Private In-Home Nursing Care for Families Who Want an Alternative to Skilled Nursing Facilities

There are more options than the ones handed to you.

The discharge process moves fast, and skilled nursing facilities are almost always the path of least resistance. But the right level of care depends on far more than what’s easiest to arrange before checkout. Nobody gave you a choice. So, we’re giving you one.Some people do need a facility setting, at least temporarily. Others can look at alternatives that allow them to go home with the right clinical support in place. What that looks like is different for every family, and figuring it out together is exactly what we’re here for.

WHAT THE RESEARCH SHOWS

Skilled nursing facilities have their time &
place, but here’s what you should know
before going all in:

Readmission Rates

CMS data consistently shows patients in a skilled nursing facility are readmitted to the hospital at higher rates than those who receive skilled care at home.

Infection Risk

Institutional care settings carry measurable risk of healthcare-associated infections, including MRSA and C. diff.

Cognitive Decline

Research consistently links institutionalization to accelerated cognitive decline and higher rates of depression in older adults.

Quality Varies Widely

CMS star ratings provide one lens into the quality of care you'll receive but even highly rated facilities operate with staffing ratios that limit one-on-one nursing time.

Comparing Your Options for Alternatives
to Skilled Nursing Facilities

	Private duty nursing	Standard home health	Assisted living	Skilled nursing facility
In-home care	✓	✓	✕	✕
Level of medical oversight	Licensed nurse, experienced clinical care	Licensed nurse, limited to insurance-based tasks	Custodial care with limited clinical services	24/7 skilled nursing care, medically supervised
One-on-one attention	✓	✓ Limited	✕	✕
Scheduling flexibility	✓	✕ Insurance-led	✕ Facility-led	✕ Facility-led
Care flexibility	✓	✕	✕	✕
Family involvement	✓	✓ Moderate	✕ Variable	✕ Variable
Continuity of care	✓	✕	✕	✕

In-home care✓

Medical oversightLicensed nurse, experienced clinical care

One-on-one attention✓

Scheduling flexibility✓

Care flexibility✓

Family involvement✓

Continuity of care✓

In-home care✓

Medical oversightLicensed nurse, limited to insurance-based tasks

One-on-one attention✓ Limited

Scheduling flexibility✕ Insurance-led

Care flexibility✕

Family involvement✓ Moderate

Continuity of care✕

In-home care✕

Medical oversightCustodial care with limited clinical services

One-on-one attention✕

Scheduling flexibility✕ Facility-led

Care flexibility✕

Family involvement✕ Variable

Continuity of care✕

In-home care✕

Medical oversight24/7 skilled nursing care, medically supervised

One-on-one attention✕

Scheduling flexibility✕ Facility-led

Care flexibility✕

Family involvement✕ Variable

Continuity of care✕

Get the care you & your family deserve with private in-home nursing.

VISITATION OPTIONS

We’re available for private in home caregiving 24 hrs a day, 7 days a week

We offer flexible visit schedules so clients receive support at a pace that feels right for their everyday life. Each visit is a minimum of one hour, with the option to schedule multi-hour appointments when more extensive care is needed.

Weekly Visits

A consistent, once-a-week touchpoint to stay connected, review how things are going, and ensure the client’s health needs remain on track.

Weekly Visits

Daily Visits

A once-a-day visit creates a predictable routine and ongoing support throughout the week.

Daily Visits

Twice Daily Visits

Morning and evening visits that provide regular touchpoints across the day, offering steady continuity and reassurance.

Twice Daily Visits

Overnight

A continuous, through-the-night presence for clients who need consistent monitoring, timely support, or assistance during overnight hours.

Overnight

Travel

Flexible nursing support that accompanies the client wherever they need to go.

