Dementia Care in Greenwich, CT
Specialized in-home support for seniors with dementia, Alzheimer's, and memory loss.
No sales pressure. We'll tell you straight if we're not a fit.
You drove over from Old Greenwich on a Tuesday and found the stove left on, the back door unlocked, and your mom a little confused about what day it was. She seemed fine when you left last weekend. That’s how it goes with dementia, and it’s one of the hardest things to reckon with. We work with families in Greenwich every week who are at that exact turning point, trying to figure out what comes next without uprooting everything.
Keeping someone at home through memory loss takes more than a warm presence. It takes a caregiver who understands routine, redirection, and how to hold the day together even when things go sideways. Our aides are matched to each person, not just slotted in, and families tell us that difference shows from the very first visit.
Dementia care at home is structured around one idea: the familiar is calming, and disruption makes things harder. Our aides follow the routines your family has already built, morning coffee at the same time, the same chair, the same walk to the end of the block in Cos Cob or Riverside. They help with meals, medication reminders, personal hygiene, and light tasks around the house, and they watch for changes in behavior or physical condition that families sometimes miss because they’re too close to it.
Families in Greenwich often call us after a hospitalization. Greenwich Hospital does good work, but discharge can happen fast, and going home to an empty house or an overwhelmed spouse after a stay related to a fall or a confusion episode is a real risk. Our team can step in during that transition, providing structure and supervision so the person coming home isn’t left to navigate a disorienting day alone. For families in Byram, Glenville, or the Backcountry, we can also cover the longer drives and less convenient logistics that come with more spread-out neighborhoods.
Day-to-day dementia care also means handling things that don’t fit neatly into a task list: a parent who insists it’s 1987, a moment of fear that comes out of nowhere, an afternoon when nothing is working. Our aides are trained for those moments, not just the schedule. We also look out for wandering risks, changes in appetite, and signs that the care plan may need to be updated.
Because Private Duty Aides was founded by a working nurse, our dementia care carries clinical thinking into every non-medical visit. That means our briefings are thorough, our aides know what to document, and we know when it’s time to loop in a care manager or family physician rather than just carry on.
Nurse-founded, not just caregiver-staffed
Our agency was started by a working nurse who spent years watching families struggle with memory loss, safety at home, and the grief of watching a parent change. The agency was built around what those families actually needed, not what was easiest to provide.
Our approach to dementia care is specific
We brief every caregiver on the individual before the first visit. We match on temperament, not just schedule. And our aides have real experience with memory loss, not just a certification box checked. That shows up in how a day goes.
We answer when you call
When something changes with a parent who has dementia, you need to reach someone quickly. We don’t route you through an answering service into a void. When care is active, you have a real point of contact who knows your family’s situation.
We know Greenwich and Fairfield County
We work regularly with families across Greenwich’s neighborhoods and understand the discharge process at Greenwich Hospital. Local knowledge means less explaining, faster starts, and a team that understands the logistics of where you actually live.
How it works
You tell us what’s going on. We listen. No intake forms to fill out before you talk to a person, no pressure to commit. We want to understand your parent’s situation, your schedule, and what has you worried right now.
We don’t pull from a general pool based on who’s available. For dementia care, we think about personality fit, experience with memory loss, and how the caregiver handles the harder moments. The match matters more than the speed.
For most Greenwich families, care can begin within two days. If you’re dealing with a same-day discharge from Greenwich Hospital or a sudden change in situation, we move faster. We know urgency when we hear it.
Dementia doesn’t stay still, and neither do we. We check in with families regularly, adjust the care plan when something shifts, and stay reachable between those check-ins. You won’t feel like you’re on your own once care starts.
Why families choose us
Every aide is trained and supervised through an RN’s lens — not just placed and forgotten.
Personality fit matters more than skill on paper. We match for temperament, pace, and patience.
No franchise rotation. You work with the people who run this agency — direct, accessible, accountable.
Most families are matched with a caregiver within 24 to 48 hours. When something shifts at home, we move quickly.
We build a daily structure around your parent’s rhythm — meals, walks, evenings — and protect it.
You hear from us, not just the aide. Updates on appetite, sleep, mood, mobility — the things that matter.
Every caregiver clears a multi-step screening — background check, reference checks, and an in-person interview with our RN founder — before they're ever placed in a home.
Why families trust us
Private Duty Aides is nurse-founded. Every caregiver clears a multi-step screening — a background check, reference checks, and an in-person interview with our RN founder — before they are ever placed in a home. You get the same consistent caregiver, matched by a nurse, not whoever happens to be available.
Common questions
A typical day centers on routine: helping your parent wake up, get dressed, eat breakfast, and move through their morning the same way they always have. The caregiver handles medication reminders, meal preparation, light housekeeping, and any personal care that's needed. They also watch for behavioral changes or confusion that's out of the ordinary and communicate those observations to the family. Afternoons might include a walk, an activity, or just calm company, whatever keeps the person grounded and comfortable.
In most cases, we can have care in place within 48 hours of your first call. If the discharge is urgent and you're reaching out from Greenwich Hospital itself, tell us that right away and we'll do everything we can to have someone there the same day. Post-hospitalization is one of the riskiest periods for someone with dementia, so we take that timeline seriously. The sooner we have a caregiver in place, the smoother the transition home tends to be.
Our services are private pay, meaning Medicare and most health insurance plans don't cover what we provide. Long-term care insurance sometimes covers non-medical home care, so it's worth reviewing your policy if you have one. We're upfront about this from the start because we'd rather you know what to expect before you make any decisions. If coverage is a concern, we're happy to talk through what options might be available to your family.
A home health aide typically provides skilled or semi-skilled care ordered by a physician, often after a hospitalization, and is usually covered by Medicare for a limited time. Our dementia caregivers provide non-medical support: companionship, routine, personal care assistance, and safety supervision. The key difference is duration and focus. Home health visits tend to be short and clinical, while our dementia care is ongoing, relationship-based, and designed to keep your parent stable and at home over the long term.
Yes, and this is something we take seriously. Before we place anyone, we talk with the family about the person's history, temperament, daily preferences, and what's been working or not working with previous care. For dementia specifically, the relationship between caregiver and patient matters enormously. A poor match can make confusion and agitation worse, while a good one can genuinely stabilize someone's days. We get that right before care starts, not after.
We maintain backup coverage so that a caregiver calling out doesn't leave your family without help. If a substitution is needed, we brief the covering aide on your parent's routine, preferences, and current care plan before they arrive. We also notify you in advance whenever possible so you're not caught off guard. Consistency matters deeply in dementia care, and while we can't guarantee the exact same person every day, we work hard to minimize disruption and keep transitions smooth.
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Dementia Care near Greenwich
No sales pressure. We'll tell you straight if we're not a fit.
Private Duty Aides — Greenwich, CT
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