Return-to-Japan coordination

Moving a parent back to Japan, into the right care facility

Finding the right care facility in Japan from overseas means Japanese-only paperwork, calls across time zones and deadlines that do not wait. One team handles the search, the documents, the insurance application and the admission, backed by a care operator established in 1999.

A care coordinator reviewing documents with an older man and his familyReturn to Japan

Why families choose us

Care roots since 1999

The service draws on Social Welfare Corporation Shinkou Fukushikai, established in 1999, which provides elderly care facilities under the Cross Heart name. We know what a facility asks before it says yes.

No referral fees

Facilities and providers pay us nothing for a placement. The family's fee is our only income from a case, so the shortlist is built around your parent, not a commission.

Written updates in English

Japanese calls, forms and facility meetings come back to the family as short written summaries in English, readable from any time zone.

One team, start to finish

The same team runs the case from the first call to 30 days after admission, so nobody has to explain the situation twice.

What we offer

Fees and the payment schedule are explained in the free first consultation and set out in writing before any work starts.

ServiceWhat it covers
Initial consultationThirty minutes, free. We go through your parent's care needs and your goals for the return, then the preferred area, the timeline and likely obstacles.
Standard end-to-end coordinationEverything from assessment to admission into a private senior care facility, plus 30 days of follow-up.
Complex or premium coordinationCases spanning several areas, heavy paperwork or an urgent date. Includes on-the-ground support in Japan, and the scope is agreed before work starts.
Ongoing care coordination (optional)Monthly contact with the family, facility and authorized providers after placement. Includes a family update each month and follow-up on care concerns.
Care provider coordination in Japan (optional)Finding and coordinating non-medical home care or companion services at home, or inside a facility where it allows them.

Standard package scope

The standard package runs from the first assessment to 30 days after admission into a private senior care facility.

A case moves to the complex package when it spans several areas of Japan, needs extensive documents, runs on an urgent date or needs someone on the ground. Its scope is agreed in writing before any work starts.

Alone or with us

The same five jobs, done from abroad by the family or handed to one team.

JobOn your ownWith us
Finding facilitiesJapanese-only websites, phone calls in Japanese hoursA shortlist matched to care level, area and budget, compared side by side
Tours and interviewsFlights booked around each facility's availabilityVisits and interviews arranged as a set, with video tours where the facility allows them
DocumentsEach facility's own forms, guessed at from abroadOne document list, gathered in the form each facility asks for
Care insuranceLearning the certification process while the clock runsThe application and assessment visit prepared before they are due
The familyOne relative carrying every call and decisionEveryone reads the same written summary and decides together

Why start early

Long-term care insurance opens only after your parent is registered as a resident, and a certification result is legally due within 30 days of the application. The median insurer takes 39.3 days. In a care-type private facility the monthly care fee is set by the certified care level, so the order of registration, application and admission is worth planning before the flight is booked.

How it runs

01

Free consultation

We learn the parent's care needs, the family's goals for the return, the preferred area and any fixed dates. You leave knowing whether the standard or the complex package fits.

02

Service agreement

The service agreement sets out the scope and the fee in writing. The facility search starts once it is signed.

03

Search and comparison

We shortlist private senior care facilities that match the care level, area and budget, and compare them side by side. Tours and interviews are arranged with the ones you pick.

04

Applications and insurance

We coordinate the documents each facility asks for, and help with the long-term care insurance application, which opens once the parent is on a Japanese resident register.

05

Move and admission

We plan the transition and coordinate the admission date with the facility.

06

30-day follow-up

For the first 30 days after placement we follow up with the facility and the family. After that, ongoing coordination is available month by month.

Paid separately

Our fee covers coordination only. These costs are paid by the client.

For a first estimate of facility and care costs in Japan, try the care cost simulator. The order of re-registration after a long time abroad is covered in returning to Japan to retire.

Ground rules

History and track record

Japan Care Concierge is run by Shinkokai, Inc. within the Shinkou group, with the care-service experience of Social Welfare Corporation Shinkou Fukushikai. Figures are from the group's company profile of October 2024.

52

care facilities run by the group in Tokyo and Kanagawa

2,000

clients served across the group's care services

30

care homes of its own in Kanagawa

13

countries in the Home Instead network

1970s

The group begins with a small childcare center in Shonan, opened to help working parents nearby.

