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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

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.

Physical Therapists (PT) help patients regain strength and mobility after an accident, fall, surgery or illness. Therapeutic exercises focus on balance and gait as well as safe transfers from bed to chair, chair to bed, etc.

Occupational Therapists (OT) focus on improving motor skills needed for functioning in living and work environments. These include activities such as showering, dressing, eating, cooking and work-related functions. Therapeutic exercises and appropriate training is provided to strengthen and improve ability and dexterity as well as visual acuity if necessary. Adaptive equipment such as special showerheads, bath seats, and eating utensils may be recommended to improve the patient’s functional abilities.

Speech Therapists (ST) concentrate on swallowing and speech issues resulting from an illness or injury. Their expertise and guidance assists the patient in restoring and developing skills that have been weakened or compromised. They may use cognitive exercises to help the patient and offer the patient support and education.

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.


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

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 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 Pay Home Care Services

Private Pay are adjunct services to complement existing certified home healthcare 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.

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.