About

More than twelve years of home care expertise, from compliance corrections to full turnarounds.

Jaime Frand, MSN, RN. More than twelve years in home care — serving as DPS, correcting agencies that had fallen out of compliance, and turning around operations that needed rebuilding from the ground up.

That range is why agencies call. Deep, current command of DOH regulation and home care operations, applied hands-on inside your agency rather than handed over as recommendations.

Regulation in this field never sits still. Requirements get revised, interpretations shift, and what satisfied a surveyor two years ago may not hold today. Tracking those changes as they happen — and translating them into what your policies, files, and clinical workflows actually need to look like — is a standing part of my work, not an afterthought.

Home care agencies are held to a standard that does not pause for staffing gaps. Surveys arrive, files get pulled, orders need signatures, and someone has to own it. For agencies with a census under 2,000, carrying a full-time Director of Patient Services to hold that responsibility often costs more than the role returns.

That's the gap this practice fills. Your agency gets a DPS with more than twelve years in home care — top-tier regulatory judgment, direct clinical oversight, and ownership of compliance — without a six-figure salary line on the books. And it isn't one person: a second registered nurse and multiple assessment reviewers work under my direction.