Bergen County, New Jersey
In-home aides for Bergen County, supervised by a medical team
Private duty help with bathing, meals, medications and companionship. A nurse visits every two weeks to check on the person and supervise the aide, so problems get caught early. Each care plan is written by a nurse and reviewed by our Medical Director, so the details are covered from the start.
We call back within 30 minutes, 8am to 8pm, 7 days a week.
Who we help
Help at home when daily life needs more than one person can give
People call us when something has shifted: a fall, a hospital discharge, a spouse who can no longer manage alone, or someone who is slipping with meals and medications. Whether the care is for you or someone in your family, you want someone reliable in the home and a clinician watching the big picture.
What our aides do
Personal care
Bathing, dressing, grooming and toileting, with dignity and patience.
Mobility & fall prevention
Safe transfers, walking support and a watchful eye on fall risks.
Meals & nutrition
Shopping, cooking and making sure meals actually get eaten.
Medication reminders
On-time reminders and a report to the nurse if a dose is missed or doubled.
Household help
Light housekeeping, laundry and keeping the home safe to move around in.
Companionship & rides
Conversation, outings and transportation to appointments.
Three ways we can help
Hourly shifts
Shifts of 4 hours or more, from a few visits a week to around-the-clock coverage with two aides on 12-hour shifts. No weekly minimum. Weekends and holidays available.
Live-in care
A certified aide lives in the home and helps through the day, so the person can stay home instead of moving. A relief aide working from the same plan covers days off. Live-in fits best when nights are mostly quiet; if someone needs help several times a night, we will recommend two aides on 12-hour shifts instead. More about live-in care
Short-term and respite care
Extra hands for a few days or weeks: after a hospital discharge or surgery, while a family caregiver travels or recovers, or as a trial before committing to ongoing care. Same nurse assessment, same care plan, no long-term contract.
Scheduling: 4-hour minimum per shift, no weekly minimum, weekends and holidays available.
Service area: Bergen County, including Paramus, Ridgewood, Glen Rock, Fair Lawn, Hackensack, River Edge, Westwood, Park Ridge, Woodcliff Lake, Saddle River, Upper Saddle River, Mahwah, Ramsey, Franklin Lakes, Englewood, Tenafly, Cresskill, Alpine, Closter and Demarest.
The difference
An aide is only as good as the team behind them
At a typical agency, someone checks on the aide when there is a problem. At Nexstep, a nurse-led team sets up the plan, trains the aide to it, and stays involved for as long as care continues.
Clinical assessment first
A Nexstep registered nurse visits the home before care starts to learn the person’s baseline: mobility, memory, medications, eating, sleep, mood.
A written care plan
The nurse writes a plain-language plan the aide follows, and our Medical Director reviews every plan.
Aides who report, not just help
Aides complete a daily check-in in our logging tool and contact the nurse the same day if anything is different from baseline.
A nurse visit every two weeks
The nurse visits every aide client every two weeks, adjusts the plan, and reaches out to you and the person’s doctors when something needs attention.
Small changes, caught early, are what keep someone safe at home. Our aides are trained to notice them, and our nurses and physician are there to act on them.
Our team
Led by a physician, delivered by nurses and certified aides
Medical Director. Olan Soremekun, MD, MBA, is a board-certified, actively practicing physician with over a decade in home-based care. He reviews every care plan and is available to our nurses and aides when a client’s regular doctor is not.
Registered nurses. Our RNs are home care specialists affiliated with major health systems in Bergen County.
Certified home health aides. Every aide is a New Jersey CHHA, CPR trained, and a Nexstep employee. Before joining, each aide passes a background check and a driving-record check, and we speak with their personal and professional references. Nexstep is insured and bonded.
In practice
What supervision looks like
Each story combines details from several clients, to protect their privacy.
A change from baseline
Mrs. R had dementia, so some confusion was normal for her. Her family and aide knew what her typical day looked like. One morning the aide noticed she was more confused than usual, tired, and not herself. Instead of assuming it was the dementia getting worse, the aide contacted the Nexstep nurse.
The nurse reviewed the change from baseline, recognized it could be a sign of illness, and arranged a urine test through her doctor’s office. It showed a urinary tract infection, and Mrs. R started antibiotics early, before she became much sicker.
For families, the hardest question is often, “Is this just the dementia, or is something else wrong?” An aide supported by a nurse knows what to look for and when to escalate.
A medication taken the wrong way
Mr. T had been lightheaded for several days, and one afternoon he nearly fell. His aide reported the change, and the Nexstep nurse followed up. Reviewing his medications, she found he had been taking one of them incorrectly, which likely explained the dizziness and his fall risk.
