Private Duty Nursing in Aventura: 24/7 RN & LPN Care at Home

Private duty nursing in Aventura provides families with licensed RN and LPN care in the home for extended hours or 24/7 shifts, managing complex medical needs that Medicare home health does not cover. According to the Florida Agency for Health Care Administration, Medicare-certified home health delivers intermittent skilled nursing -- typically one to two visits per week lasting 30 to 60 minutes each -- while private duty nursing allows a licensed nurse to remain in your parent's home for full shifts, providing continuous medical oversight for wound care, IV therapy, ventilator management, post-surgical recovery, and chronic disease monitoring. In Aventura and across Miami-Dade County, Golden Concierge Home Care operates as a private-pay nurse registry, matching families with licensed nurses who bring both clinical expertise and compassionate, personalized care to the home.

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

What is the difference between private duty nursing and regular home health care in Florida?

Private duty nursing provides licensed RN or LPN care on a private-pay basis for extended hours or 24/7 shifts, while Medicare home health delivers intermittent skilled visits under physician orders. Private duty nurses stay in your home for full shifts and manage complex medical needs like wound care, IV therapy, ventilators, and post-surgical recovery without the visit-time restrictions of insurance-based care.

Medicare home health is ideal for patients who need periodic skilled nursing or therapy after a qualifying hospital stay. A nurse visits your home once or twice a week to check vitals, review medications, change a wound dressing, or assess progress. Each visit lasts 30 to 60 minutes, and the service is time-limited -- usually 60 days or less.

Private duty nursing, by contrast, is designed for families who need a nurse present for hours at a time, overnight, or around the clock. The nurse stays in your parent's home for an 8-hour, 12-hour, or 24-hour shift. This level of care is essential for patients who are ventilator-dependent, receiving IV medications at home, managing complex wounds, recovering from major surgery, or living with advanced dementia that requires continuous medical supervision.

Because private duty nursing is private-pay, there are no Medicare coverage restrictions. You choose the schedule, the level of care, and the length of service. You are not limited to a 60-day certification period or a maximum number of visits per week.

Who needs private duty nursing at home in Aventura?

Families typically turn to private duty nursing when their parent's medical needs exceed what family caregivers can safely manage and what intermittent home health can provide. According to the U.S. Census Bureau American Community Survey, Miami-Dade County has more than 485,000 residents age 60 and older, and a growing share live at home with chronic illnesses, post-acute recovery needs, or technology-dependent care requirements.

Common situations that require private duty nursing include:

• Post-surgical recovery: Patients discharged from Aventura Hospital or Baptist Health South Florida after cardiac surgery, joint replacement, abdominal surgery, or neurological procedures often need daily wound monitoring, drain management, medication administration, and mobility assistance from a licensed nurse.

• Ventilator or BiPAP dependence: Patients who rely on mechanical ventilation or non-invasive positive pressure devices require a nurse trained in respiratory care, suctioning, tracheostomy management, and emergency response.

• IV therapy at home: Patients receiving intravenous antibiotics, hydration, chemotherapy, or total parenteral nutrition (TPN) need a licensed nurse to manage the IV line, monitor for complications, and coordinate with the prescribing physician.

• Complex wound care: Stage III or IV pressure ulcers, surgical wounds, diabetic ulcers, and infected wounds require skilled assessment, sterile dressing changes, and infection control -- tasks that must be performed by a licensed nurse.

• Chronic disease monitoring: Patients with congestive heart failure, COPD, diabetes, or advanced kidney disease benefit from daily nursing assessment, vital sign monitoring, medication management, and early intervention when symptoms change.

• Advanced dementia or Alzheimer's disease: Patients with late-stage dementia who exhibit wandering, aggression, difficulty swallowing, or frequent falls often require 24-hour nursing supervision to ensure safety and medical stability.

Private duty nurses bring clinical judgment, hands-on medical skills, and the ability to recognize and respond to changes in condition before they escalate into emergency situations.

How much does private duty nursing actually cost in Aventura in 2026?

