For Franchise Information Call 888.996.1878

Tag Archive: core values
  1. What Makes Branding Special at the Nurse Next Door Home Care Franchise?

    Leave a Comment

    Nurse Next Door’s approach stands out as ‘radically different’

    Nurse Next Door is one of America’s fastest-growing home care providers, dedicated to delivering flexible, affordable and quality care options to seniors. We rise above the competition in important ways, not the least of which is our unique branding. It’s completely thought out, from our cheerful pink cars and uniforms to our spirited and highly skilled caregivers to our game-changing 24/7 call center. We see marketing and branding as an opportunity to show that we’re remarkable: bright and cheerful instead of understated and clinical; dedicated to celebrating life instead of merely making it bearable.

    The Nurse Next Door home care franchise differentiates itself from other senior care services with our Happier Aging™ model and our unique pink-and-yellow branding.

    The Nurse Next Door home care franchise differentiates itself from other senior care services with our Happier Aging™ model and our unique pink-and-yellow branding.

    But what really gives Nurse Next Door its authentic imprint is the level of human kindness our caregivers bring to their clients. Nurse Next Door is creating a paradigm shift in home care for seniors, and we think it’s about time.

    We’re ‘radically different’

    John DeHart, Nurse Next Door’s co-founder, former CEO and current board member, speaks often about why our unique branding is so important.

    “We didn’t get into the home care business to be the same as everyone else,” John says. “This industry is 100 years old, and it still acts like it’s 100 years old. If you look at the home care marketplace, we clearly stand out as radically different. When you see our website, we’re different. When you see our pink cars, we’re different. When you talk to anyone from Nurse Next Door — from corporate ‘HeartQuarters’ to franchisees to caregivers — we’re different. When you feel our caring, we’re different.”

    A focus on caring

    Dave Moeller, a Nurse Next Door franchise partner in Sacramento, California, chose Nurse Next Door over competitors because the brand is so unique compared with other home care companies.

    “One of the great things about Nurse Next Door is the branding,” Dave says. “They have done a great job of making sure that everyone understands what we’re all about. There’s lots of competition here in Sacramento, and I strongly believe that the reason we’ve had the success that we’ve had is because of the focus on caring. A concerned son or daughter who is looking for help for their mom or dad chooses us because of our approach to getting older. People really connect with that. It’s really very cool.

    Nurse Next Door

    Nurse Next Door is creating a paradigm shift in the home care industry with its emphasis on caring and quality of life.

    “Also, we ask a very interesting question, ‘What was it that you used to do that you can no longer do?’ ” Dave adds. “It is amazing the answers that we get. A lot of these folks might be lonely, and some of them are depressed. Many people don’t want help because they don’t want to give up any more of their independence. So, it’s just a matter of overcoming that. It starts with the Caring Consult, and it goes all the way through to our core values — which are not just words. It starts with the founders and goes from senior management all the way through to the way we hire our caregivers.”

    Carol Lange, a Nurse Next Door franchise partner in Maple Ridge, British Columbia, agrees that the brand’s emphasis on Happier Aging™ and caring sets it apart.

    “Our pursuit of happiness and joy for our clients makes us very different,” Carol says. “The fact that we ask them, ‘What could you do 10 years ago that you can’t do anymore?’ And their eyes just light up, and they say things like, ‘I used to love to shop, but I don’t do that anymore.’ Then we ask, ‘Why not? Let’s find a way to get back to things you love to do.’ I know most care companies stop their assessments after asking the health questions.”

    Learn more about Nurse Next Door

    Nurse Next Door is different because we’re about caring, not just home care. If you’re looking to be part of a proven business with heart and to take advantage of the opportunities and support systems that the Nurse Next Door home care franchise has to offer, we encourage you to fill out this form. It’s never too early to start thinking about how you can change your life, and others’ lives, for the better with a Nurse Next Door home care franchise.

  2. Why Nurse Next Door’s Care Services Platform is Key to Running a Successful Home Care Franchise

    Leave a Comment

    Nurse Next Door’s home care services platform is miles ahead of the competition and gaining momentum


    Nurse Next Door’s care platform allows franchisees to spend more time doing what they love, caring for seniors.

    Those who get into the business of caring for seniors want to do just that — care for them. It’s the rewarding part of the home care business. But with the hefty administrative side of most such businesses, the joy can get lost amid paperwork and scheduling. This is why we spent more than five years and at least $1 million creating our without-peer care services platform: We want the big-hearted people who get into this business to be happy and fulfilled, not burned out and frustrated.

    A hub that anchors everything and everyone

    We’ve determined that our around-the-clock call center saves our franchise partners, on average, 237 hours per month in answering and making client calls, scheduling caregivers, following up with customers and answering emails from clients. That amounts to 10 full, round-the-clock days — time that can be spent instead caring for seniors or marketing the business.

    “You cannot connect with people from behind a desk,” says Arif Abdulla, vice president of U.S. operations for Nurse Next Door.

    Those same services, should a business owner have to cover them, would cost considerably more than the seven percent of gross sales Nurse Next Door charges to provide them. It’s why our Net Promoter Score (one of the industry’s key customer service metrics) is a phenomenal 70 — on par with other world-class brands.

    Our Call Service Center operates 24/7 easing the burden that often comes with caring for seniors 24 hours a day.

    Our Call Service Center operates 24/7 easing the burden that often comes with caring for seniors 24 hours a day.

    Another critical part of the Care Services Platform is a software package that tracks usable data on hold times, call volume, email traffic, client needs and successful outcomes. Our franchise partners don’t have to track metrics, nor do they have to wonder how their caseload stacks up to last month’s or last year’s. We have the data constantly updated and available for all our partners.

    Beating the variability of the market

    Our system helps insulate our franchisees against fluctuations in the economy. With other home care businesses, a dip in client load might mean that the business has to lay off a scheduler, which could lead to having even fewer clients. That kind of hiring and firing eats away at time, staff quality and business effectiveness — and it’s frustrating. Our “HeartQuarters” takes care of all the hiring and training of the call center staff, relieving the franchise partners of that huge responsibility.

    A system that works for franchisees

    Our Call Services Center is not an answering service. We’re a dedicated scheduling center with around-the-clock shifts, and we are the only home care business that offers this for the entire life of a Nurse Next Door franchise. Our team really gets to know our franchise partners, caregivers and customers: Which client calls at 10 a.m. on Tuesdays to arrange her weekly trip to the senior center; which caregiver has odd schedules; which partners want regular conference calls.

    Well-developed home care services open up more time for having fun with clients, and improve quality of life, two of the reasons people get into home care services in the first place

    Well-developed home care services open up more time for having fun with clients, and improve quality of life, two of the reasons people get into home care services in the first place

    Finding a better way

    Our call center specialists build relationships with clients because they stick around much longer than employees in other call centers. Call center turnover rates generally hover at around 75 percent; ours is less than 10 percent over the past three years. That continuity is extremely important for clients and franchisees because it fosters communication and makes for consistent service, giving our franchise partners a massive competitive advantage. It builds intimacy in a business that requires it.

    But the platform’s real importance is to our franchise partners. It means the difference between a crushing work life and a fantastic one. With the Care Services Platform, our partners don’t have to sleep with their cell phones. They don’t have to work 16-hour days. They can live balanced lives — the kind Nurse Next Door provides for clients and their families. The platform ensures that compassionate and skilled home care business owners keep their businesses running smoothly and the care flowing for years.

    Learn more

    If this sounds like your kind of business, we want to hear from you. In a little more than a decade, we’ve grown to dominate the home care industry in Canada and begun a rapid, aggressive expansion in the United States. Fill out the form on this site, download and digest our free franchise report and let’s start talking!

  3. 3 Ways Nurse Next Door Franchise Sets Itself Apart for Clients and Caregivers

    Leave a Comment

    Nurse Next Door franchises are miles ahead of current home care trends with our “happier aging” model and our 24/7 Care Services Center

    Nurse Next Door caregivers are skilled in finding what seniors used to do and getting them back to doing those things.

    Nurse Next Door caregivers are skilled in finding what seniors used to do and getting them back to doing those things.


    The demand for senior care is growing quickly and will only accelerate as tens of millions of Baby Boomers reach retirement age and start to need help from caregivers. How do senior care franchise owners tap into this demand to build strong businesses while also improving lives?

    Nurse Next Door believes in a holistic approach, and the impact we’ve made on lives has helped us become the largest senior care franchise in Canada, where we’re based, as well as a fast-growing brand in the United States.

    We take a look at aging through an entirely different lens — “happier aging.” We do things that foster happiness and connection for seniors. We treat depression and isolation — meeting spiritual as well as medical needs.

    Here are some ways our approach plays out, and why we are miles apart from other senior care franchises.

    1. Emphasis on better care

    Grand View Research, a health care industry research firm, says that key services in the home health care market in the future will include rehabilitation, respiratory/infusion and other therapies, remote patient monitoring and illness-specific medical protocols.

    The emphasis on medical intervention belies one of the biggest problems in the senior care and it’s one of the reasons people choose to work with Nurse Next Door: While many caregivers treat patients as a collection of ailments, Nurse Next Door treats them as valued, beloved human beings with hobbies and desires that have been neglected for too long. To our caregivers, they are real people with personalities, likes and dislikes, and tastes and idiosyncrasies. We help people reconnect with the things they love and help them celebrate life. It sets us apart.

    “I really do think happier aging creates a new space,” says Nurse Next Door co-founder John DeHart. “There isn’t anything out there about happier aging in existence, so that really is a new trend.”

    Our 24/7 Call Services Center provides round-the-clock scheduling services for our franchisees.

    Our 24/7 Call Services Center provides round-the-clock scheduling services for our franchisees.

    2. Caring for the caregivers

    In the United States, 8,000 to 10,000 boomers turn 65 every day. How do caregivers keep up? The sad truth is that many senior caregiving businesses don’t keep up — they can’t. The scheduling and running of a business, coupled with the demands of senior caregiving, simply overwhelms many providers. One reason Nurse Next Door is successful is because we have designed systems that look after the wellbeing not only of our customers, but of franchisees, too.

    A great example is our 24/7 call center, which provides round-the-clock scheduling services for our franchisees — unique in the industry. We are the only home care franchise that does this through our Care Services Center, a 24/7 call center that lifts the most time-sapping aspects of home care off the shoulders of our franchise partners. The Call Center is not an “answering service.” Our call center employees have specific shifts, know the clients and can handle emergencies on the spot. This drastically minimizes the burnout that is so common in home care services. Our approach is truly trendsetting, and it helps Nurse Next Door outgrow our competition while providing superior service. Franchisees have the time to market their services and also have more time to enjoy the quality of life they wanted when they decided to get into business for themselves in the first place.

    3. Smart use of technology

    Many home care services tout new technologies designed to help older clients. Too often, though, the technology is useless for people in their 70s, 80s or 90s who have no idea how to use the technology.

    The demand for non-medical senior care is a booming industry, which is continuing to grow.

    The demand for non-medical senior care is a booming industry, which is continuing to grow.

