Home health & skilled nursing
Clinical procedures that would normally mean a trip to a clinic or hospital, performed at home by a licensed nurse, on a schedule built around the patient, not a facility's intake calendar.
Why families choose Firstat for this.
A plan built for this patient
No fixed package. The plan of care follows the diagnosis, not the other way around.
Licensed clinical care
RN, LVN, and HHA staff performing real clinical work under a physician's plan of care.
Continuity whenever possible
We work to keep a consistent nurse on a case when scheduling allows, so care doesn't reset every visit.
Direct, private billing
Private pay, long-term care insurance, and workers' comp, billed directly.
Home health & skilled nursing: what's included

What to expect
- Wound care and dressing changes, including complex and chronic wounds
- Injections and medication administration, including injection clinics
- Ventilator and tracheostomy support
- Catheter and ostomy care
- Post-surgical monitoring and recovery support
- RN case management, with ongoing coordination back to the prescribing physician
Getting started is simple.
Every case starts with a physician's order, and we work to keep a consistent nurse on the case when scheduling allows, so care stays consistent visit to visit.
Physician's order
Your doctor prescribes skilled nursing based on your medical needs.
In-home assessment
An RN visits your home to evaluate your condition and build a plan of care.
Nurse assigned to your case
We match your case with the right staff (RN, LVN, or HHA), with continuity in mind.
Care delivered at home
Visits are scheduled around your plan, not a facility's calendar.
Ongoing adjustment
The RN reassesses regularly and keeps your physician informed as things change.
What we work toward.
Problems caught early
Skilled monitoring at home helps catch problems before they turn into an ER visit.
Faster, more comfortable recovery
Healing happens at home, on a schedule built around the patient.
Continuity whenever possible
We work to keep familiar clinicians on the case, so care builds on what they already know.
A physician who stays in the loop
Regular RN oversight means your doctor isn't finding out about changes after the fact.
Other ways we help San Diego families.
Hospital discharge
A smoother, monitored transition home after an injury, surgery, or extended hospital stay.
Learn more about Hospital dischargeStroke & fall recovery
Support through the physical, communication, and behavioral changes recovery brings.
Learn more about Stroke & fall recoveryAlzheimer's & dementia
Specialized, patient-centered care from staff trained for the realities of memory-related decline.
Learn more about Alzheimer's & dementia