At Premier Caregiver Services, we understand that navigating the search for in-home Alzheimer’s and dementia care can be scary, overwhelming, confusing and frustrating at times. Sticking to our mission to offer experience and compassion to all of our current patients, their families, and potential patient’s, we aim to provide as much information as possible to help answer questions that come up along the way. Below you’ll find an extensive list of frequently asked questions we have been asked over the years and helpful answers. If there are any other questions you have, we are available 24/7/365 to take your call. Contact us today to speak to a certified member of our team.
FAQs About Premier’s Caregiving Services
Will my Caregiver prepare and cook meals during their shifts?
Certainly! As part of our personalized care plan, we prioritize meal and food preferences. You have the freedom to provide as much or as little input as you desire. You can rest assured that you or your loved one’s dietary needs and preferences will be taken care of with utmost attention. Our dedicated caregivers are fully equipped to handle various tasks, including:
- Grocery shopping
- Meal planning
- Preparation
- Cooking
- Cleaning up
Do I have to be concerned about arranging caregiver schedules and their reliability?
No need to worry at all! We take full responsibility for managing caregivers schedules to ensure a seamless experience for you. Our highly experienced care managers handle a small caseload. This allows them to provide a personalized and attentive approach to managing team schedules. In case of unexpected absences or vacations, they will arrange training for backup caregivers to minimize any disruptions caused by unfamiliar faces. If a last-minute shift needs to be covered, we will contact you about the caregiver who will be filling in, along with all the necessary details regarding the situation.
When my spouse and I have a planned outing, such as dinner reservations, a movie, or a social event, will our caregiver accompany us or remain at home?
At Premier Caregiver Services, our primary goal is to enhance your quality of life and that of your loved one. If you require the presence of your caregiver during an outing, they will be more than happy to accompany you. However, we also respect your privacy. If you prefer to enjoy your outing privately, your caregiver can remain at your home to take care of household chores and fulfill their other responsibilities until you return.
Can our caregiver accompany my loved one for activities such as shopping, nail salon visits, exercise classes, and restaurants?
Engaging in outings and activities is a central aspect of our person-centered, activity-based care for individuals with Alzheimer’s and dementia. We strongly encourage our clients to remain active and involved in their community to the best of their abilities. As part of each client’s personalized care plan, we include a list of preferred outings and a schedule of leisure appointments. Our dedicated caregivers will be more than happy to accompany your loved one for these activities. We have clients who still enjoy museum visits, attending horse races, participating in galas, and even joining dance classes with their caregiver. We also have clients who embark on domestic and international vacations with their caregiver by their side to alleviate travel-related anxiety and manage ongoing care needs effectively.
Do I need to take care of ordering and collecting supplies, medications, and other essential items myself?
Not at all, unless you prefer to do so! We provide a dedicated caregiver who will handle tasks such as calling in medication refills and pickups, ordering essential supplies like undergarments and assistive devices, scheduling doctor’s appointments, and sharing follow-up notes for your review and information. Our aim is to make your life easier by providing comprehensive support and taking care of these responsibilities, allowing you to focus on other important matters.
How do I stay informed on my loved one’s plan of care?
We keep our clients in the loop with their loved one’s care with the Family Portal, which is online and always accessible 24/7 for a means of communication between caregivers and clients. Learn more about our Portal on the Our Approach page.
What is your cancellation policy?
We require a minimum of 72 hours (three full days) notice for cancellations or schedule changes. Last-minute cancellations make it difficult to reassign our caregivers to other clients. Because of this, appointments canceled with less than 72 hours’ (three full days) notice may be billed in full. This policy ensures reliable care for our clients and stability for our caregivers.
Do you accept hospice patients?
Yes. We frequently work alongside hospice agencies to provide non-medical support for clients receiving end-of-life care. Our caregivers assist with personal care, companionship, and respite for family members, helping ensure comfort and dignity during this time. We coordinate closely with hospice providers to align with the care plan and support the entire family
Are Premier Caregivers employees or independent contractors?
All Premier caregivers are W-2 employees, not independent contractors (1099s). That’s a crucial distinction for families comparing home care agencies. As employees, our caregivers receive proper onboarding, payroll tax coverage, liability protection, and continuing education. This structure allows us to maintain strict control over quality, reliability, and accountability, ensuring consistent, trustworthy care for every client.
How are caregivers screened, trained, and supervised?
Every caregiver undergoes state and federal background checks, employment verification, drug screening, and professional reference reviews. After hiring, each employee completes our proprietary Premier Alzheimer’s & Dementia Training Program, which includes modules on memory care, medication reminders, mobility assistance, and fall prevention.
Our full-time nurse oversees every case. Families also have access to the Family Room Portal, where they can view visit notes, caregiver tasks, and schedule updates in real time — a level of transparency uncommon in typical home care settings.
Does Premier provide specialized Alzheimer’s and dementia care?
Yes — this is our specialty. Premier Caregiver Services focuses on Alzheimer’s, dementia, and cognitive decline of care at home. Our caregivers receive mandatory dementia training, including communication techniques, ongoing training and activity engagement tailored to each stage of memory loss.
Families searching for Alzheimer’s care in Louisville or “dementia caregiver agencies near me” consistently choose Premier for our nurse-managed care plans and a long history of supporting families affected by cognitive decline.
What is caregiver turnover? Why does it matter to your loved one’s care?
Caregiver turnover describes how frequently caregivers leave their jobs or clients. In the home care industry, turnover can exceed 60% nationally each year, creating major challenges for families — inconsistent caregivers, frequent retraining, and gaps in care.
Premier Caregiver Services takes a proactive approach to reducing caregiver turnover in Louisville, KY, by offering stable, predictable schedules and treating caregivers as valued professionals, not temporary workers. All Premier caregivers are W-2 employees, receive mandatory dementia training, and are matched with clients for long-term consistency.