    Nurse Next Door keeps that in mind and uses technology to truly provide better care. For instance, our telemonitoring system is “invisible” to seniors. We place sensors in key areas like the bed, kitchen cupboard, refrigerator and front doors to create a baseline for patterns of behavior. If mom or dad starts getting up later and later or going to the refrigerator less and less often, our systems let the caregiver know.

    “It’s a much more precise way to care for our clients,” DeHart says. “It also alerts us as to whether there may be something going on much earlier than we would know normally.”

    Learn more about Nurse Next Door

    Nurse Next Door is the largest senior care franchise in Canada and is rapidly expanding in the United States. If the opportunity to thrive in business while making lives better appeals to you, fill out a form to download our detailed franchise report and start a conversation about how you can build a business while improving the quality of care in your community.

  4. Nurse Next Door Home Care Franchise Q&A: David Sandhu of Huntington Beach, Calif.


    Native of India used childhood difficulties as fuel for health care passion

    David Sandhu of Nurse Next Door Huntington Beach

    David Sandhu of Nurse Next Door Huntington Beach

    David Sandhu spent the first 15 years of his life in the states of Haryana and Punjab in northern India. He is the son of an Indian cab driver and British factory worker who split up when he was 3, leaving his grandmother, aunt, and uncle to raise him. As a child in boarding school, young David had trouble with communication and reading comprehension due to developmental delays as a result of being a premature twin, and the only one to survive the delivery. But he was never diagnosed or formally treated. The village lacked adequate medical facilities and couldn’t provide resources to rural areas. He saw his young grandmother and uncle pass away due to lack of health care resources. He joined his father in California’s San Fernando Valley in 1986, when he was 15. His experiences touched off a passion for making a difference through health care. Sandhu earned his nursing degrees, worked in various sectors of the health care system and later started a health advocacy company in Orange County. He opened his Nurse Next Door franchise in May, and he’s thrilled to have found a franchise business that provides support and a proven system while still allowing him to fulfill his passion for health care. “I found a better way,” he says, echoing one of Nurse Next Door’s core values.

    What were you doing before Nurse Next Door?
    I started a company last year called Southern California Health Advocates, which helps clients who need help with complex healthcare issues of all kinds: not being able to figure out how to get a specialist, for example. It’s still open, but not long after I began exploring some other ways I could work in the healthcare sector; it can be very difficult to succeed with startup businesses. Before I started that business, I worked as a nurse for 18 years, starting in 1994.

    Why did you want to open a franchise as opposed to a start-up?
    That was actually my first job, working at a 7-Eleven. As my kids were getting older, I was concerned about the economy … and I was very afraid that most businesses don’t do well. I knew that franchise systems are in place for years, and they have systems that are tested and people to help you. I didn’t know a lot about franchising. I had no idea you had franchises other than 7-Elevens and gas stations, things like that.

    How did you find out about Nurse Next Door?
    I consulted a business coach, who did an assessment of my interests and aptitudes, then  compiled a list of small business and franchise opportunities she thought I might be interested in. There was a yoga place, Postal Annex, a staffing agency, and Nurse Next Door was fourth on list. Something about the name alone resonated so much with me. So I started researching and learning about the culture, and I soon learned that Nurse Next Door’s culture was already so embedded in me, it was like it was already part of me. I heard John (DeHart) speak about the company, and the culture of caring was probably the most important to me, the core values. It was the, “It’s about caring, not just health care” mentality. You just don’t see that. In the modern medical model, we have forgotten how to care. And John had this passion in him that was contagious. He’d been doing this for 10 years, and he still wanted to change the system, and I wanted to do something to help people. It was about making a difference, and this company made a difference!

    David and Nurse Next Door at Concorde Career College's Career Day

    David and Nurse Next Door at Concorde Career College’s Career Day

    What other home care franchises did you look at? What set Nurse Next Door apart?
    I looked at Right at Home and Comfort Keepers, those two. What set Nurse Next Door was, of course, the culture. Here were folks who were so passionate, they wanted to change healthcare. How did they do this? They have a 24/7 healthcare center. No other agency has that. It’s like a lifeline. It’s so important because it’s not just helping clients, it’s helping the franchise partner. I can take a break. I can be with my family. You couldn’t do that with any other agency.

    How large is the need for your service in your area and in general?
    People need this service. There is such a great need right now because you need people to fill in a lot of gaps in care for seniors and the elderly. There’s a lot of gaps there. I’ve seen this my whole career, where agencies were never focused on non-medical stuff. I don’t know why we don’t spend more attention to caring, making sure our clients have a meal, and they can go out and do something fun. Especially here in Huntington Beach and Orange County, kids are moving away after they finish school because they can’t afford to buy a house in this area. So we have seniors who need care, absolutely.

    What qualities do you think a Nurse Next Door franchise owner needs to succeed?
    Having prior experience in the healthcare industry is beneficial; however, it isn’t crucial. The keys to becoming a successful Nurse Next Door franchise owner are admiring people and being passionate about making a difference.

    What does franchise ownership allow you to do in your personal life that you couldn’t before?It provides something that is very important to me: work-life balance. For example, yesterday I was able to spend an unplanned day with my family. That’s something I would have had trouble scheduling before as a case manager.

    Would you recommend a Nurse Next Door franchise to someone? Why?
    I would. There’s no other healthcare agency like it. For someone looking into healthcare, if you want to grow personally and make a difference in your life and the lives of people, this is the best company because the culture allows you to do that.

  5. Nurse Next Door Home Care Franchise Review: Carol Lange of Maple Ridge, B.C.

    Leave a Comment

    Corporate vet used mother’s illness as springboard to home care franchise ownership

    Carol Lange, 46, was working in senior management for Johnson & Johnson in 2004 when she noticed her 76-year-old mother doing some odd things, like forgetting things, calling her repeatedly and leaving frantic messages on her answering machine. Lange didn’t know what was happening or what to do. With her stress level on the rise, she sought expert advice. It turned out her mom was suffering from dementia, and two years later, doctors told Carol that her mother couldn’t go home from a hospital stay unless someone stayed with her around the clock. That was Carol’s first experience with home care. Years later, after she had bought a Nurse Next Door franchise, Carol’s brother told her she’d come full circle, transforming herself into the kind of expert home care advisor she’d hunted desperately for just a few years before.

    What were you doing before Nurse Next Door?
    I was working in marketing for Johnson & Johnson in diabetes care for my whole 16-year career, from 1991 to 2007. I had grown with the company to senior management level, and my last five years there I was working on new product and service development.

    Why did you want to open a franchise as opposed to a start-up?
    I was pretty tired of corporate politics, and I had accomplished a lot, but I felt like I wasn’t getting enough credit for it. I wanted to be more in control of my own world. In 2007, I left to go on maternity leave, and I was tossing around business ideas with a former colleague. There were these things we could not do in a corporate structure; we’d have all these ideas because we were so close to the customer and knew what they wanted, and we just started thinking, “We should do that on our own.” So I saw an opportunity there. But we were having trouble working out the margins. I had never owned or run a business before, so I knew it would take a lot of time and energy just to get through the learning curve.

    Senior datenightHow did you find out about Nurse Next Door?
    I was talking with my financial advisor, who asked me, “Hey, have you heard of this company Nurse Next Door?” I hadn’t, so I went online, checked it out and thought, “What’s the harm in requesting a franchise package?” One thing led to another after that. I thought, well, with Nurse Next Door, they’ll provide me with the training and instruction and support I’d otherwise have to figure out on my own. Once I got started looking into Nurse Next Door, I discovered a company with values that were really in line with my own, and before I knew it, I was interviewing for a franchise. I ended up buying the franchise in late 2008 and opened for business in February 2009.

    What sets Nurse Next Door apart?
    It’s not that we’re a home care company, not even these wonderful core values. It’s our pursuit of happiness and joy for our clients — the fact that we ask them, “What could you do 10 years ago that you can’t do anymore?” And their eyes just light up, and they say things like, “I used to love to shop, but I don’t do that anymore.” And we ask, “Why not? Let’s find a way to get back to things you love to do.” I know most health care companies stop their assessments after asking the health questions.

    How large is the need for your service in your area and in general?
    The need is great because our public health system in B.C. is very constrained, and people know it. So there’s a high need but also quite a bit of resistance to hiring us because of the perception that health care should be provided by the government at little or no cost. There is also a generation out there that is not used to spending a penny on caring for themselves, so even though we know how much it would benefit them, they choose not to go ahead sometimes, and that is sad for us at times. We are often brought in to help by the exhausted daughters and sons who realize that Mom and Dad need more help than the public system can provide. They call us because they are burning out. So a lot of my role is about education in the community on what is available.

    Describe your clientele: What’s the usual age range, gender and professional status?
    Eighty percent of our calls are from sons and daughters who were like I was: in their 40s and 50s with kids and at the peak of their earning potential, who have careers and are trying to do everything and care for their parents at the same time. About 80 to 90 percent of them are daughters.

    What does your typical day look like?
    Variety, in a word. I get up at about 7, and I start off by checking emails, checking on any client visits that need to be filled, seeing what needs my attention. My husband takes care of getting our son off to school. Then I’m off and running. Sometimes I’m giving presentations, answering the phones, having a sales meeting with our Care Awareness Representative or taking inquiries and setting up Caring Consults. Sometimes there’s marketing to do, some admin work, sometimes financial work. It’s a super-wide variety, so it’s never dull! The end of the day is my time with my son Tyler. I usually pick him up from daycare at 5:30 or 6. Then there’s dinner, playtime and getting him to bed, then catching up with life. And that’s the day.

    Nurse-Next-Door-franchiseHow does your service change your clients’ lives? Can you give examples?
    Just generalizing, but we really nurture the independence of seniors by keeping them at home longer. For example, we have a program called the Ashby Memory Method™ that’s for people with dementia — it’s a licensed program, and Nurse Next Door Maple Ridge participates as a certified provider — and our clients with dementia are able to keep their cognitive abilities longer so they can stay at home for a year or two longer.

    There was this one wonderful client, Ethel*, who was only in her 60s and had developed cirrhosis. She was already very sick, but she never let it show. She was always dressed beautifully when we would visit. She and her husband had hired us in the fall of 2011 to just do personal care and some things around the house. But then our caregiver, Dinna, found out that when Ethel and her husband were younger, they used to have date night. So one night, Dinna planned a very special meal and helped Ethel set up the place to look like a little restaurant, made up a poster with the name of their special restaurant, even made up little menus.

    When Ethel’s husband walked in, he was just overwhelmed. They had been together for years, and he was facing losing his wife soon — they both knew it was inevitable — and he was just delighted. What made it even more poignant is that this was two days before she made the decision to move to hospice. She was the most positive, inspiring, amazing lady, and we cared for her even when she was in hospice until she passed in February 2012. She called Dinna her “angel from heaven.” We made their lives better during such a terribly sad and difficult time. It’s such a touching story.

    What qualities does a successful Nurse Next Door owner need?
    I think you have to have a passion for people, because this is really a people business, and the better you understand that, the more successful you’ll be. Plus, you can’t just have a passion for people. You also need a passion for bringing them happiness. That, and tenacity. But you need that in any small business, right?

