Bathing, Dressing & Grooming - In-Home Personal Care 

Maryland, Washington, D.C., and Northern Virginia

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Bathing, Dressing & Grooming - In-Home Personal Care 

If you or your loved one is struggling to stay clean, comfortable, and confident every day, we can help. We provide daily assistance so you feel safe and comfortable at home! 


For many seniors and adults with chronic health conditions or decreased cognitive abilities, bathing, dressing, grooming, and personal care can be overwhelming and unsafe. Our in-home care team provides hands-on support so you or your loved one can look and feel your best while staying at home, focusing on safety, comfort, and preserving dignity. 


Who We Serve 

Our patients who require our in-home bathing and grooming services often experience: 

  • Frailty due to age: not having the strength or mobility to perform basic bathroom and grooming tasks. 
  • Safety risks in the bathroom: difficulty stepping into the tub/shower, using the toilet, or properly cleaning after bathroom use. 
  • History of falls: dizziness, neuropathy, or balance issues. 
  • New or worsening daily activities: bathroom use is often the first task to become difficult, and is often a predictor of broader decline. [1
  • Cognitive impairment: including Alzheimer’s/dementia, causing disorientation, resistance to bathing, or poor sequencing of dressing/grooming tasks. 
  • Caregiver limits: tight work schedules, burnout, or a lack of same-gender caregivers for intimate tasks. 
  • Non-conducive home set-up: narrow bathrooms, no grab bars/benches, or multi-level homes. 
  • Complex conditions & comorbidities 
  • Parkinson’s disease and other movement disorders 
  • Stroke patients 
  • Arthritis/osteoporosis & chronic pain 
  • Heart failure 
  • COPD 
  • Multiple sclerosis 
  • Neuropathy 
  • Post-surgical recovery 


Signs It’s Time to Get Help (Checklist) 

If you or your loved one has experienced one or a combination of these signs and symptoms, it may be time to seek expert help: 


  • Bathroom transfers feel risky, or you need something to hold onto. 
  • A fall in the last 12 months or multiple falls scares. 
  • Bathing is challenging, including taking much longer, can’t reach certain areas of your body, or you skip showers and bathing because it’s too difficult. 
  • Cognitive changes (Alzheimer’s/dementia): disorientation, resisting bathing, poor sequencing for dressing/grooming, or agitation around hygiene tasks. 
  • History of dizziness, neuropathy, or balance issues, including Parkinson’s, stroke effects, MS) 
  • Trouble with precise tasks, including buttons/zippers, steadying in the shower, shaving, or toileting. 
  • Breathlessness, fatigue, or pain regularly. 
  • Skin or hygiene concerns, including odor, unchanged clothing, rashes/skin breakdown, or poor perineal hygiene after bathroom use 
  • Recent hospital stay or surgery
  • Caregiver limits: family can’t be there at safe times, experiencing burnout, or you prefer a same-gender aide for intimate care. 
  • Multiple chronic conditions where a second set of hands improves safety and dignity, such as Parkinson’s, stroke, MS, or neuropathy 
  • Urgency/nocturia or incontinence leading to rushed nighttime bathroom trips (higher slip/fall risk). 

 

How We Provide Care 

Bathing, Dressing, & Grooming care typically includes: 

  • Safety-first bathroom setup: grab-bar use, non-slip mats, shower chair/bench, hand-held shower, water temp checks. [2
  • Hands-on bathing with skin inspection and gentle cleansing, can recommend and utilize moisturizers/barrier creams for breakdown prevention. 
  • Dressing & grooming: adaptive techniques, hair/oral care, shaving, deodorant, nail hygiene, skin hygiene, and other forms of personal care. 
  • Toileting & continence support with infection-risk precautions. 
  • Transfer assistance: tub, shower, and toilet transfers, gait belt use, and fall-prevention cues. 
  • Cognitive-friendly approach for dementia: explain each step, keep routines, reduce stimulation, preserve dignity. [3
  • Care coordination: escalate skin issues, new pain, dizziness, or falls to RN/family/physician. Can recommend DME/home mods as needed. 


