What is the difference between home health and home care?

Home health care involves skilled nursing and therapy services, while standard home care provides non-medical services. These can include companionship, housekeeping, errands, light cleaning, meal preparation and personal care assistance (assistance with Activities of Daily Living). Only home health care providers, not personal care assistants, are qualified to provide medical services.

Are your caregivers insured?

Yes, all our caregivers are insured and bonded.

Are your caregivers fluent in English?

Yes, we have a diverse team of caregivers from various cultural backgrounds. They are all fluent in English. Ask about our bilingual caregivers.

How fast can you start home care in Middletown, CT?

In many cases, we can begin services within 24 to 48 hours after the initial consultation and care assessment. Our team works closely with families to create a personalized care plan and match seniors with the right caregiver as quickly as possible.

Do you serve surrounding towns for senior care in Middletown?

Yes. In addition to providing trusted senior care in Middletown, we proudly serve families throughout Middlesex County, Hartford County, New Haven County, and surrounding Connecticut communities.

What's the difference between live-in care and 24/7 home care in Middletown, CT?

Live-in care typically involves one dedicated caregiver staying in the home and assisting throughout the day and overnight with scheduled rest periods. This option offers consistency, companionship, and a familiar routine for seniors. 24/7 care usually involves multiple caregivers rotating in shifts to provide continuous awake coverage around the clock. Families often choose this level of home care for seniors with advanced medical, mobility, or safety needs requiring constant supervision.

#1 Professional Caregivers

Trusted Home Care in Middletown, CT

At One Patient At A Time, care begins with listening. We take the time to understand your loved one’s needs, routines, and preferences so support feels natural and comfortable from the start. Our approach is simple. One person, one plan, one trusted caregiver at a time.

Get Free In-Home Assessment

What We Offer

A Local Team That Truly Understands Care

We are a family-owned home care and senior care agency serving Middletown, CT and surrounding communities. Our mission is rooted in respect, compassion, and doing right by every family we support. Care is never rushed or treated as routine. It is thoughtful, attentive, and shaped around the individual. Families choose us because they want care that feels human. We focus on building trust, maintaining independence, and improving everyday comfort. Whether your loved one needs a few hours of help or ongoing support, we are here to make daily life easier and more manageable.

Care Services Across Central Connecticut

We provide a range of services designed to support seniors at home. Each service is delivered with consistency and attention to detail so families feel supported at every step.

Companion and Homemaker Care

For seniors who may feel isolated or need help around the house, our caregivers provide meaningful companionship along with support for light cleaning, meal preparation, and daily routines. This service helps create a safe and comfortable home environment.

Live-In Home Care

For individuals who require ongoing support, live-in care offers consistent help throughout the day and night. This allows seniors to remain at home while having someone present for safety, comfort, and routine assistance.

Personal Assistance and Daily Care

When more hands-on support is needed, we assist with bathing, grooming, dressing, mobility, and other daily activities. Care is provided in a respectful way that helps maintain dignity and independence.

Memory Care Support

We provide memory care in Middletown CT for individuals living with Alzheimer’s or dementia. Our caregivers follow structured routines, offer gentle reminders, and create a calm environment to reduce confusion and support daily stability.

Why Families Trust Our Approach

Choosing a care provider is a deeply personal decision. Families want to know their loved one is safe, respected, and supported by someone they can trust. We take time to match each client with the right caregiver so there is comfort, familiarity, and trust from the beginning. Consistency matters, which is why we focus on keeping the same caregivers involved whenever possible. Care is never rushed. Every visit is focused on the individual, whether that means helping with daily routines, offering companionship, or simply being present and attentive. We also understand the importance of communication. Families are kept informed, concerns are addressed quickly, and care can adjust as needs change. This creates peace of mind for everyone involved. For individuals living with memory-related conditions, our caregivers provide structured, calm support that helps reduce confusion and maintain a sense of stability throughout the day.

3 Reasons To Choose OPAAT

What Families Are Saying

Don’t just take our word for it, here’s how we’ve helped neighbors right here in your community.

    
 
 
        
   Marie Sheehan 
 
 
 
   Trustindex verifies that the original source of the review is Google. As I sit here recovering I had to take time to thank you and your fine company for the ways in which you aided me in my recovery.  As I faced upcoming surgery on my right hip I decided to look into employing an aide to assist me.  Fortunately for me, my dearest friend had used One Patient At A Time when she needed help and was well pleased with the care provided.  In her lifetime she was an aide at CT. Valley Hospital for her entire work career and had many definite opinions on what she expected.  Before she passed she shared her thoughts on your company and what it meant to her.  It certainly took lots of the guesswork out of the equation for me.
Mike, the owner, answered on the first ring and I explained my need for assistance.  We made an appointment to meet the following Tuesday.  Mike and Annmarie, husband and wife, were right on time and we spent the next half hour discussing what I needed and the services they offered.  Mike was meticulous in explaining every bit of their contract and what I could expect.  I found them responsive to my needs and how they would be met.  They showed willingness to adjust our contract if something unexpected arose.  They were both warm and friendly while professional throughout our meeting.  When my friend was their client she was attended by Alice and fortunately, she would be available when I needed her.  Déjà vu….lucky me.  The following day Annmarie brought Alice to my home to personally introduce us and cover any last minute questions.  I thought it was a wonderful way to eliminate any possible future awkwardness.  Upon discharge Alice arrived promptly as promised and I immediately felt comfortable with her.  Alice was amazing. Our time together was comfortable and easy.  She is the mother of four boys and still has the energy to care for others.  In her soft spoken way she simply did everything needed, be it with me or my surroundings.  Make no mistake….Alice was in charge and it’s wonderful that she was.  She kept safety in mind at all times.  She allowed me my dignity and still attended to my needs.  As I look back on my experience with One Patient At A Time I am 100% satisfied.  I would urge anyone looking for assistance to give Mike & Annmarie a call,  You won’t be sorry!