    What does franchise ownership allow you to do in your personal life that you couldn’t before (more time with your children, hobbies, etc.)?
    The top thing is that it allows me to stay close to home and be here for my family. I’m in year four, and I’m still working pretty hard to grow the company. I’m not at a point yet where I can just lay back and spend most of my time with my family. But I also don’t need to get on an airplane every three weeks and go somewhere as I was in my corporate job. I can’t even imagine trying to raise my son under those circumstances. I’d just weep all the time, missing him so much! And my vision is to grow the business to where I can step back somewhat, and I’m looking forward to that!

    Would you recommend a Nurse Next Door franchise to someone? Why?
    I would, because at the end of the day, even with all its challenges, it’s a super-rewarding business to be in. And it’s definitely a growth business for the next 20 years. There’s just no question. The demographics tell the story. I looked around the franchising world and found a lot of restaurants, print shops and consulting gigs, and I said, “No, health care is really where the need is going to be.”

    *a pseudonym, for medical privacy reasons

  6. What Did You Used To Love Doing: Client Stories

    Leave a Comment

    Nurse Next Door’s key differentiating service is providing happiness, and making dreams come true

    The home care industry is saturated, with so many options to choose from. Every home care service offers the same tasks and at a similar cost. So how does one company separate themselves from the pack?

    John DeHart, CEO and co-founder of Nurse Next Door, decided to follow the core purpose and core values he and his partner set out for the company and focus on promoting the unexpected needs of consumers, to showcase what we offer, off our services menu.

    Franchise partners across the system have since been using Nurse Next Door’s philosophy of caring to be different. Finding out what each individual client’s dreams are and what things they require in order to feel happy, has allowed them to stand out as a company that is about caring, not just healthcare.

    Delivering happiness is not difficult. It could be as small of an adjustment as, preparing a bubble bath, rather than have it be just an ordinary task. Dinners for clients can be made from old family recipes, rather than just pasta and sauce out of a jar. These things can make clients feel admired by a caregiver, rather than just a caregiver working through tasks on a to-do list.

    Some larger wants, and wishes are discovered through a question every client of Nurse Next Door gets asked, “What did you used to love doing, that you no longer do?”. This question uncovers answers like a client wanting to play an instrument, or hand write Christmas cards, all the way to a client who wants to travel to Egypt, or visit a family member they haven’t talked to in years.

    A differentiator such as offering happiness, has had a significant impact for franchise partners. Sharing stories about our philosophy of care has solidified or help build strong relationships with influencers in the industry, and gained trust within the community to allow Nurse Next Door into their family to help care for loved ones. For Nurse Next Door, love is in the details, and even the smallest gestures can change the life of a senior, and impact a community’s response to a brand.

    Looking for an opportunity — a chance to build a sustainable business that can serve as a nest egg for the future while developing a small business with growth potential and heart? You should take a look at Nurse Next Door, a business that’s exploded in its native Canada and is expanding rapidly stateside. Fill out the form on this site, download our free franchise report and start thinking about how you can change your life, and others’, for the better with a Nurse Next Door franchise.

  7. Nurse Next Door Franchise Review: Drew Ratcliffe of White Rock, B.C.

    Leave a Comment

    Mother’s longtime illness inspired franchise partner to devote career to elder care

    Drew Ratcliffe of White Rock, B.C., founded his Nurse Next Door franchise in 2007 after a long career in geriatric medicine, which has always been a calling for Drew. He was 4 when his mother, Jane, suffered a brain aneurysm that left her wheelchair-bound and unable to speak. Jane still lives with Drew, 39, his wife and four children in White Rock, a seaside community about 25 miles southeast of Vancouver where one in four residents is a senior. His life’s passion intersects perfectly with a market that’s already big and getting bigger.

    What were you doing before Nurse Next Door?
    I was working in elder care in both private and public practice before I joined Nurse Next Door. I worked as a rehab therapist for a while, then as a case manager for both public and private medical facilities. Immediately preceding Nurse Next Door, I was consulting, going to families and advising them on elder care, clinical skills, that sort of thing. I’ve been involved in elder care, though, for 35 years. My mother, Jane, tragically suffered a brain aneurysm when I was four years old. So my career has somewhat come full circle. What I do at Nurse Next Door is an extension of what I’ve done for her for 35 years. She lives with my wife and family and four kids. We have a little self-contained wing for her; she’s been here 13, 14 years. She can’t walk, and her communication is mostly nonverbal; she spends her waking hours in a wheelchair.

    (Jane’s illness) certainly led me to the health care field generally, but I think more specifically it taught me about home care and how much more valuable it can be for someone who’s incapacitated. My (maternal) grandfather was the first doctor in Canada to prescribe penicillin, and my grandmother had a medical background, too, so they took her in. In the ’70s, the idea of a doctor looking after someone in the home better than the Canadian health care system was a novel concept. So from an early age, this was all I knew. i realized early that a complex medical situation could not only be handled in a home environment but outstrip anything the institutional model of care could offer … The home care model may not be for everyone, but there are a lot of positives and innovations that can happen in the home environment. It’s really all I’ve known.

    How did you find out about Nurse Next Door?
    I’ve known John DeHart for years, since not long after he founded Nurse Next Door (in 2001). We’d cross paths, and I certainly knew what he was doing. I wasn’t necessarily looking for a franchise opportunity, but I could identify with what Nurse Next Door was trying to do on a much broader basis than what anybody could do on their own. In this case, the franchise system allows Nurse Next Door to get services to clients much more effectively and with a more uniform standard of quality than you’d get with a series of startups. I also agreed with their policy platform. I realized the home care space was in dire need of someone to take the bull by the horns and get some standards for this kind of care in the home.

    What sets Nurse Next Door apart?
    There’s a bigger picture than just business success. Yes, we’re a business, and yes, we’re there to make money, but overriding all of that — I know it’s a cliche — is to make a difference. Having been around this business for long time, you don’t see that very often.

    How large is the need for your service in your area and in general?
    In my area, I would say it’s tremendously important. White Rock, my little community, we’re where all the forecasters say Canada’s going to be in 10 to 15 years: a country where one in four people are seniors. So I’m kind of like a living lab for these systems and Canadian health care. So how do we meet those needs? The simplest way to answer that question is that the need is huge.

    Describe your clientele: How many clients do you have, and what’s the usual age range?
    We generally hover around the 50-client mark. They’re about as heterogeneous a group as you can imagine. The majority are certainly seniors — some octogenarians, over 80 — but also some young working adults who have come into an accident of some kind and need private duty nursing. Because Nurse Next Door has always provided that full spectrum of care, from a little help to a whole lot of help, there’s a lot of people who need personal care assistance to get off to work or school who aren’t necessarily seniors.

    What does your typical day look like?
    I start early, around 6, and put in an hour looking ahead at the day. Then I get the kids off to school, and then I’m back at it by 8:30. After that, even the best-laid plans can get disrupted by client calls, caregiver issues, anything.  Some days are purely meeting with clients, others involve meeting with care and referral sources. I always spend a healthy amount of time with clients’ families, learning the family dynamic around the client. Some days — like, today’s my daughter’s 15th birthday, so I’ll pick her up from school, and owning a Nurse Next Door franchise gives you the ability to do that. Then sometimes, the client will call on Saturday night needing help, and off you go. Most days, though, I work until 5, 5:30, although I usually take work home with me.

    How does your service change your clients’ lives? Can you give examples?
    The short and sweet answer is that we bring clients peace of mind. What we do has a clinical scope, but when we look at the client as a member of a family, a daughter, a son, a sister, what we do is provide peace of mind to those family members and the assurance that their loved one is receiving real caring, not just health care. And that has a huge effect on those families’ lives. There was one client who we worked with for six weeks — the guy was terminal, and he had estranged family members on both coasts. Now, every year on the anniversary of his death, we get a card from one side of the family. They’ve called us an “undersold team of caring magicians,” and they say things like,  “Words do not cover our gratitude.” That’s what we do.

    What qualities do you think a successful Nurse Next Door franchise partner must have?
    As with any business, you’ve got to have knowledge, character and energy. At Nurse Next Door, we put a premium on the character side of things. In terms of energy, you can’t have that employee mentality where you’re going to be watching the clock, take your lunch and coffee breaks and be done with it. Not in our world. That doesn’t work with home care. It’s getting to the point where if I’m in front of a client, I can say with certainty that I’m providing the same level of commitment and care that I would if I was doing it for my own family. If you keep your eyes focused on that, you can’t go wrong.

    What does franchise ownership allow you to do in your personal life that you couldn’t before (more time with your children, hobbies, etc.)?
    It gives me the flexibility, the work-life balance, although it still is a challenge, granted. It also provides me with pride in ownership, because I’m able to extend what I’ve known for 35 years in my own family to my clients and achieve a level of satisfaction that we truly are making a difference.

    Would you recommend a Nurse Next Door franchise to someone? Why?
    Yes, because I think the opportunity is next to limitless. From a business standpoint, you have an opportunity to build a sizable and sustainable business that’s recession-proof, if you will. For someone who understands values and gets that it’s more than dollars and cents, then it’s the best gig out there. You get to meet people at the most stressful time in their lives and really get in there and make a difference, and that’s not something you’re going to get at the restaurant down the street.

    For more information about Nurse Next Door White Rock visit Drew Ratcliffe’s franchise site.

  8. Survey Says: Top Three Reasons why Franchise Partners chose Nurse Next Door

    Leave a Comment

    HeartQuarters surveys franchise partners to find out why they chose to own their own Nurse Next Door Franchise

    NND TransportNurse Next Door recently surveyed the newest additions to the franchise family to find out what factors supported their final decision to join the fast-growing home care franchise brand. Numerous answers were submitted. The financial opportunity, the training and support, and the brand were some answers that ranked well, however, three answers rose to the top.

    Core Values/Core Purpose
    Nurse Next Door lives and breathes their core values and core purpose in everything they do. The core values, Admire people, Find a better way, Passionate about making a difference, and WOW customer experience, are used to help guide strategic and everyday decisions. The core purpose, Making Lives Better, acts as a daily reminder of why franchise partners do what they do. Everyone who joins the corporate HeartQuarters team or joins the franchise family are selected with these core values and purpose in mind to determine if they are a good fit. When decisions are made using the core values and purpose, it is almost guaranteed that outcomes of any decision would result in an agreed outcome, because the mindset of everyone in the organization is aligned.

    Care Services Center
    The Care Services Center runs like a well oiled machine. At first glance, it appears to just be a call center, but it is so much more. The Care Services Center is an extension of every franchise partners’ own team. They schedule each franchise members’ employees, book client visits, and in this 24 hour a day, 7 day a week industry, the Care Services Center answers calls live 24/7. Through research, it was discovered that one of the main causes of burn out in the home care sector was the 24/7 nature of the business. The need for home care isn’t convenient, it’s immediate, and therefore, the Care Services Center offers a way for franchise partners to remove that burden from themselves allowing them to focus on growing their businesses locally and spending more time with their family – something we think is important in any business.

    Nurse Next Door Franchise Systems
    The final top answer was the franchise systems that Nurse Next Door has created and offered to franchise partners. The franchise systems are built to support the current state of franchise partner needs but also are always looking five years ahead to see where the business is and could go, to always have the system overbuilt as opposed to under developed. Feedback and suggestions from franchise partners are always recorded and reviewed from formal annual surveys, to feedback collected on weekly coaching calls, and discussions that organically generate at regional meetings and the annual conference.

