Live-in Foreign Caregiver and Night Care in Israel
A live-in foreign caregiver resides in the patient's home and is available to help throughout the day. Important: a live-in position does NOT automatically include active care throughout the night — the caregiver is entitled to sleep and rest hours. Occasional night assistance (supervision, help to the bathroom, isolated wake-ups) is possible by prior agreement; intensive night care requires specific matching, checked with the team.
Employing a foreign caregiver requires a valid employment permit from the Population and Immigration Authority. This guide explains the position types, realistic night expectations, and how to find a suitable caregiver in Orshina's catalog.
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24/6 vs. "24/7" vs. replacement caregiver
| Track | What it means in practice | Best for |
|---|---|---|
| Live-in 24/6 | The caregiver lives in and works six days a week, with a continuous weekly rest day as required by law. | Most households; a family member or replacement caregiver covers the rest day. |
| Live-in incl. weekends ("24/7") | The caregiver agrees to work weekends too, subject to rest rights and prior coordination. There is no such thing as continuous work without rest. | Cases with no weekend cover, fully coordinated with the caregiver. |
| Replacement caregiver | Short-period work: the weekly rest day, the permanent caregiver's home leave, illness or vacation. | Families with a permanent caregiver who need temporary cover. |
Live-in is not active night care — what IS realistic?
If night care is your main need, say so explicitly in your inquiry — the Orshina team checks the caregiver's experience and willingness for night assistance before matching.
- Reassuring presence and supervision: the caregiver is at home and can be woken in an emergency.
- Occasional help: escorting to the bathroom, a glass of water, checking the patient is back in bed — at a reasonable scope, by agreement.
- Frequent wake-ups or awake night care (repositioning bedridden patients, night diaper changes, dementia wandering supervision) require individual matching and sometimes a complementary solution.
A valid employment permit is mandatory
Employing a foreign caregiver is allowed only with a valid permit from the Population and Immigration Authority, based on the National Insurance ADL dependency test or age 90+. Official sources: Hiring a foreign caregiver — gov.il and Long-term care — National Insurance Institute.
Finding a live-in caregiver in Orshina's catalog
Filter the catalog by position type: live-in 24/6 caregivers, caregivers willing to work weekends or replacement caregivers. After you reach out, the Orshina team verifies availability and fit — including night-care needs.
Frequently asked questions
Does a live-in caregiver also provide care at night?
Not automatically. A live-in caregiver resides in the home and is entitled to sleep and rest hours. Supervision and occasional night help are possible by prior agreement; intensive awake night care requires individual matching and sometimes a complementary solution.
What is the difference between 24/6 and 24/7?
In 24/6 the caregiver lives in and works six days with a continuous weekly rest day. "24/7" in practice means the caregiver agrees to work weekends too, subject to rest rights — not continuous work without rest.
What must be arranged before employing a live-in caregiver?
A valid employment permit from the Population and Immigration Authority, employment through a licensed bureau/corporation, a room for the caregiver and lawful conditions.
Who covers the caregiver's weekly rest day?
The caregiver is entitled to a continuous weekly rest day. Families use a family member, a replacement caregiver through the corporation, or a local hourly caregiver — best arranged in advance.
Last reviewed: July 29, 2026 · Orshina team · Official sources are linked in the guide body.
Reviewed and approved by Gali Barda, Owner and CEO, Orshina
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Filter the catalog by position type and mention night-care needs in your inquiry — the Orshina team will check fit and availability.
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