Sincerely,
Marie S.
  
  Posted on Google  
 
 
 
       
   Gail Martin 
 
 
 
   Trustindex verifies that the original source of the review is Google. The aides are very attentive to my husband and communicate with him.
  
  Posted on Google  
 
 
 
       
   David DeCrescente 
 
 
 
   Trustindex verifies that the original source of the review is Google. I was very intimidated in my search to find quality in home care services for our mother. Too many stories about care givers not showing up, caregiver turnover because they quit (it’s a hard job) and caregivers simply not doing anything. My first call to OPAAT gave me hope that we would not experience this. Mike made it clear to me in our first conversation that they can competently do the chores, the light housekeeping and companionship but he made it very clear to me that their services were about people.  OPAAT has been providing service for our 92 year old mom for 2 months. They were very compassionate, experienced and patient at the beginning when it was hard for Mom to deal with this change and accept help and from a stranger! Mike, AnneMarie and their caregivers we have walk the talk and are truly special people to deal with such difficult, personal work at a stage of life with so many challenges.

At the end of our first two months Mom has come a long way and really bonded with her caregiver. We are very pleased with OPAAT. So far, so good! I look forward to provide a review after many months of the same excellent, knowledgeable and compassionate service.
  
  Posted on Google  
 
 
 
       
   Dorothy Meerbach 
 
 
 
   Trustindex verifies that the original source of the review is Google. I would highly recommend the home care service of One Patient at a Time.  My caregiver Vivian has given me outstanding care in the performance of her responsibilities.  She is a very caring person providing me with compassion and support as I progress through my daily routine.  My family is very pleased knowing that  I am receiving such good care.  Michael and Ann Marie , owners of the agency are very supportive.
  
  Posted on Google  
 
 
 
       
   Lucy D 
 
 
 
   Trustindex verifies that the original source of the review is Google. We have used One Patient at a Time for a couple of months in 2024 while our mother was rehabbing from a car accident. The care that is given is awesome and the owners are kind, caring and compassionate! They listen to your wants and needs and follow up to make sure you are happy with the care you are receiving from their caregiver's . We are using them again in 2025 and are still using them to this day for my mom. I cannot say enough about this company or the caregiver that our mom has. I highly recommend One Patient at a Time!
  
  Posted on Google  
 
 
 
       
   Donna Foster Foster 
 
 
 
   Trustindex verifies that the original source of the review is Google. Renee and I are getting along fine.  I’m comfortable with her and she’s been kind and very helpful.
  
  Posted on Google  
 
 
 
       
   Monica Urick 
 
 
 
   Trustindex verifies that the original source of the review is Google. Mike and Anne Marie are great to work with.  They are responsive, offer insight and assistance.  In managing my mom’s care from another state, they have been incredibly helpful.  The caregivers that we have worked with are excellent.  The fact that they have  been able to provide consistency in the people coming to care for my mother has brought us  a lot of comfort.  They have always come thru for us.  I cannot say enough about the quality of care and service that they provide.
  
  Posted on Google  
 
 
 
       
   Veronica Warren 
 
 
 
   Trustindex verifies that the original source of the review is Google. Home health care was at my home. The Francises came to our house for an
“intake “ before they sent an aide to us.
Mike and Ann Marie are kind and gentle and run their service with utmost integrity. We had an aide for eight weeks while I was recovering from surgery. Not only did she take care of my medical needs like showering and dressing, but also straightening the house and keeping me safe when my husband went grocery shopping. She was kind and efficient and regaled us with stories with a fine sense of humor.
Don’t call anyone else! This company is the real deal.
  
  Posted on Google  
 
 
 
  
  
 
 
  Google rating score: 4.8 of 5, 
based on 17 reviews

Your Journey to Better Care Starts Here

Getting started with home care is easy. We handle the details so you can focus on what matters most.

Free In-Home Consultation

A friendly Care Coordinator will visit your home to listen to your concerns, assess safety, and discuss your personality, preferences, and daily routine.

Customized Care Plan

We develop a personalized plan and match you with a caregiver whose personality and interests are the perfect fit for your family.

Ongoing Support & Adjustments

We start care immediately and stay in touch. We review your plan regularly to adapt to any changes in your routine or needs.

Frequently Asked Questions about Non-Medical Home Care

Q: How quickly can you start care?

A: In many cases, we can begin care within 48 hours of your free in-home assessment.

Q: What is the difference between non-medical home care and home health care?

A: Great question! Home health care involves nurses or therapists providing medical treatment (like wound care). Non-medical home care (what we provide) focuses on personal care, companionship, and help with daily activities like cooking and cleaning. We help with the living, not just the “patient” part of life.

Q: Are your caregivers background checked?

A: Absolutely. All our caregivers are bonded, insured, and undergo rigorous background checks so you can feel completely safe inviting them into your home.

Q: Can you help if I only need someone for a few hours a week?

A: Of course. Whether you need 4 hours a week to have company for lunch, or 24/7 support, we build a schedule that works for your life.

Start the Conversation About Care

If you are exploring care options for a loved one, you do not have to figure it out alone. We are here to listen, guide, and help you understand what the next steps look like. Call us today to speak with a care specialist and learn how care can begin within a short timeframe.

Call: 860-788-2437