(PA) 610-572-2034
(DE) 302-358-2114


doctor1Types of Care

We would all prefer to age in the comfort of our own homes. Our services are designed to provide your loved-one with the independence, dignity and safety that will make this possible and enable them to maintain their quality of life.



As we age, tasks that used to be a simple everyday part of our personal lives become more difficult to handle without assistance.

Personal Care services, provided by professional caregivers (typically certified CNA’s and HHA’s), help with the Activities of Daily Living.

The 6 Activities of Daily Living which Medicare defines as:

  • Eating
  • Bathing
  • Dressing
  • Toileting
  • Transferring
  • Continence

Some might need help with all of these tasks, others with only one or two.

Generally the amount of care needed with these activities is what drives the amount of on-site caregiving required.


Four Seasons Healthcare


Assisting with eating, including:

  • preparing food for care recipients with eating difficulties & following special diets.
  • monitoring nutrition as well as food and liquid intake.
  • following special diets.
  • observing eating behaviors.
  • monitoring eating safety risks such as swallowing and choking.

Assisting with bathing including:

  • bed, sponge, tub or shower bathing.
  • perineal care.
  • Using bath equipment, including:
  • tub seat, hydraulic tub seat and hand-held shower wand.

Assisting with tooth care including:

  • brushing permanent teeth, flossing & using rubber pick.
  • removing, cleaning, and inserting dentures.
  • Assisting/providing grooming, including:
  • shaving with an electric or safety razor, and/or beard trimming.
  • applying make-up.

Assisting/providing hair care, including:

  • shampooing, brushing and styling.
  • Assisting with bowel regularity, including:
  • monitoring bowel movements and appearance.
  • following prescribed diets for bowel maintenance.

Assisting with transfers including:

  • one person pivot transfer, 2-person transfers or using transfer belts or mechanical lifts.
  • using wheelchair, walker and/or cane.

Assisting with self-administered medication, including:

  • reminding care recipient to take medications.
  • placing medication within reach of the care recipient.
  • providing water for oral medication.
  • opening pill bottles or dispensing medications from blister packs, which have been prepared by a Pharmacist. ( * Note: Help with medication will not be available where the law prohibits.)
  • storing medications.
  • reassuring the care recipient that medication has been taken.

Assisting/providing basic skin care, including:

  • washing and drying.
  • applying non-prescription body lotions or creams.
  • observing skin changes.

Assisting with dressing including putting on support stockings, which do not require a physician’s prescription.

Assisting with nail maintenance including:

  • soaking, trimming, pushing back cuticles & filing, except as outlined in Notes below.

Assisting with personal hygiene including:

  • Emptying or changing external urinary collecting devices, including catheter bags and supra-pubic bags.
  • Encouraging care recipients to perform normal body movements, as tolerated.
  • Assisting with prosthetics such as applying/removing/cleaning hearing aids and limbs.
  • Assisting with menstrual care.
  • Assistance with urinals, bedpans and/or commodes.
  • Providing bowel and bladder incontinence care.
  • Assisting with positioning in bed, wheelchair and other chairs.
  • Assisting with positioning cradles, rolls and pillows.
  • Assisting with transferring back and forth from bed, wheelchair, toilet and chair.
  • Providing colostomy care and emptying ostomy bag.
  • Emptying, cleaning, and changing urinary drainage bags.
  • Performing passive range-of-motion exercises on care recipient.



Dementia is a general term to describe a group of symptoms such as loss of memory, judgment, language and other intellectual function. It is caused by permanent damage to the brain’s nerve cells. Causes include disease (such as Alzheimer’s), vascular destruction, trauma and alcohol.

Clinical symptoms and progression of dementia vary depending on the type of disease and the location and number of damaged brain cells. Some types progress slowly over years while others may result in sudden loss of intellectual function.

Experienced clinicians can accurately diagnose dementia 90% of the time. Accurate diagnosis is critical. Our RN’s will create a dynamic care plan that changes as your loved one’s needs change. We’ll help your loved one cope better with activities that stimulate their ability to remember, and we’ll carefully monitor everything from medication to daily activities.

