Private-Duty Nurses in Coral Gables: How to Find One in 2026

If your mom is coming home from Baptist Hospital after a stroke, or your dad needs wound care and IV antibiotics after surgery, you are probably searching for a private-duty nurse in Coral Gables -- someone with real clinical training who can manage medications, monitor vitals, and catch problems before they become emergencies. According to the Florida Agency for Health Care Administration, more than 12,000 Miami-Dade residents receive skilled nursing care at home each year, yet most families do not realize that private-duty nursing exists as an alternative to traditional Medicare home health. Golden Concierge Home Care is a private-pay nurse registry serving Coral Gables and all of Miami-Dade County, matching families with licensed RNs and LPNs who provide one-on-one, personalized skilled care at home.

Reviewed by Jake Lamarche, Operations Partner at Golden Concierge Home Care. Updated June 2026.

What does a private-duty nurse do in Coral Gables home care?

A private-duty nurse provides skilled medical care in your home, including wound care, medication management, IV therapy, post-surgical monitoring, and chronic disease management. In Coral Gables, licensed RNs and LPNs work one-on-one with patients who need clinical expertise beyond what a personal caregiver provides, often following hospital discharge or for complex conditions like heart failure, COPD, or diabetes.

Unlike Medicare-certified home health, which is episodic and tightly regulated, private-duty nursing is private-pay and offers flexibility. Your parent gets the same nurse every shift. You choose the schedule. There are no insurance authorization delays.

Here is what private-duty nurses do:

• Administer medications, including injections and IV therapy

• Monitor vital signs and report changes to physicians

• Provide wound care, dressing changes, and infection monitoring

• Manage feeding tubes, catheters, and ostomy care

• Coordinate with specialists and primary care providers

• Educate family members on care tasks and warning signs

• Offer post-surgical or post-hospitalization recovery support

They bring clinical skill. But they also bring continuity -- the same face, the same voice, someone your parent trusts.

How is private-duty nursing different from Medicare home health in Miami-Dade County?

Medicare home health is insurance-based, episodic, and regulated by strict visit limits and eligibility rules. Private-duty nursing is private-pay, continuous, and built around your family's needs.

Here are the key differences:

• Payment: Medicare home health is covered by insurance if you meet eligibility criteria. Private-duty nursing is out-of-pocket, giving you full control over scheduling and caregiver choice.

• Consistency: Medicare home health often rotates nurses and aides across multiple patients. Private-duty nursing assigns one nurse to your parent.

• Flexibility: Medicare home health requires a physician order, homebound status, and periodic recertification. Private-duty nursing starts when you need it, without authorization delays.

• Duration: Medicare home health is short-term and episode-based. Private-duty nursing continues as long as your parent needs it.

• Scope: Medicare home health emphasizes rehabilitation and recovery goals. Private-duty nursing supports chronic conditions, complex medical needs, and long-term management.

According to the U.S. Census Bureau, nearly 18 percent of Miami-Dade County residents are age 65 or older, and many face multiple chronic conditions that require ongoing skilled care, not just episodic visits.

Private-duty nursing fills that gap.

Who needs a private-duty nurse in Coral Gables?

Private-duty nurses are the right fit for families whose loved ones have complex medical needs, require one-on-one clinical attention, or need more support than Medicare home health provides.

Common situations include:

• Post-hospital discharge: Your parent is coming home from Baptist Health or Mount Sinai after surgery, a cardiac event, or stroke, and needs skilled monitoring during recovery.

• Chronic disease management: Heart failure, COPD, diabetes, Parkinson's, or ALS require daily clinical oversight, medication adjustments, and symptom monitoring.

• Wound care: Stage 3 or 4 pressure ulcers, surgical wounds, or diabetic ulcers need daily dressing changes and infection prevention.

• IV therapy: Antibiotics, hydration, or TPN administered at home under nursing supervision.

• Palliative or end-of-life care: Comfort-focused care with pain management, symptom relief, and family support.

• Tracheostomy, feeding tubes, or catheters: Medical devices that require trained nursing care.

If your parent's care plan includes clinical tasks that go beyond help with bathing, dressing, or meals, a private-duty nurse may be the safest and most practical option.

How much does a private-duty nurse cost in Coral Gables in 2026?