    The franchise systems that Nurse Next Door has created continue to grow and develop as they keep a finger on the pulse of what the industry requires of a home care service provider, and how the systems can support the moving trends. It’s no surprise that with this much attention on our systems, they rank well among our Franchise Partners.

    Looking for an opportunity — a chance to build a sustainable business that can serve as a nest egg for the future while developing a small business with growth potential and heart? You should take a look at Nurse Next Door, a business that’s exploded in its native Canada and is expanding rapidly stateside. Fill out the form on this site, download our free franchise report and start thinking about how you can change your life, and others’, for the better with a Nurse Next Door franchise.

  9. Discovering the Nurse Next Door Home Care Franchise Opportunity

    Leave a Comment

    Prospective franchise partners spend 60 days learning what it takes to build a business with heart

    With a rapidly aging demographic, the interest in owning a home care franchise increases daily. However building a successful Nurse Next Door business takes caring, passionate Carepreneurs™ – which is why we don’t sell franchises, but award them to only the best and brightest. This is why we’ve designed a structured discovery process to help prospective franchise partners get to know our home care franchise opportunity while our team is able to better understand their strengths and abilities.

    Nurse Next Door’s discovery process, which typically takes 60 days, is a detailed, informative process that includes self-directed online-learning, one-on-one calls with our franchise development team, leadership team members and Chief Executive Officer. It also of course includes a chance to speak directly to and validate with current franchise partners who are running their own local Nurse Next Door franchises. The process culminates in a Discovery Day where prospective franchise partners are invited to meet the team at Nurse Next Door’s ‘HeartQuarters’ in Vancouver, BC.

    As prospective franchise partners begin the discovery process, they are first introduced to a member of the franchise development team who is there to answer any preliminary questions and provide a detailed explanation of what to expect.

    After the introduction to the franchise development team, the opportunity to join a weekly discovery conference call is offered. Each week the conference call has prospective franchise partners from across North America who hear directly from Co-Founder and CEO, John DeHart. On the call, John traces the history of Nurse Next Door and discusses the purpose and core values behind the brand. We of course also cover key aspects of the business such as our Care Services Center, operational systems, support programs and more. A question and answer period at the end also usually opens up good discussions.

    Online Discovery
    Our online discovery brochure is a road map that supports our franchise partners through the process of gaining more information about our home care franchise opportunity. As a prospective franchise partner progresses through the steps, more and more sections of our virtual brochure will become available.

    The online systems are filled with presentations, videos, and useful links that illustrate Nurse Next Door’s unique advantages that help our franchise partners build market share quickly. Our goal through our online discovery is to provide as much information to our prospects as possible so they can make informed decisions on the business opportunity.

    Personal Connections
    As prospective franchise partners get further into the process, they are able to connect with members of our executive team who will work closely with them if they join the Nurse Next Door family.

    Members of our leadership and franchise development teams have extensive industry knowledge and offer prospective franchise partners the opportunity to learn why Nurse Next Door is uniquely positioned within the industry. During this stage of our discovery process, prospective franchisees speak directly with our VP of Marketing to better understand our unique brand as well as our VP of Franchise Operations to understand our franchise systems and support programs. To top it off, prospective franchise partners will speak one-on-one with our CEO, John DeHart, to talk about the future of our industry and how we are strategically positioned to take advantage of an aging demographic.

    Validation Conference Call
    One of the highlights of our franchise discovery process is the validation call. On this conference call, prospective franchise partners speak with current Nurse Next Door franchise partners who can share insight into their own businesses. Questions typically focus on finances, day to day operations of the business and the level of support they receive from the corporate team. This is a prospect’s opportunity to hear real reviews from people just like them who took the leap into franchise ownership with Nurse Next Door.

    Is this the kind of business opportunity you’re looking for? Fill out the form on this site and download our free franchise report, then let’s start talking about how you can build a great small business of your own with heart.

  10. Cashing in on Obamacare

    Leave a Comment

    Home Care Franchises building profitable businesses by helping hospitals reduce readmissions

    With a rapidly aging US population, the private duty home care industry is one of the nation’s most promising and fastest growing. An increasingly common question prospective Franchise Partners ask as they learn about Nurse Next Door is how President Obama’s Affordable Care Act affects our business model. While much of the focus is on the employer obligation side which, in fact, does not affect our business dramatically, very little attention seems to be on the opportunity our Franchise Partners have been able to capitalize on as a result of this new regulation.

    With the Affordable Care Act imposing penalties on hospitals based on 30-day readmissions for certain conditions, hospitals are looking for ways to address the issue. Penalties could, in fact, could add up to 1 percent of hospitals’ regular Medicare payments – increasing to 2 percent in October and to 3 percent next year.

    Enter: Nurse Next Door. This new regulation has opened up an opportunity for our Franchise Partners to cash in by helping hospitals reduce readmissions by ensuring their patients have the appropriate home care services in place upon discharge. We took a closer look at the data. Here’s what was found:

    • Currently, nearly 20 percent of all seniors who are discharged from the hospital are readmitted within 30 days
    • According to MedPAC, the Medicare Payment Advisory Commission, about 12 percent of Medicare beneficiaries who are hospitalized are later readmitted for a potentially preventable problem
    • Only 6% of Nurse Next Door clients who were discharged from the hospital were readmitted within 30 days

    “The Affordable Care Act is actually presenting a tremendous business opportunity for our Franchise Partners,” says John Dehart, CEO and co-founder of Nurse Next Door. “Because of our 24/7/365 Care Services Center, we’re able to provide hospitals with caregivers on the same day as discharge which is an attractive benefit helping to address readmission rates.”

    Nurse Next Door’s Care Services Center, unique among private-duty home care franchisors, provides prospective clients, as well as referral sources such as discharge planners, real-time access to a team of specialists who can arrange care on a moment’s notice.

    Data, Not Donuts
    Building a successful private-duty home care business is largely dependent on building relationships with community referral sources such as social workers, discharge planners and physicians and data such as this works as an attractive selling tool. While most home care sales personnel will try to build relationships with hospital referral sources with treats and smiles, our Franchise Partners are able to focus on clear data that will make a real difference for hospital operations.

    “Knowing how dramatically we can impact readmission rates, our Franchise Partners are now armed with data, not donuts,” says DeHart. “Hospitals are now seeing how we are uniquely positioned to help them reduce their readmission rates and positively impact their patients upon discharge.”

    If you’re looking for the kind of business opportunity that is poised for tremendous growth, builds wealth and equity today and is personally rewarding, you should take a look at Nurse Next Door. Fill out the form on this site, download our free franchise report and start thinking about how you can change your life, and others’, for the better with a Nurse Next Door franchise.

  11. Franchise Business Review: Nurse Next Door outperforms industry benchmarks

    Leave a Comment

    73% of Nurse Next Door franchise partners surveyed, on all areas of the franchise model

    FBR_NurseNextDoor_SurveyResults_AllSectors_December20125 (1)Last week we shared some highlights from the Franchise Business Review (FBR) in our post, Nurse Next Door Home Care Franchise: Excelling in Training & Support, Franchise Systems and Franchisee Community – Franchise Business Review. This week, we want to take a deep dive into all categories of the FBR results. We were rated on eight categories: Training and support, franchise systems, leadership, core values, franchise community, self-evaluation, financial opportunity, and general satisfaction. We were ranked 6th best medium size business and we’re proud to report that we outperformed both the franchise industry and senior care industry in every category. Here’s why.

    Training and Support
    Although our training program covers a lot of necessary content, we developed our intensive business-coaching program as an additional support tool. When franchisees join our family, they are assigned a coach. Their coach will walk them through the start up process step-by-step as they grow the business from start up to fully-operational. Once they have been operational for 1 year, the relationship evolves into more of an analysis of specific functions. Their call (now every 2 weeks) will delve into aspects of the business to help them get stronger operationally.

    Franchise Systems
    Our franchise business is about systems and we pride ourselves on having operationally excellent systems that allow our partners to follow a recipe for success. While we have a well-built operations manual that breaks down each function of the business into manageable, systematized tasks, there is one that has made the largest impact for our system: the Care Services Center.

    We recognized that burn out and the lack of work-life balance is a reason why franchisees in our industry fizzle quickly and leave the business. We built our franchise model around handling the scheduling needs for our franchise partners, 24/7. Our franchise partners can rest their head on their pillows at night and not worry about the phone ringing. They are able to focus on developing their business, not just maintain it. We are the ONLY company in the world that provides this service to their franchise partners – and we’re darn proud of it!

    The definition for the leadership category included clear vision, team culture and franchisee involvement.

    One of our CEO, John DeHart’s top priorities is always communicating the vision for the company. Our five year painted picture is reviewed regularly corporately and communicated to franchise partners often. In 2012 especially, John presented our vision at the annual conference and provided each attendee with a 5 year vision book, that outlined each item and milestone we hope to achieve by 2017.

    Our culture is award winning. We have been recognized a number of times for our culture on a local and national level. One of our top accomplishments was winning the #1 ranked most admired emerging culture by Waterstone Human Capital.

    We have two-way communication with our franchise partners in order to encourage their involvement in the continued development of our brand. Our coaches have weekly scheduled calls with our franchise partners, which give them a consistent, dedicated tie to address anything they wish. Our executive team is always available to our franchise partners and we have councils such as the Franchise Advisory Council that encourages discussions amongst themselves as peers.

    Core Values
    Our core purpose is making lives better. Our core values are admire people, passionate about making a difference, find a better way and WOW customer experience. Our core values help us make decisions and set priorities everyday. It applies to our clients, to our team members and how we honor each other in the organization.

    When our core values are at the forefront of everything we do, we ensure that everyone is constantly aware or reminded of why they do what they do. This motivates some to push harder, and empower others to stand behind decisions they’ve made for their business. Our franchise partners come from a variety of life experiences and backgrounds but our core values act as our DNA. We are all connected by our common appreciation and belief in the culture and values of the organization.

    Franchise Community
    The area where we outperformed our peers the most, and are likely the most excited about, was this category. This means that our franchise partners reported that they felt they are surrounded by a network of fellow franchise partners they are proud of – something we’ve worked very hard to achieve.

    We are thoughtful in the people that become part of the Nurse Next Door family, and being ranked high in this category means that our franchises are strong, and any prospective franchise partners who join our team will be surrounded with high performing franchisees, all focused on growing the brand and making lives better.

    We encourage our franchise partners to be an active part of our growth by having them as part of our councils, participating in internal feedback surveys and even having them be more involved in corporate events. At the Nurse Next Door 2012 annual franchise partner conference, we invited 10 franchise partners to host roundtable discussions with their peers to explain what they’ve done in their business to be successful and facilitating conversations that encouraged everyone to share their own experiences and suggestions with each other. We value our franchise partners’ opinions and feel that insights from our franchise partners themselves are more valuable to one another than anything we could present on. They are, after all, the experts of running their own Nurse Next Door business.

    Financial Opportunity
    To be part of the Nurse Next Door team, you must be willing to build a business with heart. A franchise partners’ passion for what they do is what supports their financial goals. Because of our systems, community and training and support, the franchise partners are able to build and grow their business rather than just maintain it.

