In Home Services

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Home care is available to the high risk and homebound elderly.  This service is made possible by New York State Community Services for the Elderly and Expanded In-Home Services for the Elderly grants through the Lewis County Office for the Aging and the New York State Office for the Aging.

Many elderly citizens need assistance with a variety of daily needs in the home due to a functional or chronic disability or because they are recuperating from a surgery.

Homemakers help individuals with exercises, change bedding for bedridden patients, assist in walking, bathing and dressing, help with meal preparation, light housekeeping, and provide shopping assistance.

Assistance is also provided in coordinating other services that are available in our county such as transportation to physician’s offices, drug stores, outpatient treatments; home delivered meals; Home Energy Assistance; Home Weatherization; Insurance Counseling.


The purpose of these services is to increase the capacity of individuals to remain in their homes and communities as long as possible with a higher quality of life and avoid unnecessary institutionalization.  A case manager does a personal assessment to evaluate the needs of each person.


The program has a designed mechanism for individuals to assume a responsibility in the cost of their care yet maintain their financial capacity to remain at home.  The cost sharing design provides the individual with a means to assume a part of the cost of services using a sliding scale fee based on the recipient’s monthly income.  Individuals whose income falls below the entry level for cost sharing receive the services with no financial charge but may make monthly donations to the program as they are able.



The Respite program is available to any caregiver who is caring for an elderly individual over the age of 60.  The care-receiver must reside with them and require assistance with at least 1 ADL (activity of daily living).  A case manager is required to complete a personal assessment to evaluate the needs of each care-receiver.  The care-receiver must not be eligible to receive identical services from other sources such as Medicaid, VA, Hospice, or a long term care insurance plan.


The Respite program is available to caregivers who are caring for an elderly individual over the age of 60 in their homes.  All Respite services are provided by a trained professional aide, who would assist a loved one while their caregiver receives a break for an allotted period of time.  Aides do need to assist with personal care during their stay with the individual.

Why use Respite?

     Respite can be beneficial to…..

  • Attend to your own personal business matters
  • Allow your loved one to meet new people
  • Allow yourself time to visit with friends and/or relatives
  • “Recharge” your batteries by having time to yourself
  • Safeguard your mental and physical health
  • Prevent Caregiver “burnout!”


The Caregivers Support Group meets the (3rd) Thursday of each month from 10:00 a.m. – 11:00 a.m.   Each meeting is held at our location of 5274 Outer Stowe Street in Lowville (former Cornell Cooperative Extension Building).  Parking is located at the back of the building. The group focuses on caring for someone with dementia and/or Alzheimer’s, but any type of caregiver is welcome to attend.


Lewis County Office for the Aging works with DSS in filling HEAP applications for residents in Lewis County. This service is designed to aid low income households to manage their utility bills.