Experience You Can Count On

"Too often the patient is the forgotten piece of the puzzle as care decisions are made for a number of reasons.  If patient advocacy is missing from the care equation, it can have real impact on desired outcome and recovery of our loved one."  Toby De Luca, Founder

TOBY DE LUCA, MHA, PTA and Nursing Home Administrator 

​Toby is a licensed nursing home administrator with over 20 years in the healthcare industry.  He is passionate about caring for elderly adults.  His devotion for the geriatric population started when he started working in a skilled nursing facility after serving as active duty Air Force Physical Therapy Apprentice.  After several years as a licensed Physical Therapy Assistant, Toby earned a Master’s degree in Healthcare Administration with a focus in Gerontology.  His experience ranges from treating patients, managing the programming and staffing of rehabilitation services at a regional level to leading a home health care agency.   As a leader in the geriatric health care field, he has first-hand appreciation and understanding of the patients and family members journey through the healthcare system.  He continuously helps navigate the continuum of care.  

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JEFF STEPANSKI, Nursing Home Administrator 

Jeff is a passionate leader and Nursing Home Administrator with a proven reputation of improving management practices and delivering the highest quality care to nursing home residents. He has dedicated his professional career to leading teams in assessing, improving, and delivering graceful experiences to nursing home residents. His steadfast and lighthearted leaderships has Jeff returning to work on a routine basis despite his declared retirement. Health Care providers seek out his expertise in improving management practices to prioritize resident satisfaction.​ ​

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What is the best path?  

One of the most common questions is regarding the appropriate level of care particularly after a being discharged from a hospital or for a person who is slowly becoming less able to maintain living  at home alone.  There are three main categories of care, below we provide a brief description of each.  

HOME HEALTH CARE

A wide range of healthcare services are provided at home by licensed professionals, such as nurses, physical and occupational therapist and speech pathologist. 

SKILLED NURSING CARE

Patients receive rehabilitation and medical services from nurses, physical and occupational therapists, and speech pathologists.

IN-HOME CARE SERVICES

Provides services at home by persons who are not nurses, doctors, or other licensed medical personnel, as opposed to home health care that is provided by licensed personnel.  Services provided relate to daily living activities, such as meal preparation, light house keeping, errands, companionship and more (depending on the agency).  

“Love begins by taking care of the closest ones – the ones at home.” ― Mother Teresa