Private-duty nursing in Miami-Dade County typically costs between $45 and $75 per hour for an LPN and $65 to $95 per hour for an RN, depending on the complexity of care, shift length, and scheduling needs.

According to Genworth's 2025 Cost of Care Survey, the median cost of home health aide services in Miami is $28 per hour, but skilled nursing care commands a higher rate due to licensure, clinical training, and liability.

Here is a general breakdown:

• LPN (Licensed Practical Nurse): $45--$75 per hour

• RN (Registered Nurse): $65--$95 per hour

• 12-hour shift: Often discounted slightly compared to hourly rates

• Overnight or weekend shifts: May carry a premium depending on availability

Private-duty nursing is not covered by Medicare or most private insurance, but some long-term care insurance policies or veterans benefits may cover a portion of the cost. Consult an elder law attorney or financial planner to explore your options.

Because Golden Concierge operates as a nurse registry, not an agency, families often find our rates more transparent and our matching process more personalized than large corporate home health companies.

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Worried about finding the right nurse for your mom or dad near Miracle Mile? Call 305-239-7483 and speak with our intake team. We match families with licensed RNs and LPNs based on clinical needs, personality, and schedule -- and we can often begin care in 24 to 48 hours.

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What should I look for when choosing a private-duty nurse in Coral Gables?

Not all private-duty nurses are the same. Clinical skill matters, but so does personality, communication style, and reliability.

Here is what to evaluate:

• Licensure and credentials: Verify that the nurse holds an active Florida RN or LPN license. You can check the Florida Department of Health's MQA database online.

• Experience with your parent's condition: A nurse experienced in wound care may not be the best fit for a dementia patient. Ask about relevant experience.

• Communication style: Does the nurse explain things clearly? Will they keep you updated on changes in your parent's condition?

• Personality fit: Your parent will spend hours each day with this person. Do they feel comfortable? Does the nurse listen?

• Availability and reliability: Can the nurse commit to a consistent schedule? What happens if they are sick or need time off?

• References and background checks: Ask for references from other families and confirm that a Level 2 background screening has been completed.

Golden Concierge Home Care was founded by a husband-and-wife team of nurses who saw a gap in traditional home care -- one where physical needs were met but emotional, social, and lifestyle well-being were overlooked. We built our matching process around those principles.

We consider clinical expertise, personality, language preferences, schedule, and family dynamics before making a match. We personally vet every caregiver in our community.

How does Golden Concierge match families with private-duty nurses in Coral Gables?

Our intake process starts with a detailed conversation about your parent's medical condition, care needs, daily routine, personality, and what matters most to your family.

We ask questions like:

• What clinical tasks need to be performed daily?

• Has your parent recently been hospitalized? What was the diagnosis?

• Does your parent have a preferred language or cultural background for their caregiver?

• What is your parent's personality? Are they introverted, social, anxious, or independent?

• What schedule do you need -- daily, overnight, weekends, or as-needed?

• Are there any mobility or cognitive challenges we should know about?

Then we match your family with a licensed nurse from our caregiver community who fits those criteria. We introduce you, facilitate a meet-and-greet, and adjust the match if it is not the right fit.

We prioritize urgent situations and begin intake and caregiver matching immediately. In many cases, we can arrange for a nurse to begin care in as little as 24 to 48 hours.

Because we operate as a nurse registry, not a traditional agency, we do not employ caregivers. The caregivers we work with are independently practicing professionals, which allows us to offer flexible, personalized matching without the overhead and staffing constraints of large corporate agencies.

Can a private-duty nurse work alongside other caregivers or family members in Coral Gables?

Yes. Many families in Coral Gables combine private-duty nursing with companion care, respite care, or family caregiving to create a full support system.

For example:

• A private-duty RN visits three times per week to manage medications, monitor heart failure symptoms, and coordinate with your mom's cardiologist.

• A companion caregiver provides daily help with bathing, dressing, meals, and light housekeeping.

• You or a sibling handle errands, appointments, and emotional support.

The key is coordination. A good private-duty nurse communicates with the rest of the care team, documents changes, and ensures that everyone is working from the same care plan.

Golden Concierge can help you build that team. We match families with both skilled nurses and companion caregivers, and we coordinate schedules and care responsibilities so nothing falls through the cracks.

What questions should I ask before hiring a private-duty nurse in Miami-Dade County?