    Our newest partners are breaking month one records, and every year, we have more franchise partners surpassing the million dollar mark and feeling successful within themselves.

    Corporately, we continue our efforts to support our franchise partners to increase their revenue with national partnerships, increased marketing efforts such as national advertising campaigns and rewarding top revenue performers with incentives such as the Founders’ Club.

    The way that we approach home health care is different than most. We believe that it’s about caring, not just healthcare and that allows us to support our seniors in achieving dreams and continuing to do what they love to do, rather than just focus on what clinical assistance they need. HeartQuarters and the corporate team works hard to support our franchise partners by developing and improving systems but in the end, it’s the happiness that we provide for our clients that make our franchise partners truly feel happy and fulfilled.

    We’ve appreciated all of our franchise partners who participated in the survey and look to take the results we’ve received from the FBR report and work on our continued improvement to make this organization even stronger. To read Nurse Next Door’s full FBR summary, click here and if you’re interested in a franchise opportunity, fill out the form on this site, download our free franchise report and start thinking about how you can change your life, and others’, for the better.

  12. For Nurse Next Door Home Care Franchise, Multiple Units Reap Rewards

    Leave a Comment

    With specialized training and risk tolerance, multi-unit owners can build huge success with Nurse Next Door

    Nurse Next Door John DeHart multiunit

    When someone is talking with us about buying a Nurse Next Door home care franchise, we seriously discuss whether they want to buy a single unit and stop there; buy a single unit now with the possibility of buying more later; or go all in for multiple units.

    It’s one of the most important questions to settle, and it’s not just a matter of doubling or tripling every line item for someone who wants to make a multi-unit investment. When a franchise candidate decides to go big, we change our approach to interviewing, training and operations, and the future franchise partner adopts a different mindset than the single-unit owner.

    Nurse Next Door chessDon’t misunderstand — there’s nothing wrong with owning just one unit. Many of our franchise partners have achieved great success with just one, including many of our top revenue producers. But the multi-unit partner can’t just be a small-picture manager, as a single-unit owner can. The owner of multiple units has to think more strategically, understand how changes in operations or personnel at one unit can affect not just the others but the franchise holdings as a whole.

    Think of chess. The single-unit franchise partner sees his pieces as individual players facing off against other individuals: My rook can take his knight, but then I run the risk of clearing the way for his bishop to capture my queen. The multi-unit owner sees that move, its possible ramifications four or five moves ahead and how it ripples out to determine the course of all the other pieces on the board. It’s a tough line to walk for someone who’s never done it before, or even someone who has, which is why we think long and hard with the candidate before we reach a mutual decision.

    In the video above, our CEO and co-founder, John DeHart, talks about the three things we look for in candidates who might want to go the multi-unit route. If you have enough ambition, we encourage you to look into it — it’s the route that leads to the most revenue and long-term impact on your community.

    Even if you aren’t ready for multiple units but think you’d be right for one franchise, take a closer look at Nurse Next Door, a company that’s already established itself as the premier home care franchise system in Canada and is blazing trails in multiple U.S. markets. Just fill out the form on this page, download our free franchise report and start thinking about how Nurse Next Door can the course of your career and life for the better.




  13. Nurse Next Door Home Care Franchise Shows How You Can Grow Into CEO Role As You Grow Your Business

    Leave a Comment

    Truly successful franchise partners ascend from the day-to-day to team management to strategic vision

    Longtime franchise partners often look back and realize they’ve gone through distinct stages in their evolution as business owners, like ships passing through the locks of a canal.

    The first stage: Owner-operator. Does everything from bookkeeping to sweeping the floor to sales calls to the actual work of the business.

    John DeHart (right) at our HeartQuarters in Vancouver with new franchise partners

    John DeHart (right) at our HeartQuarters in Vancouver with new franchise partners

    Second: General manager. The owner still oversees everything, keeping tabs on operations and the ledger, but others are doing the ground-level work. The owner is more of a team leader.

    Third: CEO. This is where some Nurse Next Door franchise partners, having been in our system for five years or more, are beginning to ascend. In a fully developed Nurse Next Door home care franchise business, the owner is free to chart the long-range course of the business, determining five- and 10-year plans in consultation with a team and manager that handles the day-to-day duties of the business.

    Not every franchise partner will reach this stage, or will want to. Some partners are fine with owning a single unit and doing everything themselves — and that’s fine. But the way to build a truly profitable and significant franchise is to take it to that third level, where the business is growing strategically instead of constantly reacting to changing circumstances.

    As any business owner can tell you, managing the day-to-day operations of a small business takes a huge amount of time and energy, especially at first, leaving little room for long-range planning. You’re too busy figuring out how to make it through this week!

    Nurse Next Door provides its franchise partners with a chance to build a thriving small business with heart — do well and do good.

    Nurse Next Door provides its franchise partners with a chance to build a thriving small business with heart — do well and do good.

    In the video above, John DeHart, our CEO and co-founder, explains how business owners can expand their influence and profitability by graduating to that third stage. John is a Nurse Next Door franchise owner himself, but he hasn’t “worked” at his franchise in years; instead, he’s overseen the company at large, hired a team to run his franchise for him and watched as his business has grown in value.

    Looking for that kind of opportunity — a chance to build a sustainable business that can serve as a nest egg for the future while developing a small business with growth potential and heart? You should take a look at Nurse Next Door, a business that’s exploded in its native Canada and is expanding rapidly stateside. Fill out the form on this site, download our free franchise report and start thinking about how you can change your life, and others’, for the better with a Nurse Next Door franchise.


  14. Orange County Register Highlights New Nurse Next Door Franchise Partner Nusrat Kureishy

    Leave a Comment

    Latest U.S. Nurse Next Door franchise partner sets up in Laguna Hills, where 13% of population is 65 or older

    Nusrat Kureishy

    Nusrat Kureishy


    We were thrilled this week to see this interview with our new franchise partner, Nusrat Kureishy, in the Orange County Register, one of the biggest news providers in the Los Angeles area. Nusrat does a great job of not only explaining Nurse Next Door’s purpose but sharing some client stories, highlighting the commitment to individual care and admiring people that separates us from the home care pack:

    Q. What is the scope of your home care services?

    A. We provide non-medical services ranging from two-hour visits to around-the-clock care. Our services range from meal preparations, laundry and driving to appointments to helping with physical exercises. It’s about caring, not just health care. We always ask the question, “What is it that you enjoy doing but can’t do anymore?” We have one client who is an avid reader of books and cannot do that anymore because of macular degeneration. Our caregiver offered to read her favorite books to her. The client and her daughter were surprised and asked, “You would do that?”

    Our core values, which all our franchise partners and staff embrace.

    Our core values, which all our franchise partners and staff embrace.

    Q. Is it important to seniors to want to be taken care of in their own home rather than at a facility?

    A. Home care allows the elderly to age in their home and remain independent and have their own schedule. One of my clients is in a rehab facility and is looking forward to returning to her own home with Nurse Next Door. She said, “Why should I wake up at 7 a.m. and be showered and dressed by 8 a.m.? I’m 90 years old and I have earned my right to sleep in every day.”

    Q. Tell us about your caregivers.

    A. We are always on the lookout for caring people who are people-focused. We look for people who align with Nurse Next Door’s core values. My personal favorite core value is being passionate about making a difference. I do the hiring myself and look for that extra compassion and a willingness to take the extra step to make our clients even more comfortable and happy.

    Q. Do you prepare meals, do housekeeping?

    A. Like I mentioned, we do housekeeping, laundry, driving, running errands and meal preparation. We prepare special diets for diabetics and those with other dietary restrictions. We actually have a Nurse Next Door cookbook with ideas and recipes for nutritious and delicious homemade meals. One of my caregivers is from another country, and he practices at home from our cookbook before starting work.

    Q. Do you provide 24-7 care?

    A. We provide 24-7 care. We have a call center that answers calls any time, even in the middle of the night, and right now if you call, you hear my voice saying, “Thank you for calling Nurse Next Door. This is Nusrat. How can I make your life better today?”

    Like all of our franchise partners, Nusrat has her heart and mind in the right place. We welcome her to the rapidly growing roster of operational Nurse Next Door locations in the States, and we encourage anyone who wants to run a small business with heart and an uplifting atmosphere to take a long look at Nurse Next Door.

    Fill out the form on this site, download our free franchise information report, and let’s start a conversation about how Nurse Next Door can help you achieve small business success while making lives better.

  15. Nurse Next Door Home Health Care Franchise Honors Top Performers

    1 Comment

    Franchise home health care partners make most of home care franchise opportunities

    Nurse Next Door founders g

    Our Founders Club award winners and HeartQuarters staff


    At Nurse Next Door, we believe in setting up our franchise partners to succeed and rewarding them when they do.

    So recently, our top-performing franchise partners and a few members of our HeartQuarters team flew down to Las Vegas to celebrate their Founders Club award and Franchise Partner of the Year Award wins. The annual Founders Club awards, in their third year, go to the franchise partners who rank in the top 10 percent of our system’s revenue earning partners. This year, five franchise partners celebrated Founders Club awards:

    Travis Tinning of Calgary, AB (also Franchise Partner of the Year)
    Chris and Tawnya Wilkinson, Nanaimo, B.C.
    Brian Buckley and Lindsay Eldridge, Delta, B.C.
    Todd and Amanda Carwell, Edmonton SW, AB
    Kelly and Scott Voisey, Edmonton, AB

    Vegas turned out to be a great place to hold the celebration. Our partners were able to spend quality time with Val Litwin, our vice president of franchise operations, and Rubylyn Engstrom, our vice president of Care Services, plus enjoy one-on-ones with our CEO and co-founder, John DeHart.

    Home care franchise opportunities pay off

    But we wanted our partners to relax and enjoy their free time, too, so our schedule was loose and laid-back, allowing time for dinner with the team, catching big-time Vegas acts like David Copperfield and generally having a good time (see photos!).

    We arranged only two group activities, and our FPs could use the rest of the time to do what they wanted. That’s one of the perks we like to offer our top performers in our demanding business. They deserve a chance to decompress for a few days and celebrate their success from the last year before diving back in to surpass their goals for the upcoming year!

    The same spirit was the fuel for our Care Services Platform, which relieves hard-working franchise partners of many of their most onerous duties. Satisfied, happy franchise partners are the foundation of successful franchise systems, and we believe in rewarding hard work and success.

    Nurse Next Door founders ladies shoe

    Who wouldn't want to walk in these shoes?

    How to run a home health care franchise

    The amazing thing about our top-performing franchise partners is that they all embrace our core values and understand what it means when we say, “Our Talent Is Caring” or ask, “How can we make your life better today?”. Through their success and time investment, they have contributed to the continuing success of Nurse Next Door.

    All of these partners are part of systemwide programs outside of their franchises. Some are Franchise Advisory Council (FAC) members; others sit on the Care Services Council; still others are validators of our business. They are where they are because they believe in what they are doing, and they help build our brand. Their outstanding performance is no surprise to us.

