Sands Care Health Services

What Sands Care Health Services does

Sands Care Health Services, LC is a Texas-licensed Private Primary Home Care (PHC) agency founded in April 1997 by Scott and Laura Sands and headquartered in Laredo, Texas. The company delivers non-medical in-home supportive services — including assistance with bathing, dressing, grooming, toileting, meal preparation, laundry, ambulation, medication reminders, and exercises — to older adults and to adults and children with disabilities who require help with daily living but wish to remain in their homes rather than enter nursing facilities. It also administers the Medicaid-funded Community Based Alternative (CBA) waiver program, which covers prescription medications, medical supplies (diapers, wipes, underpads, wheelchairs, walkers, hospital beds), and minor home modifications such as ADA-compliant ramps and bathroom alterations. Operations are run from two offices — the Laredo headquarters and a Carrizo Springs branch — and service delivery extends across eight counties in South Texas.

The company is entirely Medicaid-funded and cannot bill clients directly; all revenue flows through the Texas Department of Aging and Disability Services (DADS) via the PHC and CBA programs. Client acquisition is referral-driven, originating from self-referrals, family referrals, physician referrals, and DADS caseworker assignments, with the agency coordinating individualized service plans jointly with caseworkers and physicians. The owners maintain hands-on operational control — Scott Sands serves as RN Administrator and Andrea Laura Sands as Administrative Director — and no external investors, parent company, or private equity sponsor has been disclosed. The business employs between 11 and 50 staff across clinical, field-supervisory, client-relations, and administrative functions, with no proprietary technology platform; service delivery is performed in clients' homes by licensed attendants under direct company supervision.

There is no software or technology product at the core of the offering. The agency's principal asset is its DADS PHC license (which originally took nine months to obtain in 1997) and the long-standing referral relationships it has built with caseworkers, physicians, and families across the Laredo–Carrizo Springs region. Service quality is overseen through supervisory visits and timeliness checks rather than through any digital care-management platform. The website (sandscare.com) is informational only and was last materially refreshed around 2011, and no mobile application, API, or third-party software integrations are present in the source material.

Name

Sands Care Health Services

Legal name

Sands Care Health Services, LC

Website

https://sandscare.com

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

11–50 employees

Short description

Sands Care Health Services is a Texas DADS-licensed Medicaid-funded home care agency in Laredo that delivers non-medical personal care, home management, and Community Based Alternative (CBA) waiver services to elderly and disabled clients across eight South Texas counties.

Ownership category

akta.pro rank

Product category

Home Healthcare Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Personal Care / Non-Medical Home Care (Private Duty) (HLAFAEAB)

akta.pro secondary industry

Continuing Care at Home (CCaH) / Virtual CCRC Programs (HLADAEAH)

Keywords

• Home care services
• Personal care assistance
• Medicaid home care
• Disability support services
• Community based alternative

Headquarters

HQ city

Laredo

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain

Revenue model

1. Medicaid-funded Home Care Services: Sands Care is a Medicaid-funded provider under the Texas Department of Aging and Disability Services (DADS). The company cannot bill clients directly for services. Revenue is received through government healthcare programs including the Community Based Alternative (CBA) program, which covers medications, medical supplies, and minor home modifications for eligible Medicaid recipients. The CBA program is designed to keep clients out of nursing homes.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels1 record

Core offering

Sands Care Health Services is a licensed Private Primary Home Care (PHC) agency that delivers non-medical in-home supportive services to older adults and individuals with disabilities across South Texas. Its core offerings include personal care, ambulation assistance, self-administered medication help, exercises, home management, and the Medicaid-funded Community Based Alternative (CBA) program, which covers medications, medical supplies, equipment, and minor home modifications to keep clients out of nursing homes.