Our minimum of 20 hours per week helps caregivers build meaningful relationships with clients and maintain reliable income. This stability creates what we call a symbiotic schedule — a balance between caregiver and client that encourages loyalty, dependability, and personalized care.
For families, low caregiver turnover means continuity, trust, and peace of mind. You’ll see familiar faces, strong relationships, and caregivers who understand your loved one’s routines and preferences. It’s one of the biggest differences between Premier and other home care agencies in Kentucky.
Can Premier provide 24-hour or overnight care?
Yes. Premier offers hourly, overnight, and 24/7 care for clients who require around-the-clock assistance. Many Louisville families use this service after hospital discharge, during hospice support, or respite when the primary family caregiver needs to rest. Having trained dementia caregivers available day and night provides reassurance that your loved one is always safe and cared for.
How are caregivers supervised and supported?
Premier provides routine quality checks, in-home supervisory visits, electronic monitoring, and regular caregiver coaching. Our nurse and scheduling team stay in close contact with caregivers to ensure client satisfaction and safety. Families receive updates through the Family Room Portal and have a dedicated Care Manager as their single point of contact for questions or changes.
What happens if a caregiver can’t make a shift?
Our 24/7 local scheduling department quickly arranges backup coverage to prevent service gaps. We do not outsource to overseas call centers. We maintain a team of fully trained substitute caregivers who can step in if a primary caregiver becomes unavailable. Families are notified before each shift change, ensuring reliability and continuity of care — a key reason Premier is known for dependable senior home care in Louisville.
What does “quality care” mean to Premier Caregiver Services?
To us, quality care means treating every client like family. It means consistent caregivers, personalized care plans, proactive communication, and clinical oversight from our nurse. Quality care focuses not only on physical needs but also on emotional wellbeing — encouraging independence, preserving dignity, and creating joyful daily moments. When families search for “best home care agencies in Louisville” or “trusted dementia caregivers near me,” our name appears because we’re known for this combination of compassion and profession.
How are caregivers matched to clients?
Matching is both an art and a science. We consider each client’s personality, lifestyle, preferences, and care needs to ensure compatibility. Our goal is to create a comfortable, uplifting relationship. If the family ever feels like a caregiver isn’t the right fit, we adjust promptly. This personalized matching process is one reason Premier maintains one of the highest client satisfaction ratings among home care agencies in Louisville, KY.
What makes Premier Caregiver Services different from other agencies?
Premier is locally owned — not a franchise — and 100% focused on Alzheimer’s and dementia care. We combine nursing oversight, concierge-level customer service, and continuous caregiver training with technology that keeps families connected. Our clients benefit from a Family Room Portal, consistent care teams, and a minimum 20-hour weekly model that promotes caregiver stability. We’re proud to be Louisville’s choice for private-pay dementia care and luxury in-home caregiving.
How can families get started?
Getting started is simple. Call Premier Caregiver Services at 502.718.8727 or schedule a complimentary assessment. We’ll help you identify your loved one’s needs, design a custom plan, and match a qualified caregiver who aligns with your family’s goals. Our process is fast, confidential, and built to make transitioning to home care stress-free.
Can your caregivers help with Occupational Therapy, Physical Therapy, or Speech Therapy for my loved one?
Absolutely. In fact, supporting your loved one’s therapy goals is an important part of our care plans and something we take great pride in.
At Premier Caregiver Services, our caregivers are trained to reinforce therapy exercises and routines prescribed by licensed therapists. Whether your loved one is working on strength, balance, fine motor skills, or speech and memory exercises, our caregivers can help ensure those techniques are safe and consistently practiced between therapy visits.
We encourage our caregivers to attend therapy sessions—when appropriate—so they can observe proper techniques and carry them over accurately at home. This collaborative approach helps improve outcomes and maintain progress.
Each therapy-related task is clearly documented and monitored in the care plan within our Family Room Portal, allowing family members and our nurse-led team to track follow-through and progress.
Our caregivers don’t replace licensed therapists—but they serve as essential partners in implementing those therapeutic goals, providing encouragement, safety support, and consistency every day. It’s one more way Premier delivers a higher standard of in-home care for seniors across Louisville.
How are your professional caregivers vetted?
All caregivers at Premier Caregiver Services go through a multi-step vetting and hiring process to ensure the highest quality of care. This includes a national background check, professional reference verification, Criminal, Sex Offender, Adult Caregiver Misconduct, KY Board of Nursing, Office of Inspector General Exclusions, skills assessment, dementia-specific competency testing, and in-person interviews. Ongoing training is mandatory, and all caregivers complete continuing education on Alzheimer’s and dementia care, fall prevention, and medication safety. We carefully match caregivers with clients based on personality, experience, and care needs to ensure comfort and consistency.
Can I get an annual summary of my expenses for tax purposes?
Yes. Premier Caregiver Services provides an annual statement of services and payments upon request. This summary can be used for tax deductions, long-term care insurance reimbursement, or dependent care reporting. Many families find this helpful for record-keeping or when filing medical deductions related to caregiving costs. Simply contact our billing department or care coordinator at the beginning of each year, and we will provide a detailed breakdown of your prior year home care services.
Is there someone available 24/7?
Yes — we have on-call local staff available 24 hours a day, seven days a week, including weekends and holidays. Whether you have a question about your loved one’s schedule, need to make a change in care, or have an emergency after hours, our care coordination team is always just a phone call away. Our 24/7 availability ensures that clients receiving Alzheimer’s, dementia, or respite care never go without support, no matter the time of day.
How will I know who my caregiver is before they show up?
Before any caregiver arrives for their first shift, a Care Manager from Premier Caregiver Services will personally contact you to review the details. During that call, you’ll learn about your caregiver’s background and personality, and the Care Manager will walk you through the care plan together with the new caregiver in a first-shift introduction.