Before you commit to a private-duty nurse, ask these questions:

• Are you licensed as an RN or LPN in Florida? Can I verify your license?

• Do you have experience with [specific condition, such as wound care, CHF, or trach care]?

• What does your typical shift routine look like?

• How do you communicate with family members and physicians?

• What happens if you are unavailable due to illness or emergency?

• Can you provide references from other families you have worked with?

• Have you completed a Level 2 background screening?

• What are your rates, and what is included in that rate?

If you are working with a registry or agency, also ask:

• How do you match families with nurses?

• What happens if the match is not a good fit?

• Do you offer 24/7 support if something goes wrong?

• Are there any long-term contracts or cancellation fees?

At Golden Concierge, we never require long-term contracts. If the match is not right, we work with you to find a better fit.

What if my parent needs care urgently after a hospital discharge in Coral Gables?

Hospital discharge can feel sudden. One day your dad is in a bed at Baptist Health or Jackson, and the next day he is home with a list of medications, wound care instructions, and follow-up appointments -- and you are expected to figure it all out.

Private-duty nursing can bridge that gap.

Golden Concierge prioritizes urgent cases. When a family calls with a same-week or next-day need, we begin intake immediately, identify a qualified nurse from our caregiver community, and arrange a start date as quickly as possible.

In many cases, we can begin care in as little as 24 to 48 hours.

We work with hospital discharge planners, case managers, and social workers across Miami-Dade County to coordinate smooth transitions from hospital to home. If your parent is still in the hospital, call us now so we can have a nurse ready the day they are discharged.

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Key Takeaways

• Private-duty nurses provide skilled, one-on-one medical care at home, including wound care, IV therapy, medication management, and chronic disease monitoring.

• Private-duty nursing is private-pay and offers greater flexibility, consistency, and personalization than Medicare home health.

• In Coral Gables and Miami-Dade County, private-duty nursing typically costs $45--$75/hour for an LPN and $65--$95/hour for an RN.

• Golden Concierge Home Care matches families with licensed RNs and LPNs based on clinical needs, personality, language, and schedule.

• We prioritize urgent situations and can often begin care within 24 to 48 hours of initial contact.

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Frequently Asked Questions About Private-Duty Nurses in Coral Gables

What does a private-duty nurse do in Coral Gables home care?

A private-duty nurse provides skilled medical care in your home, including wound care, medication management, IV therapy, post-surgical monitoring, and chronic disease management. In Coral Gables, licensed RNs and LPNs work one-on-one with patients who need clinical expertise beyond what a personal caregiver provides, often following hospital discharge or for complex conditions like heart failure, COPD, or diabetes.

How much does a private-duty nurse cost in Coral Gables?

Private-duty nursing in Miami-Dade County typically costs between $45 and $75 per hour for an LPN and $65 to $95 per hour for an RN, depending on the complexity of care, shift length, and scheduling needs. Because private-duty nursing is private-pay, families have flexibility in scheduling and can choose the nurse who best fits their loved one's clinical and personal needs.

Is private-duty nursing covered by Medicare or insurance?

Private-duty nursing is not typically covered by Medicare or private insurance. It is a private-pay service that offers families greater control, consistency, and flexibility than Medicare-certified home health. Some long-term care insurance policies or veterans benefits may cover a portion of private-duty care -- check your policy or consult an elder law attorney.

How quickly can a private-duty nurse start in Coral Gables?

Golden Concierge Home Care prioritizes urgent situations and begins intake and caregiver matching immediately. In many cases, we can arrange for a licensed nurse to begin care in as little as 24 to 48 hours, depending on scheduling and the complexity of clinical needs.

Ready to Find the Right Nurse for Your Parent in Coral Gables?

If your mom or dad needs skilled nursing care at home -- whether after surgery, for chronic disease management, or because traditional home health is not enough -- you deserve a registry that matches you with a licensed professional who fits your family's clinical needs and personality.

Golden Concierge Home Care serves families across Coral Gables, from Miracle Mile to the neighborhoods near Fairchild Tropical Garden, and throughout Miami-Dade County. We were founded by a husband-and-wife team of nurses who built this registry around one principle: the right caregiver changes everything. We consider clinical expertise, personality, language preferences, and schedule before we make a match. No long-term contracts. No rotating strangers in your parent's home.

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Call 305-239-7483 or visit https://www.goldenconciergehomecare.com to get started today.

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