Care Home By RNs

What Care Home By RNs does

Care Home By RNs is a private, for-profit operator of small Residential Care Facilities for the Elderly (RCFE) in California, founded in 2006 by licensed nurses. The company runs four licensed homes with a maximum of six residents each: 4970 Walnut Avenue in Sacramento, 531 Aspen Meadows Way and 1408 Alder Creek Court in Lincoln, and 653 Commercial Avenue in South San Francisco. Its differentiator is a nurse-led clinical model (owner Ron is a licensed PA) offering on-call RN oversight and a caregiver ownership-share program uncommon among small assisted-living operators.

The company has extended its clinical scope through a sister brand, Quiescence Care Home By RNs, operating as a Congregate Living Health Facility (CLHF) for higher-acuity residents. The business is private-pay only, with no Medicare or Medi-Cal contracts disclosed, and sources residents through family referrals and a partnership with Silver Pathways senior placement advisors. California RCFE regulations (Title 22) cap the resident count per home, so growth is achieved by adding licensed locations rather than expanding bed count within a single site.

The model relies on long resident tenure (4-9 years per published testimonials), low staff headcount (1-10 employees listed), and regional reputation built through nearly two decades of operation, including Sacramento Business Journal coverage in 2012. There is no public revenue disclosure, no outside funding, and no evidence of AI/ML or proprietary technology beyond a basic web presence with an electronic greeting card feature.

Name

Care Home By RNs

Legal name

Care Home by RNs

Website

https://carehomebyrns.com

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

1–10 employees

Short description

Care Home By RNs operates four licensed California Residential Care Facilities for the Elderly, providing nurse-led, private-pay assisted living to a maximum of six residents per home in Sacramento, Lincoln, and South San Francisco.

Ownership category

akta.pro rank

Product category

Residential Assisted Living

NAICS

Assisted Living Facilities for the Elderly (623312), Nursing Care Facilities (Skilled Nursing Facilities) (62311), Other Residential Care Facilities (623990)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Skilled Nursing Care Facilities (8051)

akta.pro industry

PRIMARYHLADABAF

Small Residential Care Homes (RCFE/Board & Care)

Healthcare & Life Sciences/Elder Care & Long-Term Care/Assisted Living Facilities

SECONDARYHLADABAC

Assisted Living with Enhanced Care / High-Acuity (Aging-in-Place)

Healthcare & Life Sciences/Elder Care & Long-Term Care/Assisted Living Facilities

Keywords

• Assisted living services
• Residential care facility
• Memory care program
• Hospice and respite care
• Skilled nursing care

Headquarters

HQ city

Sacramento

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Others

Revenue model

1. Assisted Living and Long-Term Care Services: Revenue is generated through residential care fees for seniors requiring assisted living, memory care, skilled nursing, hospice care, and respite services. Facilities are licensed by the State of California to manage six patients each in private room settings. Payment is private pay.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels7 records

Core offering

Care Home by RNs operates small, State of California-licensed Residential Care Facilities for the Elderly (RCFE), each accommodating six residents in private rooms. Its core offering is nurse-led residential assisted living supported by on-call RNs/LVNs and in-house nurse practitioners, with supplemental programs in memory care, hospice, respite, skilled nursing, and post-surgical rehabilitation. The company also operates a Congregate Living Health Facility for higher-acuity medical needs.

Product overview

Care Home by RNs operates as a Residential Care Facility for the Elderly (RCFE) offering a portfolio of coordinated senior care services. The core offering comprises Assisted Living with 24/7 nursing support, supplemented by specialized services including Hospice Care, Memory Care for dementia/Alzheimer's, Respite Care, Skilled Nursing with on-call RNs/LVNs and in-house NPs, and Post-Surgery Rehabilitation. Additional specialized programs through their Congregate Living Health Facility include Post Motor Vehicle Accident Care, Neuro/Stroke Recovery, Traumatic Brain Injury Care, Respiratory Care, Wound Care, and TPN Management. The facilities feature private rooms with amenities and include a digital engagement tool (eCard service) for family communication. Services are available across three California locations: Sacramento, Lincoln, and South San Francisco, each licensed for six private rooms.