To help you feel even more comfortable, a photo of your caregiver — along with their assigned tasks and schedule — will appear in your Family Room Portal, where family members can securely view and stay updated anytime.
Our goal is to make every introduction personal, professional, and reassuring. You’ll never be left wondering who’s coming to your home — we believe peace of mind starts with clear communication and trusted relationships.
What if I don’t like the caregiver?
We understand that the caregiver-client relationship is personal and important. If for any reason a family member feels the assigned caregiver isn’t the right fit, Premier Caregiver Services will promptly arrange a replacement. Our goal is for every client to feel comfortable, respected, and supported. We take all feedback seriously and will work closely with families to find the perfect match based on personality, communication style, and care preferences.
What do I need to do if I want to increase hours, reduce hours, or pause service?
Certainly—all of these are doable. We ask for at least 72 hours’ notice so we can adjust your caregiver’s schedule smoothly. In urgent or short-term situations, we can often accommodate changes faster.
How to request a change (anytime):
- Call: 956-445-9953
- Tell our scheduler whether you’d like to increase, reduce, or pause care and when you’d like that change to start.
- We’ll confirm availability, update your care plan, and communicate the change to your caregiver(s) and family contacts.
Notes:
- Increases that would create caregiver overtime are optional—we can either proceed at the elevated rate or assign an additional caregiver to avoid overtime.
- For holiday dates (elevated rate days), we’ll confirm your plans two weeks in advance.
We’ll make it easy—just call 956-445-9953 as soon as you know what you need, and we’ll handle the rest.
What happens during the assessment for care for my loved one?
It usually takes about one hour (sometimes a little more). We come prepared with a structured assessment—including several state-required questions—so we can understand your loved one’s needs and create the right plan from day one.
Who Comes and Why
We send two team members (e.g., a Care Manager plus a nurse or care coordinator). Two sets of eyes help us:
- Capture a complete picture of abilities, routines, and safety needs
- Ask clarifying questions families might not think to ask
- Match caregiver skills and personality to your loved one and family dynamics
What We Cover (Step-by-Step)
- Warm Intro & Goals: What “good” looks like for your family (safety, routines, social needs, dementia support, transportation, etc.).
- Health & Daily Living Review (state-required topics included): Mobility/falls history, bathing/dressing, meals/nutrition, toileting, sleep, wandering risks, medications/reminders, cognition/memory, communication preferences, pain, and comfort.
- Environment & Safety Scan: Home layout, stairs/lighting, bathroom setup, transfer points, simple fall-prevention tips.
- Care Preferences: Personality match, music/activities, pet comfort, cultural or faith considerations, preferred caregiver traits, do’s/don’ts.
- Scheduling Needs: Start date, days/times, backup coverage, and whether you want to avoid overtime or keep a single caregiver for continuity.
- Care Plan Draft: We outline tasks and goals (e.g., dementia-friendly routines, therapy carryover exercises, transportation, appointments).
- Family Communication: We explain our Family Room Portal where you’ll see caregiver photo, assigned tasks, visit notes, and schedule updates in real time.
Documents We Review With You
- Service Agreement (not a contract) — outlines services and policies, no long-term lock-in
- Authorization to Transport — for errands, appointments, community outings
- Payment arrangements — weekly Monday billing via ACH or credit card; we accept LTC insurance and help with claims
What To Have Handy (If Available)
- Current medication list and providers’ contact info
- LTC insurance details (policy number/benefits)
- Any POA/guardianship documents relevant to care decisions
- Recent therapy or discharge instructions (if applicable)
After The Assessment
- We finalize your custom care plan and begin caregiver matching (skills + personality fit).
- You’ll receive your portal invite, start schedule confirmation, and your caregiver’s photo and assigned tasks before the first shift.
- On the first shift, a Care Manager does a brief intro with the caregiver and reviews the plan together to ensure a smooth start.
Our goal is a thorough, low-stress visit that leads to the right caregiver match and a clear, safe plan your whole family feels good about.
What is your Proven Process?
Our Proven Process is Premier Caregiver Services’ structured approach to caring for individuals with dementia. It ensures that every stage of care — from assessment to daily support — is guided by compassion, expertise, and continuous improvement
How does Premier Caregiver Services support individuals with dementia?
We recognize that dementia is a journey, and that care needs to evolve over time. Our team is there every step of the way — monitoring changes, adjusting care plans, providing ongoing training, and maintaining clear communication with families.
What are the main phases of the Proven Process?
Our Proven Process includes six interconnected phases that guide our care approach:
- Understanding – We begin with an in-depth look at the person with dementia, including their capabilities, family dynamics, and support structure. This helps us understand who they are and how to enhance their quality of life.
- Collaborating – We work closely with the family to develop an individualized care plan. In-person assessments provide a 360° view of the person’s background, history, nutrition, medications, and medical conditions.
- Training – All Professional Caregivers and staff receive initial and yearly dementia care training. Each caregiver is trained in their client’s specific care plan before they meet them, ensuring a strong, informed connection.
- Caring – Our “Premier Care” approach focuses on meaningful, individualized care, not just task-oriented assistance. We create activities that engage our clients in six key areas: social, emotional, physical, nutritional, intellectual, and spiritual.
- Monitoring – Behind the scenes, our Care Coordinators use industry-leading software to monitor caregiver activities and detect potential issues early, ensuring consistent, proactive care.
- Adjusting – As the client’s needs evolve, we revise care plans with the family, coach caregivers, and provide ongoing support to make sure every day is a good day for those we serve.
How does Premier Caregiver Services differ from traditional agencies?
Unlike agencies that focus on task-oriented care, Premier Caregiver Services delivers relationship-based, holistic care designed to enrich the client’s life across multiple dimensions — emotional, physical, and spiritual — while also supporting the family.
