Keston Care | In-home health care and respite provider

Keston Care Service and Rate Structure

Certified Nursing Assistant

AssistanceOur skilled CNAs are professionally trained and certified and listed on the Facility board of Services of North Carolina. Our Staff is available to provide assistance with bathing, dressing, and other personal needs, assistance with prescribed exercises, and other hands on care. They are available for a minimum of 3 hours or up to 24 hours a day 7 days a week. Our staff is also trained for Hospice and other specialty care. They can also prepare light meals, light housekeeping, and escorts to appointments. CNA service costs $17 to$25 per hour*.

Keston Care covers Orange, Durham and Chatham counties.



Initial Client Nursing Assessment


Nurse AssistanceUpon a request for service Keston Care will set up an appointment with the major care givers to assess the care needed, safety of home environment, and any special needs of the family. You will sign a service agreement and a financial statement specifying hours and days you are requesting service. There is a $75 fee, which is waved if you decide to use Keston Care's services.




 The Community Alternatives Program for Persons with Developmental Disabilities (CAP-MR/DD) is a special Medicaid program started in 1983 to serve individuals who would otherwise require care in an intermediate care facility for people with the Developmental Disabilities It allows these individuals the opportunity to be served in the community instead of residing in an institutional or group home setting.

CAP-MR/DD operates under a Medicaid home and community-based services waiver granted by the Health Care Financing Administration (HCFA). HCFA approves the services, the number of individuals that may participate, and other aspects of the program. The participants must be at risk of institutionalization. The Medicaid cost for community care must be cost effective in comparison to the cost of ICF/MR care.


The CAP-MR/DD program is administered by the Best Practice and Community Innovations Team in the Community Policy Management Section of the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services. The Local Management Entities are responsible for operation at the local level. The Division of Medical Assistance, as the State Medicaid Agency, provides oversight in relation to Medicaid and waiver issues.


Keston Care covers Orange, Durham and Chatham counties for CAP/MR.


Medicaid service provided:

  1. Home and Community Support
  2. Personal Care
  3. Enhanced Personal Care
  4. Respite
  5. Enhanced Respite


Medicaid Personal Care Services (PCS)


Medicaid Personal Care Services (PCS) covers the services of an in-home aide in the patientÂ’s private residence to assist with the patientÂ’s personal care needs which are directly linked to a medical condition. It is often an alternative to placement in an adult care home (rest home). All patient assessments for PCS and all in-home aide supervision must be conducted by a registered nurse(CCME)


Keston Care covers Orange, Durham and Chatham counties.


Keston Care is also a full service Medicaid Provider licensed in the state of North Carolina to provide CAP/DA CAP/C CAP/DD in conjunction with the Local area Programs.


*An additional charge is assessed during Holidays. There also may be an additional charge if more than one person in the home needs care.