Home Care Hindsight
In this episode of Home Care Hindsight, host David Knack is joined by Steven Gonzales, CEO of HealthView Home Health & Hospice, to demystify the world of home health. Steven breaks down the core function of home health, its role in the care continuum post-hospital discharge, and the critical financial challenges driven by payer mix and Medicare Advantage. He shares invaluable insights on how home care agencies can become essential partners by understanding clinical needs, tracking client payer data, and focusing on true care coordination. Steven also looks to the future, discussing...
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In this episode of Home Care Hindsight, host David Knack welcomes Gregg Mazza, former home care agency owner and current coach to home care entrepreneurs. Gregg shares his journey from building a successful agency from scratch to selling it and now helping other owners avoid the pitfalls he experienced. He opens up about his biggest mistake: hiring seven salespeople who failed before he finally cracked the code on building a sales team that drives growth. Gregg emphasizes the importance of hiring for traits over industry experience, implementing clear systems, and holding teams accountable. He...
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In this episode of Home Care Hindsight, host David Knack sits down with Lucas Carroll, CEO of The Business of Senior Care. Lucas specializes in guiding home care startups, change of ownerships, and expansions through the complex world of state licensing and compliance. He shares his unexpected journey from law school dropout to becoming a key resource in the home care industry. Lucas dives into a significant opportunity for agencies: diversifying into private duty nursing to retain clients, offer premium services, and increase revenue. He also emphasizes the profound value of building...
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In this episode of Home Care Hindsight, host David Knack welcomes Chuck Bailey, founder and CEO of True North Holdings, to discuss the realities of being a small business owner in the home care industry. With decades of experience as a corporate executive, franchisee, franchisor, and now a service provider to franchisees, Chuck shares invaluable insights on the challenges of entrepreneurship, the importance of financial discipline, and the two critical roles every business owner must master: driving revenue and building a team. He also reflects on his biggest mistake: trying to control...
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In this episode of Home Care Hindsight, host David Knack sits down with Emily Isbell, founder of EI and Company, to discuss her impressive journey from caregiver at 19 to a successful home care consultant and bestselling author. They talk about Emily's early career, the evolution of her business, and the release of her book, 'The 24/7 Solution.' Emily shares valuable insights on correcting mistakes, the importance of consistently executing strategies, and the necessity of looking for talent within your existing workforce. They also explore the challenges of maintaining emotional maturity in a...
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In this episode of Home Care Hindsight, host David Knack welcomes Guy Tommasi, a seasoned leader in the home care industry with over 25 years of experience. Guy shares his journey from hospital care to pioneering innovative, data-driven strategies in non-medical home care. He takes us to a discussion of the importance of differentiating your agency by aligning with stakeholders' needs, leveraging data to demonstrate outcomes, and the pitfalls of overemphasizing "scaling" as a measure of success. Guy also highlights the transformative power of collaboration, both within teams and with clinical...
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Randy Platt and Rodney Burris, co-founders of Care Partners, reveal how blind optimism and over-reliance on culture nearly derailed their home care startup, and the pivotal shifts that turned their $0M mistake into 40% growth. In this transparent conversation, the duo unpacks their early missteps: from chasing unrealistic budgets to hiring for "culture fit" over performance. Discover how they transformed their partnership through radical transparency ("no barnacles"), why EQ now trumps IQ in their hiring, and the surprising metric that proves their team’s resilience. From solving healthcare...
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In this episode of Home Care Hindsight, host David Knack interviews Rachel Gartner, founder and CEO of Carework. They discuss Rachel's life in rural South Georgia as an Army wife and mother, her passion for hiring military spouses, and the unique challenges in the home care recruitment industry. Rachel shares insights on building effective systems for employee recognition, managing rapid company growth, and the importance of maintaining a caregiver-first mindset. They explore the difficulties of balancing recruitment intentions with execution and the significance of analyzing recruitment...
