In-Home Skilled Nursing Care
Caring for a loved one after surgery, during a complex illness, or while managing several health conditions can feel overwhelming. Always Care Home Health makes that task lighter by sending licensed nurses directly to homes throughout Carmel, Zionsville, Westfield, Terre Haute, Anderson, Muncie, Fort Wayne, Indianapolis, Evansville, Shelbyville, and nearby communities. Our in‑home skilled nursing services allow seniors to heal, regain strength, and stay independent without repeated trips to a clinic or the stress of a facility move.
How Skilled Nursing Differs from Standard Home Care
Home care covers a wide range of support levels. Companion caregivers may prepare meals or drive to appointments. Personal care aides help with bathing, grooming, dressing, and other daily routines. Skilled nursing care goes several steps further.
- Delivered by registered nurses (RNs) or licensed practical nurses (LPNs) who follow physician orders
- Focused on medical tasks that require professional training and ongoing assessment
- Guided by a detailed care plan, updated as conditions change
- Documented in a clinical record that can be shared with doctors, specialists, and family members
This added clinical expertise lets families keep loved ones safe at home even when wounds, IV infusions, or chronic diseases demand close monitoring.
Flexible Scheduling—from Hourly Visits to 24‑Hour Nursing
Health needs never follow a clock, so we do. Families may book:
- Hourly Visits – Ideal for wound checks, catheter changes, or medication injections.
- Part‑Time Blocks – A few hours per day or several days per week to balance family availability.
- Overnight Awake Caregivers – Continuous monitoring while everyone else rests.
- 24‑Hour or 24/7 Care – Around‑the‑clock nurse supervision for ventilator support, complex pain management, or rapid change in condition.
Our on‑call coordinator can often dispatch a nurse within hours when a hospital discharge is sudden or complications arise.
Let’s Get Started
Clinical Services We Provide
Our nurses bring advanced tools, evidence‑based protocols, and a calm bedside manner straight to your door. Below are the core services available; each visit is customized to fit the prescription and the person.
- Wound Care
- Post‑surgical incision care
- Pressure injury prevention and treatment
- Negative‑pressure therapy and specialty dressings
- IV Infusions
- Antibiotics, hydration, and total parenteral nutrition (TPN)
- Ongoing assessment for infiltration, allergy response, and line patency
- Ostomy Care
- Pouch changes and skin protection
- Education on supplies and emptying techniques
- Medication Administration & Management
- Injections, titration, and medication reconciliation
- Pillbox setup to reduce missed doses
- Diabetes Care
- Blood‑glucose monitoring and pattern review
- Insulin instruction and carbohydrate counting guidance (American Diabetes Association standards)
- Patient Education
- Hands‑on teaching for family members
- Written instructions to reinforce safe practices between visits
Whether the need is short‑term recovery or an ongoing complex regimen, our in‑home skilled nursing adapts as conditions evolve.
Nurse‑Led Care Plans & Physician Coordination
Every client relationship starts with a free in‑home assessment by an RN. During that visit, the nurse:
- Reviews hospital notes, prescriptions, and therapy orders
- Completes a head‑to‑toe evaluation and safety review of the living space
- Drafts a personalized plan covering clinical goals, visit frequency, and any equipment needed
The plan is approved by the primary physician and shared with specialists as required. We chart all vitals, medication changes, and wound photographs in a secure electronic record. Weekly updates go to family members by email or phone, and urgent changes are reported immediately. This open communication means doctors can adjust treatment faster, helping to prevent ER trips.
Why Families Choose Always Care Home Health
- Locally Owned and Nurse‑Managed – Decisions are made in Indiana, not by a distant corporate office.
- Rapid Response – A licensed nurse can arrive the same day for pressing needs such as wound dehiscence or IV restart.
- Consistent Communication – Families receive regular status calls, and doctors appreciate complete chart notes they can access anytime.
- Five‑Star Feedback – Clients praise our gentleness and attention to detail across online reviews and satisfaction surveys.
Payment & Funding Options for Home Care
Private Pay — Ideal for maximum flexibility in scheduling and task selection.
Long‑Term Care Insurance — We submit electronic visit records and invoices to speed claim approval.
Indiana Medicaid Waiver (PathWays for Aging and Aged & Disabled) — We are an approved provider and guide families through the application process.
Veterans Benefits — Qualifying wartime Veterans and surviving spouses may receive Aid and Attendance funds to offset hourly care costs; our benefits specialist helps gather forms and physician statements.
Health Plans — We accept United Healthcare, Anthem, and Humana for eligible post‑acute and chronic‑care programs.
Workers’ Compensation — For older adults recovering from on‑the‑job injuries, we coordinate directly with adjusters to ensure timely authorizations and billing.
Our team explains each option during the assessment and provides contacts for elder‑law attorneys or financial planners when needed.
We will provide excellent care beyond basics, within the comfort of our clients residential environment with a focus on helping to maintain their independence, maximum contribution and retention of self-respect.
Getting Started with Always Care Home Health
- Schedule a Consultation Call. A care manager listens to your goals and answers initial questions about companion care.
- Book the In‑Home Assessment. We visit the residence, outline tasks, gather scheduling preferences, and identify compatible caregiver attributes.
- Begin Care. On the first day, the caregiver reviews the customized plan with the client and family, then eases into errands, meal preparation, or conversation as desired. We follow up during the first week to confirm satisfaction and tweak any details.
Ready to learn more? Call Always Care Home Health at (463) 999-5104 or complete our quick online form to arrange your free assessment.
Managed Care Prior Authorization
The managed care entities (MCEs) are responsible for processing all PA requests for services covered under the managed care delivery system, and for notifying Healthy Indiana Plan (HIP), Hoosier Care Connect, Hoosier Healthwise and Indiana Pathways for Aging (Pathways) members about PA decisions.
To determine whether a procedure code requires PA for members enrolled in a managed care program, and for information about specific PA criteria, processes and procedures, contact the MCE with which the member is enrolled.
Always Care Home Health provides In-Home Skilled Nursing Care in Carmel, Zionsville, Westfield, Terre Haute, Anderson, Muncie, Fort Wayne, Indianapolis, Evansville, Shelbyville, and surrounding areas.
Frequently Asked Questions About Skilled Nursing Care at Home
Visit frequency ranges from a single weekly check‑in to full 24‑hour coverage. The RN assessment determines how many hours promote safety and progress while respecting the family budget.
Medicare Part A or Part B may pay when a recent hospital or rehab stay qualifies you for intermittent skilled nursing and when a physician orders wound care overseen by an RN.
Yes. Our nurses bring portable infusion pumps, verify pharmacy‑delivered medication, start or use existing lines, and monitor the infusion for any adverse reaction.
All RNs and LPNs maintain state licenses and complete annual diabetes‑management modules following American Diabetes Association guidelines, including insulin adjustment and diet education.
We not only change pouches and protect delicate skin but also teach clients and family members how to order supplies, empty bags, and troubleshoot leaks.
No. Around‑the‑clock care uses two or three nurses working eight‑ or twelve‑hour shifts to ensure alert, hands‑on care without the fatigue that can arise in live‑in arrangements.
Many discharges are planned the same day we receive orders. Once paperwork arrives, our coordinator schedules the first visit—often that evening—to keep care seamless.
We provide care in rural areas; the caregiver will live within a 20-mile radius.
