Built by a Nurse.
Designed for Families
Who Need More.
CSN was built for Greater Boston families who need more than a caregiver at the door. They need reliable teams, clear documentation, direct nurse oversight, and a home care partner who understands complex aging, dementia, and recovery.
The Avó Promise
Why we built CSN around one question.
Avó means grandmother in Portuguese. Ours is pictured here, and she sets the standard for everything we do. Before we place a caregiver or approve a care plan, we ask one question: would we trust this for our own Avó?
If the answer is no, we don’t ask your family to accept it.
We will never place a caregiver with your loved one who we would not trust to care for our own Avó.
Our promise to every familyWhat the promise looks like in practice
- ✓A nurse reviews every case, every day.
- ✓Small, consistent teams: no more than four core caregivers on 24/7 cases, and two on 12-hour cases.
- ✓Every caregiver has an RN behind them.
- ✓As needs change, the care plan changes with them.
- ✓Home care and nursing from one company.
Why Consistent Solution Nursing Exists
CSN began at the bedside. In emergency rooms, on telemetry floors, and in memory care units, we watched families face some of the hardest moments a person can face: a parent declining, a spouse who can no longer be left alone, a hospital discharge that leaves a family unsure what comes next.
Too often, the home care that followed was reactive, inconsistent, and disconnected from what was actually happening inside the home.
CSN was built to be the other option.
The idea is simple. The person responsible for your loved one’s care at home should actually be a nurse. Not in title. In practice. A nurse does the assessment, writes the plan, selects the caregiver, monitors the case, and answers the phone when you need us.
That is CSN: private-pay home care and private-duty nursing with RN oversight, written care plans, small consistent caregiver teams, and long-term care insurance documentation support. Built around the person, not just the open shift.
We built CSN to be the agency we would want for our own family: clinically aware, organized, responsive, and honest about what a situation actually requires.
Serving Newton, Brookline, Wellesley, Weston, and Winchester.
The People Behind Every Case
Every family we serve has a nurse they can call. Every caregiver we place has an RN behind them. This is the team that makes that possible.
Care That Honors. Service That Uplifts.
Trust
Families hand us the most important people in their lives. We earn that trust by being transparent about what a situation actually requires, even when the answer is harder than what they hoped to hear.
Well-Being
We look at the whole person. Physical health, emotional health, cognitive engagement, social connection, dignity. A registered nurse sees all of it. A good caregiver addresses all of it.
Family
Home care should bring families closer together, not create more anxiety. We communicate proactively: daily progress notes, direct RN access, no surprises, so families always know what is happening.
Ready to Speak With an RN?
A registered nurse will listen to your situation, evaluate the level of support needed, and tell you honestly what makes sense for your family.