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Home Health Care Services

A By Design Home Care licensed nurse will conduct a thorough assessment and then design a care plan for an individual client based on their clinical and/or custodial needs. The components of a home care plan can include the following:


Skilled Nursing Assessment/Supervision

All assessments are conducted by a Licensed Nurse with continued supervision.

Free of charge



Sitters provide companionship and supervision. They can accompany clients to appointments, do laundry, light house-keeping, meal preparation and run errands as directed



Home Health Aide

HHA’s assist with all aspects of personal care including bathing, dressing, ambulation and activities of daily living. They can also prepare meals, provide laundry service and light housekeeping. In addition, they can escort clients to appointments and run errands as directed.

starting at $17.75/hr


 Skilled Nursing

Skilled services include pre-filling pill boxes, refilling medications and coordinating with physician to ensure correct medications and dosages in addition to medical assistance requiring a skilled nurse.


Please review our “Staff” page for more information on the people we hire and the protections we put in place for both our clients, their families and our caregivers.