Home Care in
Sri Lanka
for Dallas Families.
Home care in Sri Lanka for Dallas families serves one of the fastest-growing Sri Lankan populations in the country, and one of the newest. Many arrived by corporate relocation rather than through family already here. BetterHands puts a vetted carer in your parents home and reports to Dallas after every shift.

Arrived by transfer
Not by chain migration
10½ hrs
Behind Colombo
1,000+
Carer profiles
Vetted and reference-checked
72 Hours
Placement guarantee
Or we escalate immediately
96%
First-match success
50+ matching factors
PHSRC
Registered nurses
For clinical home nursing
A community assembled by corporate transfer
Why Dallas Families Arrange Home Care in Sri Lanka.
Dallas–Fort Worth holds a rapidly growing Sri Lankan community, concentrated around Irving, Plano, Frisco and Garland.
Unusually, a great many households arrived through corporate relocation, often from another American city rather than directly from Sri Lanka.
That produces a community with shallow local roots and few multi-generational households. Because there is rarely an aunt down the road, professional home care is the arrangement families reach for first.
- Households that relocated for work, frequently more than once
- Parents who never emigrated, so no US entitlement applies to them
- Few extended family members anywhere in the country
- A young community where few others have managed elderly parents abroad

Ten and a half hours, on Central Time
Calling Colombo from Dallas: Finding the Window.
Dallas sits ten and a half hours behind Colombo in summer and eleven and a half in winter. The arithmetic is the same as Houston; what differs is that far fewer families here have done this before.
Your morning, their evening
Seven in the morning in Dallas is half past five in the evening in Colombo, which catches the day carer before the shift ends.
Your evening is their early morning
Eight in the evening here is half past six the following morning in Colombo. Usable, but it starts your parents’ day for them.
The update arrives overnight
The Colombo shift closes around six in the evening, half past seven that morning in Dallas. Most families read it with coffee rather than on a call.
When nobody in the family has done this before
In older communities somebody has usually arranged care for a parent already, and the knowledge circulates. In Dallas that is frequently not the case, because most households are the first generation here.
For that reason we send the written assessment before asking for a decision. It gives a family with no precedent something concrete to judge, rather than a recommendation they cannot obtain locally.
Agreed in advance, not invented at 3am
Decisions to Make Before You Need Them.
With little extended family anywhere in the country, the escalation plan cannot assume a relative will step in. It has to name people explicitly.
Who we ring first
One named person in Dallas, and one contact in Sri Lanka who can physically attend. Where no relative remains, the plan runs through our Colombo office.
Which hospital
Named in advance with a second choice, so nobody is choosing under pressure while Texas is asleep.
What proceeds without you
We agree what the carer and our office may decide alone, so an urgent matter is never held up waiting for a call.
What we can put in place
Home Care Services for Your Parents in Sri Lanka.
Where our Dallas families live
Serving Sri Lankan Families Across Dallas.
The care always happens in Sri Lanka. What differs across the metroplex is how recently a household arrived, and from where.
Irving
Central to the metroplex and highly international, and where a large share of our Dallas enquiries begin.
Plano
Corporate and suburban, with many families arriving through relocation into the technology and finance sectors.
Frisco
Newer and growing fast, with young families whose parents in Sri Lanka are often still independent.
Garland
East of the city and more established, with a broader mix of work and longer-settled households.
Before you commit
What Dallas Families Ask Before They Commit.
Does Medicare cover care for my parents in Sri Lanka?
No. Medicare almost never pays for care outside the United States, and it covers you rather than a parent overseas. Neither Texas nor any federal programme funds home care in Colombo, so the arrangement is private throughout.
Nobody we know has arranged this. How do we judge you?
On the written assessment. We visit your parents, record what we find, and send it before asking for any decision or payment. It is a concrete thing to judge in the absence of a recommendation.
Who is accountable if standards slip?
BetterHands is. Carers are employed and payrolled through us, not introduced and forgotten. One team owns the placement, there is a number to ring, and the replacement guarantee has no cap.
Where the care actually happens
Island-wide coverage in Sri Lanka.
BetterHands coordinates carers from our office in Sri Jayawardenepura Kotte, just outside Colombo. Placements run island-wide, including Kandy, Galle, Negombo, Matara and Jaffna.
No district loading applies. A placement two hours from the capital costs the same daily rate as one in Colombo 7. Families discharged from the National Hospital of Sri Lanka or private hospitals are transitioned home directly.
BetterHands (Pvt) Ltd
200 Narahenpita - Nawala Rd, Sri Jayawardenepura Kotte 11222, Sri Lanka
+94 74 21 21 744Transparent pricing
Membership first, then simple daily rates.