As experts in Alzheimer’s and dementia care, you can trust Four Seasons Healthcare to make your loved one’s life—and yours—much easier and more enjoyable!

informationLearn more about: The Signs of Dementia.



Homemaking services make it possible for people to live in their own homes or return home by helping them complete household tasks that they can't manage alone.

Services include Light Housekeeping, Mobility Assistance, Laundry and Bed Linen Changing, Grocery Shopping/Errands, Incidental Transportation, Meal Preparation, Conversation, and Medication Reminders.

Four Seasons Healthcare


Sometimes housekeeping activities can seem too physically demanding, sometimes to the point that the home or laundry becomes unsanitary.

Often, nutritious meals get overlooked. We understand the importance of nutrition in helping seniors live healthy independent lives. Malnutrition is startlingly common with seniors. We’ll prepare hot, nutritious and delicious meals and monitor consumption while sharing conversation to make the meal a pleasurable experience.

We know the signs to look for such as poor wound healing, and many causes of appetite loss such as changing palates and medications.

Detailed services include conducting routine light housekeeping activities such as:

  • general tidying-up of rooms in which the care recipient spends time
  • making/changing beds used by care recipient
  • washing dishes, pots, pans and utensils after meals
  • spot cleaning of kitchen counters, cupboards and appliances
  • gathering up trash from inside the home and putting it out for pick up
  • cleaning bathroom fixtures after use by care recipient
  • sweeping/vacuuming and spot-cleaning floors in rooms used by care recipient.
  • doing laundry (washing, drying, ironing & putting away)
  • meal planning, preparation & clean up.
  • assisting with special, written diet plans and reinforcing diet maintenance, which is provided under the direction of a Physician.
  • escorting or transporting care recipients to medical facilities, errands, shopping and outings
  • shopping for essential items on care recipient’s behalf such as groceries and cleaning supplies
  • performing errands such as picking up medication and posting mail
  • assisting care recipients with communication by writing or typing correspondence

Companionship services engage a client’s personal interests and activities that will make their lives meaningful and fun.

Whether it’s going on walks together, reminiscing, shopping, or working on puzzles and crafts.

Caregivers will also attend senior or community group activities with your loved one, something that many seniors tend to limit because of a fear of falling. We’ll help them safely continue doing what they enjoy.

logo2Four Seasons Healthcare


Social contact is proven to enhance the health, happiness and quality of life of everyone, especially seniors. Companionship services include:

  • talking, listening, sharing experiences
  • playing games/cards, reading to care recipient etc.
  • helping keep care recipient in contact with family, friends and the outside world
  • accompanying care recipient to recreational and/or social events
  • assisting with plans for visits and outings
  • writing or typing letters/correspondence
  • organizing and reading mail
  • planning local trips and out-of-town travel with care recipient
  • accompanying care recipient on walks
  • reminding care recipient to take medication.
  • reminding care recipient to start or finish meals.
  • assisting with pet care






Sitting Services

In a Care Facility

We can monitor your loved one while they are in a facility so that you can get a break. We’ll alert you and the medical staff to any changes that may occur. Our professional caregivers are available 24 hours a day to give you the peace of mind that your loved one is not alone.

We provide our services in Hospitals, Nursing Homes, Assisted Living Centers, and Continuing Care Retirement Communities. As always our RN’s will be involved from the start.

Four Seasons Healthcare can help your loved one while they are in a facility and then provide care when they transition back to home. Please contact us today to learn how we can help you.

Who better than an experienced RN to liaise with facility medical professionals to ensure a seamless service. All of our RN’s have worked in skilled facilities so they know the lay of the land. For this service we use only caregivers who are licensed CNAs/Home Health Aides – the requirement for all caregivers working in skilled facilities.

Did your loved one serve

Four Seasons Healthcare Did your loved one serve m12