For discharge planners & referral partners

Refer a patient. We’ll take it from there

Call or text, day or night, and a Care Manager responds the same day. We handle the visit, the plan, and the care — and we keep you in the loop the whole way.

A St. Louis elder at home
A Nurses & Company caregiver comforting an older adult at home
Why refer to us

We make the handoff the easy part of the discharge

You’re juggling beds, timelines, and families. The last thing you need is a home care provider you have to chase. Here’s what referring to us is like.

i.

Same-day response

Call or text any hour. A Care Manager responds the same day — often within the hour.

ii.

One simple handoff

No portal to learn, no paperwork pile. Give us the basics and we run with it.

iii.

We close the loop

You’ll know the referral landed and what happened next. No wondering, no chasing.

iv.

Care that shows up

Our system catches a missed shift before it becomes a gap — so the discharge you arranged holds.

How it works

From your call to care at home, fast

  1. i.
    Reach out
    Call or text us, day or night, with the patient and the basics.
  2. ii.
    We respond same day
    A Care Manager reviews the situation and reaches the family right away.
  3. iii.
    We set up care
    A free Living Room Visit, a Care Manager care plan, and a matched caregiver.
  4. iv.
    We keep you posted
    We confirm the handoff and update you, so you can close your file with confidence.
9:41
Referral · from your team
Mrs. Lin
Status
Care in place — caregiver matched
Daily personal care · starts tomorrow, 9:00 AM
Referral received
From Karen A., discharge planner
9:02a
Care Manager responded
Reviewed and called the family
9:40a
You’re updated
Handoff confirmed — close your file
now
Why it’s safe to refer

Your name is on this referral. So is ours

When you send a patient our way, your judgment is on the line. We treat it that way.

A Care Manager oversees every plan

A Care Manager assesses the situation and builds the care plan, then keeps watch as needs change.

Caregivers arrive prepared

Every caregiver walks in with the current plan in hand. No gaps in the first critical days home.

A missed shift never becomes a missed day

Our system flags an at-risk visit instantly and sends a backup, usually before anyone notices.

A Care Manager answers, day or night

Families reach a Care Manager anytime — not a call center.

Full visibility

Care notes and visits in one place, so families can see what’s happening between visits.

The safest discharge is the one that holds

A reliable handoff protects the discharge

Most readmissions trace back to the same gaps — a missed dose, a fall, no one there in the first fragile weeks home. Reliable, prepared care in the home closes those gaps. When you refer to us, you’re not just placing a patient — you’re protecting the work you did to get them home safely.

Who we take

From a few hours a week to around the clock

We take the everyday help that keeps someone safe at home, and the harder situations too. As little as a few hours a week, up to live-in. And “home” can be the family house, an independent living apartment, or an assisted living community — wherever your patient is headed.

  • ·Post-hospital & post-surgical recovery
  • ·Fall risk & mobility support
  • ·Dementia, Alzheimer’s & Parkinson’s
  • ·Chronic conditions & daily support
  • ·Respite & around-the-clock coverage

Have a patient who needs care at home?

Call or text now — day or night. Have the patient’s name, the situation, and a family contact handy, and we take the handoff from there. Share only what’s needed to start; we gather the rest from the family.

From referral partners

What discharge teams tell us

“I refer patients knowing they’ll be cared for. They respond fast, they keep me updated, and I’ve never had one fall through the cracks.”
[Name, Title] · [Organization]
Common questions

What referral partners ask us first

How fast can you start?

Often same day or next day after we reach the family. Tell us the urgency and we move accordingly.

What information do you need?

The patient’s name, the situation, and a family contact. We gather the clinical and scheduling details directly.

Does it cost the patient?

It’s private pay, and if there’s a long-term care policy we help the family use it. We make the cost conversation easy.

Will you keep me updated?

Yes. We confirm the handoff and let you know care is in place.

What areas do you cover?

St. Louis and the surrounding metro — in homes and senior living communities alike.

Do you take complex cases?

Most non-medical home care needs, including memory care, fall risk, and around-the-clock support. If we’re not the right fit, we’ll tell you fast.

Refer a patient

One call, and the handoff is handled

Day or night, a Care Manager responds the same day.