40 Home Care Experts Explain How to Build a Trusted Agency

The home care market is on a remarkable growth trajectory: industry forecasts indicate global home healthcare services are projected to surge from around $422 billion in 2025 to over $611 billion by 2030, driven by aging populations and rising demand for in-home support.

We’re living through a pivotal time in home care. Running a home care agency now is not just about good intentions — it’s about thoughtful decisions, intentional growth, resilient culture, and genuine human connection.

As more families seek care for loved ones, budgets tighten, caregivers stretch thin, and expectations rise, agencies must do more than show up. Those that excel at trusted home care services and lean into the right home care industry trends will stand out — not because they’re louder, but because they’re more reliable, compassionate, and consistent.

Below you’ll find insights from 40 different experts — leaders, operators, consultants, and innovators — all sharing practical lessons they’ve learned firsthand. You’ll see real examples of what works (and what doesn’t), whether it’s building strong teams, improving compliance, mastering marketing, or strengthening relationships with clients and caregivers.

If you’re involved in home care — from agency owner to caregiver to referral partner — this is your roadmap for building trust and growing with purpose.

Smart home care growth and strategy

Ralph Laughton

Ralph Laughton

CEO | Heart, Body & Mind Home Care

Growing an agency isn’t about speed. It’s about pacing yourself, understanding what you can handle, and planning each step with care. If you expand too quickly without a solid foundation, you’ll start to see cracks in culture, compliance, and quality.

Mike Doughty

Mike Doughty

Executive Director | Zeabe

When the bottom line shrank, we realized the problem wasn’t lack of interest — it was that we weren’t nurturing what we already had. Focusing on steady cash flow and strengthening internal systems helped us stay stable and grow thoughtfully.

Michael Ford

Michael Ford

Chief Development Officer | Angels in Your Home

When you bring another business into the fold, take time to understand how they operate. A slow and thoughtful integration beats hasty changes every time, and it builds a more solid foundation for future success.

Keith Grunig

Keith Grunig

VP of Sales and Marketing | Home Care Answers

Most revenue loss isn’t a billing problem — it’s a compliance and accuracy problem upstream. Fix intake, coding, and forecasting, and denials drop while capacity rises.

Kevin Hancock

Kevin Hancock

Owner | Kevin Hancock Consulting LLC

We’re entering a decade where LTSS demand will soar while budgets tighten — agencies must innovate or risk service caps.

Daily operations and home care compliance that works

Annette Lee

Annette Lee

Founder | Provider Insights, Inc.,

Improving outcomes isn’t about one quick fix. It’s about educating your team, tracking what matters, and supporting every role — from intake coordinators to clinicians — so everyone moves in the same direction.

Wendi Tingley

Wendi Tingley

Home Health and Hospice Care Resource Director | Indiana Association for Home & Hospice Care

Security and client privacy are non-negotiable. A casual photo or unsecured message can create real risks. Investing in safe systems and clear practices protects the people you serve and your entire team.

Emily Scarbrough McFadden

Emily Scarbrough McFadden

Vice President of Compliance & Education | Showd.me

Compliance doesn’t have to feel heavy. Give your team the training they need in ways that feel engaging and practical, and you’ll see confidence rise alongside quality care.

Patti Williams

Patti Williams

Home Care Agency RN Business Consultant | Home Care Resources Now

When your procedures are solid and simple to follow, your team handles curveballs with confidence. Predictable processes lead to reliable outcomes.

Dana Charumbira

Dana Charumbira

Managing Director | The Home Care CPAs

Most owners don’t truly know their bottom line — real financial insight reveals where money is leaking and where opportunity lies.

Tena Scallan

Tena Scallan

Founder | The Ultimate Caregiving Expert

Caregiving is love, but it’s also labor — and both can coexist. With clear planning, realistic expectations, and permission to earn, caregivers can stay afloat, continue providing great care, and avoid burnout.

Caregiver retention strategies that work in 2026

Becky Reel

Becky Reel

Founder | Reel Home Care Consulting

Traditional onboarding is outdated. What keeps caregivers around is how valued they feel. When you invest in their development and listen to their goals, they stick with you longer and become advocates for your agency.

