Long-Term & Complex Care at Home
Ongoing care at home for people with long-term, chronic or complex needs who want to stay in their own home across Toronto and the GTA. Same caregivers, nurse-led plans, and 24/7 availability.
Care built around staying home
Every plan centres on the person at home: consistent caregivers they know, clinical oversight by registered nurses, and regular updates for families.
Same Caregivers
We assign a consistent care team so the person at home is never meeting a stranger. Continuity builds trust and makes daily life more predictable.
Nurse-Led Plans
A registered nurse builds the care plan, supervises caregivers, and adjusts the plan as needs change.
Around-the-Clock Care
We offer daytime visits, overnight care, and live-in arrangements, so the level of support can match what the person actually needs.
What long-term complex care at home includes
Every plan is built around the individual and adjusted as their needs change. Long-term complex care at home may include:
- Personal care including bathing, dressing, grooming, and toileting
- Mobility support and safe transfers to reduce fall risk
- Medication reminders and help following the care plan
- Meal preparation and assistance with eating and drinking
- Companionship and meaningful activity throughout the day
- Overnight care and live-in arrangements for continuous support
- Registered nurse oversight and care plan updates
- Family updates and open communication with the care team
- Coordination with Ontario Health atHome (OHAH) when applicable
- Support for chronic conditions such as diabetes, heart disease, and COPD
Talk with our care team today.
A care plan that keeps pace with changing needs
Long-term care at home is not a single service. It is an ongoing relationship. Our registered nurses build a care plan from the first assessment and review it as the person's needs evolve. Caregivers are briefed on every update so care stays consistent from visit to visit.
For people who need more hours or full-time presence, live-in care is available and can be arranged through the same care team. If you are unsure where to start, book a free in-home assessment and a registered nurse will walk through the options with you.
Why families choose Living Assistance Services for long-term care at home
As part of the Integracare family, we have cared for Ontario families for over 35 years. We are Great Place to Work Certified, Excellence Canada recognised, and ISO 9001:2015 certified. Our caregivers complete Nevvon training and are screened through Vulnerable Sector Screening before their first visit.
Families choose us because the same caregivers show up, the nurse stays involved, and communication is direct. That consistency matters when care is ongoing, not just occasional.
How long-term care at home begins
Starting is straightforward. Care can be in place within days.
- 01
Free in-home assessment
A registered nurse meets with the client and family at home to understand daily needs, health status, mobility, and personal preferences.
- 02
Care plan and scheduling
We build a written care plan and match the client with a consistent caregiver team based on experience, availability, and fit.
- 03
Care begins
Visits start at the agreed schedule. The nurse stays available and the plan is reviewed whenever the situation changes.
- 04
Ongoing coordination
We communicate regularly with families and, where applicable, with Ontario Health atHome and the client's medical team.
Talk with our care team today.
Long-term complex care at home across Toronto and the GTA
We provide long-term care at home across the Greater Toronto Area, Ottawa, and nearby communities.
Frequently asked questions
Can someone with complex care needs stay home instead of moving to a long-term care home?
Yes, many people with chronic or complex conditions continue living at home with the right level of support. A registered nurse assesses what care is needed, builds a plan, and a consistent caregiver team delivers it day to day. The plan can increase in intensity as needs grow, including overnight and live-in arrangements.
What does long-term home care include?
It includes personal care, mobility support, medication reminders, meal preparation, companionship, and registered nurse oversight. For people with more complex needs it can also include support for chronic conditions, overnight care, and coordination with Ontario Health atHome and the client's medical team.
Can the level of care change over time?
Yes. Care plans are reviewed regularly by the registered nurse and updated whenever the person's needs change. Hours can increase or decrease, and the type of support provided can shift as the situation evolves.
Do you offer overnight or 24-hour care at home?
Yes. We offer overnight visits, waking night care, and live-in arrangements for people who need continuous support. The right option depends on the level of supervision required and is discussed during the in-home assessment.
How do you keep caregivers consistent?
We assign a primary care team from the start and schedule the same caregivers for each visit wherever possible. When a change is necessary, we brief the replacement on the care plan in advance. Continuity is a priority for us because it matters to the people we care for.
Award-winning care, trusted partners
National recognition for our workplace and quality, an ISO-certified system, and partnerships that deepen the care we provide.
Awards & accreditation
Partners & members
Request a free long-term care assessment
Talk to a registered nurse about what long-term complex care at home would look like for your family. The assessment is free and carries no obligation.