Our services
Nursing Support Services
Nursing Support Services is Registered Nurse oversight built into everyday support. It is what makes it possible for someone with real medical complexity to live in a house on a normal street instead of a facility.
What this service includes
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Comprehensive nursing assessment
A Registered Nurse reviews health history, current conditions, medications, mobility, nutrition, communication and risk, then establishes a baseline the whole team works from.
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Nursing care plan (NCP)
A written, individualized plan covering each identified health need, the interventions staff are responsible for, and the specific signs that require escalation.
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Medication delegation and MTTP oversight
Certification, delegation and ongoing supervision of medication technicians under the Maryland Board of Nursing's Medication Technician Training Program, including audits of medication administration records.
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Chronic disease management
Day-to-day management of conditions such as seizure disorders, diabetes, hypertension, asthma, dysphagia and constipation — the conditions that most often send people to the emergency room unnecessarily.
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Health Risk Screening Tool (HRST) rating
HRST ratings and reviews completed in house, so health risk scores reflect the person as they are now rather than as they were at their last review.
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Physician and specialist liaison
Preparing for appointments, communicating what staff have observed, carrying orders back into the care plan, and closing the loop so instructions are not lost between visits.
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Staff health training
Condition-specific training for the DSPs supporting each person — seizure response, safe swallowing, diabetic care, infection control — delivered by the nurse who wrote the plan.
Why this service decides where someone can live
The question that determines whether a person with complex health needs lives in a community home or an institution is rarely about the person. It is about whether the provider can manage their health safely and prove it.
That means a nurse who has actually assessed the person, a care plan staff can follow on a Tuesday night, medication delegation that meets Maryland Board of Nursing requirements, and documentation that stands up to review. Without those, placement either does not happen or does not hold.
Clinical leadership in house, not on contract
Our Executive Director and Founder is a Registered Nurse with more than twenty years of emergency room, critical care and community health experience, and works as a DDA Case Manager, Delegating Nurse, and HRST Rater and Reviewer. Clinical judgment is not something we buy in by the hour — it is how the organization is run.
For discharge planners and Coordinators of Community Services, that is the practical difference: a referral involving a G-tube, a seizure protocol or an unstable diabetic can be assessed by someone qualified to make the call, quickly.
Working alongside your existing team
Nursing Support Services does not replace a person’s primary care physician, specialists or existing providers. It connects them. The nurse is the constant who carries information between an annual physical, a neurology appointment, a medication change and the staff who are with the person every day.
Our other services
- Community Living A licensed home of your own, staffed around the clock, where daily routines are built around the person living there — not the schedule of a facility.
- Personal Supports Flexible one-to-one support in your own home and community, scheduled around your life, for people who do not need or want a residential placement.
- Transportation Door-to-door transport with trained, background-checked drivers — because a support plan that cannot get someone to their appointment is not a support plan.
Ready to talk about services?
Families, support coordinators and case managers can start a referral in a few minutes. We respond within one business day.