How is caregiver training handled?
All caregivers undergo comprehensive dementia-specific training both at the start of employment and annually thereafter. They are also trained individually for each client’s unique care plan before beginning service, helping them connect meaningfully and avoid potential triggers.
How does Premier ensure ongoing quality and safety?
Care is continuously monitored by our internal team using advanced tracking software. Care Coordinators review all caregiver activities and shifts, ensuring consistency, compliance, and early issue of resolution.
How are families involved in the process?
Families are active partners in care. We collaborate with them to create and regularly update the care plan, keeping them informed and involved in decisions about their loved one’s wellbeing.
How can I contact Premier Caregiver Services?
For assistance or inquiries:
- Service Inquiries: 502-718-8727
- Scheduling & Client Questions: 502-445-9953
What happens if there is inclement weather?
Premier’s staff takes a proactive approach to events that impact on our services. We attempt to minimize disruptions by collaborating with you to determine what obstacles will need to be overcome, well before the emergency arises. If you need 24/7 care we will work to make sure someone is able to get to you, regardless of the circumstances.
What if my caregiver can’t come?
This is a valid concern and one that we prepare for. If your caregiver is unable to come to you, our staff will find an appropriate replacement so that you can meet your needs. On weekends, we maintain an on-call caregiver, someone who is especially skilled in all aspects of care and able to meet the needs of any client who can fill in on short notice.
How will I recognize the person as someone from Premier?
If you are seeing a caregiver for the first time, someone from the office staff will be there at the start of their first shift to introduce them and get everyone acquainted. If you have 24/7 care, the outgoing caregiver will know to expect who is coming in as relief, will make introductions and set the new caregiver up for success.
If I’m not able to use your services, can you refer me to other trusted senior industry resources?
Yes. Premier Caregiver Services is happy to connect families with trusted professionals throughout the senior-care community. With more than a decade of experience in the senior industry, our team of women has built strong partnerships with local businesses and organizations that specialize in helping families navigate every stage of the aging journey.
We collaborate with senior living communities, geriatric care managers, elder law attorneys, real estate and downsizing experts, and healthcare professionals to make transitions seamless and stress-free. Our goal is to ensure that even if in-home care isn’t the right fit today, you still have the right resources to move forward confidently and smoothly.
FAQs About Available Memory Care
What does "elopement" mean in dementia care?
Elopement occurs when a person living with Alzheimer’s or another form of dementia wanders or attempts to leave a safe environment without supervision, often because they are confused, anxious, or trying to “go home.” This behavior can place them at serious risk of injury or becoming lost.
At Premier Caregiver Services, our professional caregivers are trained to recognize early signs of restlessness and exit-seeking behavior. We use proven strategies — such as maintaining structured routines, providing reassurance, and creating safe, engaging spaces — to reduce the risk of elopement while preserving each client’s sense of independence and dignity.
What is sundowning?
Sundowning is a term used to describe a common behavior pattern seen in people with Alzheimer’s disease or other types of dementia. It refers to increased confusion, agitation, anxiety, restlessness, or irritability that typically begins in the late afternoon or evening and may continue into the night.
Why does sundowning happen?
The exact cause isn’t fully understood, but it’s believed to be related to:
- Changes in the body’s internal clock (circadian rhythm) — make it harder to distinguish between day and night.
- Fatigue or overstimulation after a full day.
- Low lighting and shadows, which can cause misinterpretation of surroundings.
- Unmet needs, such as hunger, pain, or the need to use the bathroom.
What are signs of sundowning?
- Pacing or wandering
- Increased confusion or disorientation
- Restlessness or agitation
- Paranoia, fear, or mood swings
- Yelling, calling out, or aggression
What are helpful strategies to prevent sundowning?
- Keep routines consistent to reduce stress and confusion.
- Provide good lighting as evening approaches to minimize shadows.
- Limit caffeine, sugar, and naps later in the day.
- Offer comfort and reassurance, using a calm voice and gentle approach.
- Play soothing music or use quiet activities in the evening to wind down.
What does “refusal of care” mean in dementia caregiving?
Refusal of care occurs when a person with dementia resists or rejects assistance with activities such as bathing, dressing, eating, or medication. This behavior is common and usually stems from changes in the brain that affect self-awareness, reasoning, or emotional regulation.
What is Anosognosia, and how does it relate to refusal of care?
Anosognosia is a lack of awareness caused by brain changes that prevent individuals from recognizing their own condition. It affects roughly 80% of people with dementia. Unlike denial, anosognosia is not a conscious rejection of reality—it’s a neurological inability to perceive one’s deficits. This can make care acceptance especially challenging.
Why might my loved one resist help even when it’s needed?
Resistance often stems from confusion, fear, or a perceived threat to independence. The person may not understand why care is being offered or may not recognize that they need help. Common underlying causes include anosognosia, embarrassment, or discomfort with unfamiliar caregivers.
What is the CARES Dementia Practice approach?
Premier Caregiver Services follows The Alzheimer’s Association’s Dementia Care Practice Recommendations, known as the CARES approach, which stands for:
- C – Connect with the Person: Build trust by sharing meaningful conversations or memories.
- A – Assess Behavior: View behavior as communication; look for unmet needs.
- R – Respond Appropriately: Adjust your tone and approach based on the person’s reactions.
- E – Evaluate What Works: Reinforce positive interactions and adjust when something doesn’t work.
- S – Share with Others: Communicate strategies and successes with family and the care team.
This approach centers on person-focused, activity-based care that fosters joy, meaning, and engagement at any stage of dementia.
What is “compassionate deception,” and when is it appropriate?
Compassionate deception means prioritizing comfort and peace over strict honesty when reasoning is no longer effective. For example, insisting on factual explanations (“You need a caregiver because you have dementia”) can cause anxiety or agitation.
