24-Hour Home Care for Alabama & Florida Families.
We've Been Doing This for 20 Years.
Real caregivers, real shifts, real coverage. Non-medical around-the-clock home care across Baldwin and Escambia County, Alabama.
Direct line. Available around the clock. In-home assessment: $25 — waived when care begins within 48 hours.
24/7 | Antonio or Angelia picks up. No call center. No hold queue.
24-Hour Home Care for Alabama & Florida Families.
We've Been Doing This for 20 Years.
Real caregivers, real shifts, real coverage. Non-medical around-the-clock home care across Baldwin and Escambia County, Alabama.
Direct line. Available around the clock. In-home assessment: $25 — waived when care begins within 48 hours.
24/7 | Antonio or Angelia picks up. No call center. No hold queue.
Active Care coverage
Years 24-Hour Experience
Client Cap - Real Oversight
Gaps At Shift Handoff
When part-time Home Care stops being enough
Something changed. You felt it before you could name it.
Maybe it was a fall that happened while no one was there. Maybe your loved one with dementia started wandering at night and the family has been taking turns sleeping in a chair, waiting. Maybe the hospital discharge happened faster than expected and the doctor's instructions were clear: they cannot be alone. Not overnight. Not ever.
You have probably already looked at nursing facilities. You may have visited one. And something in you said no — not because you are not being realistic, but because you know the difference between somewhere safe and somewhere home.
That is what 24-hour home care exists for. Your loved one stays in their own space, surrounded by what is familiar, cared for by people who know them. Their routine holds. Their dignity holds. And you stop sleeping in that chair.
Who needs 24-Hour Home Care in gulf coast of Alabama & Florida
If any of these describe your loved one, this page is for you
Your loved one may need 24-Hour Care if they have:
- Dementia or Alzheimer's requiring overnight supervision
- Advanced mobility limitations and a high fall risk
- Recently been discharged from a hospital or rehabilitation facility
- A progressive condition that has outgrown daytime-only support
- A chronic illness requiring consistent daily structure
- End-of-life care needs and a wish to remain at home
We're not the right fit if your loved one needs:
- Skilled nursing care — wound care, injections, or catheter management
- Physical, occupational, or speech therapy (these require licensed clinicians)
- Full-time medical monitoring requiring clinical equipment
- Services outside Baldwin or Escambia County, AL, or Escambia County, FL
If you are unsure which category fits your situation, call us. We will tell you honestly which direction makes sense — and point you to the right resource if it is not us
How 24-hour home care works: real shifts, real coverage
Rotating shifts. A consistent team. A briefing at every handoff.
We specialize in 24-hour care. It's not something we have to think about. It's a problem we're able to solve very quickly.
Rotating shifts — not live-In
24-hour care at Serenity Heart is not a live-in arrangement. It is active care coverage across rotating shifts — typically 8 or 12 hours each — so there is always an alert, rested caregiver present. Not available if needed. There.
Structured handoffs — nothing falls through
At every shift change, the incoming caregiver is briefed on what happened during the previous shift. What your loved one ate. How they slept. Whether anything was different. Nothing falls through a gap at handoff because the handoff is structured, not casual.
Direct access — any hour
When you call at 2am because something changed, you reach Antonio or Angelia directly — not a message service, not an on-call coordinator you have never spoken to. The people who know your loved one's care plan are the same people you reach at any hour.
Most agencies offer this. We specialize in it.
That is not a small distinction. It is the entire difference at 3am.
When an agency "offers" 24-hour care, it means they can staff it if you need it. The infrastructure, the protocols, the communication systems — those get figured out when the situation arises. Which means you are the situation they are figuring it out on.
When Serenity Heart says we specialize in 24-hour care, it means those systems are already in place. The rotating shift structure, the handoff protocols, the direct line to leadership at any hour — none of that is improvised. It exists because this is what the agency is built to do.
24-hour specialisation
Most agencies can staff 24-hour care if pressed. Serenity Heart is built around it. The rotating shift structure, the handoff protocols, the direct line to leadership at any hour — none of that is improvised. It exists because this is what the agency does.
50-client cap
Serenity Heart holds a hard limit of 50 active clients. Beyond that number, real oversight becomes impossible. At the current size, Antonio and Angelia know every client by name, every situation, every caregiver assigned to every home. That oversight is built into how the agency is structured — not into how many hours Antonio personally works.
