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Comforting Hands
CAREGIVER and  PATIENT SOLUTIONS

Please note that Tabitha E Smith Smith is a Licensed Care Manager, Virginia Nursing Home Administrator and Mandated Reporter in the State of Virginia. We do not offer Personal Care or in Home Assistance.

Comprehensive Health Risk Assessment

  Our Initial in home client   care Manager Assessment is completed to determine unmet care  or long term  placement needs and the appropriate resources needed for your loved one...

 Private Care Transition & Care Coordination Services 

Let us bring you peace of mind through thoughtful, ongoing coordination of your care. As care managers, we collaborate closely with your physicians, therapists, and care team, including seamless follow-up after hospital or Rehabilitation discharge to ensure a safe transition home. From managing medical appointments to coordinating pharmacy and support services, we handle the details so you can focus on what matters most.

VA Medicaid Community Based Service Facilitation Services

We provide Medicaid Service Facilitation to help individuals and families navigate in-home care with confidence. As an approved DMAS provider, we coordinate services, develop personalized care plans, and ensure ongoing safety and compliance. Our goal is to simplify the process while advocating for quality, person-centered care every step of the way.

Private Consulting  

Private Consulting for Families (Attorney-Aligned Support Services)

Our private consulting services provide families with expert clinical and regulatory guidance in complex care situations, often in coordination with their legal counsel. 

Whether working independently with families or alongside elder law, estate, or litigation attorneys, we serve as a trusted advisor—helping ensure that care decisions are informed, defensible, and aligned with the best interest of the individual.

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We support cases involving guardianship, capacity concerns, unsafe discharges, substandard care, and disputes within healthcare settings.

Services include comprehensive medical record review, care plan analysis, attendance at interdisciplinary meetings, and direct communication with facilities and providers to address care deficiencies and ensure regulatory compliance. 

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We are experienced in identifying deviations from standards of care, documenting and identifying findings, and supporting families and thier attorneys with clear, objective insight.

 

Long Term Care Advisory & Geriatric Case Management Services

This service offers peace of mind for busy or out-of-town families navigating the complexities of care. Caring for a loved one can be both emotional and demanding, and our trusted team provides hands-on oversight, including attending care plan meetings, reviewing medical records, and addressing concerns directly with facility staff—even in more complex or challenging situations. We collaborate closely with you and the full care team to ensure accountability, clear communication, and a strong, reliable safety net for your aging family member.

Senior Residential Care Placement Assistance 

We guide families through the process of researching, selecting and securing the right care setting, including independent living, assisted living, and nursing home placement. As care managers our approach ensures each option is carefully aligned with your loved one’s clinical needs, preferences, and long-term goals.

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