Hospital-grade nursing, delivered where a person is supposed to recover.
One-on-one skilled nursing at home, ordered by a physician and delivered by registered nurses and licensed practical nurses. For conditions that move beyond what a home health aide is authorized to manage.
24/7 continuous care
RN-led shifts, staffed for continuity, with an on-call care coordinator line for the whole family, every night and weekend. One number is always answered.
Private duty nursing is how families keep someone home who, a generation ago, would have been in a long-term facility. Trach care, infusions, complex wound care, post-operative recovery, these are nursing interventions, and they belong in the hands of a nurse.
Our nurses build a plan around the physician's orders and the family's actual hours. We coordinate with hospital discharge teams, pharmacies, DME suppliers, and specialists so nothing slips through a gap between providers. Shifts are staffed for continuity; the family is not re-meeting a new nurse every week.
Coverage and payment options vary by state, plan, eligibility, and authorization. Private duty, skilled nursing, and intermittent visits may be covered by Medicaid, long-term care insurance, or other payment options depending on the circumstances; rehabilitative care may be addressed separately. Our care coordinators walk every family through what applies before any commitment.
What our nurses handle at home.
- Initial client assessment
- Pre- and post-operative care
- Vital monitoring
- Catheter care & change
- Trach & vent care
- Pain management
- Infusion & IV therapies
- Tube feeding
- Lab draws
- Injections
- Wound care
- Pulmonary care
- Medication management
- Central line & port maintenance
How we deliver it
Continuity first
Families should not meet a new nurse every shift. We staff for continuity and backfill with nurses already familiar with the plan.
Coordinated across providers
We work directly with hospital discharge teams, pharmacies, DME vendors, and specialists so the family does not become the coordinator.
Physician-aligned
Plans run alongside the treating physician's orders and are escalated, by phone, not fax, when something changes.
A service record you can verify and trust.
The Joint Commission Gold Seal of Approval®, held continuously since 2013.
The Joint Commission is the most widely recognised standard for health-care quality and safety in the United States. Home health agencies that hold the Gold Seal have been surveyed on-site against hundreds of patient-safety, clinical-practice, and infection-control standards, and are re-surveyed every three years.
- On-site surveyed against hundreds of patient-safety standards
- Nurse-led care plans reviewed by our nursing team before they reach a family
- Independently verifiable via The Joint Commission's Quality Check
- First accredited
- 2013
- Review cadence
- Triennial
- Internal rounds
- Monthly
Initial on-site Joint Commission survey passed
On-site resurvey every three years
Medication, infection & family experience
Accreditation is the floor we operate above, not the ceiling we aspire to. Between surveys, our nursing leadership runs monthly internal rounds on medication accuracy, infection control, and family-reported experience, the measures families actually feel at the kitchen table.
From first call to 24/7 coverage. Eight steps.
The process is short on purpose. A care coordinator walks each family through the steps so first calls, assessments, and caregiver matches stay in one conversation.
- Step 01
First call
A 30-minute conversation with our care coordinators. No forms first, no phone tree.
- Step 02
Referral review
Hospital discharge notes, physician referrals, or case-manager introductions, we take them all.
- Step 03
Needs assessment
Free in-home assessment scheduled based on availability, location, and care needs. A licensed nurse meets the person and the household.
- Step 04
Benefits mapped
Coverage and payment options vary by state, plan, eligibility, and authorization. Families can speak with Axzons intake about care needs, service availability, and next steps.
- Step 05
Caregiver matched
We propose caregivers whose training, language, and temperament fit the household. Families interview, families choose.
- Step 06
Care plan written
A plan, not a schedule. Nurse-reviewed, measurable, and revisited on a real cadence.
- Step 07
Service begins
First shift, with the coordinator on standby. Small issues are addressed during business hours.
- Step 08
24/7 coverage
On-call care coordinator line for the whole family, every night and weekend. One number is always answered.
The things we walk through on the first call.
If your question is not here, the fastest way to get an answer is to call; intake is answered by care coordinators, not a scripted agent.
Ask a care coordinatorCall us for a short intake conversation. After a free in-home visit with a licensed nurse, we work to match a caregiver as quickly as availability allows. We continuously recruit and screen caregivers so families rarely wait long.
Absolutely. Caregiver fit is a conversation, not a contract, if the match isn't right, we reassign without awkwardness and without interrupting coverage. Our goal is a caregiver the family forgets is not part of the family.
Every Axzons caregiver is background-checked, credential-verified, and interviewed in person for compassion, reliability, and competence before they ever reach a household. Continuing education is required throughout their time with us.
We work with Medicaid (including MLTC plans), Medicare Advantage, long-term-care insurance, and private pay. Coverage and payment options vary by state, plan, eligibility, and authorization. Our care coordinators walk through the options that may apply on the first call, before services start.