Direct leadership access
When something changes at 2am, you reach Antonio or Angelia directly. Not a message service. Not an on-call coordinator you have never spoken to. The people who know your loved one's care plan are the same people you reach at any hour. That is an operational commitment, not a personality trait.
These are not promises Antonio personally makes on every call. They are how Serenity Heart is structured — built in, not bolted on.
In-home assessment before any 24-hour caregiver Is assigned
The assessment is where 24-hour care either works or falls apart.
Before any caregiver is assigned, Tony or Angela comes to your loved one's home. We walk through the space. We talk with your loved one directly. We ask what they need, what they prefer, and what they have tried before that did not work.
For 24-hour care specifically, the assessment determines how we build the team. Which caregivers have the right experience for this person's specific conditions. Who has worked with clients at this level of need before. And — just as important — who is the right fit for this particular person's personality, communication style, and daily rhythm.
Serenity Heart does not dispatch based on availability. It matches based on what was learned in that home.
Assessment fee: $25 — Waived if care begins within 48 hours
What consistent 24-hour home care does over time
The clearest example of what the right match actually produces.
I have a client right now. He is in his eighties. He has both dementia and Alzheimer's — and by every clinical measure, he should be in a nursing facility. In this state, in this region, facilities have documented records of elder abuse and neglect. That is not a news story to me. It is a reality I have been close to for 20 years.
"He is home."
His health has declined over time — that is the nature of his conditions. But his days have structure. His caregivers know him. His family can reach someone who actually knows the full picture. His dignity is intact.
That is the difference between a caregiver who was assigned and a caregiver who was matched.
– From Antonio Ankum, Owner
24-hour home care Cost & Coverage in Alabama
We will be direct with you about numbers. That conversation starts on the first call.
24-hour home care is a real investment. What families often find, when they set it alongside the full cost of a nursing facility — including the distance, the lost autonomy, and the emotional weight of that decision — is that home care is closer to comparable than they expected.
Direct Pay
Serenity Heart currently accepts private pay.
Poarch Creek Elder Services
May be eligible for services through the Elder Services program. Call us to find out.
Medicaid / Medicare - In active pursuit
We are actively pursuing accreditation for Medicaid and Medicare - 2026 target.
Start 24-hour home care in gulf Coast of Alabama & Florida. One Call.
You do not need a care plan. You do not need to know which shift structure fits. You just need to tell us what is happening.
Antonio and Angelia have had this conversation hundreds of times.
Questions Specific to Around-the-Clock Care
The questions families ask before they call. Every answer is the same one you'd get if you picked up the phone right now.
How does 24-hour care actually work - is someone awake in the home all night?
Yes. Serenity Heart operates on rotating shifts — typically 8 or 12 hours — so there is always an alert, rested caregiver present. This is not a live-in arrangement where one person sleeps in the home and is available if needed. This is active care coverage, around the clock. When the shift changes, the incoming caregiver is briefed on anything that happened during the previous shift. Nothing falls through a gap at handoff.
Will my loved one see a different caregiver every shift?
Not if we can help it. Before care begins, Serenity Heart conducts an in-person assessment and builds a small, consistent team around your loved one — caregivers who know their routine, their preferences, and their needs. The goal is familiarity, not rotation. Your loved one should know the people coming through the door. Caregivers are matched before being assigned, which means the team is built around the person, not around availability.
What happens if a caregiver calls out sick in the middle of the night?
This is exactly what it means to specialize in 24-hour care rather than just offer it. Coverage protocols exist for this because it is not an edge case — it is something any agency operating at this level has to solve for. When you call at 2am because something has changed, you reach Antonio or Angelia directly. Not a message service. Not an on-call coordinator you have never spoken to. The people who know your case.
My loved one with dementia gets agitated with unfamiliar people. how do you handle that?
This is one of the reasons the in-person assessment exists. Before any caregiver enters the home, we walk through the home, spend time with your loved one, and build a picture of what they respond to and what they do not. Caregivers are matched for personality and communication style, not just task experience. For clients with dementia or Alzheimer's, consistency is part of the care plan — the team is kept as small and stable as possible because we know what unfamiliarity costs someone in that condition.
How does 24-hour home care compare in cost to a nursing facility?
The honest answer is it depends on the level of care needed and what coverage you carry. Private-pay 24-hour home care is a real investment. What families often find, however, is that when they compare the full cost of a nursing facility — including the hidden costs of distance, lost dignity, and the emotional weight of that decision — home care is closer to comparable than they expected. We will be direct with you about what care costs during your assessment, and we will tell you honestly if a different level of care is a better fit for your situation and budget.