does not pay for ongoing non-medical care. Some MassHealth programs and waivers may help for those who qualify, and many families use long-term care insurance or private pay.
What does home care cost in the Boston area?
Cost depends on hours, the level of supervision, and whether nights are awake or restful. Hourly visits are the least expensive entry point, while live-in and 24-hour coverage cost more. We give you real numbers during the assessment, not a vague range.
Can Boston-area veterans use VA benefits to help pay for home care?
Often, yes. Veterans and surviving spouses may qualify for benefits such as Aid and Attendance. Our veterans home care program walks families through what they are eligible for.
Does care continue during a Boston snowstorm or weather emergency?
Yes. We keep contingency staffing in place through nor’easters and snow emergencies. If a regular caregiver cannot travel safely, we send a qualified backup.
When Checking In Every Day Stops Being Enough
You have been managing from a distance, or squeezing it around work. Then a fall or a missed medication makes it clear the current setup is not holding.
Some families weigh staying home against a nursing home at this point. Most find a few hours of the right help is enough. Book an in-home assessment, in the city or just outside it in Milton, and we will tell you honestly what level of care fits.