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John Soltys, founder of Project Senior Care, shares his hard-won lessons from wasting two years (and resources) on an overcomplicated tech vision—and how a pivot to caregiver training and mentorship unlocked explosive growth. In this raw conversation, John reveals how his "big idea" mentality almost sank the business, why 96% of seniors fall into an unaffordable care gap, and the partnerships now helping agencies serve everyone—regardless of income. From rebuilding trust with his team to rethinking caregiver recruitment (hint: stop recycling the same hires), John breaks down the "no one...
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Fady Sahhar, a disability advocate and home care strategist with decades of experience, unveils how Medicare Advantage is reshaping home care—and why agencies must rethink caregiver training to thrive. In this eye-opening conversation with host David Knack, Fady shares: Why 750+ Medicare Advantage plans now cover home care (and how to tap into this growing market). The "lifetime value" mindset shift that turns clients into long-term partners. How peer coaching solves EVV resistance and caregiver retention challenges. Fady also reveals common cultural blindspots when expanding into new...
info_outlineJeremy Fuller, a digital marketing expert with 23 years of experience and founder of Grow Senior Care Marketing, shares actionable insights for home care agencies.
In this episode, you’ll discover:
1. The ChatGPT Surprise: How a client found their agency through ChatGPT—without it being a marketing goal.
2. The $500 Mistake: Why most home care agencies waste 80% of their Google Ads budget (and how to fix it).
3. Automation Pitfalls: The dangers of over-automating caregiver recruitment and how to strike the right balance.
4. SEO Myths Debunked: Why tracking rankings isn’t SEO—and what moves the needle.
5. AI’s Double-Edged Sword: How AI changes search behavior and the risks of unvetted AI-generated content.
Lesson Takeaways:
1. Stop Choking Ad Spend: A $500/month Google Ads budget is often too small to be effective—either go bigger or pause entirely.
2. Humanize Automation: Use tech to streamline processes (like caregiver nurturing), but keep critical touchpoints personal.
3. Reviews Matter: Agencies with 100+ Google reviews dominate local search—aim higher than the industry average of 40.
4. AI Proof Your Content: Always review AI-generated material for compliance risks (e.g., "fall prevention" vs. "fall assistance").
Timestamps:
00:00 - Introduction
01:20 - Guest Introduction
01:23 - The unexpected ChatGPT client discovery story
02:47 - AHA! Moments, Learnings and Opportunities from Checking Business Processes in Home Care Agencies
03:17 - Jeremy’s partnership to launch a home care agency in Tulsa
03:45 - Compliance challenges and automation opportunities in home care
05:00 - The problem with sending caregivers back to Indeed
06:55 - Jeremy’s unique approach: Offering prayer during marketing audits
07:45 - The big mistake: Over-automating caregiver communication
09:10 - How to automate wisely (without losing the human touch)
11:06 - The most underrated SEO tactic: Google reviews
12:12 - What SEO actually is (and isn’t)
14:27 - Mistakes Home Care Makes: Choking Google Ads Spend
16:43 - Why small Google Ads budgets fail—and how to optimize keywords
18:17 - Jeremy’s recent SEO breakthrough (the "quarter pickup" strategy)
20:00 - AI’s impact: ChatGPT as a search alternative and compliance risks
23:22 - The danger of AI "slop" and how to avoid it
Quotes
1. "80% of Google Ad budgets are wasted on the wrong places. If you’re spending $500/month, you might as well not run ads at all." — Jeremy
2. "SEO isn’t tracking rankings—it’s taking actions to send Google the right signals. Reviews are part of that, but not the whole story." — Jeremy
3. "AI is like the early days of Google. It’s not replacing search yet, but it’s starting to uptick—and home care needs to pay attention." — Jeremy
Resources:
1. Grow Senior Care Marketing: https://growseniorcaremarketing.com/
2. Jeremy Fuller on LinkedIn: https://www.linkedin.com/in/jeremy-fuller-marketing/
3. Ultimate Home Care Marketing Session: https://growseniorcaremarketing.com/grow-my-agency/
4. Connect with David Knack on LinkedIn: https://www.linkedin.com/in/david-knack/
5. Connect with Zingage on LinkedIn: https://www.linkedin.com/company/zingage/
6. Powered by Zingage: https://zingage.com/
7. Watch Episode on Zingage’s YouTube: https://www.youtube.com/@Zingage