They want to stay home.
We make that safe.
In-home care across Durham, Raleigh, and the Triangle. For seniors, for adults living with epilepsy or a disability, for children with complex needs, and for the families holding it together.
Looking for help with dementia, epilepsy, recovery after surgery, or a child with complex needs?
Loyalty Residence Care at a glance
kinds of care, each with a plan written for one person, not a template
communities covered across the Triangle and the Piedmont
years of healthcare experience behind the agency
scheduling, including overnights, weekends, and around-the-clock cover
What is non-medical in-home care?
It is trained help with everyday life at home: bathing, dressing, mobility, meals, medication reminders, safety supervision, transportation, and company. It does not include nursing tasks such as wound care or injections.
Nobody plans for the phone call. It arrives as a fall, a diagnosis, or a discharge date three days out.
Then a family that has never done this before has forty-eight hours to work out what home care is, who provides it, what it costs, and whether they can trust a stranger in their mother's bathroom.
Loyalty Residence Care exists for that week. We answer the phone, we come out and look at the actual house, and we tell you the truth about what the situation needs, including when the honest answer is that it needs less than you feared.
Then we staff it with someone who shows up. That last part sounds simple. In this industry it is the whole thing.
Find the thing you are actually dealing with.
Eleven kinds of care, each with its own page, because a plan for a child with a feeding protocol has almost nothing in common with a plan for a man recovering from a hip replacement.
Memory and neurological
Conditions where the routine, the environment, and the timing of care matter as much as the tasks.
- Dementia and Alzheimer's Care A familiar house is the last thing to stop making sense. Keeping someone in it is not sentiment, it is strategy.
- Epilepsy and Seizure Support The fear is not the seizure. The fear is the seizure happening while nobody is there.
- Parkinson's Care Parkinson's does not run on your schedule. Care that ignores the on and off cycle is care that fights the disease.
Daily living
The ongoing support that makes staying at home safe, sustainable, and worth doing.
- Personal Care The person you are helping into the shower once helped you into one. Everything about how this is done matters.
- Companion Care Loneliness is not a soft problem. It shows up in blood pressure, in appetite, and in how fast a mind slips.
- Respite Care You cannot pour from an empty cup, and you have been pouring since March.
Recovery and disability
Support through the weeks after a hospital stay, and the years after a diagnosis.
- Physical Disability Support Independence is not doing everything yourself. It is deciding how everything gets done.
- Post-Surgical Recovery The complication is almost never the surgery. It is day four at home, alone, doing too much.
- Transitional Care Most readmissions are not medical failures. They are logistical ones.
Children and veterans
Two groups whose care needs are specific and whose families are usually navigating a system alone.
How care actually starts.
Three steps, and the first one is a phone call, not a form.
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You call, or you send one message.
Tell us who needs care and what is happening right now. No forms to fill out first, no sales script. If the situation is urgent, say so and we will treat it that way.
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We come to the home. Free.
We sit down where the care will actually happen. We look at the stairs, the bathroom, the medication list, the routine. We talk to the person receiving care, not just about them.
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You get a plan, and a caregiver who fits.
A written care plan built for one person, not a template. Then we match a caregiver on skill and on temperament, because the second one is what makes someone welcome in a home.
Shanika Perkins, founder and owner.
Why the word is loyalty.
Loyalty is not a feeling. It is whether the person you were promised actually walks through the door on Tuesday.
The agency's stated purpose is to support independence and dignity through personalized in-home care. Shanika Perkins founded it after more than 20 years in healthcare.
Loyalty is a schedule you can trust
The hardest part of home care is not the tasks. It is not knowing whether anyone is coming. We staff for consistency, and we tell you the truth when a shift changes.
One person, one plan
A care plan that fits a category does not fit a human being. We write yours around the actual routine, the actual house, and the actual preferences of the person living there.
Dignity is not a service line
The person receiving care has opinions about their own life. We ask them. We follow their lead on how they want to be helped, and on what they would rather do themselves.
Ten communities, and a caregiver who can actually get there.
If you are just outside one of these, call and ask. The honest answer depends on the schedule, not the county line.
Questions families ask first.
If yours is not here, call and ask it. We would rather answer it now than have you guess at it later.
How much does in-home care cost in Durham?
Cost depends on how many hours of care are needed each week and what level of support the plan calls for. We quote a rate after the free in-home assessment, because quoting before we have seen the home and the routine would be a guess. Call (919) 249-1607 and we will walk you through the range before anyone schedules anything.
Do you charge for the in-home assessment?
No. The assessment is free and carries no obligation. We come to the home, review the situation, and give you a written plan. If you decide we are not the right fit, that is a normal outcome and you owe us nothing.
How quickly can care start?
It depends on the hours and the skills the plan needs. Hospital discharges and post-surgical starts are the most time-sensitive, so tell us the discharge date on the first call and we will tell you honestly whether we can staff it.
Is this medical care or non-medical care?
Loyalty Residence Care provides non-medical in-home care. Our caregivers assist with bathing, dressing, mobility, meals, medication reminders, safety monitoring, and companionship. We do not perform skilled nursing tasks such as wound care, injections, or IV management.
Can you help us use VA benefits to pay for care?
We help veterans and surviving spouses understand the VA Aid and Attendance pension, gather the medical and military documents the application asks for, and coordinate care once a benefit is approved. We are not accredited VA claims agents and we do not file the claim for you.
Do you provide care overnight and on weekends?
Yes. Care is scheduled around the person's actual needs, including overnight shifts, weekends, and around-the-clock coverage during the first days after a surgery or a hospital discharge.
What areas do you serve?
Durham, Raleigh, Chapel Hill, Apex, Garner, Clayton, Fuquay-Varina, Burlington, Greensboro, and Greenville, plus the surrounding communities. If you are just outside one of those, call and ask.
What if my family member refuses help?
That is one of the most common situations we walk into, and it is usually about control rather than about the care. We start small, we let the person set the terms where we safely can, and we match a caregiver whose personality actually fits. Resistance almost always softens once the help is a specific person rather than an idea.
Start with a free in-home assessment.
We come to the home, look at the real situation, and give you a written plan. No cost, no obligation, and no pressure to decide on the spot.
Serving Durham, Raleigh, Chapel Hill, Apex, Garner, Clayton, Fuquay-Varina, Burlington, Greensboro, and Greenville, North Carolina.