    We can’t wait to find out who next year’s winners will be, and how many more winners will emerge in the years to come. It might even be you. If you’re interested in taking part in our success, running a thriving small business with heart and joining our fast-growing franchise system, we want to hear from you. Fill out the form on this site, download our free franchise report and start thinking about how Nurse Next Door might be the small business opportunity you’re looking for.

  16. Making Lives Better One Visit at a Time: Home care franchise customer review

    Leave a Comment

    Nearing 100, her father needed help and companionship — and Nurse Next Door rose above her expectations

    Nurse Next Door Kathy Lew Alison

    Kathy, her sister Alison and their father Lew at his home in Vancouver. (Used by permission of family)


    Kathy’s 97-year-old father, Lewis, is a lucid and reasonably active man who nonetheless is coping with the effects of being 97. He walks, but only for short distances and with help. He suffers from hypertension and failing kidneys. He has to eat a special high-protein, low-potassium diet.

    His wife and Kathy’s mother, Margaret, is 85 herself and can’t reliably care for Lew on her own in the house they share in Vancouver’s Kerrisdale neighborhood. Kathy’s brother, who lives in the area, was helping care for Lew for a while, but he’s a busy man. With Kathy in Orange County, Calif., where she lives and works as a nurse, the family realized by late summer that they needed to hire someone to provide in-home care for Lew.

    First home health care experience

    “It was the first time we had ever sought any help outside the home,” Kathy says. “We knew he needed help with personal care, bathing, dressing … but he didn’t want any woman to help him because he’s modest, you know.

    “We had heard about Nurse Next Door from some friends who had had their service and said they did a really good job. We contacted them and asked if they had a male caregiver, they came to assess my dad and determine what he needed, and within a week or so, we had Naoki come.”

    So how has Naoki worked out?

    Well enough to compel Kathy to write to us in October:

    I’m writing today to let you know how thrilled we are with the care Naoki is giving my Dad, Lew (last name withheld)! He has been such a tremendous blessing and truly an answer to our prayers. Naoki is not only a gifted caregiver, but a man of honesty, integrity and genuine compassion. He is so very kind to my Dad and has gone out of his way to make himself available to him. He has taken initiative in helping my father do simple exercises to strengthen his limbs and has tried to inspire him to take an interest in a new hobby. He is always cheerful and inspires hope for both my mother and father. My Dad feels very safe and comfortable with Naoki, looks forward to his visits and considers him a true friend.

    I have been so impressed with your agency over the past few months and have been consistently treated with kindness, courtesy and genuine concern every time I have spoken with the office staff.

    Thank you for all that you do! The care you have provided my father has far exceeded our expectations.

    Lately, Naoki has had to come by even more frequently, after the family decided Lew could no longer prepare for bed in the evening without Naoki’s help. So just since October, Naoki has increased his care time from three hours a day twice a week to five hours — three in the morning, two in the evening — every day. It’s a necessity, and not just for Lew.

    “My mother, being there and seeing him deteriorate day after day, is very relieved when Naoki arrives. I know she feels very at peace knowing he knows exactly what my dad needs and how to help him,” Kathy says. “And so do I.”

    The home care franchise opportunity

    Nurse Next Door soccer

    Nurse Next Door believes people don't need to give up enjoyment of life just because they're retired.

    One of Nurse Next Door’s main goals is to assist clients with their basic physical, mental and emotional needs but also to relieve the strain on family members, especially when they live out of town and can’t drop what they’re doing to administer care to their parents or manage a crisis. It’s why we believe so strongly in working at every step with clients and their families to make sure everyone has a stake, and a role, in the care we provide.

    In our 11 years, we’ve developed into one of the leading home health care franchises in Canada, and we’re rapidly establishing U.S. locations as well. Interested in exploring Nurse Next Door franchise ownership? Fill out the form on this site, then download our detailed franchise report, read about our people, history and unique approach to care — then let’s start talking.

  17. How Nurse Next Door Home Care Franchise Honored a Friend’s Life Through Pancakes and Hymns

    Leave a Comment

    He loved to tend his flowers and shrubs — until he no longer could. Nurse Next Door did everything possible to get him close to his garden again.

    Nurse Next Door Kendrick pancakes

    Kim Kendrick, who owns the Nurse Next Door location in Richmond, B.C., refers to former client Charles as a ‘tall guy with a marshmallow heart.’


    He died early on a Friday morning near the end of May 2010, a man of 88 who had lost his ability to care for himself, lost even the ability to walk down the stairs to tend the enormous garden he loved.

    His caregivers had known for a month or so that the end was coming soon, and they were merely keeping him comfortable. On this morning, they alerted the family in time for them to say goodbye, and Kim Kendrick began calling the caregivers who had planned to tend to him that day. There’s no need to come today, she told them. He’s gone.

    They came anyway, all five of them.

    Kim owns and runs the Nurse Next Door location in Richmond, B.C., and a nurse had referred the man’s family to Kim a couple of months before. The man — let’s call him Charles — was a diabetic and clearly losing his ability to walk, an alarming development since he lived in a two-story house with only his wife to help him. His appetite and energy were waning, and a doctor he visited to treat a small wound on his ankle was alarmed enough at his condition to send Charles to Richmond General Hospital. They treated and released him, but Charles needed in-home care.

    Starting hospice care

    This was around Easter. At first, the family arranged for a couple of caregivers to come by in the morning and evening to help him bathe and get into and out of bed. But within weeks, Kim was consulting with her caregivers who specialize in palliative care. “He was going downhill quite quickly,” she says. The caregivers consulted with the family and began around-the-clock pain management.

    On the day he stopped walking, a Saturday, Kim couldn’t secure a wheelchair, so she began calling around to her other clients to see if anyone had a spare. A couple did, but the chairs were too small to hold Charles’ 6-foot-2 frame. So Kim, her husband, Brett, and a pair of caregivers hoisted him into a wheeled stenographers’ chair, rolled him to his bedroom and got him into bed, where he stayed until Kim could get a hospital bed in the house on Monday.

    The team set the wheeled bed near a window on the first floor so Charles could look out at the garden he had lovingly tended for the decades he and his wife had lived in the house, a garden full of shrubs, calla lilies and other flowers that spread around the sides. It was where Charles had found solace, and he knew he’d never be able to work in the garden again. But the team made sure he could at least see it, occasionally wheeling the bed to the back patio, too.

    All the while, Charles won his caregivers’ hearts with his calm, gentle manner and, Kim says, his “marshmallow heart.” He was a tall man, and gaunt toward the end, with a white moustache, known to wear thick “lumberjack shirts” that gave away his love for the outdoors. He called his caregivers his “angels.”

    When he died, his angels came to say goodbye.

    Pancakes and hymns

    Nurse Next Door Scrabble

    Nurse Next Door’s caregivers see their jobs as much more than tending to physical and medical needs.

    Charles’ wife, daughter, brother and sister-in-law were staying at the house, and they recalled that morning that Charles’ favorite breakfast was pancakes. So his caregivers tended to Charles’ needs one last time, fixing pancakes for everyone.

    That wasn’t all. Kim herself was remembering her own loss, a beloved uncle who had died three years before after a long and painful battle with ALS; it was the experience that drove her to Nurse Next Door. On this day, she handled all the post-mortem duties — contacting the funeral home, arranging for a doctor to register time of death — while remembering that her own family had gathered in their home after her uncle’s death and sung hymns while waiting for the funeral home to pick up his body.

    So now she did for Charles’ family what she would have wanted her uncle’s caregivers to do for hers. Kim has played piano since she was a child and taught lessons for several years. So she sat down at the old upright in the living room and began playing and singing hymns. The family, devout people, began to sing along, brushing away tears, and the caregivers joined in. That was their way of honoring Charles’ long life and coping with his death.

    That’s how Nurse Next Door thinks about care for each of our clients. It’s not just about meeting their physical needs. It’s about meeting the emotional and psychological needs of the clients and clients’ families alike. When Kim sat at the piano to sing, she was doing something way outside the scope of what a standard home care franchise would even think of — but what we think of as just another way to provide our clients with the care they need.

    If this is the sort of care you feel called to provide, and through a thriving small business with a demonstrated and growing market, we want to hear from you. Fill out our form to download our free franchise report, and let’s start talking about how you can start making the lives of people like Charles and his family better.


  18. Why Caring Is The Key To Franchise Home Care


    Local business owners channel commitment to community through devotion to clients

    Nurse Next Door Judy Brooks caring

    Our chief of staff, Judy Brooks, and some of the slogans we live by.

    We want our franchise partners to be active, engaged members of their communities as well as thriving small business owners, and we decided five years ago that a franchise system was the best way to deliver our services and build the relationships our business rests on.

    And those relationships are built on the kind of caring that’s strengthened when franchise partners, caregivers and clients are all members of the same community. That’s not to say it’s necessary. It just adds another layer to the bond we build between each Nurse Next Door location and the community it serves.

    A few examples:

    Eleanor in Penticton, B.C.

    Eleanor is an Alzheimer’s patient with post-polio syndrome who had given up a longtime love — swimming. She felt free in the water. But when Nurse Next Door began caring for her, she hadn’t gone swimming in two decades and thought she never would again. A language barrier complicated interactions with her; Eleanor‘s native tongue is Swiss German, which none of her caregivers spoke.

    Enter Liliane, a Nurse Next Door caregiver. Liliane spent a summer with Eleanor at a nearby swimming pool, encouraging her and building up her stamina. By summer’s end, she was swimming daily in one of the gorgeous lakes near her home — and she still does. It’s great for her body, mind and spirit, and the results shine in the smile on Eleanor’s face.

    What’s more, Liliane speaks not just German but Swiss German, which means Eleanor communicates beyond her family members’ expectations. Recently, they report, Liliane and Eleanor were caught yodeling together.

    Joe in London, Ont.

    Nurse Next Door John & Andrea

    Nurse Next Door develops close relationships with clients like Andrea Stevenson, shown here with our CEO and co-founder, John DeHart.

    Our franchise partner in London got a frantic call recently from a man who said hospital administrators told him his ailing father, Joe, needed to go to a nursing home, and he could either come up with a list of five homes or let the administrators choose. The son was desperate for help.

    Within hours, Nurse Next Door had assigned a caregiver to stay with him in his house. Joe was suffering from dementia, thrush, malnutrition, dehydration and bedsores. Within a few weeks, the physical problems had gone away, and he had gained eight pounds.

    Joe continues to need care because of his dementia, but he’s no longer suffering — and the family is grateful and amazed by what Nurse Next Door has been able to do for him.

    Donald in Nanaimo, B.C.

    Donald once flew radio-controlled model airplanes on a nearby field as a hobby but had to give it up as his health failed. Donald grew depressed. Our caregiver realized he missed his pastime.

    So she took him back out to the field, where Donald happily made his plane swoop, soar and plunge with a local flying club’s models. Donald couldn’t walk well enough to retrieve his plane after he landed it, so our caregiver did it for him — and Donald especially enjoyed it when members of the flying club came over to say hello, showed him their models and invited him for coffee afterwards.

    It made Donald’s day. It did more than meet his physical needs — it made him happy. It made him enjoy life. That’s what home health care means to us. Isn’t that the kind of care you’d want for your mother or father — or yourself?