Instead, caregivers use gentle explanations that align with the person’s reality, such as “She’s here to help around the house” — promoting calmness and cooperation.
Note: Involving loved ones in financial or care decisions they cannot comprehend often causes confusion and distress. Simplifying or omitting such details can sometimes be kinder and more effective.
How can I help my loved one accept help from a caregiver?
Premier Caregiver Services uses a step-by-step strategy to promote comfort and trust:
- Begin with a comprehensive care plan developed by a Care Manager, based on detailed knowledge of the person’s background, likes/dislikes, and triggers.
- Introduce caregivers gradually, first through conversations, then through short, non-intrusive tasks.
- Use familiar activities such as walking the dog or light housekeeping to build rapport.
- Maintain consistency — the same caregivers visit regularly, avoiding frequent changes.
This gradual approach helps the caregiver feel like a friend or helper, not a stranger taking over.
How does Premier Caregiver Services prepare for success before care begins?
Before care starts, Care Managers:
- Meet both the client and family to gather personal details and understand needs.
- Educate families about dementia behaviors and effective communication.
- Match clients with caregivers based on personality, shared interests, and experience.
This ensures the best possible “fit” and smooth introduction.
What should families avoid when introducing care?
Avoid overwhelming your loved one with too much information or frequent caregiver changes.
Don’t focus discussions on dementia or decline; instead, frame care as help around the home or companionship.
Above all, avoid arguing or using logic to persuade—the goal is comfort and trust, not compliance.
What ongoing support does Premier Caregiver Services provide?
Premier Caregiver Services maintains ongoing contact with families, offers care plan updates, and provides mentorship for caregivers to ensure consistent quality and compassionate care for clients.
What is the goal of memory care at home?
The goal is to create a safe, familiar, and supportive environment that enhances the quality of life for individuals living with dementia or memory loss. At-home memory care focuses on maintaining independence, dignity, and comfort while ensuring safety and meaningful engagement every day.
How is memory care different from standard home care?
Memory care involves specialized approaches designed for individuals with cognitive impairment. Caregivers are trained to understand dementia behaviors, use compassionate communication, and adapt care routines to the client’s abilities and preferences. The emphasis is on connection and engagement, not just completing tasks.
Why is routine important in memory care?
Routine creates structure and security for those with memory loss. Predictable daily activities help reduce anxiety, confusion, and agitation. Caregivers use consistent schedules for meals, bathing, and rest, while balancing flexibility to adjust to the client’s needs on any given day.
What communication strategies work best for people with dementia?
Effective communication includes:
- Using short, simple sentences and calm tones.
- Maintaining eye contact and positive facial expressions.
- Avoiding arguments or corrections; instead, redirect gently or validate feelings.
- Asking one question or giving one instruction at a time.
- Listening patiently and allowing time for responses.
These strategies help reduce frustration and promote cooperation.
How can the home environment be made more dementia-friendly?
A supportive home environment should include:
- Clear pathways free of clutter or tripping hazards.
- Good lighting to reduce confusion and falls.
- Labels or signage for important rooms (bathroom, bedroom).
- Contrasting colors for furniture, floors, and dishes to improve visibility.
- Secured cabinets and doors for safety.
Creating familiar surroundings helps the client feel confident and oriented.
What role does activity play in memory care?
Engaging in meaningful, person-centered activities helps maintain cognitive function and emotional well-being. Examples include:
- Listening to music or singing familiar songs.
- Folding laundry, setting the table, or watering plants.
- Doing light exercise or simple stretching.
- Looking through photo albums or talking about past experiences.
These activities encourage independence and provide a sense of purpose.
How should caregivers respond to challenging behaviors?
Challenging behaviors like agitation, confusion, or refusal of care are forms of communication. The best response includes:
- Staying calm and patient.
- Identifying potential triggers (pain, hunger, fatigue, overstimulation).
- Redirecting attention to a calming or enjoyable activity.
- Offering reassurance and validation rather than correction.
Understanding the cause behind the behavior leads to better outcomes.
What should caregivers know about nutrition and hydration?
People with dementia may forget to eat or drink or may resist meals. To help:
- Offer small, frequent meals rather than large ones.
- Use finger foods for independence.
- Keep water or hydrating beverages within sight.
- Limit distractions during meals.
- Make dining pleasant and social when possible.
Proper nutrition supports energy, mood, and cognitive health.
How can families support memory care at home?
Families play a crucial role by:
- Collaborating with caregivers to share personal history, preferences, and triggers.
- Participating in care planning and regular updates.
- Providing emotional reassurance and companionship.
- Supporting a consistent environment and routine.
When families and caregivers work together, care becomes more effective and comforting.
What training do Premier Caregiver Services staff receive for memory care?
All Premier Caregiver Services caregivers complete specialized dementia and Alzheimer’s care training, covering communication, behavioral response, safety, and activity planning. Ongoing education ensures staff stay current with evidence-based best practices for compassionate, professional memory care.
What is the AlzBetter app, and how will it benefit care for my loved one?
The AlzBetter app is an educational and resource-based tool designed to support families and caregivers in providing the best possible care for individuals living with Alzheimer’s or dementia. Rather than serving as a monitoring system, it offers a library of practical guidance, evidence-based tips, and interactive tools that promote understanding and confidence in caregiving.
Through the app, families and caregivers can access easy-to-use resources such as:
- Personalized care strategies for different stages of dementia
- Communication tips to reduce frustration and enhance connection
- Behavior management techniques for sundowning, elopement, or anxiety
- Brain-health lifestyle recommendations and safety reminders
- Meaningful activity ideas to support engagement and well-being
- Abby AI
- Redirection Toolkit
The AlzBetter app complements our care approach at Premier Caregiver Services by empowering both families and caregivers with education, awareness, and proven strategies that make daily care more effective and compassionate.
