How much does 24-hour home care cost in Sandy Springs?

Loyal Care · Published November 13, 2026

What does 24 hour home care cost in Sandy Springs, by the day and the week?

24-hour home care means your parent has a caregiver with them day and night, in their own home. It is the schedule where the numbers add up fastest, so it helps to see them laid out before you call anyone.

Loyal Care LLC publishes its rates on its home care pricing page. Visits of 10 to 24 hours cost $26 per hour, the lowest hourly rate it charges. Here is what that rate means for round-the-clock care:

• One weekday: 24 hours at $26 is $624.
• One weekend day: weekends cost $2 more per hour, so 24 hours at $28 is $672.
• One full week (5 weekdays and 2 weekend days, no holidays): $3,120 plus $1,344, which is $4,464.
• Four weeks in a row: about $17,856.

Holidays are charged at time and a half, which means 1.5 times the usual rate. At $39 per hour, a 24-hour holiday comes to $936. With Thanksgiving and the winter holidays close, ask which days count as holidays before you set the schedule.

These numbers do not include mileage, which is covered below.

Why live-in care is priced by the day

Loyal Care offers two ways to have someone with your parent at all times. With 24-hour care, your parent has a caregiver day and night, and it is billed by the hour. With live-in care, a caregiver stays in the home, and it costs $552 to $600 per day, depending on the level of care your parent needs.

For a week, that works out like this:

• Live-in care: about $3,864 to $4,200 for 7 days.
• 24-hour care: $4,464 for 7 days, as shown above.

Ask at the assessment how weekend and holiday charges apply to live-in care, so you compare like with like.

Why are the two priced differently? Part of the answer is federal wage law. The U.S. Department of Labor's Fact Sheet #79B explains the rules for live-in domestic service workers. It says:

• A live-in worker lives on the premises either permanently or for extended periods, such as 5 days a week (120 hours or more).
• Since January 1, 2015, third-party employers such as home care agencies may not claim the overtime exemption for these workers.
• The employer and worker may agree to leave out real meal breaks, sleep time and off-duty time from paid hours.
• If sleep is interrupted by a call to duty, that interruption counts as hours worked.

In plain words: live-in care works when your parent mostly sleeps through the night, so the caregiver can sleep too. If your parent is up several times a night, needs help to the bathroom, or wanders, the caregiver is working, not sleeping. That is when 24-hour care, billed by the hour, is usually the honest fit.

Loyal Care explains how each option is staffed at the free care assessment and which one suits your parent. You can read more about both on the respite, overnight and 24-hour care page.

The other charges that change the bill

The hourly rate is only part of the picture. Before you agree to any home care, ask for every charge in writing. At Loyal Care, these are the ones to plan for:

• Weekends: $2 more per hour than the usual rate.
• Holidays: time and a half.
• Mileage: $0.78 per mile when the caregiver drives your parent in the caregiver's own car. Rides in your parent's car have no mileage charge.
• Deposit: $500 before care starts.
• Billing: in advance, weekly, every 2 weeks or monthly. You choose.
• Contract: none.
• Stopping care: 2 weeks notice.

Billing in advance matters with 24-hour care. If you choose weekly billing, the first bill covers the coming week, so budget for about $4,464 plus the $500 deposit before the first shift.

Loyal Care takes Zelle (which it prefers), checks, all major credit cards and private long-term care insurance. It does not accept Medicaid, Medicare or VA benefits.

Who pays for round-the-clock care in Georgia?

Medicare does not. Medicare.gov says Medicare does not pay for long-term care, which it also calls custodial care. That includes personal care such as bathing, dressing and using the bathroom. Medigap plans do not pay for it either.

Long-term care insurance often does. If your parent bought a policy years ago, it may pay toward home care once they need help with daily tasks or have a severe memory problem. Our earlier post explains how long-term care insurance pays for home care in Georgia, including the waiting period. Loyal Care accepts private long-term care insurance; check what your parent's policy covers.

Georgia Medicaid has a home care program, but Loyal Care is not part of it. Georgia Medicaid's Elderly and Disabled Waiver Program includes CCSP and SOURCE. It serves frail older and disabled Georgians who would otherwise qualify for nursing home level care, and it covers things such as personal care, adult day care, home-delivered meals and respite. To apply, Georgia Medicaid points you to the Georgia Aging and Disability Resource Connection (ADRC). In metro Atlanta, the Atlanta Regional Commission's Empowerline is a free place to start.

Taxes may help a little. IRS Publication 502 says qualified long-term care services can count as medical expenses. The person must be chronically ill, which means a licensed health care practitioner has certified in the last 12 months that they cannot do at least two activities of daily living (eating, toileting, transferring, bathing, dressing and continence) without a lot of help for at least 90 days, or that they need close supervision because of severe cognitive impairment. The care must follow a plan of care prescribed by a licensed health care practitioner. Only medical costs above 7.5% of adjusted gross income can be deducted, and only if you itemize. The IRS also says household help does not count, even when a doctor recommends it. Ask a tax professional how this applies to your family.

Ways families in Sandy Springs keep the cost in check

Not every family needs 24 hours of paid care from day one. Some start smaller and add hours as needs change. A few ways to plan it:

1. Cover the nights first. If nights are the worry, a 10-hour overnight shift at $26 per hour is $260. Family can cover the daytime.
2. Use longer visits, not many short ones. Loyal Care's rate drops as the visit gets longer: $45 per hour for 2 hours, $35 for 3 to 4 hours, $29 for 5 to 7 hours and $26 for 10 hours or more. For visits of 8 or 9 hours, ask for the rate.
3. Plan weekends on purpose. If a family member can take Saturday or Sunday, the $2 weekend charge goes away for those hours.
4. Review the schedule as things change. Loyal Care writes a care plan for each client and changes it when needs change, so care can grow after a fall or a hospital stay and shrink again later.

If you are not sure how much help your parent needs, the 2-minute care quiz suggests a starting point, from a few hours of company a week to 24-hour care.

Loyal Care's office is on Glenlake Parkway, so home care in Sandy Springs is close to home. Caregivers also go to Atlanta, Dunwoody, Brookhaven, Roswell, Marietta, Johns Creek and the other places on the service areas page.

Loyal Care is non-medical home care. Its caregivers help with daily life and give medication reminders; they do not give nursing care. Ask your parent's doctor about any medical question.

Get a price for your parent's schedule

Call Loyal Care at (678) 834-8488 or send the form on the contact page. We will set up a free care assessment at your parent's home, give you the exact cost of the schedule you need, and care can start as soon as the next day.