The 10 Best Home Care Agencies for Seniors in Middlesex County, NJ for 2025

Always Responsive Home Care, established in 2010, is a family-owned agency offering compassionate, personalized in-home care services. Our certified caregivers are licensed, bonded, accredited, and fully insured, ensuring the highest standards of care. We provide flexible care options, including live-in, hourly, and overnight services, tailored to meet each client's unique needs. Our caregivers assist with personal care, mobility support, companionship, specialized care for conditions like Alzheimer's and dementia, and more. With over 4,000 satisfied clients and numerous 5-star reviews, we are committed to helping seniors maintain their independence and quality of life in the comfort of their own homes. At Always Responsive Home Care, we proudly accept long-term care insurance to help ease the financial burden of in-home care. We customize every care plan to fit each client's unique needs, ensuring personalized support with Registered Nurse (RN) oversight for quality and safety. Our experienced caregivers are skilled in working with all types of clients, including those with medically complex conditions, providing compassionate care tailored to every stage of life.

"I have to say Doris and James are very nice people and they understand what you are looking for. It sometimes takes a few aides but they get the right fit. Doris calls me whenever someone else might have to go to house or they might be running a little late because something might have happened in the aides family. They stay on top of things and I appreciate that. I feel mom is in good hands."

"I have an aide coming in through Lares Home Care for mom. I've only been using them for about two weeks now. The staff members are very helpful and patient during the intake process and getting it all set up with my mother. Everything seems so good so far. I don't have any complaints or anything. The caregiver is excellent. They help her with her activities of daily living and keeping her company and offered to help do little chores around the house. She's very patient, kind, and very supportive of me and my husband."

At Always There To Care Home Care Services, we are committed to providing high-quality, affordable care for your loved ones. Our hourly rates range from $32.00 to $35.00, making it easy to find a solution that fits your budget. For those in need of more comprehensive support, our live-in care rates start at just $315.00 to $375.00 per day. We believe in enhancing the quality of life for our clients, striving to add life to your years and years to your life! Our compassionate and dedicated caregivers are here to support you and your family, ensuring comfort, companionship, and personalized care every step of the way. Contact us today to learn more about how we can assist you!

"Always good, dependable and pleasant. "

"My mom is using Qualicare Home Care Princeton 24/7. They help her with her bathing and getting up in the morning. They do some cooking, some light cleaning, and her laundry as well. We have two aides, and they try to send the same ones because my mom doesn't accept change well. There was one brand new girl who was just temporary. When I call to say that we need changes or something like that, they're very receptive and they try to do it as soon as possible. I set up her medications. They just remind her to take it. I set up the pills, and then they can pour them into a little dish so that she can take them."

"Great service. Extremely attentive to any request I needed for my 97 year old Mom. Very kind caregivers. Highly recommend."

"We hired Always Best Care two weeks ago for my mom. The woman comes in three days a week to assist my mother with doing the wash, keeping the house picked up, and just talking to her. She’s wonderful. We interviewed several people, and there was just something about the way they were organized in their presentation and their follow up. that impressed us. They were a level above the other ones that we spoke to. They really listen to you about your needs and work very hard to match the caregiver up with what you’re looking for. We were very impressed with them. "

"Home Helpers transported our 92 parents from Cape Cod to NJ and took care of them throughout the weekend of our son's wedding. AnnMarie was a wonderful caregiver and very attentive to all of their needs. Their help gave us the ability to focus 100% on our son and his bride."

