Libsyn Directory

Don’t Forget Owner Involved Employee Recognition (like I did) – Rachel Gartner

Release Date: 07/15/2025

I Trusted Passion Over Process and It Broke My Business – Kristen Duell

Home Care Hindsight

Kristen Duell, founder of Momentum Healthcare and Technology Consulting, joins host David Knack for a raw conversation about the recurring mistake that has shaped her entire leadership journey: believing that shared passion and purpose are enough to run a successful business. Kristen opens up about the "black eyes and kidney punches" she's endured from moving too fast and trusting that others shared her standards of integrity, without first establishing clear structure and alignment. She explains why "momentum without tension is chaos" and how this hard-won lesson is now the core philosophy of...

My Failed Acquisition Pushed Me To Do More Due Diligence – Kevin Smith

Home Care Hindsight

Kevin Smith, CEO of Best of Care, joins host David Knack to pull back the curtain on a splashy but failed acquisition that taught him a brutal lesson about due diligence. Kevin opens up about buying an adult day health program's home care arm, a deal that made perfect sense on paper but fell apart at the seams, resulting in a massive revenue shortfall. He reflects on the costly mistake of relying too heavily on his relationship-driven "gut" for a process that required forensic analysis, and how the timing—closing the deal the day before his first child was born—added immense personal...

On Death and Dying in Home Care Part 2 – Gabrielle Pumpian and Nicole Soares

Home Care Hindsight

Gabrielle Pumpian returns, joined by death doula and end-of-life consultant Nicole Soares, for a profound conversation about the one thing every home care agency deals with but few are prepared for: death. They explore a common operational mistake: failing to align a caregiver's duties with a client's core values, leading to disengagement and a reduced schedule. Nicole shares her powerful personal journey that led her to become a "one-stop death shop," while Gabby reflects on the costly mindset of viewing a client's passing primarily as a revenue loss. The discussion offers actionable advice...

On Death and Dying in Home Care Part 1 – Gabrielle Pumpian and Nicole Soares

Home Care Hindsight

The "Frankenstein's Monster" Team That Forced a Culture-First Fix – Victor Hunt

Home Care Hindsight

Victor Hunt, the passionate CEO and co-founder of Zingage, joins host David Knack for a long-awaited conversation. Victor opens up about the critical hiring mistake from his first startup: prioritizing raw technical skill over team cohesion and culture fit, a misstep that almost broke the company. He explains why this "Frankenstein's monster" approach to building a team fails and how it informed his "culture-first" philosophy at Zingage. Victor shares the only two traits he now looks for in every hire and dives into the underrated genius of home care owners, who are often overwhelmed by...

The $10,000 Mistake That Forged a Stronger Partnership – John "Moz" Mozdzien

Home Care Hindsight

John "Moz" Mozdzien, a Navy veteran and co-founder of Veterans First, joins host David Knack to share a costly hiring mistake—but not of a person. He "hired" a flawed understanding of VA benefits, leading to a $10,000 loss on his company's very first case. He opens up about the specific rule regarding surviving spouses that they misunderstood and how this "hard fail" became the foundation for a 99.9% approval rate today. Moz reflects on how the crisis forged an unbreakable bond with his business partner, built on pre-existing trust. The conversation also covers the underrated power of...

Hiring the Wrong Person Taught Me About Building a Better Team – Becky Reel

Home Care Hindsight

In this re-released episode of Home Care Hindsight, host David Knack sits down with Becky Reel, founder and CEO of Reel Home Care Consulting and former owner of a top-rated home care agency. In their conversation from 2024, Becky vulnerably shares the story of her biggest hiring mistake: bringing her nanny into the office during COVID-19. She details how she overlooked numerous red flags, which led to a toxic work environment and significant business disruption. From this experience, she learned invaluable lessons about the importance of thorough reference checks, truly listening to her team,...

Stop Waiting for January: Strategic Growth Planning – Steve “The Hurricane” Weiss

Home Care Hindsight

In this returning episode of Home Care Hindsight, host David Knack is joined by Steve “The Hurricane” Weiss, founder of Home Care Evolution. Together, they dive into how home care agencies can finish 2025 strong and hit the ground running in 2026. Steve emphasizes the importance of using September–October to audit your business, tighten referral relationships, and prepare for seasonal surges (like elective surgeries leading to more home care referrals). He shares how to create an orthopedic specialty program to stand out from competitors and walks through the patient journey for better...

The $100,000 Partnership Mistake I Was Too Stubborn to Quit – Clayton Foutch

Home Care Hindsight

In this episode of Home Care Hindsight, host David Knack is joined by Clayton Foutch, a home care veteran and founder with over 18 years in the industry. Clay opens up about the costly mistake of stubbornly pursuing a major partnership that was a poor strategic fit for his company's "Four Seasons" vision. He shares how his refusal to listen to his team and cut losses earlier resulted in a significant financial and reputational hit. Clay also dives into the importance of revenue diversification for stability, the collaborative nature of the home care industry, and how to thoughtfully...

What I Wish Every Home Care Owner Knew – Steven Gonzales

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...

More Episodes

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 metrics.

The episode concludes with Rachel's thoughts on overrated and underrated recruitment strategies, the benefits of a strong referral program, and simplifying the hiring process.

Lesson Takeaways:

1. Scaling employee recognition requires both intention and properly built systems to ensure no one falls through the cracks.

2. Having a defined and consistent recruiting process is more effective than constantly chasing flashy new recruiting strategies.

3. Owners and leaders need to be mindful of their language and attitudes about caregivers, as it sets the tone for the entire organization.

4. Referral programs are a highly effective yet often underutilized source of quality candidates and should be funded appropriately based on cost-per-hire metrics.

Timestamps:

00:00 - Welcome to Home Care Hindsight

01:03 - Introduction to Rachel Gartner’s mission as a military spouse through Carework

07:21 - A lesson from Rachel’s dad and her big mistake realized after reading employee feedback

14:00 - Discussing how Rachel built a system to acknowledge every caregiver’s hard work and spotting company problems through surveys

23:00 - Overrated vs. Underrated: Rachel’s take about how to improve recruiting strategies

29:08 - How complaining about caregivers influence a whole team and Carework’s newest case study

35:13 - Home Care Hot Take: Rachel’s valuable knowledge about hiring caregiver candidates

Quotes:

Rachel Gartner: "When I do fail or make a big mistake, I go, well, you know what? At least I know I'm trying really hard."

David Knack: "Our best caregivers never get to hear from us because we know we can rely on them and they're out of sight, out of mind."

Rachel Gartner: "I will challenge people on bad practices. But there's so much doom and gloom out there that actually is really not helpful for agencies that want to grow. That I try to be very clear of like, it is possible and it can work and it can be really fun and rewarding."

Resources:

1. Carework on LinkedIn: https://www.linkedin.com/company/careworkus

2. Sign in to Carework: https://www.careworkus.com/

3. Case Study about a 25% Cut of Caregiver Turnover: https://www.careworkus.com/post/case-study-how-home-helpers-of-lansdale-cut-caregiver-turnover-by-25

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

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