Differentiator

Problem solved

Functional benefit

Products and services

• Assisted Living Services Comprehensive assisted living support for seniors, including help with bathing, dressing, grooming, medication management, nutritious meals, social activities, and housekeeping, delivered by RNs and certified caregivers available 24/7.
• Hospice Care Specialized end-of-life care providing comfort, pain management, and emotional support for residents and families during the final stages of life.
• Memory Care Program Specialized care program for seniors with dementia or Alzheimer's, providing a safe, secure environment with personalized activities, therapies, and support tailored to individual needs.
• Respite Care Short-term temporary care services providing primary caregivers relief while ensuring their loved ones receive personalized care and support in a home-like environment.
• Skilled Nursing and Medical Oversight Medical care delivered by on-call RNs, LVNs, and in-house nurse practitioners assisting with complex health conditions including dementia, diabetes, injections, wound care, ostomy and catheter management.
• Post-Surgery Rehabilitation Rehabilitation programs supporting seniors recovering from surgery with tailored physical therapy, pain management, medication management, and care plans for a smooth transition back to health.
• Congregate Living Health Facility Services Higher-level medical care and monitoring facility for seniors with complex medical needs, operated in conjunction with Care Home by RNs RCFE locations.
• Post Motor Vehicle Accident Care Comprehensive care for seniors recovering from motor vehicle accidents, including personalized treatment plans for physical recovery and emotional healing.
• Neuro and Stroke Recovery Specialized rehabilitation services for seniors recovering from neurological events such as strokes, focusing on regaining strength and mobility.
• Traumatic Brain Injury Care Specialized care programs for traumatic brain injuries offering tailored therapeutic and rehabilitative services to support cognitive and functional improvements.
• Respiratory Care Services Expert respiratory care including respiratory therapy and comprehensive management plans for seniors with respiratory diagnoses.
• Wound Care Services Comprehensive wound care using latest techniques and treatments to promote healing and prevent complications for senior residents.
• TPN Management Total Parenteral Nutrition management ensuring precision care for life-sustaining nutrients delivered through intravenous feeding.

Quantifiable outcome

• Prevention of unnecessary ER/hospital trips through proactive medical oversight and on-call nursing care
• +1 more outcomes

Named customers7 records

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Three partnerships are on record, tiered core and supporting.

• Quiescence Care Home By RNscoreStrategic or Co-development PartnerSister facility operated by the same parent organization (Nurse Company). Quiescence Care Home By RNs Congregate Living Health Facility handles higher level of care conditions including post motor vehicle accident care, neuro/stroke recovery, traumatic brain injuries, respiratory diagnoses, ostomies, enteral feedings, TPN management, comprehensive wound care, and generalized inpatient hospice program. Referral relationship between facilities for patients requiring higher levels of care.
• Senior Care SolutionssupportingGTM or Marketing PartnerConducts customer surveys for Care Home By RNs. One testimonial mentions excerpt from customer survey conducted by Senior Care Solutions.
• Silver PathwayssupportingChannel Partner/ Reseller/ DistributorReferral partner that recommends Care Home By RNs to families seeking senior care. Mentioned in testimonial as suggesting Care Home By RNs because the home was close to family and due to fine care staff provides.

Scale indicators4 records

Recent moves7 records

Expansion highlights4 records

Direct peers

• Silverado Senior Living: Specialty memory care and higher-acuity assisted living operator in California. Directly comparable on dementia/Alzheimer's care focus and medically complex resident handling.
• Quiescence Care Home By RNs: Operates the Congregate Living Health Facility under the same parent organization, handling higher-acuity cases (TBI, stroke, TPN, MVA recovery). Direct referral pipeline into Care Home by RNs makes it the closest operational peer.

Broad incumbents

• Belmont Village Senior Living: California-headquartered senior living operator with assisted living, memory care, and skilled nursing components across multiple U.S. markets. Comparable service breadth and California footprint but at larger community scale.
• Aegis Living: West Coast-focused assisted living and memory care operator with multiple California communities. Comparable services (assisted living, memory care, hospice coordination) but at much larger scale with traditional apartment-style communities rather than six-bed residential homes.
• Sunrise Senior Living: National senior living operator with assisted living and memory care communities, including California locations. Comparable continuum-of-care positioning but with larger community format and corporate scale.
• Brookdale Senior Living: Largest U.S. senior living operator with assisted living, memory care, and skilled nursing offerings nationwide. Represents the institutional incumbent against which small RCFE operators like Care Home by RNs differentiate.
• Atria Senior Living: National senior living operator with California presence offering assisted living, memory care, and supportive services. Comparable service mix but operates larger community-style settings rather than small residential care homes.

Others

• Senior Helpers: National franchised provider of in-home senior care, including Alzheimer's and dementia care. Comparable customer segment and family-driven GTM, particularly relevant as a downstream alternative to facility-based care.
• Home Instead: Largest franchised non-medical in-home senior care provider. Comparable target demographic (seniors aging in place) and referral-adjacent services, but delivers care in the home rather than in residential facilities.
• Comfort Keepers: Franchised provider of in-home personal care and companion services for seniors. Serves a similar private-pay, family-decision-maker customer base as Care Home by RNs but in a home-based model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/seniorcarebyrns
• LinkedInlinkedin.com/company/care-home-by-rns
• Instagraminstagram.com/rx92700/?hl=en

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 Care Home By RNs