Certified Home Care Services

Certified Home Care Services are ordered by a physician, require skilled care (e.g. a nurse and/ or physical therapist) and is paid for by Medicare or other health insurances.

Skilled Nursing

The nurse typically manages the plan of care and provides an assessment of the patient’s condition and needs; develops a mutually agreed upon care plan, provides the skilled care required, and offers the patient, family and/or caregivers education and information to maintain the patient’s health, safety, and independence. The nurse responds to a variety of clinical needs, including:

  • Medication management
  • Post-surgical care
  • Disease management and care

Palliative Care

Palliative Care is an option available at any point during a serious illness and does not depend on one’s prognosis. It is a holistic approach to relieving suffering and providing quality of life so patients can live as fully as possible. Patients can still pursue treatments while under palliative care. Those living with serious illnesses find that palliative care helps with symptoms like shortness of breath, fatigue, pain, loss of appetite and nausea.

Medical Social Workers

Assess the patient’s physical, emotional, environmental and social needs and then provides the patient with supportive resources in response to identified concerns and issues. Patient advocacy is also offered, as necessary. NVNA and Hospice employs masters-level licensed social workers.

Rehabilitation Therapy

Encompassing physical, occupational, and speech therapy, our rehab department employs licensed professionals who are certified in their respective areas of expertise. The therapists may work individually or as a team depending on the patient’s individual needs. Home assessments are often offered by the physical therapist and/or occupational therapist with recommendations and suggestions for providing a safe and risk-free environment as well as enhancing the patient’s functioning level.

Home Health Aides

Provide personal care and assistance with activities of daily living such as bathing, dressing, toileting, and meal preparation. All NVNA and Hospice home health aides are certified according to the Massachusetts Department of Health regulations and trained specifically to NVNA and Hospice standards of care. All care by our home health aides is provided under the supervision of a clinician, such as a nurse or physical therapist.

Private Home Care

Private Pay is adjunct services to complement existing certified home health care or hospice care, or stand-alone to meet needs for companion care or homemaking. These typically are not covered by insurance, although some long-term care policies and/or veteran benefits may help subsidize costs. Our sister agency, NVNA Works provides all such services and more.


Are utilized to offer dietary consultation and education to support the patient’s self-management of his/her disease and/or condition.

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