Some patients need more than a nurse who comes and goes. A ventilator that requires constant monitoring. A tracheostomy that needs suctioning at unpredictable hours. A medically fragile child who can’t be left alone for even a minute. A complex IV regimen that runs through the night. For these patients and families, an intermittent visit is not enough — what’s needed is continuous, one-on-one skilled nursing presence.
StarCare offers private duty nursing — dedicated, one-on-one nursing care in the home, beyond what a typical skilled nursing visit provides. Rather than a 45-minute check-in, a trained RN or LVN stays with your loved one for an entire shift — hours at a time, overnight, or throughout the day. It is the most intensive level of home nursing care available, and it is delivered where it matters most: in the place they call home.
Private duty nursing is sometimes confused with traditional home health nursing. The distinction is important:
Skilled nursing visits are intermittent — an RN comes for a defined period, provides care, and leaves. Visits are typically capped by insurance and scheduled in advance.
Private duty nursing is continuous — a nurse stays for an entire shift, providing hands-on care for hours at a time. It’s designed for patients whose medical needs don’t pause.
This makes private duty nursing the right choice for the most clinically complex patients — those being discharged from a hospital or ICU with ongoing high-acuity needs, and those whose conditions require constant, skilled attention.
Our private duty nursing program serves both children and adults with:
Ventilator dependence — Continuous respiratory monitoring, ventilator management, and emergency response.
Tracheostomy care — Routine and emergency suctioning, trach site care, and airway management.
Complex wound and IV therapy — Advanced dressing changes, central line care, continuous infusions, and total parenteral nutrition.
Chronic disease monitoring — Ongoing clinical oversight for conditions such as advanced COPD, heart failure, neuromuscular disorders, and post-transplant recovery.
Medically fragile children — Pediatric patients with congenital conditions, brain injuries, or long-term medical needs who require continuous skilled care.
Post-ICU recovery — Patients transitioning home after prolonged hospitalization or critical illness.
End-stage or high-acuity conditions — Where continuous skilled presence is required for safety and comfort.
Every private duty shift is built around the patient’s specific medical orders and clinical condition. In a typical shift, our RNs and LVNs may provide:
Continuous clinical monitoring — Vital signs, oxygen saturation, respiratory status, and neurological checks throughout the shift.
Ventilator and airway management — Setting adjustments, troubleshooting, suctioning, and emergency intervention as needed.
Medication administration — IV medications, injections, nebulizer treatments, and complex multi-drug regimens on strict schedules.
Wound and ostomy care — Sterile dressing changes, negative pressure wound therapy, and ostomy maintenance.
Feeding tube and nutrition management — G-tube, J-tube, and TPN administration and monitoring.
Coordination with physicians and specialists — Real-time communication about changes in condition, medication adjustments, and care plan updates.
Family education and support — Teaching parents and caregivers how to manage equipment, respond to alarms, and recognize warning signs.
One of the most meaningful roles private duty nursing plays is supporting families with medically fragile children. Parents of children with complex medical needs face an impossible choice: keep their child in a hospital indefinitely, or bring them home without the skilled nursing support they require.
Private duty nursing makes that second option possible. Our pediatric nurses are trained in the specific clinical and emotional demands of caring for children with tracheostomies, ventilators, feeding tubes, seizure disorders, and other complex conditions. They work alongside parents — not in place of them — so that families can be families again, rather than full-time medical caregivers.
High-acuity patients require more than a nursing license. They require experience, judgment, and emotional steadiness under pressure. Every StarCare private duty nurse is:
Licensed and credentialed — RN or LVN with current Texas or New Mexico licensure.
Experienced in high-acuity care — Prior ICU, pediatric ICU, ventilator unit, or long-term acute care experience preferred.
Trained on your specific equipment and protocols — Before the first shift, nurses are oriented to your loved one’s devices, medications, and emergency plan.
Background-checked and screened — Rigorous vetting that goes beyond regulatory requirements.
Supervised by a clinical director — Ongoing oversight to ensure quality and consistency.
Matched for fit — Personality, communication style, and clinical strengths all matter, especially for long shifts.
We do not assign nurses at random. We build a small, consistent team for each client, so the people caring for your loved one truly know them.
Insurance-based private duty nursing — usually funded through Medicaid waivers or specialized programs — often comes with long waitlists, complex eligibility requirements, and limited shift hours. Many families find themselves approved in theory but unable to staff the coverage they actually need.
Private pay removes those barriers. With StarCare private pay private duty nursing, you get:
No waitlists — care can often begin within days, not months.
No shift caps — day shifts, night shifts, or 24-hour coverage, arranged as needed.
No eligibility obstacles — no need to qualify for a specific waiver or program.
Flexible scheduling — increase or decrease coverage as the medical situation changes.
Consistent, familiar nurses — the same trusted faces, shift after shift.
For families who have been told “you qualify, but we can’t staff it,” private pay is often the only real solution.
StarCare Home Health & Hospice has served West Texas and Eastern New Mexico since 1997. We hold BBB A+ accreditation, were named Best Home Health Care Service in Hobbs for 2026, and earned a 5-star rating on the CMS HHCAHPS patient survey — the highest available recognition for home health patient satisfaction. Our clinical team includes more than 200 full-time professionals, and every private duty case is overseen by an experienced clinical director. When you bring StarCare into your home, you’re bringing in a system — not just a nurse.
How is private duty nursing different from a skilled nursing visit?
A skilled nursing visit is intermittent — an RN comes for a short, defined period. Private duty nursing is continuous — a nurse stays for an entire shift, providing hands-on care throughout.
Can private duty nursing be provided overnight?
Yes. Overnight shifts are one of the most common arrangements, especially for ventilator-dependent patients and medically fragile children.
Do you provide pediatric private duty nursing?
Yes. We support children with complex medical needs, including those with tracheostomies, ventilators, feeding tubes, and seizure disorders.
Will the same nurse come each shift?
We build a small, consistent team for each client. Familiar nurses mean better care and greater trust.
Does insurance cover private duty nursing?
Some Medicaid waiver programs and specialized insurance plans cover private duty nursing, but with strict eligibility and limited hours. StarCare’s private pay option makes full coverage possible immediately.
Odessa, Midland, Monahans, Kermit, Andrews, Crane, Hobbs, Seminole, Lovington, Jal, Eunice, Tatum, Monument, and surrounding communities across the Permian Basin and Eastern New Mexico.
If your loved one needs continuous skilled nursing — and you’ve been told the coverage isn’t available, the waitlist is too long, or the program won’t staff it — talk to us. StarCare’s private duty nursing program is built for exactly these situations.
Call us today to discuss your loved one’s medical needs and arrange a care plan.
📞 Odessa: (432) 580-7707 | 📞 Hobbs: (575) 393-7007
✉️ compliance@starcareonline.com
StarCare Home Health & Hospice — continuous clinical presence, in the place they call home.