One annual membership covers coordination, payroll and unlimited carer replacements. After that you pay a flat daily rate for the level of care your parents need. Fees are charged in Sri Lankan rupees.
BetterHands Annual Membership
LKR 20,000
One-time annual registration fee
- Unlimited caregiver replacements at no additional cost if you are not satisfied
- Payroll management and caregiver administration
- Ongoing coordination and support from the BetterHands team
- Access to all services covered under the BetterHands membership
Step two — daily service rates
Duties below are what each role normally provides — your care plan is tailored during the free assessment.
Caregiver
Daily living support and companionship
LKR 4,500/day
Most families start here — a parent who is managing, but should not be alone all day.
- Friendly conversation and companionship
- Bathing and personal care assistance (if required)
- Medication reminders and general supervision
- Simple meals and refreshments
- Short walks and light activities (if appropriate)
- Day-to-day assistance and emotional support
Nursing Assistant
Personal care plus basic clinical support
LKR 6,000/day
Common where diabetes, blood pressure or early-stage dementia needs daily monitoring.
- Everything in the caregiver role
- Vital signs monitoring (BP, blood sugar, SpO₂)
- Medication reminders and administration support
- Basic wound and continence care
Professional Nurse
Complex medical and post-operative needs
LKR 9,000/day
Usually after a hospital discharge, a stroke, or where wounds and IV care are involved.
- Everything in the nursing assistant role
- PHSRC-registered clinical nursing
- Wound care, injections, and IV therapy
- Catheter, NG tube, and post-operative care
Daily rates are charged in addition to the one-time annual registration fee of LKR 20,000. The same daily rates apply to day care, night care and live-in support — no shift premiums, no travel supplements for any district. Hospital bystander cover is priced by shift length instead — see that service page for its packages. A free care assessment is provided before any commitment.
A one-way transfer for the caregiver is arranged at the start of placement.
Families we look after
Trusted with the people who raised us.
“BetterHands transformed my mother's quality of life. The caregivers are professional, compassionate, and treat her with so much dignity. Our whole family is relieved and grateful.”
Chamari W.
Colombo 07
“After my father's heart surgery at Lanka Hospitals, the nursing team from BetterHands provided exceptional post-operative care at home. They were thorough, kind, and always on time.”
Roshan & Dilini P.
Nugegoda
“My grandfather was very lonely after being discharged from hospital. His BetterHands companion has become a true friend — he is happier and more engaged than he's been in years.”
Priya N.
Kandy
Questions from Dallas
Frequently Asked Questions from Dallas Families.
Yes. BetterHands runs a free assessment with your parents in Sri Lanka, matches a carer, and sends a written welfare update after every shift. You approve the plan and pay from Texas.
Ten and a half hours in summer and eleven and a half in winter, with Colombo ahead. Dallas runs on Central Time, the same as Houston.
No. Itineraries connect through the Gulf or Europe and run past twenty-four hours door to door, so an emergency trip is never a same-day proposition.
No. Medicare almost never pays for care outside the United States, and it covers you rather than a parent overseas. Neither Texas nor any federal programme funds home care in Colombo, so the arrangement is private throughout.
It is common here, because so many households arrived by transfer rather than through relatives. It changes the escalation plan rather than the care, and we build it around named contacts instead.
Most placements begin within seventy-two hours of an approved care plan. Where a parent is being discharged from hospital we work to the discharge date instead.
We replace them, with no cap on replacements inside your membership year. Carers are employed by BetterHands rather than introduced, so a change is ours to manage.
Yes. Language is a formal matching factor alongside cooking, religious observance, temperament and medical experience, agreed before the placement begins.
BetterHands nurses are registered with Sri Lanka's Private Health Services Regulatory Council. Medicare, Medicaid and any Texas programme cover care delivered in the United States only. Confirm your own position with Medicare.
First generation here means no one to ask.
Most Dallas families arrived through a job, sometimes via two or three other cities. There is rarely an older relative nearby who has already navigated a parent’s decline from eight thousand miles away.
A vetted carer in the house, and a written assessment first because nobody nearby can vouch for us. Home nursing when the condition calls for it, and one company answerable for all of it.
Nothing is charged for the assessment and nothing is committed by having one. Sometimes it ends with us saying to wait. Either way you have something written to judge, which is what a first generation lacks.
Check it yourself
Sources and further reading for Dallas families.
Entitlements and health guidance change. These are the official sources — go to them rather than taking our word for it.
Your parents are in Sri Lanka.
We are already there.
A 15-minute call, and a written assessment you can weigh up without needing a recommendation from anyone.
1,000+
Caregiver profiles
96%
First-match success
Trained
Caregiver training
72
Hours to placement