What Is Personal Home Care? A Clear Guide for North Dakota Families

Struggling to decide if it’s still safe for a loved one to live at home? Learn what personal care services include, who qualifies in North Dakota, and how to get help without moving to a nursing home.

4 minute readUpdated July 28, 2026
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Most families don’t start by searching for “personal care services.”

They start by asking:

“Is it still safe for them to be on their own?”
“What are the options besides a nursing home?”

When daily tasks like bathing, dressing, or moving around the home become difficult, the risk doesn’t stay small for long.

Personal care services provide hands-on, non-medical support to help people stay safe and maintain their routine at home.

At ND Home Health, personal care is one of several services we offer, alongside companionship, homemaker services, non-medical transportation, respite care, supervision, and chore services. This guide explains what personal care includes, who it helps, and how to get started in North Dakota.

For many families, personal care is the step that allows someone to stay at home longer.

What Personal Care Services Include

Personal care focuses on daily tasks that affect safety, hygiene, and independence.

This may include:

  • Bathing and hygiene
  • Dressing and grooming
  • Toileting support
  • Mobility and transferring
  • Eating and daily routines

Support can vary depending on the situation. Some people need hands-on help, while others need reminders or supervision. In many cases, it’s a mix that changes over time.

What Makes Personal Care Different

It’s easy to confuse the different types of in-home care.

  • Companionship: focuses on social interaction
  • Homemaker services: focus on household tasks
  • Personal care: focuses on physical, day-to-day needs

Who Personal Care Is For

Personal care services are commonly used by:

  • Older adults who are having trouble with balance or mobility
  • People recovering from surgery or illness
  • Individuals living with chronic conditions
  • People who need reminders or supervision due to memory issues

Some people need help every day. Others only need support at certain times, like mornings or evenings.

Signs You Might Need Personal Care

Most families notice changes before they make a decision.

Common signs include:

  • Declining hygiene or skipped showers
  • Difficulty dressing or moving safely
  • Falls or near-falls
  • Forgetting basic routines
  • Caregiver burnout

These issues usually don’t resolve on their own. Early support can reduce risk and prevent more serious problems.

How Personal Care Services Work in North Dakota

In North Dakota, personal care is often accessed through Medicaid Home and Community-Based Services (HCBS).

In general:

  • The individual needs ongoing daily support
  • Care may include a mix of many services
  • Services are based on an individualized care plan

A case manager plays a central role. They:

  • Determine what services are needed
  • Decide what services can be combined
  • Build and approve the care plan

They also continue to monitor the plan over time, reviewing:

  • Whether services are being used
  • Whether care still matches the individual’s needs

At minimum, this happens quarterly, and more often if needs change. The care plan many change as a result of these evaluations. If Medicaid is not an option, private pay services may still be available.

We Help You Navigate the Process

This is where many families feel stuck.

ND Home Health does not determine eligibility, but we help guide you through the process by:

  • Talking through your situation
  • Helping you understand what level of care may be needed
  • Connecting you with case managers
  • Coordinating once services are approved

Personal care is often combined with other supportive services, depending on the care plan.

You don’t have to figure this out on your own.

What a Typical Visit Might Look Like

Care is built around the person’s routine.

A morning visit might include helping someone get out of bed, assisting with toileting and hygiene, getting dressed, and preparing a simple meal. Caregivers may also stay nearby to ensure everything is done safely.

Some people need short visits. Others need more consistent support throughout the day.

Ready to Talk Through Your Situation?

If you’re starting to notice these changes, it’s time to take the next step.

Contact ND Home Health today.

Call or reach out online, and we’ll talk through your situation with you. We can help you understand what kind of support may be needed, explain how services work in North Dakota, and guide you toward the next step in getting care in place.