What Heart To Home Inc does

Heart To Home Inc is a privately held residential senior care operator founded in 2007 in Mendota Heights, Minnesota by father-and-son team Nick and Josh Cesaro-Moxley. The company runs four small licensed care homes (Hilltop Manor, Lake Manor, Mendakota Manor, and Mendota Manor), each built or renovated with sustainable features such as geothermal heating/cooling, solar tube lighting, low-VOC paints, and antimicrobial carpets, and each limited to six or seven residents. Services are offered to seniors needing assisted living, memory care (including Alzheimer's and dementia), chronic condition support (stroke, MS, Parkinson's, CHF, diabetes), and end-of-life hospice care. Care delivery is differentiated by 1:3 or 1:4 caregiver-to-resident ratios during day/evening shifts (1:6-1:7 overnight), 24-hour registered-nurse availability with on-site RN presence five or more days per week, a proprietary 'Cherished Moments' dementia program, and an aging-in-place philosophy that allows residents to escalate care without leaving the home.

The business monetizes through all-inclusive monthly subscription fees (approximately $14,300 per month for private suites and $11,800 per month for shared suites), with a $460-$500 daily rate available as a secondary unit-pricing option. Ancillary on-site services include monthly physician visits through Bluestone Physician Services and on-site long-term care pharmacy support from Thrifty White Pharmacy. The company also generates a smaller, undisclosed revenue stream from consulting engagements to other residential care providers, formalized through a 2025 Senior Housing Consulting Agreement.

Distribution is sales-led, leveraging private tours, in-setting nurse assessments, professional referrals from healthcare providers and hospice agencies, a website and blog, Facebook and LinkedIn presence, listing in senior care directories (e.g., Care Options Network), and membership in trade associations including LeadingAge Minnesota, Care Providers of Minnesota, and the Alzheimer's Association. The operation is tightly geographically concentrated in Mendota Heights (Dakota County, Twin Cities metro), with no disclosed expansion outside the immediate market and no institutional capital, parent company, or M&A activity. Customer acquisition is effectively individual B2C families acquired at end-of-life or care-transition events, making occupancy management the primary revenue lever rather than enterprise sales.

Name

Heart To Home Inc

Legal name

Heart To Home Inc

Website

https://hearttohomeinc.com

Company type

Private

Founded year

2007

Operating status

Operating

Short description

Heart To Home Inc operates four small licensed residential care homes in Mendota Heights, Minnesota, providing assisted living, memory care, and hospice services to six or seven seniors per home under an all-inclusive monthly subscription model with high caregiver-to-resident ratios.

Ownership category

akta.pro rank

Product category

Residential Senior Care

NAICS

Assisted Living Facilities for the Elderly (623312)

SIC

Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Small Residential Care Homes (RCFE/Board & Care) (HLADABAF)

akta.pro secondary industries

Luxury / High-End Assisted Living Communities (HLADABAD), Facility-Based Respite (Assisted Living/SNF/Memory Care Short Stays) (HLADAKAB)

Keywords

• Residential care homes
• Senior memory care
• Dementia care services
• Hospice care services
• Assisted living

Headquarters

HQ city

Mendota

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Supply Chain

Revenue model

1. Residential Care Services: Monthly all-inclusive rates for 24-hour residential care including room, board, personal care, nursing services, medication management, meals, housekeeping, and activities. Rate varies by room type (private vs shared suite) and level of care required.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Core offering

Heart To Home Inc operates four small residential care homes in Mendota Heights, Minnesota, providing personalized 24-hour senior care, memory care, dementia care, and hospice care in intimate home settings that accommodate 6-7 residents each. The company also offers consulting services to other long-term and residential care providers covering management, program development, facility design, marketing, and staff training. All-inclusive monthly rates cover room, board, personal care, nursing oversight, medication management, meals, housekeeping, and activities.

Product overview

Heart To Home Inc operates four residential care homes in Mendota Heights, Minnesota (Lake Manor, Hilltop Manor, Mendakota Manor, and Mendota Manor), providing personalized senior care, memory care, and hospice care services in small, upscale home settings accommodating 6-7 residents each. The company also offers consulting services for other residential care providers. Each home features exceptional staff-to-resident ratios (1:3 or 1:4 during day and evening), oversight by registered nurses, and an aging-in-place philosophy with eco-friendly, sustainable building designs.

Differentiator

Problem solved

Functional benefit

Brands

• Hilltop Manor: A state-of-the-art residential care home perched on a hill with panoramic views of Friendly Marsh Park in Mendota Heights, serving 6 residents.
• Lake Manor
• Mendakota Manor
• Mendota Manor