FAQs About Certified Dementia Practitioner (CDP) Care
What is CDP Dementia Care?
CDP (Certified Dementia Practitioner) training focuses on enhancing caregivers’ understanding, communication, and compassion when supporting people living with dementia. It teaches person-centered care techniques that prioritize empathy, validation, and respect for individual experiences.
How does CDP training improve communication with dementia clients?
CDP communication emphasizes validation over correction — caregivers acknowledge emotions rather than trying to fix or contradict them. Effective techniques include:
- Speaking slowly, calmly, and clearly
- Offering simple, two-choice questions (e.g., “Would you like tea or water?”)
- Using eye contact and gentle touch to foster reassurance and connection
This approach helps reduce confusion, builds trust, and preserves dignity.
What does “validation instead of correction” mean?
Validation means acknowledging the person’s feelings or reality rather than challenging it. For example, if a client believes they need to “go to work,” a validating response would be, “You were always dedicated to your work. Tell me more about it,” instead of saying, “You don’t work anymore.” This approach reduces anxiety and fosters emotional safety.
How should caregivers manage behavioral changes in dementia?
Behaviors are often expressions of unmet needs. CDP training encourages caregivers to respond with understanding, not frustration.
Strategies include:
- Identifying triggers such as noise, fatigue, pain, or confusion
- Redirecting the person gently with purposeful conversation or activity
- Maintaining consistent daily routines
- Giving the person space if agitation increases
These responses help reduce distress and support emotional regulation.
What role does the environment play in dementia care?
A calm, familiar, and structured environment can significantly reduce confusion and anxiety.
Caregivers can enhance safety and comfort by:
- Using familiar objects and maintaining consistent routines
- Keeping areas well-lit and free from clutter
- Adding visual cues such as signs or labels
- Playing soothing music or using comforting scents and photos
These techniques create a supportive space that promotes orientation and peace.
How can caregivers practice compassion and patience effectively?
Caregivers are encouraged to focus on connection, not just tasks. This means engaging emotionally, using calm tones, and offering reassurance throughout care activities. Taking time to truly listen and show empathy builds a sense of trust and respect between caregiver and client.
Why is self-care important in dementia caregiving?
Caring for others can be emotionally demanding. CDP training reminds caregivers that self-care is essential to sustain patience and compassion. Taking breaks, recognizing stress, and supporting teammates helps prevent burnout and ensures the highest quality of care. Remember — your calm is contagious.
What’s the biggest takeaway from CDP principles?
Dementia care is most effective when rooted in empathy, validation, and respect. CDP training teaches caregivers to look beyond behaviors and connect with the person’s emotions and experiences — supporting both dignity and well-being every day.
Do you have Certified Dementia Practitioners on your staff and what does that mean?
Premier Caregiver Services proudly employs several Certified Dementia Practitioners (CDPs) in Louisville, Kentucky. This includes our full-time nurse and care coordination team members who oversee daily care delivery.
A Certified Dementia Practitioner is a credential earned through the National Council of Certified Dementia Practitioners (NCCDP) — the leading organization for dementia education in the U.S. CDPs complete rigorous coursework, continuing education, and testing on topics like dementia behaviors, Alzheimer’s communication, wandering prevention, and caregiver burnout.
Why this matters to families:
- CDPs provide hands-on training to our caregivers and reinforce best practices for dementia care.
- They ensure our care plans are clinically sound and tailored to each stage of cognitive decline.
- They help reduce caregiver turnover and stress by providing professional guidance and support.
Families who choose Premier Caregiver Services benefit from a higher level of dementia expertise, ensuring compassionate, informed, and consistent care for loved ones throughout every stage of Alzheimer’s or related dementia.
FAQs About Augmentative & Alternative Communication (AAC)
What is Augmentative and Alternative Communication (AAC)?
AAC refers to all the ways a person can communicate without relying solely on spoken words. It includes tools, techniques, and strategies that help people express themselves when verbal communication becomes difficult. This can range from gestures and facial expressions to specialized apps and speech-generating devices.
Why is AAC important for people with dementia?
As dementia progresses, many individuals struggle with finding words or understanding speech. AAC supports them by offering alternative ways to communicate, reducing frustration, maintaining emotional connection, and preserving dignity.
What are the main types of AAC strategies?
There are three main types:
- No-Tech (Natural) Communication: Gestures, facial expressions, touch, and body language.
- Low-Tech Tools: Picture boards, labeled objects, or cue cards.
- High-Tech Devices: Tablet-based apps or speech-generating devices.
Can you give examples of no-tech AAC communication?
Examples include using facial expressions, nodding or pointing, and simplifying language. For instance, instead of asking, ‘Would you like to go outside before lunch?’, a caregiver can simply say, ‘Outside?’ while pointing toward the door.
What are some low-tech AAC aids that work well for people with dementia?
Examples include:
- Picture or communication boards with common needs (food, drink, bathroom, rest)
- Labeling household areas with both words and pictures
- Memory cue cards showing routines or loved ones
- Yes/No cards or color-coded choice cards
FAQs About Premier Caregiver Services’ Service Area
What is your service area?
Premier is currently licensed to work in Kentucky, and we offer our services in Louisville. We are unfortunately not yet licensed in Indiana, sorry!
How long has Premier Caregiver Services been providing home care in Louisville?
Premier Caregiver Services has proudly served Louisville, Kentucky, and surrounding communities for more than a decade. We’re locally owned and not a franchise, which means every decision is made here in Louisville by people who understand our families, neighborhoods, and local healthcare system. We specialize in Alzheimer’s and dementia home care but not limited to offering families trusted, long-term support that combines compassionate caregivers with clinical oversight. Our longevity reflects our reputation for dependable, personalized, and in-home care for seniors.
Is Premier Caregiver Services licensed in Kentucky?
