Alzheimer's & Dementia In-Home Care in Southwest Florida
In-home dementia care brings a private caregiver into your loved one's home to help with daily routines, safety, and companionship, so they can stay where they feel most at ease. Abby Services, a Florida-licensed nurse registry, refers screened caregivers who meet Florida's Alzheimer's and dementia training requirement to families in Fort Myers, Cape Coral, Naples, and across Southwest Florida.
Reviewed by Scott Strachan, RN BSN · Updated October 2026
Get started your way
Call 239-590-0861Office hours Mon–Fri, 8am–4pm. On call 24/7 for urgent needs.Tell us what you needA short online form. We follow up with options and pricing. No obligation.Have us call youPick a time. We call during business hours.- 1We talk through your needs. A free conversation about your loved one, the schedule, and location.
- 2You review pricing and sign online. No office visit or in-home sales call needed.
- 3We match caregivers to your needs. You and your caregiver set the schedule, and you can request a different caregiver anytime.
- Serving families since 1997
- RN-owned, local team
- AHCA-licensed nurse registry
- Level 2 background-screened caregivers
Did you know?
Families have left Abby Services more Google reviews than almost any other in-home care service in Fort Myers and Cape Coral.
Get started your way
Call 239-590-0861Office hours Mon–Fri, 8am–4pm. On call 24/7 for urgent needs.Tell us what you needA short online form. We follow up with options and pricing. No obligation.Have us call youPick a time. We call during business hours.- 1We talk through your needs. A free conversation about your loved one, the schedule, and location.
- 2You review pricing and sign online. No office visit or in-home sales call needed.
- 3We match caregivers to your needs. You and your caregiver set the schedule, and you can request a different caregiver anytime.
Tom Strachan
Founder, Abby Services, 1997
Why Dementia Care Is Personal for Us
Our founder, my father Tom, lived with Parkinson's disease that progressed to Lewy body dementia. The service he started in 1997 to help other families became the one our own family leaned on. My mom was his primary caregiver, and a caregiver referred through Abby Services gave her respite: a few hours to rest and recharge.
Honestly, she could have used more help than she accepted. Letting someone else in was a hard transition for her, as it is for so many spouses. If that sounds familiar, you're not alone, and starting with just a few hours is okay.
I've been a nurse for many years, but living it as a son changed how I talk with every family who calls.
— Scott Strachan, RN, BSN, Owner
How In-Home Caregivers Help with Alzheimer's & Dementia
Every stage of dementia brings different needs. The caregivers we refer can assist with daily care while giving your family room to breathe.
Signs It May Be Time for In-Home Dementia Care
Many families try to manage on their own until it becomes too much. It may be time to bring in a caregiver if your loved one is:
- Wandering, or leaving the stove on or doors unlocked
- More confused or agitated in the late afternoon and evening (sundowning)
- Missing medications, meals, or appointments
- Losing weight or neglecting hygiene and appearance
- Asking the same questions repeatedly or getting lost in familiar places
- Becoming suspicious, fearful, or uncharacteristically angry
If any of this sounds familiar, our team is happy to help you find the best path forward so your loved one remains safe and comfortable at home.
“Abby was recommended by the memory care facility where my husband resides. We had Margaret and she was very kind and caring. I recommend Abby for home health care.”
How it works
Getting started is simple, and there's never any pressure.
Call us
Tell us about your loved one and what's going on. The consultation is free.
Talk through your needs
Our RN is available to help you identify the type of support your loved one needs — you decide what to request.
Meet your caregiver
We refer screened caregivers who meet Florida's required Alzheimer's and dementia training. You choose the fit.
Stay in control
Adjust hours and direction anytime as needs change. You're always in charge.
Paying for Alzheimer's & Dementia Care at Home
Worried about what care costs? You're not alone. Here are the most common ways families cover in-home care:
Private pay
The most common option — pay only for the hours you actually need, and scale up or down anytime.
Long-term care insurance
Many policies cover in-home care. We help you make sense of the paperwork. Learn about LTC insurance →
Veterans' benefits
Veterans and surviving spouses may qualify for aid that helps offset the cost of in-home care.
What does in-home dementia care cost?
Typical 2026 totals families in Lee, Collier, and Charlotte Counties see, including the caregiver's fee and our registry fee. Many dementia families start with part-day visits and add hours as needs grow. The longer the visit, the lower the hourly cost.
Short visits
$100–$150per visit
1–3 hours · one hour is about $100
Part-day
$40–$45per hour
4–6 hours
Best value
Extended visits
$30–$35per hour
6–12 hours
Around-the-clock
$24–$30per hour
24/7 coverage
Live-in
$350–$450per day
With rest and sleep periods
Ranges are for information only. Your cost depends on the caregiver you choose and the schedule you need, and we'll review it with you before care begins.
See the full cost guide →Dementia Care Near You
We refer dementia-experienced caregivers throughout Lee, Collier, and Charlotte Counties. Communities with their own dementia care page are highlighted, and every other community has a local area guide.
Prefer We Call You?
Leave your number and the best time to reach you. We'll call during business hours, Monday through Friday, 8am to 4pm, to talk through dementia caregiver options. Need help sooner? Call 239-590-0861.
Alzheimer's & Dementia Care Questions, Answered
Yes. Florida requires specific Alzheimer's and dementia training for caregivers serving clients with these conditions, and every caregiver we refer for dementia care meets that requirement. You can also request caregivers with hands-on dementia experience, and we share each caregiver's background and credentials so you can choose who's right for your loved one.
Yes — supervision and redirection are among the most common reasons families seek dementia care. You direct your caregiver on your loved one's routines, triggers, and what works best for them.
This is one of the most common challenges with dementia. Many families start with a few hours of companionship — introduced as "a friend" or "help around the house" — so trust develops before care needs increase. Choosing a caregiver whose personality fits your loved one makes a real difference.
Yes. Families arrange hourly, overnight, live-in, and around-the-clock care depending on their needs. As dementia progresses, many start with a few hours a day and add coverage over time. We'll help you find caregivers whose availability matches.
Your cost depends on the caregiver you choose and the schedule you need. Call us for a free consultation and we'll give you a clear picture of typical rates for your situation.
You can request a different caregiver at any time — no hard feelings, no hassle. With dementia especially, the right personality match matters, and we'll keep working with you until you find it.
In a perfect world, arrangements come together within a few days — that gives us and caregiver candidates time to properly review your loved one's needs. But this isn't a perfect world. If you're facing a crisis — a fall, a hospital discharge, a family caregiver who's burned out — call us and we'll prioritize your search. In urgent situations, care can be arranged in as little as an hour.
Medicare generally does not pay for ongoing private caregivers. Long-term care insurance often does once the policy's benefit triggers are met, and Abby Services helps with the documentation insurers expect. Learn how long-term care insurance works with Abby Services. Veterans and surviving spouses may also qualify for VA benefits that help offset the cost.