Structured Dementia Care
That Restores Calm at Home
Specializing in Alzheimer's and other dementias, we provide routine-based, RN-supervised support that reduces confusion, protects dignity, and brings stability back to your family.
Serving Raleigh · Durham · Chapel Hill · Cary · Apex · Wake Forest
Why Families & Professionals Choose Us
Dementia Care Is Not General Home Care
Cognitive decline changes communication, behavior, routine tolerance, and safety risks. Our care model is designed specifically for these realities — not adapted from a general home care template.
Dementia-Only Focus
We do one thing and do it exceptionally well. Our entire model — training, staffing, care planning — is built around the specific realities of cognitive decline, not adapted from general home care.
Caregiver Continuity
Familiar faces reduce confusion, anxiety, and behavioral symptoms. We prioritize consistent caregiver assignments rather than rotating coverage, because familiarity is a clinical tool.
Structured Daily Routines
Predictable rhythms stabilize mood, reduce agitation, and prevent avoidable crises. Every client's day is intentionally designed — not improvised.
RN-Supervised Clinical Oversight
An RN provides clinical supervision, monitors changes in condition, and adjusts care plans as dementia progresses. Care evolves with the disease.
PAC-Trained Caregivers
Our Director of Care Services is a Positive Approach to Care® Champion Teacher, trained in Teepa Snow's evidence-based dementia communication and behavioral support methods.

Structured Engagement
Meaningful activities tailored to cognitive ability
Our Clinical Approach
A System Built for How Dementia Progresses
Dementia care requires more than caregiver presence. It requires structure, communication, and thoughtful oversight. Our model is built to support families and professional partners through every stage.
Comprehensive In-Home Assessment
We begin with a structured consultation to understand cognitive status, daily routines, behavioral patterns, safety risks, and family dynamics.
Structured Care Plan Design
Care is organized around predictable routines, environmental stability, and engagement tailored specifically to cognitive decline.
Caregiver Matching & Continuity
We prioritize consistent caregiver assignments to reduce confusion and strengthen trust over time.
RN-Supervised Oversight
An RN provides clinical supervision, monitors changes in condition, and adjusts care plans as needs evolve.
Clear Communication & Collaboration
We maintain open communication with families and coordinate thoughtfully with healthcare providers, care managers, and fiduciaries.
Who We Serve
Built for Moderate to Advanced Dementia
Families in Complex Situations
We are best suited for families navigating moderate to advanced dementia, where structured routines, behavioral stabilization, and safety oversight are essential.
Families Seeking Long-Term Stability
Not short-term coverage. We build care relationships designed to last — with consistent caregivers who know your loved one deeply.
Families Navigating a Crisis
When a hospitalization, fall, or rapid decline has made the current situation unsustainable, we provide structured support to restore stability at home.

Leadership
Founder-Led. Dementia-Focused.

David Hall, PhD
Founder & CEO
David leads the strategic direction of Guiding Light, bringing a background in health sciences and 25 years in clinical research. After personally navigating a loved one's dementia journey, he founded Guiding Light with a commitment to building a structured, evidence-informed approach to in-home memory care in the Triangle.

Ashley Ogden-Ellis, RN
Director of Care Services
Ashley oversees care planning and clinical supervision as a Registered Nurse. She is a PAC (Positive Approach to Care®) Champion Teacher — a Teepa Snow dementia education program — reflecting advanced training in dementia-specific communication and behavioral support.
Service Area
Serving Families Across the Triangle
We provide specialized in-home dementia care throughout the Raleigh–Durham–Chapel Hill Triangle. Select your city to learn more about care in your community.
Raleigh
Wake County
Rex Hospital · WakeMed · Duke Raleigh
Cary
Wake County
WakeMed Cary · Duke Health Cary
Durham
Durham County
Duke University Hospital · Duke Regional
Chapel Hill
Orange County
UNC Medical Center · NC Neurosciences
Apex
Wake County
UNC REX Apex · WakeMed Cary
Wake Forest
Wake County
WakeMed North · Duke Health Raleigh
Ready to Talk?
Ready to Discuss Your Family's Situation?
Conversations with Guiding Light are steady, thoughtful, and focused on understanding your situation clearly before any decisions are made. There is no obligation to proceed.