

Caroline Guarino is a seasoned healthcare professional with over 22 years of experience as a Registered Nurse. Her clinical background includes 12 years in emergency room settings and 10 years dedicated to elderly care, including leadership experience as Director of Nursing for an Adult Day Care program. This combination of acute-care expertise and long-term senior care leadership has given her a comprehensive understanding of both medical complexity and the day-to-day needs of aging individuals.
Her professional and personal experiences caring for aging loved ones strongly influenced her decision to enter the home care field. Through these experiences, she came to deeply appreciate the physical, emotional, and psychological benefits seniors gain when they are able to age safely and comfortably in their own homes.
Caroline recognizes an urgent need in her community for skilled, qualified, kind, and compassionate home care. She chose to start a Nurse Next Door franchise after witnessing, throughout her career in emergency departments, the clear and consistent differences in health outcomes, dignity, and overall well-being between seniors arriving from nursing facilities and those coming from their own homes or the homes of family members. These firsthand observations reinforced her belief that seniors thrive when supported to age at home, and inspired her to bring this model of care to her community.
What sets Nurse Next Door apart, in her view, is its unwavering commitment to Happier Aging® and Making Lives Better®. The focus extends beyond basic care to building genuine relationships, treating every client like family, and bringing kindness, laughter, and meaningful connection into each home—while supporting seniors to live safely and independently where they are happiest.
To Caroline, Happier Aging® means creating lives filled with joy, purpose, dignity, and connection. It is about helping seniors remain independent, engaged, and rooted in the people and routines they love, while also supporting families through the aging journey. Ultimately, it represents adding life to years—not just years to life—by enabling people to age with compassion and happiness in their own homes.

Your call is answered by a real person within 30 seconds, any time—day or night. Call us anytime to book a complimentary Caring Consult™. We listen to your needs—whether that’s elder care, personal care or recovery support—to learn how we can make your lives better.
A Care Designer meets with you, virtually or in person, to assess your needs and preferences before creating a Care Plan tailor-made for you. We match you with the perfect caregiver with the right skills, a kind heart and a personality you’ll love.
We aim to send the same Caregiver every visit so you can grow your relationship with your perfect match Caregiver from day one. Our team stays in touch, monitoring care and making tweaks as needed throughout your care journey.

Ready to join the Nurse Next Door Team? Explore our careers site and learn about our people promise.
Our Care Services Center is open 24/7. Call anytime, and one of our Care Services Specialists will be happy to assist you.
Use this list to help you decide if continuous monitoring is something you should consider:
If you are not sure, give us a call to this number 1-877-588-8609.
Nurse Next Door's services vary in price depending on the level of care required and the Nurse Next Door Care team that services your area. To get a better idea of pricing in your area, speak to one of our Care Services Specialists—we're open any time, 24/7.
We also offer a complimentary Caring Consult™, during which one of our care designers will help you determine the amount of care you may require. We'll then work with you to balance your budget and needs and find a home care option for you.
You are not locked into a long-term contract as a Nurse Next Door client.
To try out Nurse Next Door, just contact us to book a complimentary, no-obligation Caring Consult™. One of our care designers will visit your home to assess your needs and design a care plan with you, including frequency and duration of care.
No. We provide home care services to people of all ages. While our specialty is providing Happier Aging® experiences to seniors, we also assist with disability care, post-operative care, and more for children and adults.
Visit our services page to explore our full list of services.
At Nurse Next Door, we strive to provide consistent care with regularly assigned caregivers. If your Caregiver isn’t available, we will ensure a suitable replacement that meets your unique needs.
Yes, all Nurse Next Door Caregivers are carefully screened with criminal background checks, vulnerable sector checks and reference checks. We verify our Caregivers' educational credentials upon hire and ensure, on an annual basis, that every Nurse is registered and in good standing with their respective College of Nurses.
While private caregivers also offer personalized care, we go beyond that by matching you with the perfect Caregiver and providing a reliable system you can trust. Our 24/7 live support and activity monitoring system ensures you receive reliable, quality care every visit.
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