Yes. Premier Caregiver Services is a state-licensed Personal Services Agency in Kentucky. This designation ensures that we meet and exceed all state regulations for safety, training, caregiver supervision, and client protection. Families looking for licensed home care in Louisville can feel confident knowing that Premier is monitored and compliant with Kentucky’s quality standards for in-home care agencies to protect themselves and their loved ones.
A licensed Personal Services Agency (PSA) in Kentucky is a home care organization that has met the strict standards set by the Kentucky Cabinet for Health and Family Services (CHFS). To earn this license, agencies must prove that all caregivers are properly screened, trained, and supervised, and that the agency maintains worker compensation, liability insurance, and quality assurance programs.
Why it matters: Licensed agencies like Premier Caregiver Services follow the required protocols for safety, training, and documentation. They are inspected by the state, ensuring ongoing compliance. Families are protected under the agency’s insurance coverage and benefit from clinical oversight — including care plans managed by a registered nurse.
Non-licensed agencies or independent caregivers are not regulated or monitored. They are not required to carry insurance, perform background checks, or provide training. That means families take on legal responsibility if something goes wrong in the home.
When choosing home care in Kentucky, always ask whether the agency is state licensed as a Personal Services Agency. It’s the clearest sign that the organization is professional, accountable, and dedicated to client safety.
What areas of Kentucky do Premier serve?
Premier serves families throughout Louisville Metro and surrounding areas, including St. Matthews, Prospect, Indian Hills, Norton Commons, and Anchorage. We also provide referrals to trusted partners in southern Indiana and the greater Kentuckiana region. If you’re searching for home care near Louisville or Jefferson County, our team is happy to schedule a complimentary in-home consultation.
Does Premier Caregiver Services participate in the local Alzheimer Association Chapter?
Yes, and in addition, we have several Alzheimer’s Association Community Educators who are certified volunteers who provide free dementia education across Kentucky. They teach families, caregivers, and healthcare professionals how to understand diseases, support loved ones, and access local resources.
Our company is also deeply involved in the Alzheimer’s Association’s mission. We participate each year in the Walk to End Alzheimer’s at Lynn Family Stadium. In 2025, our Premier Caregiver Services team raised nearly $7,000 to support research, advocacy, and caregiver education in Kentucky.
Where are Premier Caregiver Services available?
Our caregivers provide personalized in-home dementia care throughout the Louisville metropolitan area and surrounding communities. We support clients wherever they call home — whether that’s a private residence, independent living apartment, assisted living community, memory care neighborhood, rehabilitation center, or hospital setting. Our dementia-trained care team collaborates closely with facility staff and family members to ensure seamless communication and consistent care.
If I’m not able to use your services, can you refer me to other trusted senior industry resources?
Yes. Premier Caregiver Services is happy to connect families with trusted professionals throughout the senior-care community. With more than a decade of experience in the senior industry, our team of women has built strong partnerships with local businesses and organizations that specialize in helping families navigate every stage of the aging journey.
We collaborate with senior living communities, geriatric care managers, elder law attorneys, real estate and downsizing experts, and healthcare professionals to make transitions seamless and stress-free. Our goal is to ensure that even if in-home care isn’t the right fit today, you still have the right resources to move forward confidently and smoothly.
FAQs About Our Caregiving Costs
What is included in the hourly rate?
Our hourly rate includes the following comprehensive services:
- One-on-one care provided by a highly trained caregiver
- Ongoing support and assistance from a designated caregiver
- Assistance from a care manager to handle all schedule-related needs, such as:
- Team changes
- Covering call-offs
- Matching the right caregiver to the client’s specific requirements
- Around-the-clock support that is available 24/7 for any issues that arise during or outside of regular business hours
- Assessments to evaluate the client’s needs and develop a personalized care plan
- Training of caregiver on the developed care plan
- Continuous coaching, training, and shadowing to ensure backup caregiver are well-prepared and proficient in providing care
What forms of payment does Premier Caregiver Services accept?
Premier Caregiver Services currently accepts private pay and long-term care insurance.
How does billing work? And what payment options do you accept?
We bill weekly, with invoices processed every Monday. Payments are typically made through ACH withdrawal, which is the most secure and convenient method for our families.
If you prefer, we also accept credit cards for weekly billing.
In addition, Premier Caregiver Services accepts most long-term care (LTC) insurance policies and can help you navigate the paperwork, verification, and reimbursement process. Our administrative team is experienced in working directly with insurance providers to simplify claims and ensure timely payment on your behalf.
Our goal is to make the financial side of care as smooth and stress-free as possible — so you can focus on your loved one, while we handle the details.
Is there a different bill rate for weekends or nights?
No — Premier Caregiver Services maintains consistent rates for both weekday and weekend care, as well as for day or night shifts. We believe families deserve reliable, high-quality care without unexpected rate changes.
The only exceptions are designated holidays, when elevated rates apply to reflect premium caregiver pay (for example, Christmas, Thanksgiving, and Independence Day).
If a client’s care schedule regularly includes nights or weekends, we ensure the same professional level of service, communication, and oversight that our families receive during weekday hours.
Our goal is to provide transparent, predictable pricing, so you always know what to expect — no surprises, just exceptional care whenever it’s needed.
What holidays are considered elevated-rate holidays?
Premier Caregiver Services observes the following elevated-rate holidays each year:
- New Year’s Day
- Memorial Day
- Independence Day (July 4th)
- Labor Day
- Thanksgiving Day
- Christmas Eve
- Christmas Day
- New Year’s Eve
On these holidays, all care shifts are billed at an elevated rate (time and a half) to reflect premium caregiver pay. This ensures our dedicated caregivers are fairly compensated for providing care on special days when most families are celebrating or off work.
Two weeks prior to each holiday, a Premier team member will personally call to confirm your care schedule. Families may choose to continue services at the elevated rate or pause of care for that day — whichever works best.