Patrick Mobley

Patrick Mobley

Co-Founder, CEO | Vivid Health

Using smart tools to reduce paperwork and support caregivers with follow-ups gives them more time for meaningful care. When their work feels manageable, retention improves naturally.

Cara Silletto

Cara Silletto

President | Magnet Culture

Today’s caregivers want leaders who listen, adapt, and support them as individuals. When your culture makes people feel seen, retention becomes easier.

Amy Coupal

Amy Coupal

CEO | The Ontario Caregiver Organization

With caregiving set to rise significantly by 2030, support and community matter — caregivers must know they’re not alone.

Tiffany Dutcher

Tiffany Dutcher

Franchise Business Coach

Sales and operations aren’t islands — when your whole team shares one mission, referrals multiply and retention strengthens.

Dane Clarke

Dane Clarke

President & COO | Stay Home Forever Inc.

Culturally responsive care starts with honest conversations — understanding backgrounds, language, and values — and allowing caregivers to speak up. Trust deepens, matches improve, and care becomes truly person-centered.

Home care marketing and referral growth techniques that convert

Jennifer Axelrod

Jennifer Axelrod

National Accounts & Growth Strategist | A Place At Home Franchise

Modern marketing and recruitment in home care must serve two audiences: clients and caregivers. Pair smart digital tools (SEO, automation, CRM) with community-level storytelling — that blend delivers ROI, attracts great caregivers, and builds long-term growth.

Holly Rehbock

Holly Rehbock

VP of Sales | Ring Ring Marketing

Growth isn’t just about more clicks or views — it’s about turning interest into trust. A marketing strategy that feels human, paired with organized follow-through, builds deeper relationships.

Lori Beth Irvin

Lori Beth Irvin

Founder, CEO | LBIngenuity

Generic advertising doesn’t connect. Real growth comes from understanding the people you serve and speaking directly to their needs and hopes.

Melanie Stover

Melanie Stover

Owner | Home Care Sales

Think of your agency as a partner, not a vendor. When families feel supported and understood, they refer others without hesitation.

Rebecca Rangel

Rebecca Rangel

Owner, Director | Gold Star Home Care

When someone types “elder care near me,” you want to be the agency they feel confident calling. That happens when you’re open about training, licensure, supervision, and how you care for families.

Regina Asuncion

Regina Asuncion

CEO, founder | Ascension Business Solutions

Delegation isn’t losing control — it’s buying back your time for strategic leadership.

How to build meaningful human connections in home care delivery

Heather E. McGowan

Heather E. McGowan

Partner | ImpactEleven

Technology should support deeper human connection, not replace it. When caregivers are chosen for empathy and given tools that help them focus on relationships, care becomes more meaningful.

Ruben Hernandez Rodriguez

Ruben Hernandez Rodriguez

Vice President, Senior Care and Clinical Services | Partners Community Health

True care isn’t just physical support — it’s emotional presence. Listening, understanding, and being there make a real difference in someone’s day.

Wayne Connell

Wayne Connell

Founder, CEO | Invisible Disabilities® Association

Care starts when we really listen. Often the biggest needs aren’t visible at first glance. When we open our ears, not just our eyes, we care more deeply.

Mary Beth Flynn

Mary Beth Flynn

Owner | Artfully Aging, LLC

Activities like art aren’t extras — they are ways people connect, express themselves, and rediscover joy. That’s powerful care.

Ruth Busalacchi

Ruth Busalacchi

President, Owner | Synergy Home Care of Milwaukee County

Home with layered support and proactive monitoring can reduce risk and preserve emotional stability.

Ian Bongaardt

Ian Bongaardt

CEO, Owner | Comfort Keepers® of Delaware County

Successful home care now depends on building a full circle of support—pharmacists, home health, VA partners, planners—so families don’t have to be the care coordinators. When we combine empathy, strong operations, and data-driven decisions, everyone thrives in this booming market.

Personalized care planning and specialist insights for better outcomes

Melissa DeSutter

Melissa DeSutter

Business Development Manager | Right at Home of Northwest Indiana

Personalized plans begin by asking honest questions about what matters most & adjusting as the needs change. That kind of flexibility keeps care relevant.