Products and services

• Lake Manor A state-of-the-art residential care home located a short walk from Rogers Lake in Mendota Heights, offering six spacious care suites with private handicap-accessible bathrooms, in-floor heating, granite vanities, custom tile work, safety grab bars, and elegant oak built-ins. Common areas include a sitting room with gas fireplace, spacious dining room, family room, and chef-inspired gourmet kitchen, set on a 0.75-acre park-like yard with covered porch and cedar deck. Designed for seniors requiring 24-hour assistance with daily living, memory care, and hospice support.
• Hilltop Manor An exceptional residential care home situated within walking distance of Two Rivers High School in Mendota Heights, featuring six spacious care suites with private handicap-accessible bathrooms, in-floor heating, and views overlooking Dodge Nature Preserve. Common spaces include a cozy sitting room with gas fireplace, gourmet kitchen, and proximity to the North Urban Regional Trail (NURT). Accommodates up to 6 residents requiring 24-hour personal care, memory care, and hospice support.
• Mendakota Manor A distinguished estate in the Friendly Hills neighborhood of Mendota Heights, surrounded by a large wooded lot. This eco-friendly green care home features geothermal heating and cooling, natural solar tube lighting, low-VOC paints, and antimicrobial carpets, with a half-acre yard including gardens and deck overlooking a wooded landscape. Accommodates seven residents requiring 24/7 assistance with daily living activities.
• Mendota Manor A stunning residential care home custom-built in 2008 in the heart of Mendota Heights within walking distance to the Village of Mendota Heights. Designed as a green home with eco-friendly materials, the home accommodates seven residents in six thoughtfully designed care suites (five private and one shared for couples), each with private handicap-accessible bathrooms, in-floor heating, and scenic outdoor views. Features include a library with fireplace, north woods-themed porch, butterfly gardens, and large patio.
• Residential Care Home Consulting Services Comprehensive consulting services for long-term and residential care providers, delivered on-site or remotely. Services cover management and operations, program development and service implementation, facility design and layout, customer and staff relations, marketing and growth strategies, staff orientation and training programs, business plan creation and execution, and vendor referral services. Targeted at entrepreneurs and operators building or improving residential care home businesses.

Quantifiable outcome

• 1:3 or 1:4 caregiver-to-resident ratios during days and evenings, exceeding industry standards
• +2 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

13 partnerships are on record, tiered core and supporting.

• Bluestone Physician ServicescoreStrategic or Co-development PartnerMonthly on-site physician services providing regular medical oversight and primary care visits for residents at Heart to Home locations.
• Thrifty White PharmacycoreStrategic or Co-development PartnerOn-site long-term care pharmacy services providing medication management, fulfillment, and pharmaceutical consultation.
• Music by Joanne BollessupportingStrategic or Co-development PartnerOn-site music therapy services bringing live musical performances twice monthly and therapeutic music programs for residents.
• Let's Dish!supportingStrategic or Co-development PartnerProvides evening meal preparation services, delivering home-cooked meal options for residents.
• Care Options NetworksupportingChannel Partner/ Reseller/ DistributorOne of the most widely used resources for senior care professionals in the Greater Twin Cities Area. Heart to Home is listed in their comprehensive senior care provider directory.
• Residential Care Providers Network of MinnesotasupportingChannel Partner/ Reseller/ DistributorSupports metro area residential care providers, increasing visibility and credibility. CEO Josh Cesaro-Moxley serves as President.
• LeadingAge MinnesotasupportingOthersMinnesota's largest association of aging services organizations, serving over 40,000 Minnesotans daily. Heart to Home is a proud member.
• Care Providers of MinnesotasupportingOthersStatewide trade association representing over 500 providers of long-term care services. Heart to Home is a member.
• Alzheimer's AssociationsupportingOthersThe leading organization for Alzheimer care, support, and research. Heart to Home is a supporter and fundraiser.
• Secondhand HoundssupportingStrategic or Co-development PartnerVolunteer organization providing pet therapy visits and animal companionship for residents. Documented in blog posts showing pet visits during COVID-19.
• DARTSsupportingStrategic or Co-development PartnerProvides fall leaf tour outings for residents, facilitating community excursions and nature experiences.
• Precious Petals FloristsupportingStrategic or Co-development PartnerWest Saint Paul florist providing fresh cut flowers for resident activity programs including flower arranging activities.
• Pink Cow Ice Cream TrucksupportingStrategic or Co-development PartnerProvides monthly ice cream truck visits for resident enjoyment and outdoor activities during summer months.

Scale indicators4 records

Recent moves7 records

Expansion highlights4 records

Regional players

• Presbyterian Homes & Services: Minnesota-based nonprofit senior living provider operating multiple campuses with assisted living, memory care, and hospice — comparable in geography and service mix though at larger campus scale.
• Lifespark: Twin Cities-based senior services provider offering assisted living, home health, hospice, and primary care — a regional peer with overlapping senior care services in the same geography.
• Cassia: Minnesota-based nonprofit senior services organization (formerly Augustana Care) providing assisted living, memory care, and hospice across the Twin Cities — direct regional peer and fellow LeadingAge MN member.
• The Goodman Group: Minnesota-based senior living and healthcare campus operator (Bayshore, etc.) providing assisted living and memory care in the Twin Cities — comparable regional peer in the same Minnesota market.

Broad incumbents

• Sunrise Senior Living: Established senior living provider with assisted living and memory care communities; comparable service mix though Sunrise operates larger communities than Heart to Home's residential care homes.
• Atria Senior Living: Major assisted living and memory care operator with 200+ communities nationwide — comparable service lines (assisted living, memory care) but at much larger scale and with institutional setting.
• Brookdale Senior Living: Largest US senior living operator with hundreds of assisted living and memory care communities — represents the institutional alternative that Heart to Home explicitly differentiates against.
• Five Star Senior Living: National senior living operator with assisted living and memory care services; broad incumbent in the same category though at scale Heart to Home deliberately avoids.

Others

• Bluestone Physician Services: Minnesota-based provider of on-site primary care and medical oversight to senior care communities — listed as a core partner of Heart to Home, illustrating the integrated care ecosystem around small residential homes.

Direct peers

• Beehive Homes: Franchised network of small residential care homes (typically 12-20 residents) offering assisted living and memory care in home-like settings — the closest operating model match to Heart to Home's 6-7 resident boutique homes.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/hearttohome
• LinkedInlinkedin.com/company/heart-to-home-inc-

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 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 Heart To Home Inc