Running the Cared-4℠ care model from Liberty Station, Home Helpers of Clairemont serves Point Loma out of Historic Decatur Road. Post-discharge transitions are a core workflow — fall recovery, hip-replacement rehab, stroke homecoming — with mobility rehabilitation handed off to Sunset Performance Physical Therapy when clients need in-clinic strengthening alongside in-home caregiver support. The Cared-4℠ system layers wellness calls, nutritional support, and wearable monitoring devices with an emergency call center connected to PERS fall-alert pendants that trigger family notification and dispatch. Alzheimer's and dementia care runs structured routines built around familiar environments, with live-in caregivers matched to clients whose sundowning patterns require overnight supervision. Medical oversight for complex cases — multi-medication regimens, post-hospital swallow precautions, wound care monitoring — coordinates with primary care including David Ryan, MD so that care plans reflect current physician orders rather than outdated discharge paperwork. The most involved assignments run live-in dementia care with caregiver rotations across multiple shifts and detailed handoff documentation so that clients with sundowning behavioral patterns maintain continuity rather than experiencing single-caregiver burnout.