Megan Shergill

Megan Shergill

Director of Private Pay Market Development | VNS Health

Whether it’s a family member or a professional caregiver, the best outcomes come when clients are truly part of their care plan and operations support that partnership.

James Lezzer

James Lezzer

Vice President of Interoperability | IntellaTriage

Transitions between care settings are smoother when records and teams communicate clearly. That continuity gives families confidence and peace of mind.

Sami Asaad

Sami Asaad

Partner | Pierson Ferdinand LLP

A reliable hiring and onboarding system protects everyone involved. When you’re organized and compliant from the start, you avoid stress later.

Dr. Eboni Green

Dr. Eboni Green

Co-Founder | Caregiver Support Services

Caregiving isn’t just tasks — it’s empathy, patience, active listening, and the resilience to re-approach tough moments with compassion. When caregivers empower clients instead of doing everything for them, both sides thrive.

David M. Posner

David M. Posner

Founder | 3 Point Care Consulting

Home care sales isn’t guesswork — know your numbers, track referrals, and show up with insights your competitors overlook.

Daily team support practices that improve caregiver well-being and client satisfaction

Patrick Riecke

Patrick Riecke

Burnout Expert & Speaker

Encouraging caregivers to take care of themselves is good, but real solutions come from leadership that builds strong relationships and supports emotional well-being at work.

Molly J. Mackey

Molly J. Mackey

Chief Learning Officer | LEAdeRNship Institute, LLC

Teams thrive when people feel safe to speak up, share ideas, & admit mistakes. That kind of psychological safety drives growth and innovation.

Lance A. Slatton

Lance A. Slatton

Certified Senior Case Manager | Enriched Life Home Care Services

Hire for character as much as skill. When caregivers feel respected and appreciated as whole people, they bring their best to work.

Phil Vlach

Phil Vlach

CEO | AgeTech Toronto

“AgeTech must be adopted with intention — frameworks, not fads — so tools actually enhance care.”

Hoss Notarkesh

Hoss Notarkesh

Business & Life Strategist | Hoss Executive Coaching & Team Building

“Leaders make better decisions when they understand their own values and slow down enough to reflect.”

Focus Area Key Insight What It Means for Your Agency
Strategic Growth Slow, thoughtful expansion beats fast scale Prioritize foundations — culture, compliance, cash flow
Operations & Compliance Compliance should empower, not burden Invest in training and secure systems
Caregiver Retention People stay where they feel valued Build onboarding + support systems around caregiver goals
Marketing & Referrals Trust converts better than traffic Human-centred messaging wins referrals
Human Connection Tech supports connection, not replace it Use tools to give caregivers time for relationships
Personalized Care True personalization begins with listening Create flexible care plans that evolve
Team Culture Psychological safety drives performance Leaders must create spaces where caregivers feel safe

Key home care best practices every agency should follow in 2026

Looking ahead, success for home care services means:

  • Caring beyond checklists & routines — putting trust first
  • Using technology to support connection, not replace it
  • Strengthening caregiver training & onboarding & retention practices
  • Implementing home care best practices across daily operations
  • Being discoverable when families search for “in-home care for seniors [City/Region],” “senior care agency near me,” or “24 hour home care near me”
  • Showing dignity, empathy, and true partnership in every visit

The future of home care isn’t waiting for the perfect moment — it’s being shaped by every choice you make today.

Ready to modernize your agency and deliver trusted care at scale?
With CareSmartz360 — the AI-powered, all-in-one home care management platform — you can streamline scheduling, improve compliance, enhance caregiver retention, and strengthen client trust. Book a demo today to see how your agency can grow with confidence.

Let’s build that future, one meaningful moment at a time.

Frequently Asked Questions


A trusted home care agency blends compassion with clear operations, strong compliance, and transparent communication — which builds confidence for families and referral partners.


Look for licensed caregivers, transparent training and onboarding practices, strong reviews, and personalized care plans tailored to your loved one’s needs.


Invest in caregiver retention strategies, use technology thoughtfully (including AI in home care operations), and always center dignity and empathy in care delivery.


Strong retention reduces turnover costs, improves client outcomes, and enhances continuity of care — all signals of a well-run, trusted home care service.


Tech like scheduling, telehealth support, and documentation automation can improve efficiency while leaving more time for human connection.

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