    If this sounds like a fulfilling way to make a living in your community, we’d like to hear from you. Fill out our form and download our free franchise report with details about our history, the massive home care market, investment costs and more, then let’s begin a conversation about how you might be able to make countless lives better where you live.

  19. How the Care Services Platform Transformed Nurse Next Door Home Health Care Franchise

    1 Comment

    Call center, software provides critical support that protects our franchise partners from burnout

    Nurse Next Door Rubylyn

    A few years after we founded Nurse Next Door, we realized most home health care franchise business owners burned out quickly from burdensome administration. Our Care Services Platform was the solution.

    Most home health care business owners just want to make lives better and make good livings while they’re at it.

    But they quickly discover that the administrative side of home health care — answering the phone, budgeting, scheduling — can eat up huge amounts of time and energy. It’s a 24/7 business. So wonderful people who start with reservoirs of passion for helping people end up swamped and burned out after just a few months. They get into the business for the right reasons and leave it for the wrong ones.

    Our solution: the Care Services Platform, anchored by an around-the-clock call center at our “HeartQuarters” in Vancouver.

    The key to a successful home health care business

    We spent five years and nearly $1 million building our Care Services Platform into the truly transformative system it’s become. It lifts the most tedious and time-sapping aspects of home health care off the shoulders of our franchise partners, and with incredible efficiency and well-honed practices without peer in the industry.

    The call center is the hub. Our Care Services specialists field incoming calls, handle franchise partners’ scheduling, set up appointments, check with caregivers and clients about schedule changes and talk regularly with partners to coordinate. Our reps are assigned by time zone, so the ones handling our East Coast partners have to get in pretty early.

    We’ve determined that our call center saves our franchise partners, on average, 237 hours per month in answering and making client calls, scheduling caregivers, follow-ups with customers and answering emails from clients.

    We’ll repeat that: nearly 240 hours per month. That’s 10 full, round-the-clock days. That’s a full-time monthly workload and a part-time workload combined. And what do our franchise partners pay for it? Seven percent of gross sales — far less than the cost of a part-time employee even at minimum wage.

    Nurse Next Door CSC

    Our Care Services Center at our HeartQuarters in Vancouver.

    A system that works for franchise partners

    Two years ago, we had a team of 12 specialists. We’ve built that up to 28, with plans to expand even more. It’s one reason why our average hold time is less than 30 seconds. It’s why our Net Promoter Score, one of the industry’s key customer service metrics, is a phenomenal 70 — a world-class score on par with such renowned brands as, Apple and Publix and far above any home health care brand’s.

    We know all this because of another critical part of the Care Services Platform: a software package that tracks crucial data on hold times, call volume, email traffic, client needs and successful outcomes. Our franchise partners don’t have to track metrics themselves or wonder how their caseload stacks up to last month’s or last year’s. We have the data constantly updated in real time and available for all our partners.

    Our team really gets to know our franchise partners, caregivers and customers: which client always calls at 2:30 p.m. on Tuesdays to arrange for transportation to her weekly trip to the senior center the next day, which caregiver has odd schedules and which partners want to have regular conference calls.

    Finding a better way

    Our specialists can build those relationships because they stick around at a much higher rate than at most call centers. Call center turnover rates usually hover at around 75 percent; our rate has averaged less than 10 percent over the last three years. The continuity is huge in keeping communication open, service consistent and our partners’ great competitive advantage intact.

    The value of our Care Service Platform is incalculable. Our clients have the security of knowing they can call at any time, day or night, and speak with a live human being who probably knows them and can access their case portfolios in seconds.

    But the platform’s real importance is to our franchise partners. Simply, it means the difference between an intolerable work life and a great one. With the Care Services Platform, our partners don’t have to sleep with their cell phones. They don’t have to work 16-hour days. They can live happy, balanced lives — the kind Nurse Next Door provides for clients and families as well — and ensures that compassionate and skilled home health care business owners keep their businesses running and the care flowing for years.

    If this sounds like your kind of business, we want to hear from you. In a little more than a decade, we’ve grown to dominate the home health care industry in Canada and begun a rapid, aggressive expansion in the United States. Fill out the form on this site, download and digest our free franchise report and let’s start talking!


  20. Five Ways Nurse Next Door Home Care Franchise Celebrates Aging

    Leave a Comment

    From caregiver smiles to pink cars, everything we do aims to spread happiness

    Nurse Next Door Mission Viejo

    Our pink wrapped cars are one of the many tools we use to convey our bright, cheerful spirit. Pictured are franchise partner Tony Uzzi of Mission Viejo, Calif., and his stepdaughter, Paige Palmer.


    One of the curious things about the home care industry is its seeming aversion to the joy and celebration of aging that can help make home care more enjoyable for the people who need it.

    We know it’s out of respect. No one wants to trivialize or make light of seniors who can no longer walk without pain or care for themselves. That’s why most of the brands in the growing home care industry use marketing and promotional materials that adopt the somber, hushed tones of visitors at a wake. The colors are muted, the expressions on models’ faces pained and full of sad concern, the language subdued.

    To heck with that! You’re alive! Get out and enjoy it!

    We knew when we started Nurse Next Door in 2001 that we wanted a different approach, one that celebrates aging instead of preparing for death. So everything we do, from selecting caregivers to our operations to our marketing materials to the cars we drive, reflects our commitment to help our clients, in Thoreau’s words, “suck out all the marrow of life.”

    Nurse Next Door walk

    One of our ads, showing a client with the all-important smile on his face.

    Here are the five big ways we do it:

    • We look for the smile.

    Hiring caregivers is a big deal for us at Nurse Next Door. They represent the business end of our business, and it’s not enough for them to be merely skilled. That’s only half of it. They have to have the right demeanor: bright, engaging, patient, warm, genuine and happy. We want them to think creatively, too, fulfilling one of our core values: Find a better way.

    • We bring the pink.

    No grays or drab greens for us. Our marketing materials, including our wrapped cars, are a bright pink that grabs your attention and holds it. That’s no accident. We wanted to set ourselves apart and reflect our passion and joie de vivre. Saddle brown wasn’t going to cut it.

    • We help clients regain what they’ve lost.

    One of our clients missed his hobby, flying model airplanes, so our caregiver arranged to take him out to the flying field in his wheelchair and retrieved his model after each landing. Our client got a kick out of it. Out at the field, he wasn’t just enduring. He was living. That’s why we have our caregivers and franchise partners ask each new client, “What’s something you used to love to do that you can’t do anymore?” Then we do whatever we can to help them achieve it, even if they’re not physically capable of doing it like they used to. Another client had always wanted to visit Egypt. Traveling was out of the question, but our franchise partner arranged for the next best thing: Bringing books, films and photos of Egypt to the client’s home.

    • We admire people.

    That’s one of our core values. Here’s what it means: Most home care businesses start from a baseline of services they offer and tailor their care packages around those. Nurse Next Door starts with the clients’ needs — whether they’re physical, emotional, psychological or some combination — and constructs care plans around the needs. Nurse Next Door franchise partners and caregivers rarely say, “We don’t do that.” You’ll more likely hear, “OK, we may not have done that before, but let’s see what we can do to get that done.” It makes all the difference in the world in our ability to adapt to a changing market and clients’ unique requirements.

    • We ease franchise partners’ pain.

    Home care can be a tremendously fulfilling and rewarding business. You know you’re making lives better. But that goes only so far when your life is miserable. Often, home care business owners are slaves to the round-the-clock demands of their clients, fielding calls at 3:30 a.m. and wrestling with the paperwork until their eyes cross. Good people burn out that way. Nurse Next Door has found a solution: Our Care Services Platform, based on a call center that takes care of scheduling and administration. That frees franchise partners to do the work they started the business to do and have actual lives. We’re committed to helping our partners enjoy life, too!

    The home care industry is filled with a lot of wonderful people working for wonderful companies doing wonderful things for their clients. But we’ve found that adopting the right attitude — emphasizing the happy in everything we do — vaults Nurse Next Door from a good home care franchise system to a great one that’s quickly expanding throughout the United States as it already has in its native Canada.

    If you want to make lives better with a great business in an exploding market, you really should look closely at Nurse Next Door. Fill out the information form on this site, download our detailed, free, very pink franchise report, and let’s start a conversation.

  21. Nurse Next Door Home Care Franchise Grows With Aging Population

    Leave a Comment

    Demographics, market forces drive need for client-oriented home health care


    Nurse Next Door Mission Viejo

    Tony Uzzi and his stepdaughter, Paige Palmer, opened the first American Nurse Next Door location in Mission Viejo, Calif., in August.


    We all know about the “silver tsunami” of the Baby Boomers reaching retirement age, a generation-long wave that’s only now beginning to build. Some data the U.S. Bureau of Labor Statistics released this year help us gauge the dimensions of the challenge — and the opportunity.

    The BLS studied which occupations are expected to add the most jobs in the next decade, and it’s not even close: personal care aide and home health aide positions are both expected to increase by about 70 percent before the end of 2020 and add a combined 1.3 million jobs.

    There’s no secret about why. In addition to the graying of the Baby Boomers, there’s rising health care and nursing home costs; life expectancies that keep rising with advanced treatments, medications and Medicare expansion; and seniors’ overwhelming preference to live at home even if they’re mentally or physically impaired.

    Nurse Next Door: Prepared for the home health care challenge

    Nurse Next Door is prepared to meet the massive challenge, though, and we’re already taking our unique approach to home health care to the States after a decade of success in Canada.

    Most home health care companies are what we call “task-oriented,” which means they start by offering certain services and tailor care around what they can sell. From the time John DeHart and Ken Sim founded Nurse Next Door in 2001, we were determined to serve our clients based on their needs, which can be as much emotional and psychological as medical and physical.

    We ask clients what they used to be able to do that they no longer can, and our caregivers do everything possible to help clients regain what they believe they’ve lost. It’s about caring, not just health care.

    Nurse Next Door U.S. senior population

    Source: U.S. Administration on Aging

    Why we’re expanding

    Why are we expanding so aggressively into the States? The numbers, as always, tell the story.

    U.S. seniors, population about 40 million, made up 12.9 percent of Americans in 2009, roughly one of every eight. By 2030, that percentage is projected to be up to 19, or nearly one in five.

    The average cost of a nursing home is close to $50,000 per year and rising in the States, and assisted living is even more costly. Most private insurance policies don’t cover long-term care. Neither does Medicare.

    So our industry is trying to rise to meet the demand, increasingly by franchising. We were one of several home health care brands that began offering franchises in the latter half of the decade, setting a record for the industry. But Nurse Next Door’s client-centered approach distinguishes it from any other home health care provider, franchised or not, and our market opportunity rests on the more meaningful, personal care we provide.

    As the population grays

    Consider these numbers:

    The number of centenarians on earth has risen from 180,000 in 2001 to 450,000 today. That number is projected to reach 850,000 by 2021 and 3.2 million by 2050.

    Worldwide, 15 million people suffer from Alzheimer’s disease, and caregivers spend 17 billion unpaid hours to help them.

    The number of American seniors, 40 million today, is projected to more than double to 87 million by 2050.

    The average U.S. life expectancy, 73 years in 1975 and 75 a generation ago, reached 78, a record, in 2009. The longevity trend shows no sign of stopping or even slowing.