We can also provide in-home nursing, which may include: 

  • Medication management & administration 
  • Tube feeding & enteral nutrition 
  • Post-Hospital & Post-Surgical care 
  • Ostomy & stoma care 
  • Tracheostomy care 
  • Catheter care 
  • Wound & injury care 


We can provide: 

  • Respite Care: 
  • Short-term relief for family caregivers 
  • Care provided in the home so loved ones can rest, travel, or attend to other responsibilities 
  • Flexible scheduling to meet urgent or planned needs 
  • 24/7 Care: 
  • Around-the-clock home support for individuals with high or complex care needs 
  • Overnight monitoring to ensure safety, comfort, and prompt response to needs 
  • Continuous personal care, companion care, and nursing oversight as required 


What Areas We Serve 

We serve Montgomery County, MD, Prince George’s County, MD, Howard County, MD, Frederick County, MD, Washington, DC, Fairfax, VA, and Arlington County, VA. 


Here are the estimated numbers of seniors, as well as seniors with difficulty bathing, in the areas we serve: 

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County/Jurisdiction Estimated senior population (65+) Estimated residents with difficulty bathing (15% of 65+)
Montgomery County, MD 187,245 [4] 28,087
Prince George’s County, MD 144,701 [5] 21,705
Howard County, MD 54,432 [6] 8,165
Frederick County, MD 46,943 [7] 7,041
Washington, DC 88,945 [8] 13,342
Fairfax County, VA 177,757 [9] 26,664
Arlington County, VA 29,036 [10] 4,355
Totals 729,059 109,359

In the areas that we serve, hundreds of thousands of seniors and their families need the support that we provide: daily assistance with dressing themselves, bathing in showers, and regularly grooming themselves to look and feel their best. These services aren’t a luxury; they’re essential for safety, dignity, and independence at home. 


Providers & Professionals We Collaborate With or Recommend 

  • Primary care physicians 
  • Geriatricians 
  • Neurologists 
  • Wound & Injury nurses 
  • Physical Therapists, Occupational Therapists, Speech Therapists 
  • Dementia specialists/memory clinics 
  • Case managers/social workers 
  • DME suppliers 


Sources 

  1. PubMed (NIH). 
    https://pubmed.ncbi.nlm.nih.gov/17038069/
     
    Accessed September 2025. 
  2. National Institute on Aging (NIH). 
    https://www.nia.nih.gov/health/aging-place/aging-place-growing-older-home
     
    Accessed September 2025. 
  3. PubMed Central (NIH). 
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7683098/
     
    Accessed September 2025. 
  4. Montgomery Planning (Montgomery County MD). 
    https://montgomeryplanning.org/wp-content/uploads/2025/05/Older-Adult-Population-Profile-FINAL.pdf
     
    Accessed September 2025. 
  5. Prince George’s County Government. 
    https://www.princegeorgescountymd.gov/sites/default/files/media-document/County%20Profile_0.pdf
     
    Accessed September 2025. 
  6. Census Reporter — Howard County, MD Profile. 
    https://censusreporter.org/profiles/05000US24027-howard-county-md/
     
    Accessed September 2025. 
  7. Census Reporter — Frederick County, MD Profile. 
    https://censusreporter.org/profiles/05000US24021-frederick-county-md/
     
    Accessed September 2025. 
  8. U.S. Census Bureau — QuickFacts: District of Columbia. 
    https://www.census.gov/quickfacts/fact/table/DC/PST040224
     
    Accessed September 2025. 
  9. Fairfax County Government — American Community Survey (ACS) 2023. 
    https://www.fairfaxcounty.gov/demographics/sites/demographics/files/Assets/ACS/acs2023.pdf
     
    Accessed September 2025. 
  10. Census Reporter — Arlington County, VA Profile. 
    https://censusreporter.org/profiles/05000US51013-arlington-county-va/
     
    Accessed September 2025. 
  11. PubMed Central (NIH). 
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3020199/
     
    Accessed September 2025. 

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