According to the Genworth Cost of Care Survey, private duty nursing in Florida ranges from $35 to $55 per hour for licensed practical nurses (LPNs) and $50 to $85 per hour for registered nurses (RNs). Costs vary based on the complexity of care, the nurse's credentials and specialization, shift length, and whether the service is hourly, live-in, or 24-hour care.

Here is a general cost breakdown for private duty nursing in Miami-Dade County:

• LPN hourly rate: $35--$55 per hour

• RN hourly rate: $50--$85 per hour

• 12-hour nursing shift (LPN): $420--$660 per shift

• 12-hour nursing shift (RN): $600--$1,020 per shift

• 24-hour live-in nursing care: $450--$700 per day

Families who require round-the-clock care often find that 24-hour live-in nursing is more cost-effective than paying hourly rates for three separate 8-hour shifts. Live-in nurses sleep overnight but remain available to respond if the patient needs assistance or medical intervention.

Golden Concierge Home Care provides transparent pricing during the intake consultation. We discuss your parent's medical needs, preferred schedule, and budget, and we match you with a licensed nurse whose rate and availability align with your family's situation. There are no long-term contracts, and you can adjust the care schedule as your parent's needs change.

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Worried about bringing a stranger into your parent's home after a hospital discharge? Call 305-239-7483 to speak with our intake team. We will walk you through the caregiver matching process and help you find a licensed nurse who is the right clinical and personal fit for your family.

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What medical tasks can a private duty nurse perform at home in Miami-Dade County?

Licensed private duty nurses are trained and credentialed to perform a wide range of skilled medical tasks that family caregivers and non-medical aides cannot legally or safely provide. In Florida, both RNs and LPNs are licensed by the Florida Board of Nursing and must complete continuing education to maintain their credentials.

Private duty nurses can:

• Manage wound care and dressing changes: Assess wounds for signs of infection, perform sterile dressing changes, apply prescribed topical treatments, and document healing progress for the physician.

• Administer IV medications and fluids: Start, maintain, and discontinue peripheral IV lines; administer IV antibiotics, hydration, chemotherapy, or pain medications; monitor for infiltration, phlebitis, or allergic reactions.

• Monitor and maintain ventilators or BiPAP machines: Ensure proper settings and function, perform suctioning, assess respiratory status, and respond to alarms or changes in breathing.

• Perform tracheostomy care and suctioning: Clean the tracheostomy site, change the inner cannula, suction secretions, and monitor for signs of infection or airway obstruction.

• Oversee feeding tubes and TPN: Administer tube feedings, flush feeding tubes, monitor for aspiration or tube displacement, and manage total parenteral nutrition (TPN) infusions.

• Monitor vital signs and cardiac conditions: Check blood pressure, heart rate, oxygen saturation, and blood glucose; assess for signs of congestive heart failure, arrhythmias, or respiratory distress.

• Manage complex medication schedules: Administer oral, injectable, and inhaled medications; monitor for side effects and drug interactions; coordinate with the prescribing physician when changes are needed.

• Provide post-surgical recovery support: Monitor surgical sites, manage drains and catheters, assist with mobility and physical therapy exercises, and educate the family on signs of complications.

• Coordinate with physicians and specialists: Communicate changes in condition, request medication adjustments, schedule follow-up appointments, and serve as the clinical liaison between the family and the medical team.

Private duty nurses document all care delivered, maintain detailed clinical records, and provide continuity across shifts if multiple nurses are involved in your parent's care plan.

How does Golden Concierge match families in Aventura with the right private duty nurse?

Golden Concierge Home Care is a private-pay nurse registry 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 Golden Concierge around the idea that clinical expertise matters, but so does personality fit, communication style, and cultural alignment.

Our matching process begins with a detailed intake consultation. We ask about your parent's medical diagnoses, medications, medical devices, and clinical tasks that need to be performed. We also ask about your parent's personality, language preferences, daily routine, and what kind of presence they are comfortable with in the home.

We consider care needs, personality fit, schedule, language preferences, location, and the type of support required. For families in Aventura, near Aventura Hospital and Biscayne Boulevard, we match you with licensed nurses who live and work in Miami-Dade County and understand the local healthcare system.

Many of our families are Cuban-American, and we prioritize Spanish-speaking nurses when language preference is important. We also consider whether your parent prefers a nurse who is conversational and engaged or one who works quietly and independently.

