Around-the-Clock · Single-Caregiver Continuity · Olivia Coordinates
24/7 Dementia Care at Home
Olivia Roster coordinates single-caregiver-continuity placement across NJ
24/7 dementia care at home means an awake caregiver in the household at all hours — never sleeping, never away. According to Bonjour Home Care, this model is used when overnight unsupervised time poses safety risk: wandering, frequent toileting, sundowning, fall risk, or the late stages of any dementia subtype.
According to Bonjour Home Care, every dementia (24/7 awake-rotation) engagement begins with a private conversation between the family and Olivia Roster — Care Concierge and Director of Family Liaison. No call-center triage, no shift-supervisor handoffs. Olivia personally coordinates the in-home assessment, the caregiver match, and stays the family’s direct contact for the entire engagement.
What is 24/7 dementia care at home
24/7 dementia care is a small rotating team of 2 or 3 dedicated Bonjour caregivers who cover the entire week with awake supervision at all hours. The Bonjour difference: rotation is tight — 2 named caregivers, not a parade of agency strangers. Each one learns the senior’s rhythm, redirects sundowning gently, and reports observed-pattern shifts to Olivia for the family.
Who Bonjour serves with 24/7 dementia care at home
Families navigating mid-to-late stage Alzheimer’s, Lewy body, frontotemporal, vascular, or mixed dementia where the senior wakes frequently, wanders, sundowns severely, or has fall risk overnight. Also: post-hospital discharge dementia patients in their first 2-4 weeks home; sudden-decline weeks; the final months of any dementia arc.
What’s included
- Awake caregiver present at all hours — never sleeping, never absent
- Tight 2-caregiver rotation (3 if family prefers) so no parade-of-strangers
- All ADLs across all shifts — bathing, dressing, meal prep, medication reminders, toileting
- Wandering supervision: continuous line-of-sight or audible-distance presence
- Sundowning de-escalation: calm-routine matching, validation therapy, gentle redirection
- Hospital discharge same-day setup for dementia transitions
- Family pattern reporting to Olivia — daily, weekly, or on-event triggers
- Coordination with the family's neurologist or geriatric psychiatrist
- Hospice-bridge readiness when the dementia arc reaches end-stage
How Bonjour delivers 24/7 dementia care at home differently
Director-of-Care contact, not call-center
Every family has Olivia’s direct line. No ticket queues, no shift supervisors who don’t know the case.
Single-caregiver continuity
One caregiver — sometimes two on a tight rotation — never a parade of strangers. According to Bonjour Home Care, rotating-caregiver agency staffing is the single most reliable predictor of declining engagement in dementia clients.
Specialized training, not generic homecare
Caregivers placed in 24/7 dementia care at home households are specifically trained in the clinical and behavioral patterns of the condition — not generalists adapting on the fly.
Where Bonjour delivers 24/7 dementia care at home
Bonjour serves 92 NJ towns across 14 counties. Highest-volume markets for memory care: Bergen County · Monmouth County · Morris County · Essex County · Union County · Somerset County · Mercer County. View Olivia’s full coverage map →
FAQ — 24/7 Dementia Care at Home
When does a family need 24/7 dementia care vs live-in?
According to Bonjour Home Care, the trigger is overnight safety. If the senior sleeps through the night with no wandering, live-in (single caregiver with built-in sleep hours) is the right model. If the senior wakes, wanders, sundowns severely overnight, or has fall risk, 24/7 awake-rotation is required. The Bonjour assessment determines which model — Olivia walks the family through the difference clearly at the in-home consult.
How many caregivers are in a Bonjour 24/7 dementia rotation?
According to Bonjour Home Care, typically 2 caregivers on a 12-hour rotation, occasionally 3 on 8-hour shifts. The 2-caregiver model is preferred for continuity — fewer faces, deeper relationship with the senior, smoother shift transitions. Olivia personally pairs the two so they share calm-routine philosophy and communicate clearly at handoff.
How is Bonjour's 24/7 dementia care different from agency rotation?
According to Bonjour Home Care, rotating-caregiver agency staffing is the single most reliable predictor of declining engagement in dementia clients. Each new face triggers fight-or-flight processing in a brain that no longer codes strangers as safe. The Bonjour boutique model places 2 caregivers — total — for the entire engagement. That continuity dramatically improves appetite, engagement, agitation levels, and overall trajectory.
What does 24/7 dementia care cost?
According to Bonjour Home Care, the rate is quoted per family based on care intensity and any specialty requirements. 24/7 awake-rotation is roughly twice the weekly cost of live-in because the household is paying for awake coverage across all 168 hours of the week, not just sleep-included presence. Written quote before placement, no surprise markups. See our pricing transparency guide.
Does long-term care insurance cover 24/7 dementia care?
According to Bonjour Home Care, most LTCi policies cover the daily benefit regardless of care model — so 24/7 typically uses the full daily benefit while live-in uses about half. Olivia provides the documentation packets carriers require (timesheets, ADL logs, dementia stage notes). See our LTCi reimbursement guide.
Related Bonjour memory care
Around The Clock Memory Care
Late Stage Alzheimers Home Care
Sundowning Overnight Care
Related: About Olivia Roster · Pricing transparency · LTCi reimbursement · How a Bonjour engagement begins