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Hiring a Caregiver in Lexington, MA

Hiring a caregiver in Lexington is for families choosing care for a loved one, not for people applying for a job. Use this page to compare private hire versus agency support, backup coverage, supervision, insurance, replacements, and how a care plan adapts when needs change.

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By providing my wireless phone number to FirstLight Home Care of Boston Northwest (hereinafter collectively “Company”), I hereby agree and expressly acknowledge that the Company may send text messages to my wireless phone number for any purpose including but not limited to marketing and updating information. Message and data rates may apply. You may Opt-out at any time by replying “STOP” to any text message that is sent by Company.

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Awards & Associations

Newsweek - America's Best Customer Service, 2026
Franchise Times top 400
Best of Home Care - Provider of Choice 2023
VA Approved Provider
Home Care Association of America
Corporate Partner - Aging Life Care Association
Best of Home Care - Provider of Choice 2023

Helpful next steps for Lexington families

24/7 Care Costs in Lexington

Compare 24-hour coverage when the hiring decision really depends on whether live-in or awake overnight care fits the home and the budget.

See Cost Guide

Personal Care

Choose personal care when the caregiver will need to handle bathing, dressing, toileting, transfers, or other hands-on daily support.

See Personal Care

Dementia Care

Review this when memory loss, wandering risk, or behavior changes are driving the need for more structured staffing.

View Dementia Care

Respite Care

Use respite care when the household mainly needs reliable relief for the primary family caregiver instead of a full longer-hour plan.

Explore Respite

Girish and Shalini Lahoty, owners of FirstLight Home Care of Boston NorthwestGirish and Shalini Lahoty
Owners

What to ask before hiring a caregiver in Lexington

(781) 874-9901

Agency vs private-hire comparison for Lexington families

The safest caregiver decision usually comes from comparing responsibility, backup, and supervision, not just the hourly rate.

Vetting and training

Ask who screens the caregiver, checks references, handles training, and confirms the person is prepared for bathing, transfers, dementia, or recovery needs.

Backup coverage

If one caregiver gets sick, travels, or is not a match, an agency model can provide replacement coverage instead of leaving the family uncovered.

Supervision and care notes

A managed care plan gives families a place for updates, schedule changes, and concerns before small issues become safety problems.

Insurance and replacements

Clarify workers compensation, liability, payroll, taxes, and who handles a replacement if the first match does not work.

A consultation can help your family talk through the household, schedule, safety concerns, and whether hiring directly or working with an agency is the better fit.

Talk through your hiring questions

Areas We Serve

FirstLight Home Care of Boston Northwest is proud to offer our home care services to families in:

Also serving the surrounding areas.

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map of the Boston Northwest FirstLight Home Care Territory

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