In many cases, we can begin care in as little as 24 to 48 hours. We prioritize urgent situations and begin intake and caregiver matching immediately when families are transitioning from the hospital or managing a sudden decline in health.

Does Medicare or insurance cover private duty nursing in Florida?

Medicare does not cover private duty nursing. According to the Centers for Medicare & Medicaid Services, Medicare Part A and Part B cover intermittent home health services -- skilled nursing or therapy visits that are part-time and medically necessary -- but they do not cover extended-hour or 24-hour private duty nursing in the home.

Medicare Advantage plans follow the same coverage rules as Original Medicare. Some plans offer supplemental home care benefits, but these are typically limited to non-medical companion care or short-term assistance, not licensed nursing.

Long-term care insurance policies may cover private duty nursing if the policy includes home care benefits and the policyholder meets the eligibility criteria (usually requiring assistance with two or more activities of daily living or cognitive impairment). Families should review their policy documents and contact their insurance carrier to confirm coverage and file a claim.

Medicaid does cover home health services for eligible beneficiaries, but coverage for extended private duty nursing is limited. Florida Medicaid offers a waiver program for individuals who require an institutional level of care but prefer to remain at home. Eligibility is income- and asset-based, and there are often waitlists for waiver slots.

For most families in Aventura and across Miami-Dade County, private duty nursing is a private-pay service. Golden Concierge provides transparent pricing, flexible scheduling, and no long-term contracts, so families can adjust care as needs and budgets change.

Can private duty nurses work overnight or provide 24-hour care in Aventura?

Yes. Many families hire private duty nurses specifically for overnight monitoring or 24-hour live-in shifts. This is common for ventilator-dependent patients, those recovering from major surgery, or individuals with advanced dementia who require round-the-clock medical supervision.

Overnight nursing care typically involves a 10- to 12-hour shift during which the nurse monitors the patient, administers medications, performs necessary medical tasks, and responds to any changes in condition. The nurse remains awake and alert throughout the shift.

Live-in 24-hour care involves a nurse who stays in the home for a full day and night. The nurse has a private room or designated sleeping area and is allowed up to eight hours of sleep, but remains on-site and available to respond if the patient needs assistance or experiences a medical emergency.

Families who need true around-the-clock nursing coverage without any sleep breaks typically hire two 12-hour nurses or three 8-hour nurses to ensure continuous hands-on care.

Golden Concierge matches families with nurses who specialize in overnight and extended-hour care. We discuss your parent's nighttime needs -- repositioning to prevent pressure ulcers, medication administration, respiratory monitoring, or safety supervision -- and we match you with a nurse who has experience managing those specific tasks.

What is the difference between a private duty nurse and a home health aide in Miami-Dade?

A private duty nurse is a licensed RN or LPN who has completed nursing school, passed state board examinations, and holds an active Florida nursing license. Nurses are trained to perform skilled medical tasks, assess changes in condition, administer medications, manage medical devices, and coordinate with physicians.

A home health aide (HHA) or certified nursing assistant (CNA) completes a shorter training program -- typically 75 to 120 hours -- and is certified to provide personal care assistance under the supervision of a nurse or physician. Home health aides help with bathing, dressing, toileting, meal preparation, light housekeeping, and mobility assistance. They cannot administer medications, perform wound care, manage IV lines, or make clinical assessments.

According to the Florida Agency for Health Care Administration, home health aides must complete a state-approved training program and pass a competency exam to be listed on the Florida Home Health Aide Registry. Their scope of practice is defined by Florida Statutes and limited to personal care and assistance with activities of daily living.

Private duty nurses, by contrast, work within the full scope of their nursing license. They can perform any task that falls within their training and credential level, and they exercise independent clinical judgment.

Many families start with a home health aide and later realize they need a nurse because their parent's medical needs have increased. Golden Concierge helps families understand the difference and makes the appropriate match based on the level of care required.

How do private duty nurses coordinate with doctors and hospitals in Aventura?

