Parkinson's & PSP Home Care

Parkinson's disease changes a little at a time, and then all at once. A spouse who managed fine last year now needs a hand getting out of a chair, freezes in doorways, and takes an hour to get dressed. REACH Home Care provides in-home care for people living with Parkinson's disease, other forms of Parkinsonism, and Progressive Supranuclear Palsy (PSP) throughout Kennewick, Richland, Pasco, and the surrounding Tri-Cities communities, so your family member can keep living at home safely as the disease progresses.

We are a locally owned, Washington State-licensed in-home services agency (DOH license IHS.FS.61064639) with our own state-approved caregiver training center in Kennewick. Our caregivers are trained in safe mobility assistance and transfers, which is the single most important skill in Parkinson's and PSP care.

Parkinson's, Parkinsonism, and PSP: what we support

Most of our clients have idiopathic Parkinson's disease, but we also care for people with atypical Parkinsonism, including Progressive Supranuclear Palsy, multiple system atrophy, and Lewy body dementia. PSP in particular brings early balance loss, backward falls, difficulty looking down, and swallowing problems, and it usually moves faster than typical Parkinson's. Our care plans account for those differences: more hands-on fall prevention, closer supervision at meals, and a plan that is reviewed as needs change rather than set once and forgotten.

REACH provides non-medical home care. We do not replace your neurologist, physical therapist, or speech therapist, but we do carry out their recommendations day to day and report back what we see.

What REACH Parkinson's and PSP home care includes

• Mobility and fall prevention: hands-on help with walking, standing, sitting, and turning, cueing through freezing episodes, and keeping walkers and canes within reach.

• Gait belt and Hoyer lift transfers: safe transfers from bed to chair, chair to toilet, and in and out of the car, using gait belts, transfer boards, or a Hoyer lift when a client can no longer bear weight.

• Bathing, dressing, and personal hygiene: unhurried help with showering, grooming, toileting, and continence care, adapted for tremor, stiffness, and slow movement, with dignity protected throughout.

• Meal preparation and mealtime support: meals timed around medication schedules, textures adjusted for swallowing difficulty when a speech therapist has recommended it, and encouragement to eat and drink enough.

• Medication reminders: Parkinson's medications work only when taken on time. Caregivers prompt each dose and note any wearing-off or new symptoms for the family and physician.

• Household assistance: laundry, dishes, light housekeeping, and clearing the walking paths, rugs, and cords that cause falls.

• Companionship and engagement: conversation, gentle activity, and outings, which help with the isolation and low mood that often accompany Parkinson's.

• Overnight and 24-hour care: awake overnight caregivers for clients who are restless, need help to the bathroom, or are at risk of falling at night.

• Respite for family caregivers: regular scheduled breaks so a spouse or adult child can rest, keep their own appointments, and stay healthy enough to keep caregiving.

How our caregivers are trained

Every REACH caregiver completes Washington's required 75-hour Home Care Aide training and state certification exam at the REACH Training Center in Kennewick, with hands-on practice in our skills lab on transfers, gait belts, and body mechanics before working with clients. Caregivers assigned to Parkinson's and PSP clients get additional coaching from our care coordinators on freezing, rigidity, orthostatic dizziness, and swallowing precautions, and every caregiver passes a Washington State background check.

Working with your medical team

Parkinson's and PSP care works best when everyone is on the same page. We follow the exercise, positioning, and swallowing guidance your physical, occupational, and speech therapists provide, and we document what we see at home so you can bring accurate information to appointments at Kadlec, Trios, Lourdes, or your neurologist's office. When a client is discharged from the hospital or rehab, we can be in the home the same day.

Parkinson's and PSP care in Kennewick, Richland, Pasco, and nearby

Our office and training center are at 4304 W 24th Ave, Suite 150 in Kennewick. We provide in-home Parkinson's and PSP care in Kennewick, Richland, Pasco, West Richland, Benton City, Finley, and Burbank, as well as other Benton and Franklin County communities within about 25 miles of our office.

How to get started

1. Call us at (509) 491-1733. Tell us about the diagnosis, current mobility, and where the hard parts of the day are.

2. Free in-home assessment. A care coordinator visits the home, watches how your loved one moves through it, identifies fall risks, and writes a care plan with you.

3. Caregiver match. We assign a caregiver trained in transfers and mobility assistance and introduce them in person.

4. Ongoing adjustments. Hours and tasks change as the disease progresses. There is no long-term contract.

Care can often begin within a day or two of the assessment. We accept private pay and long-term care insurance, and we bill many insurers directly.

Frequently asked questions about Parkinson's and PSP home care

Do you care for clients with PSP or other atypical Parkinsonism?

Yes. We support clients with Progressive Supranuclear Palsy, multiple system atrophy, Lewy body dementia, and other Parkinsonian conditions, and our care plans are adjusted for the faster progression and higher fall risk these conditions bring.

Can caregivers help with transfers?

Yes. Our caregivers are trained in gait belt transfers, transfer boards, and Hoyer lifts, and we assess which method is safe for your loved one during the initial visit.

Can you help with Parkinson's medications?

Caregivers provide medication reminders and make sure each dose is taken on schedule, which matters a great deal with Parkinson's. As a non-medical agency we do not administer medications, but we track what was taken and report changes to the family.

Do you provide overnight or 24-hour care?

Yes. Many Parkinson's and PSP clients need help getting to the bathroom at night or are at risk of falling when they get up. We provide awake overnight care and 24-hour care in shifts.

How quickly can care start?

Usually within one to two days after the in-home assessment, and sooner after a hospital or rehab discharge.

Can you help after a hospital or rehabilitation discharge?

Yes. We can be in the home the day of discharge to help with mobility, medications, meals, and follow-up instructions while your loved one regains strength.

Do you accept long-term care insurance?

Yes. We work with most long-term care insurance policies and can bill many insurers directly.

What areas do you serve?

Kennewick, Richland, Pasco, West Richland, Benton City, Finley, Burbank, and surrounding Benton and Franklin County communities within roughly 25 miles of the Tri-Cities.

Ready to talk? Call (509) 491-1733 or request a free in-home assessment. REACH Home Care Incorporated is licensed by the Washington State Department of Health (In-Home Services Agency License IHS.FS.61064639, UBI 604-584-302).