Home/Specialized Care/Neuromuscular & Spinal Cord
Quadriplegia, ALS & Muscular Dystrophy Home Care

Strength, shared.

Complete, dignified in-home care for quadriplegia, spinal cord injury, muscular dystrophy, ALS and other conditions that affect strength and movement, from certified nursing assistants supervised by registered nurses.

Certified handsRN-supervised CNAs

When the body can no longer do what the mind intends, care should restore choice, not take it away.

BodyExpert physical care

Lift transfers, positioning and full personal care, performed safely and without hurry.

MindIndependence, protected

Your loved one directs the day. We follow their preferences, their pace and their way of doing things.

HomeOne steady team

Consistent caregivers, RN oversight and close coordination with your clinicians and family.

The conditions we support

Six conditions, one standard of care.

Each condition asks something different of a caregiver. Here is how our CNAs meet it.

I
Neuromuscular · I

Quadriplegia

Full support, with independence honored.

Living with quadriplegia means relying on others for nearly every physical task. Our CNAs provide complete, unhurried personal care while your loved one directs their own day, from the order of the routine to exactly how things are done.

  • Full personal care: bathing, dressing, grooming and toileting
  • Safe transfers with mechanical lifts and gait belts
  • Scheduled repositioning and daily skin checks, reported to the RN
  • Support with bowel and bladder routines within the plan of care
  • Watching for signs of autonomic dysreflexia and alerting the care team at once

The hands are ours. The decisions remain theirs.

II
Neuromuscular · II

Paraplegia & spinal cord injury

Confident, independent living from the chair.

After a spinal cord injury, the right support turns a difficult home into a workable one. Our caregivers help with the tasks that still need a second pair of hands, so your loved one can focus on rebuilding independence.

  • Transfers between bed, wheelchair, shower and car
  • Pressure-relief reminders and skin observation
  • Help with home exercises from physical and occupational therapy
  • Meal preparation, errands and household support
  • Accompaniment to appointments and outings

A second pair of hands, only where they are wanted.

III
Neuromuscular · III

Muscular dystrophy

Care that keeps pace as strength changes.

Muscular dystrophy gradually weakens the muscles, and needs change over the years. Our CNAs adjust the care as abilities shift, keeping routines safe and familiar while preserving as much independence as possible.

  • Mobility support, transfers and fall prevention
  • Assistance with bathing, dressing and grooming
  • Range-of-motion exercises as directed by therapists
  • Support with positioning, braces and mobility equipment
  • Consistent caregivers who know the routine well

Care that adapts quietly, before it is asked.

IV
Neuromuscular · IV

ALS (Lou Gehrig’s disease)

Constant presence as needs grow.

ALS changes quickly, and families need a team that can grow with it. Our CNAs provide hands-on personal care, positioning and companionship, working alongside the clinical team managing breathing equipment, feeding and treatment.

  • Full personal care, repositioning and skin protection
  • Transfers with lifts and mobility equipment
  • Patience and support with communication devices
  • Extended-hour, overnight and live-in coverage
  • Respite for spouses and family caregivers

When words grow harder, we learn to listen differently.

V
Neuromuscular · V

Spinal muscular atrophy (SMA)

Gentle, steady care for weakening muscles.

Adults living with SMA often need careful support with movement and daily routines. Our caregivers bring a gentle, practiced approach to positioning, transfers and personal care, at the pace that feels right.

  • Careful positioning and supported transfers
  • Personal care and hygiene assistance
  • Help with meals and eating precautions set by the care team
  • Observing changes in breathing or energy and reporting them
  • Companionship and help staying engaged in daily life

Gentleness, practiced until it becomes second nature.

VI
Neuromuscular · VI

Cerebral palsy

Lifelong support, built around the person.

Cerebral palsy affects each person differently. We take time to learn how your loved one moves, communicates and prefers to be cared for, then match caregivers who can provide that support consistently.

  • Personal care tailored to muscle tone and mobility
  • Transfers, positioning and wheelchair support
  • Patient support with communication and daily choices
  • Help with meals, routines and household tasks
  • Respite for parents and family caregivers

Every person, learned by heart.

Trained, practiced, prepared

Hands that know the equipment.

Physical care is only as safe as the hands performing it. Our caregivers are practiced with the equipment that neuromuscular and spinal cord care depends on, and an RN reviews every home for safe transfers at the start of care.

Hoyer & mechanical liftsSit-to-stand liftsSlide boardsGait beltsPower & manual wheelchairsHospital bedsPressure-relief surfacesBraces & splintsCommunication devicesShower & commode chairsPositioning wedges
A day, held

Care that moves with the day.

MorningA gentle start

Lift transfer, bathing, dressing and grooming, done unhurried and in the order your loved one prefers.

MiddayNourished & repositioned

Meals prepared and served, scheduled repositioning, and home exercises from therapy.

AfternoonOut into the world

Appointments, errands, outings and time with friends, with a caregiver at their side.

Evening & nightRest, protected

Wind-down routine, skin check and overnight repositioning for safe, comfortable sleep.

Beyond the physical

The mind matters too.

Living with paralysis or a progressive condition affects mood, confidence and connection as much as the body. We care for both.

  1. Dignity first. Privacy, modesty and respect in every personal task.
  2. Their voice leads. Choices about the day stay with your loved one.
  3. Connection. Conversation, hobbies and outings that keep life full.
  4. Rest for family. Respite so spouses and parents can be family again, not only caregivers.
Questions families ask

Neuromuscular & spinal cord care, answered.

Do you provide in-home care for quadriplegia?

Yes. Our certified nursing assistants provide full personal care for adults living with quadriplegia at home, including bathing, dressing, toileting, mechanical-lift transfers, repositioning and skin checks, under the supervision of a registered nurse.

Can your caregivers use a Hoyer lift and other transfer equipment?

Yes. Our CNAs are trained on mechanical lifts, sit-to-stand lifts, slide boards and gait belts, and an RN reviews the home for safe transfers at the start of care.

Do you offer live-in or overnight care for ALS and muscular dystrophy?

Yes. We provide extended-hour, overnight, 24-hour and live-in coverage, so care can grow as needs change, with consistent caregivers who know your loved one’s routine.

Do you work with home health nurses and therapists?

Yes. Our caregivers provide non-medical personal care and work alongside your physician, home health nurses and therapists, following the routines and precautions they set and reporting changes to the care team.

Which areas do you serve?

We serve families across Orange County and the Inland Empire. Call us to confirm care is available in your neighborhood.

PC
Complimentary · No obligation

A private consultation, in your home.

We’ll listen, meet your loved one, and design care around them. Complimentary, with no obligation.

Serving Orange County & the Inland Empire
The Premium Care LetterWeekly guidance on caring well at home.
Sign up