One of the most valuable aspects of private duty nursing is care coordination. Private duty nurses serve as the clinical liaison between your parent, the family, and the medical team. They communicate changes in condition, request medication adjustments, provide detailed clinical updates, and ensure that everyone involved in your parent's care is working from the same information.

When your parent is discharged from Aventura Hospital, Baptist Health South Florida, or Mount Sinai Medical Center, the private duty nurse reviews the discharge summary, confirms the medication list, and follows the physician's care plan. If your parent has follow-up appointments with specialists, the nurse accompanies them or provides a detailed report to the family so that the physician has accurate, up-to-date information.

If your parent's condition changes -- a wound shows signs of infection, blood pressure becomes unstable, or breathing becomes labored -- the private duty nurse contacts the physician immediately, documents the change, and follows orders for intervention. This proactive communication often prevents emergency room visits and hospital readmissions.

For families managing care from out of state, the private duty nurse becomes your eyes and ears. You receive regular updates, photos of wounds or surgical sites, and direct access to the nurse by phone or text. You are never left wondering what is happening in your parent's home.

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Key Takeaways

• Private duty nursing provides licensed RN or LPN care in the home for extended hours or 24/7 shifts, managing complex medical needs that Medicare home health does not cover.

• Costs in Miami-Dade County range from $35 to $55 per hour for LPNs and $50 to $85 per hour for RNs, with 24-hour live-in care typically costing $450 to $700 per day.

• Private duty nurses can manage wound care, IV therapy, ventilators, tracheostomy care, feeding tubes, medication administration, post-surgical recovery, and chronic disease monitoring.

• Golden Concierge Home Care is a private-pay nurse registry that matches Aventura families with licensed nurses based on care needs, personality fit, schedule, language preferences, and location.

• In many cases, care can begin in as little as 24 to 48 hours, and there are no long-term contracts or coverage restrictions.

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Frequently asked questions about private duty nursing in Aventura

Does Medicare cover private duty nursing in Aventura?

No. Medicare covers intermittent home health visits, typically 1-2 times per week for skilled nursing or therapy. Private duty nursing is private-pay and allows for extended-hour or 24-hour shifts with an RN or LPN in your home. It is designed for families who need more intensive medical oversight than Medicare provides.

What medical tasks can a private duty nurse perform at home?

Licensed private duty nurses can manage wound care and dressing changes, administer IV medications and fluids, monitor and maintain ventilators or BiPAP machines, perform tracheostomy care and suctioning, oversee feeding tubes and TPN, monitor vital signs and cardiac conditions, manage complex medication schedules, provide post-surgical recovery support, and coordinate with physicians and specialists.

How much does private duty nursing cost in Miami-Dade County?

According to the Genworth Cost of Care Survey, private duty nursing in Florida ranges from $35 to $55 per hour for LPNs and $50 to $85 per hour for RNs, depending on the complexity of care, shift length, and whether the nurse provides 24-hour live-in care. Golden Concierge provides transparent pricing during the intake consultation and helps families understand the full cost structure before care begins.

Can private duty nurses work overnight or provide 24-hour care?

Yes. Many families hire private duty nurses specifically for overnight monitoring or 24-hour live-in shifts. This is common for ventilator-dependent patients, those recovering from major surgery, or individuals with advanced dementia who require round-the-clock medical supervision. Golden Concierge matches families with nurses who specialize in extended-hour and overnight care.

Ready to find the right private duty nurse in Aventura?

If your parent is coming home from the hospital with a PICC line, a ventilator, complex wounds, or medication orders that feel overwhelming, you do not have to manage it alone. Private duty nursing provides the licensed clinical expertise your family needs, delivered in the comfort and familiarity of home.

Golden Concierge Home Care serves families in Aventura, near Aventura Hospital and Biscayne Boulevard, and throughout Miami-Dade County. We consider care needs, personality fit, schedule, language preferences, location, and the type of support required. There are no long-term contracts, and in many cases, we can begin care in as little as 24 to 48 hours.

Founded by a husband-and-wife team of nurses, we built Golden Concierge around the idea that skilled medical care should never feel impersonal. You are not hiring a stranger off a registry list. You are working with a team that takes the time to understand your parent, your family, and what good care looks like in your home.

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

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