"I hired Always Best Care for Mom Monday through Friday. They are expensive, but that's the going rate, unfortunately. They were very reactive; I called them, and the next day, they were at the house doing the assessment to see what was exactly needed. However, there were two occasions where I called them and did not get a response back within 12 hours. On one occasion, I called them on a Friday afternoon, and they called me back on Saturday at 10:00. But, they're not bad. The person they recommended was wonderful. I don't have complaints about that. "

Founded more than 25 years ago in Omaha, Nebraska, Home Instead provides individualized, compassionate care to aging adults with the goal of helping them live independently for as long as possible. The company has more than 1,200 locations worldwide and employs more than 100,000 Care Professionals. Its team is trained to provide attentive, professional care, including companionship, personal care, medication reminders, transportation, meal prep, and housekeeping assistance. Home Instead Care Pros who specialize in dementia care for seniors living with conditions such as Alzheimer’s or Parkinson’s disease. When a client’s condition begins to decline, Home Instead Care Pros can offer compassionate end-of-life support. Families working with Home Instead are consistently happy with this agency’s service. Many agree that the Care Pros provide pleasant, responsive care and go the extra mile to ensure that Clients feel safe, secure, and independent. What You Need to Know About Home Instead Founded in 1994 in Omaha, Nebraska More than 1,000 locations in over 10 countries around the world Offers in-home personal care, nursing care, dementia care and companionship for seniors Home Instead is known for its kind, well-trained Care Pros and individualized care plans Provides a la carte services including meal preparation and transportation who seniors who don’t require comprehensive in-home support Uses technology to keep clients connected with Care Pros and loved ones and to promote in-home safety What Home Care Services Does Home Instead Provide? Personal Care Services With a dedication to preserving the dignity and independence of clients, Home Instead’s Care Pros provide personal care services that include: Help with mobility, including standing, grooming, walking, and getting in and out of bed Medication reminders Assistance with activities of daily living (ADLs), including bathing, dressing, and toileting Grocery shopping and assistance with other errands Light to moderate housekeeping assistance, including laundry Transportation to and from appointments or visits with loved ones Regular companionship Personalized care plans are provided for every client. These plans include detailed information about the client’s condition and needs, as well as an outline of the services that are to be provided to the client. In some cases, personal care services may be combined with other services, including dementia or nursing care, depending on the clients’ health. Alzheimer’s and Dementia Care Home Instead employs experienced, trained Care Pros who are able to provide person- focused dementia care for seniors who are living with Alzheimer’s disease, Parkinson’s disease, or other forms of dementia. These Care Pros offer personal care services, along with the following: Assistance in establishing a stable daily routine Meal preparation Positive reinforcement Assistance with social skills Transportation to and from appointments, errands, and visits with loved ones Care Pros in this role take time to understand clients’ life histories and to focus on the person they were before dementia. Just as with the company’s personal care services, each dementia care client undergoes a comprehensive assessment and is assigned a care plan. This plan is reviewed regularly and adjusted to meet changing needs. Hospice Support When a senior is nearing the end of their life, hospice support can be there to ensure the comfort of them and their family members. Hospice support Care Pros can help with hygiene, medication administration, and basic housekeeping for seniors, as well as provide nutritious meals and supportive care for family members, enabling loved ones to spend as much time with seniors as possible as they approach their final days or hours. Meal Prep & Home Helper Home Instead offers basic housekeeping and meal preparation services for seniors who require a little extra help around the house. The company’s Meal Prep & Home Helper service can include assistance with tasks such as laundry, dusting, and vacuuming, as well as the preparation of nutritious meals that meet any dietary requirements set forth by clients’ healthcare providers. Transportation Home Instead provides safe transportation to and from clients’ destinations. Aging adults may use this service when they need help running errands such as grocery shopping or picking up a prescription, or when they’d simply like to spend the day shopping or visiting with friends. Transportation services from Home Instead can be arranged at predetermined drop-off and pick-up times, or Care Pros can accompany aging adults on errands and provide assistance and care throughout. Companionship Many aging adults face isolation and loneliness. This is especially true for those who’ve lost a spouse or who don’t have family close by. Home Instead Care Pros strive to build meaningful connections with clients. Companions visit seniors regularly on a schedule that works best for the client. These visits offer seniors a time to enjoy meaningful conversation while engaging in a game of cards, a puzzle, time outdoors, or other activities. What People Are Saying About Home Instead Clients and family members often speak highly of this agency’s dementia Care Pros and the attentive, compassionate care they provide to seniors. One family member provided a five- star review of the company, saying, “They have all been kind, caring, and attentive to my mom’s ever-changing needs that go along with her dementia. They have been with us and for us every step of the way. I would recommend them to anyone.” Other clients point to the meaningful relationships they’ve formed with Care Pros. One client said, “The lady who comes and helps me is wonderful. We get along really well and she is really nice. we also have a lot of fun together,” while another client’s family member provided a raving review of Home Instead, saying, “It was wonderful dealing with the staff. Charlene was extremely helpful and very accommodating to our needs and schedule. She worked very long and hard to make sure that everything was in order and everything would run very smoothly. She is still in contact with us and helping us in any way she can.” How Much Does Home Instead Charge for Home Care? Home care costs vary based on several factors, including the type of services required, how often one needs assistance, and the timing of the services (i.e., overnight vs. daytime care). Where you live also has a significant impact on the cost of home care, as national chains scale their local prices to the cost of living in a given area. When planning for home care costs, keep in mind that the national average cost is about $26 per hour, though prices in your location may be higher or lower. You can contact a Family Advisor to learn more about home care costs and payment options in your area. Who Should Consider Home Instead? Home Instead’s Care Pros are dedicated to preserving the dignity and independence of aging adults who need help managing daily tasks. This company is an excellent care option for those in need of services such as: Personal care: Seniors who need help with ADLs, including medication management, grooming, and mobility, can benefit from the help of Home Instead’s Care Pros. Dementia care: Home Instead Care Pros can provide specialized care for seniors who are living with Alzheimer’s disease or other forms of dementia. Care Pros have been specially trained to provide personal care and enhanced services that increase the quality of life for these seniors. Companionship: Care Pros are dedicated to helping seniors fend off loneliness by building meaningful, fun relationships through their companionship services. Hospice care: When seniors are nearing the end of their life, Home Instead’s Care Pros can provide support to ensure the comfort of seniors and their family members. How to Get Started with Home Instead Contact a Family Advisor for more information about Home Instead’s offerings in your area and to connect with a local home care provider. Our knowledgeable Family Advisors can provide one-on-one guidance to help you find the best home care service for your needs and budget, all at no cost to you. No matter where you are in the process of choosing a home care provider, a Family Advisor can help.

