Private Duty Nursing in Massachusetts — Clinical Care, Delivered at Home
When your loved one’s needs cross into medical territory, a standard caregiver isn’t enough, and hospital discharge doesn’t wait for you to figure that out.
There may come a time in someone’s care journey when their caregiver isn’t licensed or trained to perform certain care requirements. When a loved one needs an injection administered safely, a wound properly assessed, or IV medication managed by someone with the license and training to do it safely, that’s when a private duty nurse makes all the difference.
At Immaculate Home Healthcare, we provide licensed RN and LPN private duty nursing services across Greater Boston and Merrimack Valley area. Our nurse owners built this agency precisely because they saw how many families were left without a qualified clinical option between hospital discharge and independent recovery – and how much that gap costs families when it goes unaddressed.
Call to Discuss your Nursing Care Needs:
What Is Private Duty Nursing?
Private duty nursing is one-on-one skilled nursing care provided in the home by a licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN). Unlike a home health aide or companion caregiver, a private duty nurse is clinically licensed to perform medical procedures, assess changes in condition, and carry out physician-ordered care plans.
For families managing complex medical needs at home, a private duty nurse fills the gap between what a visiting nurse service provides – typically a few visits per week – and what a family actually needs day to day.
All Immaculate Homecare Services nursing staff hold valid Massachusetts practice licenses and bring years of clinical experience to every case.
Our private duty nursing services include:
- IV medication management and infusion therapy
- Injection administration, including insulin
- Wound care and dressing changes
- Tube feeding and enteral nutrition management
- Medication administration and monitoring
- Post-operative care and recovery support
- Vital sign monitoring and clinical assessment
- Coordination with physicians, VNA and hospice teams, and specialists
- Disease management for chronic and complex conditions
If you have a specific clinical need not listed here, call us. Our nurse owners can assess whether it falls within our scope of practice and advise on the right care approach.
Who Needs Private Duty Nursing Care?
Private duty nursing is the right fit when a loved one’s medical needs exceed what a standard caregiver can safely provide – but they don’t need or want to be in a facility.
Common situations include:
Learn More About Our In-Home Private Duty Nursing Services in Massachusetts:
The Difference Between a Private Duty Nurse and a Home Health Aide
A private duty nurse is a licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) who can perform skilled medical procedures in your home – including medication administration, wound care, IV therapy, and clinical assessment. A home health aide provides non-medical support with daily living tasks such as bathing, dressing, and meal preparation.
The key distinction is licensure: only a licensed nurse can legally perform clinical procedures, make medical assessments, and carry out physician-ordered care plans.
Home Health Aide
Companion Care/
Home Health Aide
Clinical License RequiredNo
Private Duty Nursing
(RN/LPN)
Clinical License RequiredYes
Licensed, Experienced Private Duty Nurses in MA
Our private duty nurses are Massachusetts-licensed, experienced, and matched to each case with clinical fit in mind. We maintain RN oversight of every case, communicate proactively with families, and coordinate directly with your loved one’s existing medical team — including VNA services, physicians, and hospice providers.
When hospice nurses and hospital discharge planners in Greater Boston need to refer a family to a private duty nursing agency they trust, they refer to Immaculate Homecare Services more than any other home care agency in MA.
Call now to get started:
Why Families in Massachusetts Choose Immaculate Homecare Services for Private Duty Nursing
Many home care agencies in Greater Boston are not nurse-owned. When a clinical question arises, there is often no licensed clinician on the agency side to answer it.
At Immaculate Homecare Services, our owners are registered nurses. That means when you call with a concern about your loved one’s condition, we can actually evaluate it – not escalate it to someone else, not schedule a callback, not consult a care manual.
Clinical judgment is built into the leadership of this agency, which means it’s present in every case decision, every caregiver match, and every conversation your family has with us.
You don’t have to have everything
figured out to call us.
or request a free in-home assessment below.
Frequently Asked Questions
What is the difference between private duty nursing and a visiting nurse (VNA)?
A visiting nurse (VNA) provides short, scheduled visits — typically a few times per week — as part of an insurance-covered home health plan with defined visit limits set by the authorizing payer. Private duty nursing is privately paid, one-on-one skilled nursing care that is not bound by insurance authorization schedules.
This means a private duty nurse can visit multiple times per day, provide extended shifts, or offer continuous overnight care based entirely on the patient’s clinical needs rather than what an insurer will approve. For patients with complex or evolving medical needs, private duty nursing fills the clinical gap that VNA visit frequency alone cannot cover.
Do private duty nurses need to be licensed in Massachusetts?
Yes. Any nurse performing skilled clinical procedures in a patient’s home must be properly licensed in the state where care is provided.
Can a private duty nurse work alongside our existing VNA or hospice team?
Absolutely. Immaculate Homecare Services regularly coordinates with VNA services, hospice teams, and specialist physicians. Our nurse owners communicate in clinical language with the medical professionals already involved in your loved one’s care, which means fewer gaps, fewer miscommunications, and a more cohesive care experience for your family.
How quickly can private duty nursing care start?
In many cases, on the same day. Our intake process is led by an RN from the first call, which means clinical assessment happens immediately — not after a non-clinical intake coordinator passes the case along.
Is private duty nursing covered by insurance or Medicare?
Private duty nursing is generally not covered by traditional Medicare or Medicaid. It is typically a private pay service, meaning families pay out of pocket based on the level and frequency of care required. Some long-term care insurance policies do include provisions for private duty nursing. Coverage varies significantly by policy, so it is worth reviewing your plan details or speaking with your insurance provider directly.
We’re happy to discuss how that works on an initial call.