Home Care in
Sri Lanka
for Houston Families.
Home care in Sri Lanka for Houston families serves a community spread across one of the largest metropolitan footprints in America. Even locally, everyone is an hour from everyone. BetterHands puts a vetted carer in your parents home and writes to Houston after every shift.
A metro the size
Of a small country
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
Energy, medicine, and a very large map
Why Houston Families Arrange Home Care in Sri Lanka.
Houston holds a growing Sri Lankan community concentrated in the south-western suburbs, particularly Sugar Land, Missouri City, Pearland and out towards Katy.
The work divides between the energy sector and the Texas Medical Center, with a strong professional and engineering contingent alongside it.
The metro is so large that the community is dispersed even by local standards. As a result, informal support is harder to rely on than the headcount suggests, and professional home care fills that gap.
- A community spread across an unusually large metropolitan area
- Parents who never emigrated, so no US entitlement applies to them
- Energy-sector rotations and medical-center shifts
- Hurricane season, which can disrupt travel plans at short notice
Ten and a half hours, on Central Time
Calling Colombo from Houston: Finding the Window.
Houston is on Central Time, ten and a half hours behind Colombo in summer and eleven and a half in winter. Across a metro this size, a written record travels better than a phone call does.
Your morning, their evening
Seven in the morning in Houston is half past five in the evening in Colombo — before the drive in, and late enough that the carer can account for the whole day.
Your evening is their early morning
Eight at night here is half past six the next morning in Colombo. Possible, though it starts your parents’ day earlier than most families want.
The update crosses overnight
The Colombo shift ends around six in the evening; the write-up reaches Houston by half past seven that morning, which for most families here is before the drive in.
What a very large metro changes
Houston families often tell us the local community exists but is impractical. When the nearest friend who understands the situation lives forty-five minutes away in traffic, informal help is not really available.
The practical answer is not more phone calls but somebody physically present in Colombo, with a written record that does not require you to chase anyone for it.
Agreed in advance, not invented at 3am
Decisions to Make Before You Need Them.
Between rotations, medical shifts and hurricane season, being unavailable is normal here. The plan has to assume it.
Who we ring first
One named person in Houston, and one contact in Sri Lanka who can physically attend. Both agreed and recorded before the placement begins.
Which hospital
Named in advance with a second choice, so nobody is choosing a hospital while you are on a rotation or a plant site.
What proceeds without you
We agree what the carer and our office may decide alone, so an urgent matter never waits on a call you could not take.
What we can put in place
Home Care Services for Your Parents in Sri Lanka.
Where our Houston families live
Serving Sri Lankan Families Across Houston.
The care always happens in Sri Lanka. What changes across the metro is the work and, frankly, the driving distance between households.
Sugar Land
The heart of the south-western community and where most of our Houston enquiries begin. Established and professional.
Missouri City
Adjacent and closely linked, with a similar settlement pattern and strong community ties.
Pearland
South of the city and growing quickly, with many families working in the medical center.
Katy
West and energy-weighted, where households are often further from the main community than they expected.
Before you commit
What Houston 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.
Everyone here is forty minutes away. Does that matter?
It matters for informal support. When the nearest friend who understands is a drive across the metro, help in an emergency is theoretical. Somebody physically present in Colombo is not.
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 Houston
Frequently Asked Questions from Houston 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. Houston runs on Central Time, an hour further out than the East Coast.
No. Itineraries connect through the Gulf or Europe and run past twenty-four hours door to door. During hurricane season, departures can be disrupted with very little warning.
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.
Yes. The welfare update is written after every shift rather than phoned, so it does not depend on you being reachable, and the escalation plan is built assuming you may not be.
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, so a change is our responsibility rather than yours.
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.
A community you cannot reach quickly is not much of a safety net.
Houston families rarely lack a community. They lack one within a reasonable drive on a weekday, which is a different thing entirely when something goes wrong at home.
A vetted carer physically in the house, rather than help that is forty minutes away in traffic. Nursing where the condition calls for it, and a written record you never have to chase.
The assessment is free and commits you to nothing. Sometimes the honest answer is that your parents are fine for now. Either way the help is in the house rather than across the metro.
Check it yourself
Sources and further reading for Houston 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 that fits a rotation or a medical-center shift, whichever one governs your week.
1,000+
Caregiver profiles
96%
First-match success
Trained
Caregiver training
72
Hours to placement