She clarified the instructions and saw a bigger issue: he was struggling to manage his medications on his own. She set them up in a safer, more organized way and reviewed the schedule with him.
Dizziness is not always “part of getting older.” A nurse can find the cause and put the right support in place before a near-miss becomes an emergency.
In both cases, the aide’s job was to notice. The nurse’s job was to act. That is the whole point of supervised care.
Beyond aide care
Coming home from the hospital, and a doctor who comes to you
Leaving a Bergen County hospital
We work with discharge planners and families at Hackensack University Medical Center, Valley Hospital in Paramus, Englewood Health and Pascack Valley Medical Center in Westwood. Call us before the discharge date. A nurse can meet the person at home, go over the discharge instructions and medications, and have the aide schedule in place for the first night.
We also provide aides and nurses in assisted living, and help with the move home from a rehab facility.
Physician house calls
Our physicians see patients at home for new problems, follow-up after a hospital stay, and ongoing care for people who find it hard to get to an office. Same-day or next-day visits when it’s clinically appropriate.
How it works
From your first call to the first shift
Request a consultation
Fill out the short form or call. Someone from our team calls you back within 30 minutes, 8am to 8pm, 7 days a week. Messages after 8pm are returned by 8:30am the next day.
Free consultation call
We talk through the care needs, your schedule, and whether we are the right fit. No pressure; if another resource fits better, we will say so.
In-home nursing assessment
A registered nurse visits to meet the person, set the baseline, and write the care plan. The assessment is billed as a visit.
Matched aide, first shift
We match an aide to the person’s needs and personality and introduce them in person. Care can usually start within 7 days.
Paying for care
Private pay, with the insurance paperwork handled
Nexstep is private pay, billed hourly, with no long-term contract. Medicare does not pay for ongoing private duty aides, and we do not bill Medicaid.
If the person has long-term care insurance, we work directly with the insurer so the paperwork does not land on you. How we handle long-term care insurance
- We review the policy with you and explain what it covers and when benefits start.
- We help activate benefits, including the assessment and plan-of-care documentation most policies require.
- We file claims and handle the recertifications that keep the policy paying.
We share hourly rates on the consultation call. Many families start with 20 hours a week and adjust from there.
Questions families ask
Frequently asked questions
How much does it cost?
Care is private pay, billed hourly, with no long-term contract. We share rates on the consultation call. Many families start with 20 hours a week and adjust from there.
Do you take Medicare or Medicaid for aide services?
Medicare does not pay for ongoing private duty aides, and we do not bill Medicaid. Nexstep is private pay; long-term care insurance can offset the cost.
Do you accept long-term care insurance?
Yes. We work directly with long-term care insurers: we help activate benefits, provide the documentation most policies require, file claims, and handle recertifications.
Who are your aides?
New Jersey certified home health aides (CHHA) who are background-checked, trained to our care plans, and supervised by our nurses. All of our aides are Nexstep employees, and Nexstep is insured and bonded.
What if we do not like the aide?
Tell us. We will match a different aide at no charge.
Is there a minimum?
Shifts are 4 hours or more. There is no minimum number of shifts per week.
Do you offer live-in care?
Yes. A certified aide lives in the home and helps through the day, with a relief aide covering days off. It works best when nights are mostly quiet; if someone needs help several times a night, two aides on 12-hour shifts is the safer choice, and we will tell you that up front. Read more about live-in care.
Can we use you for a short time, or just while I am away?
Yes. Many families start with short-term or respite care: after a hospital discharge or surgery, during a caregiver’s trip, or as a trial. The nurse still does an assessment and writes a care plan, and there is no long-term contract.
What towns do you serve?
All of Bergen County and some parts of surrounding counties. We are adding neighboring counties over the coming months; ask on your call.
Is this the same as your in-home doctor visits?
No. Aide care is daily hands-on help. Our Medical Director supervises the nurses and aides, assists with urgent assessments, and can order simple tests when a client’s regular doctor is not available. House calls are included in some clients’ care plans; ask about it when we put together the plan.
Next step
Talk to our team today
Tell us what is happening at home. We will call you back within 30 minutes, 8am to 8pm, 7 days a week, and help you figure out the next step, even if it is not with us.
- NJ Health Care Service FirmHP0390200
- ACHC AccreditedHome Health & Skilled Nursing
- Physician-ledEvery care plan reviewed by our Medical Director
- All aides are CHHACertified, Nexstep employees
- Insured & bondedBackground and driving-record checked