"Greg and Robin have been a true gift to me in taking care of my father for the last 2 years. I don’t know where I would be without them and I don’t say that lightly. They have provided top notch service, are amazingly responsive and provided an amazing aide for my father. My father’s aide is always arrives on time and they get along very well. Whenever I need to switch a shift, they answer me immediately. They go above and beyond whenever something is needed. Can’t recommend enough!"

In-Home Care Overview: Seniors Helping Seniors Eastern Union and Essex Counties of New Jersey At Seniors Helping Seniors®, we believe care is most meaningful when it’s built on connection. As a husband-and-wife team, we launched our agency to bring compassionate, in-home support to older adults in Union and Essex Counties—delivered by mature adults who truly understand the journey. Our story begins with our parents. For years, they’ve quietly served others—driving neighbors to appointments, preparing meals, offering companionship. Watching them, we saw the power of kindness in action. That’s what inspired us to turn our personal values into professional purpose. After decades in corporate leadership and caregiving roles, we (Matt and Erin Eckard) felt called to build something lasting in the community we now call home. Seniors Helping Seniors® stood out to us for its heart-centered approach: matching active senior caregivers with those who could use a helping hand and a friendly face. We know that choosing care for a loved one can feel overwhelming. That’s why we’re here—to offer not just services, but genuine support. Our caregivers are carefully matched for personality, interests, and experience, creating relationships that go far beyond a checklist. Whether it’s help with daily tasks, companionship, or specialized support, our team is committed to helping seniors live with dignity, independence, and joy—from the comfort of home. We’re proud to serve families across Eastern Union and Essex Counties, and we’d be honored to support yours.