24-Hour Home Care in Germany: Who Is Responsible?
Hamm – November 05, 2026 -- Families arranging live-in care for a relative in Germany often face private costs of 3,500 to 5,000 euros a month, depending on care level and individual needs, according to care provider SILESIA Pflege- und Betreuungsdienste GmbH. Founder and managing director Sarah Lange-Pasternak argues that the employment model behind a caregiver matters as much as the person herself.
A fall, a hospital stay or advancing dementia can quickly leave a relative needing many hours of daily support, more than visits from an outpatient nursing service can cover. Many families look for care at home, but run into models where caregivers are placed by foreign agencies or posted to Germany. Reports of problematic working conditions and unclear responsibilities add to the uncertainty.