Travel

PROVIDING SPECIALIZED IN-HOME NURSING CARE

Activities of Daily Living

Medication & Treatment Management

Assisting with bathing, dressing, and hygiene (with clinical assessment woven in)
Supporting safe mobility and fall prevention
Monitoring nutritional intake and hydration levels
Evaluating home safety risks and recommending modifications

Organizing and administering medications
Reconciling medications after hospital discharge
Teaching clients and families how to take medications safely
Titrating oxygen therapy and monitoring oxygen saturation levels

Clinical Monitoring & Assessment

Advanced Medical Tasks

Assessing vital signs, respiratory status, and neurological changes
Detecting early warning signs of infection or decline
Tracking blood pressure, blood sugar, and weight trends
Evaluating edema, skin integrity, and wound progression

Complex wound care, debridement, and dressing changes
Ostomy and catheter care
PEG tube care and tube feeding management
Managing IV antibiotics, hydration, or other infusion therapies
Managing durable medical equipment (oxygen, walkers, hospital beds, etc.)

Care Coordination & Advocacy

Cognitive, Emotional, & Relational Support

Communicating directly with physicians and specialists
Advocating during appointments (in-person or virtual)
Clarifying medical instructions and translating clinical jargon
Helping families understand diagnoses, prognoses, and options
Supporting transitions between hospital, rehab, and home

Providing companionship rooted in emotional intelligence
Supporting clients through new diagnoses or major health changes
Helping families navigate difficult conversations and decisions
Offering respite support so caregivers can rest
Being a consistent, trusted presence in the home

FREEDOM FROM INSURANCE LIMITATIONS

Private-Pay Model With Transparent Costs

Most families come to us after feeling overwhelmed by confusing coverage rules or realizing that insurance-based home health just isn’t enough support for what their loved one truly needs.
‍
So we keep things simple and transparent: Navi is a private-pay model with straightforward hourly rates, no hidden fees, and care plans shaped around your actual needs,we’re free from the limitations insurance demands.
‍
‍You decide how often you want a nurse in the home, and we help you build a plan that fits your goals, your budget, and the level of support that feels right for your family.

How to Book with Us

Connect With Our Team

Reach out by phone, email, or our online form. A member of our care coordination team will answer your questions and gather essential details about you or your loved one's condition and goals.

Co-Create Your Care Plan

Together, we'll design a personalized plan that outlines the level of support needed, ranging from one-time visits to full 24-hour assistance. Your input is taken into consideration every step of the way.

Match With a Navi Nurse

Our hand-picked private duty nurses and caregivers have the expertise and skills to support optimal health outcomes. We'll thoughtfully pair you with the people who can care for you and your family best.

Receive Expert Care at Home

Your nurse or caretaker arrives fully briefed on your care plan and begins providing premium care at home. Behind the scenes, our team remains in close communication to ensure adjustments are made as your needs evolve.

Being at Home Can Change the Recovery Experience

There’s something comforting about recovering in a familiar environment… like sleeping in your own bed, seeing familiar faces, maintaining routines that still feel like your life instead of adapting to the pace of a facility and their rotating staff…For many people, being home brings a sense of independence and dignity that can make health challenges feel more manageable. But that doesn’t mean being home is always the easiest option without proper support. With private duty nursing, we can make the transition home more manageable for your complex medical needs by bringing experienced clinical care to you — helping you feel safer and recovery feel less overwhelming overall.

IN-HOME NURSING VERSUS SKILLED NURSING FACILITY?

More Patients Are Good Candidates Than the Discharge Process Suggests

In-Home Nursing Is Often the Right Fit for:

Post-surgical recovery with wound care, medication management, or mobility support

Chronic condition management requiring monitoring

Complex discharge instructions that need ongoing nurse-led oversight

Patients whose main barrier to going home is family confidence, not medical acuity

Strong family presence at home

A Facility May Still Be the Right Call for:

24-hour skilled nursing needs that a visiting nurse model cannot safely support

Home environment safety concerns that can't be quickly addressed

Significant cognitive impairment without adequate supervision between visits

ON THE BLOG

How to Pay for Home Care After a Hospital Stay

Navi is a private-pay service and does not bill Medicare or traditional health insurance directly. That said, there are more ways to cover the cost than most families realize, including long-term care insurance, HSA and FSA funds, and veterans’ benefits.

WE’RE HERE WHEN YOU’RE READY

You Deserve to Know All Your Options Before You Decide

We work closely with individuals, families, and healthcare providers to help determine what level of support makes the most sense for each unique circumstance. If you’re exploring alternatives to a skilled nursing facility, we’re here to help guide you toward the best options for you and your family.