Dementia Care
Home care for dementia and Alzheimer's,
built around how memory actually changes.
Families coping with cognitive change don't need marketing language. They need a caregiver who shows up the same way every day, a system that notices what's shifting, and someone reachable when the routine doesn't hold. That's what we do.
What Families Notice First
Most calls start with the same three or four observations.
None of these are diagnoses. They're patterns families recognize when something has shifted in someone they know well.
- 01
Repeated questions
The same question every few minutes, often about the day, the time, or a recent conversation. - 02
Disrupted sleep
Up at 2 a.m., wandering, anxious about being alone, or confused about whether it's morning. - 03
Kitchen routines that have changed
A burner left on. A pot of something forgotten. A refrigerator stocked with food that's gone bad. - 04
Avoidance of bathing or dressing
Not because of vanity — because the steps don't sequence the way they used to. - 05
Withdrawal from familiar activities
The church group. The phone calls with grandchildren. The puzzle on the kitchen table.
How We Work
The operational approach that holds the day together.
Mid-stage dementia rewards predictability and consistent caregivers more than almost anything else. Our model is built around that fact.
01
Same caregiver, same client.
We keep continuity tight. Familiarity reduces agitation and gives the caregiver a reference point for what's normal — which is the only way to spot what isn't.
02
Routines, not schedules.
Mid-stage dementia responds to predictable sequence — the same wake-up cadence, the same breakfast structure, the same afternoon rhythm. We build the plan around that, not around clock times.
03
Redirection over correction.
Arguing about whether yesterday was Tuesday loses both people. Caregivers are trained to redirect — to the next moment, the next room, the next task — without making the person feel corrected.
04
What we watch for, written down.
Sundowning patterns, sleep changes, new word-finding difficulty, falls or near-falls. We document what the family member would miss but a steady caregiver notices.
05
Family communication that fits the cadence.
Daily updates when needed, weekly summaries otherwise. Out-of-town adult children get written reports. The local family member gets a real person to call.
What We Don't Do
We're not a medical service. That distinction matters.
We don't diagnose, prescribe, administer medication, or replace a neurologist or geriatrician. Dementia is a medical condition; our caregivers are non-medical. What we do is the home-life layer around the medical care — routines, presence, observation, family communication, and the small operational facts that keep a home safe and a person comforted as cognition changes.
If your loved one needs skilled nursing or therapy, you're looking for home health, not home care. We'll tell you that plainly and help you find the right provider if it isn't us.
Common Questions
What families ask before they start.
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Do you keep the same caregiver with the same client?
Yes, as much as scheduling allows. Mid-stage dementia rewards continuity — a familiar face reduces agitation and gives the caregiver a reference point for what's normal, which is the only way to spot what isn't. We schedule for continuity first and rotate caregivers only when we have to.
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Do your caregivers administer dementia medications?
No. Lakeshore is non-medical home care. Caregivers can remind a client to take a scheduled dose, can observe whether medications appear to have been taken, and can flag missed doses or pharmacy issues to the family — but they do not handle the pill, set up the box, or change a regimen. Setup and administration stay with the family, a nurse, or the pharmacy.
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What if my parent refuses care or becomes aggressive?
Refusal and agitation are part of dementia, not a personal failure of the family or the caregiver. Our caregivers are trained to redirect — to the next moment, the next room, the next task — without escalating. If a placement isn't working, the founder is reachable; we can talk through what's happening and try a different match. We don't bill for refusals.
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Do you handle wandering or sundowning?
Yes. We build the day around the routines that anchor it — same wake-up cadence, same afternoon rhythm — because predictability reduces sundowning. For wandering risk, we discuss safe-home modifications (door alarms, GPS tracker bracelets, exit signage) during the initial home visit and write a wandering protocol into the care plan.
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Are caregivers trained in dementia specifically?
Yes. Every caregiver completes dementia-specific orientation before working a dementia case — communication technique, redirection, response to agitation, environmental cues, what to document. Ongoing supervision from the founder catches anything the training doesn't.
Let's Talk
A conversation, not a sales call.
If you're noticing change in someone you love and trying to figure out what the next step should be, that's the call. Free, unhurried, no pressure.