1980s

Granny Kamakura opens as a small, affordable care home in renovated buildings.

1999

Social Welfare Corporation Shinkou Fukushikai is established to run nursing homes and dementia group homes.

2017

The Encorepreneur Cafe opens in Portland, Oregon, the group's first base in the United States.

2019

Shinkokai, Inc. signs the master franchise to run Home Instead in Japan.

2021

Rei in Hawaii asks us to help bring her mother Yoko home. Our return-to-Japan support begins.

A Home Instead care professional with an older woman in a wheelchair
Home Instead Japan, private home care run by Shinkokai, Inc.

Home Instead Japan

Since April 2019 Shinkokai, Inc. has held the master franchise for Home Instead in Japan. Home Instead was founded in Omaha, Nebraska in 1994 and now works in 13 countries. Its 1,100 or more independently owned offices provide over 80 million hours of home care a year.

In Japan the service offers private home care outside the insurance system, available 24 hours a day, 365 days a year. When a returning parent needs help at home before or after admission, it is one of the providers we can coordinate with.

Our guidance is supervised by two care professionals: a certified social worker and care manager who leads Shinkou Fukushikai's international division, and a care manager who has directed a special nursing home and a municipal community support center. Their profiles are on the about page.

Cross Heart logoHome Instead Japan logo
Rei and her mother Yoko standing in front of a wall of flowers
Rei and her mother Yoko, the family behind our return-to-Japan support.

How this service began

In the autumn of 2021 we received an email from Rei, a single mother of twins in Hawaii. She was asking for help with her mother, Yoko.

Yoko was born in Kawagoe, Saitama. At 23 she married Robert, who served with the U.S. Navy, and the family settled in Guam. After Robert died she kept an active life there on her own. In her seventies she was diagnosed with Alzheimer's disease and moved in with Rei in Hawaii.

Living together turned out to be hard on both of them. Yoko had lost much of her English and could no longer talk easily with people around her. She missed the food she grew up with and felt restless and lonely. Rei was balancing a job, two children and her mother's care, and the medical and care bills were heavy.

Their request to bring Yoko home is how our return-to-Japan support began. Every case since has started the same way: with the family's own account of what is no longer working.

Example cases

Two more situations we handle. These are illustrative cases built from common consultation patterns, reconstructed so no individual can be identified.

Foreign resident

A father who settled in Japan decades ago, a family that works in English

The family did not know how Japanese care insurance worked, and the process had stalled. We confirmed his enrollment at the city office and supported the assessment visit. We also wrote a Japanese care profile of his meals and habits, and day service began.

Hospital discharge

A son in London, a father in a Yokohama hospital with two weeks to discharge

Home or facility was undecided, and the family spanned three time zones. We joined the discharge meeting and put home care and facility options in one table. We then visited the candidate facilities. He stabilized in a geriatric health facility first.

Common questions

How much does it cost?

It depends on the package and on your parent's situation. We explain the fees and the payment schedule in the free 30-minute first consultation, and confirm them in writing before any work starts.

What if no facility accepts my parent?

Facilities decide admission themselves, so we cannot guarantee it. What happens to fees in that case is set out in the service agreement before you sign.

Who pays the facility?

You do, directly. Deposits and entry fees go to the facility, as do monthly rent, meals and care costs. None of it passes through us. Our fee covers the coordination only.

Can my parent use long-term care insurance after returning?

Usually yes, once the parent is registered as a resident and enrolled at the municipal office. We help with the application and the certification visit, but the municipality decides eligibility and the care level.

Do facilities pay you to recommend them?

No. We accept no referral commissions from facilities or providers. The family's fee is our only income from a case, so the comparison stays on your side.

What happens after the 30 days?

You can stop there, or add ongoing care coordination by the month. It covers a set amount of contact time and a monthly family update. Extra time is billed only with your approval.

Before the consultation

Four answers let us say in the first call which package fits.

  • Where your parent lives now and the hoped-for timing of the return
  • The current care level, diagnoses and daily help needed
  • Preferred areas of Japan and the monthly budget for the facility
  • Who in the family has authority to decide
Book consultation

Contact

Talk through your parent's return to Japan

Share the situation, location, and decision you are facing. We will help identify the most practical first step.

Book a free 30-minute consultation