Rest assured, we’ve got your back. Whether your loved one needs continued support during the holidays or you prefer to adjust your schedule, our team will coordinate everything seamlessly.
What is overtime, and why would I have to pay for it in the state of Kentucky?
Because our caregivers are W-2 employees, not independent contractors, they are covered by state and federal labor laws. In Kentucky, employees who work more than 40 hours in one week must be paid time and a half (1.5 times their regular hourly rate).
When a client’s schedule causes a caregiver to exceed 40 hours, Premier Caregiver Services is legally required to pay that caregiver overtime — and we bill that overtime rate accordingly.
However, clients always have a choice. If you prefer not to incur overtime, our scheduling team can assign an additional caregiver to stay within regular-hour limits. This ensures compliance with Kentucky labor laws while giving families flexibility and control over their care costs.
Can I get an annual summary of my expenses for tax purposes?
Yes. Premier Caregiver Services provides an annual statement of services and payments upon request. This summary can be used for tax deductions, long-term care insurance reimbursement, or dependent care reporting. Many families find this helpful for record-keeping or when filing medical deductions related to caregiving costs. Simply contact our billing department or care coordinator at the beginning of each year, and we will provide a detailed breakdown of your prior year home care services.
FAQs About Insurance Opportunities
Does Premier carry liability and worker compensation insurance?
Absolutely. Premier Caregiver Services carries full liability insurance and worker compensation coverage for all employees. This protects both the family and the caregiver in the event of an accident, injury, or property damage. Many families searching for insured home care agencies near Louisville find that Premier’s commitment to compliance and transparency offers peace of mind that independent sitters or uninsured caregivers cannot provide.
Does Premier accept insurance or only private pay?
Premier Caregiver Services is a private-pay home care agency, but we accept and assist with most long-term care insurance policies. Our team helps families navigate claim paperwork and documentation, simplifying reimbursement.
Do you accept Long-Term Care Insurance?
Yes — Premier Caregiver Services accepts many Long-Term Care (LTC) insurance policies. Our administrative team assists families by coordinating with insurance providers to verify benefits, submit claims, and simplify reimbursement for approved hours of home care. Because every policy is different, we review coverage details and help clients understand what home care services are eligible, such as personal care, companion care, or dementia care. We also provide documentation needed for claim submissions and renewals, ensuring that your LTC benefits are maximized and can accept assignment of benefits.
What kind of insurance does your company carry?
Premier Caregiver Services is a fully insured, locally owned home care agency. We carry liability insurance, workers’ compensation, and bonding for every caregiver on staff. This means that clients and their families are protected in the rare event of an accident, injury, or property issue while care is being provided. Families can feel confident knowing all caregivers are employees of our company — not independent contractors — and are covered under our comprehensive insurance policies for peace of mind and professionalism.
Who can speak to the insurance long-term care company about a policy?
Only the person explicitly named on the policy may communicate directly with the insurance company. This protects the insured’s privacy and personal information.
Are there exceptions that allow others to speak on behalf of the insured regarding the LTC policy?
Yes, there are two primary exceptions:
- Power of Attorney (POA):
If the insured has granted someone legal authority to act on their behalf, that person must provide an official Power of Attorney document. The insurance company will require a copy of the POA as proof of authorization. - Third-Party Authorization:
In some situations, it may be useful to assign Third-Party Authorization to an entity (like Premier Caregiver Services) that helps manage the insured’s care or billing. This allows the authorized third party to communicate with the insurance company to resolve billing or care-related issues.
What are the key requirements for opening a Long-Term Care (LTC) insurance claim?
Each LTC policy has specific criteria that must be met before a claim can be approved, and expenses covered. Common requirements include:
- Elimination Period:
This is a waiting period during which the insured must pay for their own care before the insurance benefits begin. It discourages frivolous claims and is similar to a deductible period. - Required Number of ADLs (Activities of Daily Living):
ADLs include bathing, continence, dressing, eating, toileting, and transferring. The policy specifies the minimum number of ADLs with which the insured need assistance in order to qualify for benefits.
Note: Sometimes a doctor’s diagnosis of dementia or another serious condition may override the ADL requirement. - Maximum Lifetime Benefit:
This represents the total dollar amount (and sometimes time limit) that the policy will pay over the insured’s lifetime. Be sure to understand both the financial cap and time restrictions. - Maximum Daily Benefits:
This is the maximum daily payout allowed by the policy. Some policies separate daily benefits by type of care — for example, one rate for in-home care and another for assisted living.
Are there other kinds of care benefits I should know about?
Yes, policies may also include additional benefits such as:
- Benefit Increases: Periodic increases in the policy’s payout amount to keep up with inflation.
- Waiver of Premium: The insurance company may suspend premium payments while you are actively receiving covered care benefits.
What information should I have ready when I call the insurance company?
Before calling, gather the following:
- Insurance company phone number
- Policy number
- Insured’s full name
- Insured’s date of birth
- Insured’s full address (including ZIP code)
What should I expect after contacting the insurance company?
After your initial call, you can expect the following steps:
- The insurance company may send a claim packet or allow you access to a portal for entering information.
- At your request, the insurance company can send the following forms to Premier Caregiver Services so that we can speak to them on your behalf and receive payments directly from them for services:
- A HIPAA form (Third-Party Authorization)
- An Assignment of Benefits form
- After the elimination period is completed, and once the forms listed above have been accepted, Premier Caregiver Services will take over coordination of care and billing with the insurer.
Do you accept Long-Term Care Insurance?
Yes, we have a Long-Term Care specialist on staff who can help you navigate your claim as well as process your invoices through your insurance company and accept payments toward your account.
What kind of insurance does your company carry?
We carry liability insurance on the business as well as workers compensation insurance for our employees.