Product overview

Sands Care Health Services is a Private Primary Home Care (PHC) agency licensed by the Texas Department of Aging and Disability Services (DADS). The company offers two core services: Primary Home Care (PHC) providing non-medical supportive services including bathing, dressing, grooming, meal preparation, and assistance with daily living activities; and the Community Based Alternative (CBA) program, a Medicaid-funded program designed to prevent nursing home placement by covering medications, medical supplies, and home modifications.

Differentiator

Problem solved

Functional benefit

Products and services

• Primary Home Care (PHC) Non-medical supportive in-home services including bathing, dressing, grooming, routine hair and skin care, toileting, walking, basic cleaning, laundry, meal preparation, escort, shopping, and assistance with self-administered medications for older adults and individuals with disabilities.
• Community Based Alternative (CBA) Program A Medicaid-funded program designed to keep eligible clients out of nursing homes by covering medications, medical supplies (diapers, wipes, underpads, wheelchairs, hospital beds, walkers, shower seats), and minor home modifications (bathroom and wheelchair ramps to ADA standards).

Quantifiable outcome

• Clients able to remain in their own homes rather than nursing facilities

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators2 records

Recent moves8 records

Expansion highlights3 records

Broad incumbents

• LHC Group: LHC Group operates a large home health, hospice, and personal care network, with significant Medicaid-managed care and HCBS exposure in several states. Comparable to Sands Care as a scaled in-home services provider whose community-based personal care lines are built on similar referral and case-manager relationships.
• BrightSpring Health Services: BrightSpring operates a large home and community health services platform including personal care, home health, and pharmacy services, much of it Medicaid-funded. Comparable to Sands Care as a scaled provider of HCBS personal care services across multiple geographies and populations.
• Bayada Home Health Care: Bayada is a large, multi-state home health and personal care provider serving adults, seniors, and pediatric clients with both private duty and Medicaid-reimbursed services. Its breadth across PHC, adult nursing, and pediatric care mirrors Sands Care's combined elderly and disabled focus at much greater scale.
• Interim HealthCare: Interim HealthCare is a national franchised network offering home health, personal care, and hospice services across hundreds of U.S. locations. Its local-office delivery model for personal care and home health is structurally similar to Sands Care's branch-office approach in South Texas.
• Encompass Health: Encompass Health operates inpatient rehabilitation hospitals alongside a large home health and hospice segment serving Medicare/Medicaid populations. Its home health division competes for the same post-acute and chronic-care patients that Sands Care supports through CBA and PHC in their homes.
• The Pennant Group: Pennant operates home health, hospice, and senior living services across the U.S., with operating principles built around locally-led branches. Its emphasis on small, clinically-led local delivery for elderly patients is conceptually similar to Sands Care's founder-led Laredo/Carrizo Springs offices.
• Amedisys: Amedisys is a major U.S. home health and hospice provider serving Medicare and Medicaid populations across dozens of states. While heavier on Medicare skilled home health, its Medicaid personal care overlap makes it a comparable incumbent in the in-home services market Sands Care competes for clients in.

Direct peers

• Aveanna Healthcare Holdings: Aveanna is a home health and private-duty nursing provider serving medically complex, elderly, and pediatric populations, with significant Medicaid revenue. Comparable to Sands Care where their respective PHC services overlap, particularly on Medicaid-funded adult personal care.
• Addus HomeCare Corporation: Addus is a publicly-traded provider of personal care services and hospice primarily reimbursed by Medicaid, with strong concentration in Texas and other states. It is the closest scaled analog to Sands Care's model of Medicaid-funded personal care for elderly and disabled clients delivered in the home.
• Help at Home: Help at Home is one of the largest U.S. providers of Medicaid-funded personal care services for the elderly and disabled, operating in many of the same state Medicaid programs Sands Care works with. Its core service line — attendant-delivered ADL support in the home under HCBS waivers — is the same operating model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks7 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/Sands-Care-Health-Services-LC-393830120787897
• LinkedInlinkedin.com/company/sands-care-health-services-llc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Sands Care Health Services