There comes a point when checking in isn't enough.
Maybe nights are restless. Falls are more likely. Or you're lying awake listening for sounds from the next room. You want your loved one safe around the clock — and you need real rest too. Our overnight and 24-hour care puts someone trusted in the house at all hours, awake and ready.
24-hour & overnight care · Frisco & North Texas
There comes a point when checking in isn't enough.
Continuous caregiver presence so your loved one is never alone at night — and your family can actually sleep.
Non-medical · Frisco & North Texas
What 24-hour and overnight care actually looks like.
Around-the-clock care works through carefully planned caregiver shifts — so your loved one always has a fresh, attentive presence, not someone who has been awake for 20 hours. Daytime caregivers handle meals, mobility, personal care, and daily routines. Overnight caregivers are awake and available for bathroom trips, repositioning, reassurance during confusion, and safety monitoring.
We fit our schedule to your loved one's routines, keeping nights as quiet and calm as possible while still prioritizing safety. We can start with overnight care only and expand to full 24-hour support as needed, or scale back when things stabilize.
For families who have been managing nighttime care themselves, this is often the change that gives everyone back a sustainable life.
Learn how we match caregivers →What This Service Includes
- Continuous caregiver presence via planned shifts
- Overnight monitoring, bathroom assistance, and repositioning
- Help with evening and morning routines
- Reassurance and redirection during nighttime confusion or sundowning
- Support with mobility, transfers, and fall prevention
- Bathing, grooming, and personal hygiene as part of the daily routine
- Coordination across caregivers so routines remain consistent
Serv Home Care provides non-medical support. We do not administer medications, perform wound care, or provide nursing services. We work alongside home health and clinical providers when they're involved.
When families reach out about overnight and 24-hour care.
Most families reach this point gradually — nights get harder, falls become more likely, and eventually checking in isn't enough. If any of these are true, it's worth a conversation.
You're afraid to leave your loved one alone at night
Every bathroom trip is a risk. Every hour of sleep you get, you're half-listening. This isn't sustainable.
Nights are broken by wandering, confusion, or frequent bathroom trips
Sundowning, dementia-related restlessness, or physical needs that don't follow a schedule — these require someone present, not on-call.
Family members are sleeping in shifts
You're taking the 2am checks, your spouse is taking the 5am ones, and everyone is exhausted. This is a sign the situation needs professional support.
A recent fall or hospital stay has changed how safe home feels
The risk feels different now. The house that was manageable last month feels less safe today.
Your loved one has memory care needs that make night especially risky
Wandering, confusion, and disorientation are more dangerous at night when visibility and response time are reduced.
Daytime care is in place but nights are still a problem
You have good support during the day but nights remain a gap. We can add overnight coverage without disrupting what's already working.
Figuring out whether you need overnight care only, or full 24-hour support, or something in between — that's exactly the kind of thing we sort out on the first call. No pressure to have it figured out before you contact us.
Ask If This Is a Good FitWhat happens between your first call and care beginning.
Here is what actually happens between your first call and your loved one having a caregiver in their home.
You start the conversation
Tell us what's happening at home. What you're worried about. What a good day looks like now, and what you'd hope it could look like again. We listen first.
We meet in person
One of our Operating Directors comes to you. We learn your loved one's routines, preferences, and what matters to them. Then we design a care plan around that — not a template.
We match your caregiver
We match by fit — personality, experience, and schedule — and then introduce the caregiver before care begins. No one starts until everyone is comfortable.
We stay involved
Needs change. We check in regularly and adjust the plan as your situation evolves. You always have a real person to call — not a scheduling system.
In most cases, care can begin within 24 hours of your consultation. Learn more about how it works →
Services that pair naturally with overnight and 24-hour care.
Around-the-clock care often involves multiple services working together. Here's what families typically build alongside it.
In-Home Personal Care
Personal care for bathing, dressing, and daily routines during the day, combined with overnight monitoring, creates seamless coverage from morning to night.
Learn about this service →Post-Hospital Support
The period right after a hospital discharge is when overnight care is most often needed. The two services work closely together during recovery.
Learn about this service →Respite Care
When family members have been providing overnight care themselves, adding Serv coverage gives them real time to rest and recover.
Learn about this service →Choosing a caregiver is a decision you live with every day.
You're trusting someone to step into your loved one's home, their routines, their most private moments. A name on a list isn't enough. You need a team that actually knows your family — and shows up like it.
Serv was founded to bring that kind of care to North Texas. Family-run warmth with a professionally trained team behind it.
Learn More About UsCaregivers vetted beyond Texas state requirements
Background checks, reference verification, skills assessments, and ongoing training — bonded and insured.
Real relationships, not rotating staff
We prioritize caregiver consistency. Your loved one builds a relationship with the same person, not a series of strangers.
Flexible plans — adjust hours or services any time
No rigid structures. You can start with a few hours and build as needs change. Pause, add, or adjust without pressure.
24/7 on-call — a real person, not a call center
Our local team picks up. Nights, weekends, whenever something changes or you just need to talk through a concern.
Care can start within 24 hours
When families are ready, we move fast. Most clients have a caregiver in place within a day of their initial consultation.
What families ask about overnight and 24-hour care.
These come up in nearly every conversation about extended care coverage.
Serving Families Across North Texas
Our caregivers live in the communities they serve. We understand the rhythm, resources, and values of North Texas life — and we're growing to reach more families across the region.