    Even with substantial growth in the last decade, the home health care industry is still trying to catch up to an ever-growing demand that will last for at least the next generation, if not beyond. It’s one of the main reasons why Nurse Next Door is uniquely positioned for long-term, year-over-year growth that’s unparalleled in the franchise or home health care industries.

    But the true value goes beyond building a profitable small business. It goes to our real mission: Making lives better.

    Sound like a fulfilling career and life move? We want to hear from you. Fill out the form on our site,, and download our free franchise information report, packed with details about the demand, demographics and our value proposition, as well as interviews with clients and franchise partners and much more.

  22. Nurse Next Door Home Health Care Franchise Customer Review: Sari of Vancouver

    Leave a Comment

    ‘Nurse Next Door has taken the burden off of me,’ says devoted daughter of 91-year-old

    Nurse Next Door Care Services

    Our Care Services Center, which handles scheduling for our franchise partners — a huge help to them and clients alike.


    Nurse Next Door looks after 91-year-old Eloise 24 hours a day in her Vancouver condo, monitoring her worsening dementia, soothing her frayed nerves and relieving her 55-year-old daughter of the onerous double burden of care and worry.

    The need arrived suddenly and with little warning. Until last year, for the most part, Eloise managed just fine on her own. But everything changed that May, and what happened afterward illustrates the struggle of caring for aging loved ones and the risks in assuming that one managed care company is just as good as another.

    Even with some mild dementia, Eloise lived alone in the apartment she’d occupied for 13 years, since she moved with her husband from British Columbia’s Okanagan region. He was suffering from Parkinson’s disease, and they had a daughter, Sari, in the city. He died a few years later. But Eloise got by.

    “We had a housekeeper come once every two weeks,” Sari says. (For privacy reasons, Sari asked us not to publish their last name.) “Other than that, she was living on her own.”

    Then, in May 2011, Eloise was admitted to Vancouver General Hospital with a severe urinary tract infection — and for a time it appeared the infection would prevent her from ever returning home.

    The search for home health care

    Eloise stayed at the hospital for six weeks because doctors didn’t think she’d be able to care for herself if they released her. They were right. At her age, the infection and hospital stay had pushed her over an edge, and it was clear she now would require round-the-clock care.

    “I’ve since learned that hospitals are no place for old people,” Sari says. “She’d never been really sick before, so I didn’t know what options were out there.”

    She learned about managed care, how it allows seniors to stay in their homes while receiving necessary treatment. After Eloise’s release from the hospital in July 2011, Sari hired one of our competitors. They were fairly competent, but Sari wasn’t overjoyed. The caregivers rotated too much for her liking, and not all of them were certified and bonded as nurses or caregivers.

    “They could be pretty inconsistent in their answers to questions — like the person at the office would say one thing, and the caregiver would say another,” she says. “At 90, people just don’t do very well with change, and this was a huge one for Mum. But I didn’t really get the feeling (the company’s) caregivers were really listening to her or us when it came to what we were asking for.”

    Eloise had to go back to the hospital in April for some minor surgery. Sari, of course, feared another interminable hospital stay. The doctors told Sari her mother would get out earlier if she could arrange for registered nurses to care for her at home. The other company was out. Sari turned to Nurse Next Door, and she wonders why she didn’t do it sooner.

    Nurse Next Door

    We tack photos of caregivers and happy clients — and our founders, John DeHart and Ken Sim — on the wall at our HeartQuarters in Vancouver.

    The Nurse Next Door difference

    “It was just their professionalism,” she says. “The RN who came to interview Mum did a terrific job of connecting … and all the (caregivers) who came were awesome. They’re very high-end caregivers. The biggest thing for my mum is that she’s not very good with strangers at all, and they all do a really good job of connecting with her. I felt she accepted them pretty quickly, which is unusual for Mum.”

    Scheduling, a difficulty with our predecessor, is no longer an issue. Eloise has a consistent team of caregivers she knows and trusts; Sari says one caregiver worked 11 nights straight to make sure Eloise saw a familiar face.

    For Sari, an executive with a shipping firm, it’s been a godsend. “Their care allows me to run the rest of my life, you know, because I have a full-time job and two 16-year-olds who need to go places. Nurse Next Door has taken the burden off of me. There’s really no other way we could have managed it,” Sari says. “And it really gave me peace of mind, too, because that’s what I was most concerned about when she was living independently. I’d tell her, ‘Geez, Mum, if you fell, I wouldn’t even know about it until I called that night at 5 o’clock.’ So that’s what they give me.”

    We make lives better, as we have for Sari and Eloise, and for people throughout North America who suffer from the effects of age or disability but still want to stay in their homes and get the maximum out of precious life.

    If this sounds like the kind of difference you want to make in people’s lives in a market that is exploding with the Baby Boomers reaching retirement age, fill out the form on this site to download a copy of our free franchise information report, then let’s start a conversation that could lead you to a transformed career and life.

  23. Nurse Next Door Franchise Review: Wendy Scott of Burnaby, B.C.

    1 Comment

    Longtime health care pro gravitated to Nurse Next Door’s mission, core values

    Wendy Scott has worked in health care in Canada for most of her life, as a nurse and managing hospital emergency and intensive care departments. She eventually grew tired of the bureaucratic inefficiencies of Canada’s taxpayer-funded health care system and looked for something that would combine top-notch care and great customer service. Scott found it with Nurse Next Door.

    How long have you been a franchise partner?

    Since July 1, 2009, so about two-and-a-half years. Burnaby and Kamloops were test franchise areas, and so through a networking group, somebody introduced me to Nurse Next Door. I emailed the franchise development person here … we looked at our competitors and market, the demographics. I talked to my husband and his sister, our accountant, our lawyer.

    What’s your professional background?

    I’ve been a registered nurse for 40 years. I was in organizational health care, hospitals, I was manager of a tertiary-level intensive care unit for 28 years, and for the last six years at that hospital I was manager of the emergency department. I have an RN diploma, a baccalaureate in nursing and a master’s in leadership training. I’ve got an extensive emergency background, trauma and intensive care, and I’ve done small business, but I’ve always worked full-time, even during my schooling.

    How did you find out about Nurse Next Door?

    I knew about it through this networking group … then I started to research franchising and researching the company and their core values, met the people, and I knew there was a niche for this kind of work because of my background and the frustration of hospitals, overcrowding in nurse’s departments, sending people home too soon, so they’d go home where there was no one to care for them, and they’d come back to the emergency room and stay anywhere from six hours to five days or more. That’s when I knew there was a big void, even between hospital culture and discharge planning and the community kicking in to offer some services depending on their needs.

    What’s the need for this kind of service?

    The demographic pyramid used to be a normal pyramid with the pointy end at the top and wide at the base, and the pointy end at the top was the seniors, and the base was you and me as boomers or younger. Now that pyramid is not quite inverted, but much, much smaller on the base so that seniors are working longer, living longer, there’s more of them than there ever were before, and they’ve worked pretty hard all their lives. I think as we age, we’re healthier because we’re more active … I just think we’re going to see a lot more seniors that are going to have disabilities, whether it’s chronic disease or mobility issues. But you still don’t have to roll over and die.

    What appealed to you about franchising?

    Owning my own small business really appealed to me, and doing something that I had spent all my life perfecting, and having the personality that I have, I thought this was going to be a good fit for me. Then, when I had the opportunity to meet people like John and Ken (DeHart and Sim, Nurse Next Door’s co-founders), it just seemed like a super fit.

    What do you mean by “make a difference”?

    It’s challenging and fulfilling. I think the biggest difference we make is putting smiles on faces, and the other difference is in the aging perspective. Our society has always looked at aging as, “Oh, my goodness, here it comes, it’s happening to me,” instead of focusing on enjoying life. There’s no reason why someone in their 70s can’t enjoy the things they used to enjoy. Why would you be content to sit in a chair and rot? In our society, the elderly seem to be tossed aside: “Oh, well, you’re getting old.” It’s the standard line seniors get now, and it isn’t true. They may be wearing out in certain parts of them, but they can be active and keep their brains going, and they can stay at home rather than some nursing home.

    Why is it important for seniors to stay in their homes, and what does it mean to “celebrate aging?”

    The joy of that is that you get to stay in your own surroundings, which research has definitely proven that home is better. If you can have support in your home and not have to do all those things you’ve done all your life to keep things going, such as your housekeeping, your meal preparation. You don’t want to go out because you’re struggling with your wheelchair or your walker, but having somebody as a companion to take you out, make sure that you’re safe, that you don’t trip over the curb, that your groceries are managed … we’re right there to take away those things that are burdening the senior from getting up and enjoying themselves.

    Nurse Next Door Home Health Care Franchise brand promise

    Nurse Next Door's brand promise helped convince Wendy Scott to buy a Nurse Next Door franchise.

    How do you think Nurse Next Door differs from other home care providers?

    The reason we’re different is that we truly live, sleep and breathe our core values. Our core values are fundamental to how we make business decisions, to how we look after staff, how we look after all our customers far beyond the client. The other thing that’s really unique is that we take the time when we do our free assessment to match up our caregivers and our clients … I think, too, our happy disposition. We go above and beyond. If, for instance, our client can no longer go somewhere, we will look at ways to bring that somewhere to them, whether it be a video, pictures, books, ethnic foods, but we’ll try and simulate a travel experience. So it goes far beyond that task orientation, get in, get out. We’re there to do whatever it takes to give them peace of mind.

    Can you talk a little about how Nurse Next Door enhances quality of life?

    I truly believe that companionship, having somebody in to talk to, to help them eat properly, keep their place tidy, really improves their quality of life. I just can’t imagine not getting out of bed in the day because you weren’t strong enough to do that, or not being able to lift a fork and drinking Pepsi all day because that’s the only thing you can open. I think quality of life equals longevity … and we’ve seen miraculous things happen, where we sent in a caregiver to a stroke victim who reverted to her mother tongue, which was German, and we didn’t have a German-speaking caregiver at the time, and we hired that, and it was amazing, the turnaround. The facility staff said, “We had no idea you guys could make such a difference.” Now she’s talking in English again, she’s up, they take her for walks, they read the Bible to her, which is one of her biggest things. She speaks again, which is so exciting for us.

    Is there a way clients can celebrate life even if they’re in hospice or palliative care?

    Absolutely. We give clients peace of mind. We give families peace of mind, because now they can be family members instead of caregivers/family members. Having to be a caregiver and a spouse? Very difficult. Whereas if you bring us in, even for just the night shifts, you can get some sleep, we’ll wake you if anything goes awry or if a client’s slipping, but for the most part you don’t have to worry about not getting enough sleep or sleeping with one eye open … I think that the end of life, as upsetting as it is, can be respectful and graceful.

    What does Nurse Next Door franchise ownership allow you to do that you couldn’t do before?

    Oh, gee, that’s a great one. That’s a no-brainer: Make decisions on a dime. How ’bout that? The bureaucracy I was dealing with took 18 months to make a decision, and by the time the decision’s made, it’s 18 months too late.

    What about in your personal life?

    Sure. You’re the master of your own destiny, so you know that the output that you put out will come back to you tenfold.