Why I Started homeRN
Because families deserve compassionate, nurse-led support at home—not confusion and fragmentation.
February 18, 2026
Eliza Maxwell, founder of homeRN
I didn’t start homeRN because I wanted to build a company. I am a nurse practitioner. I did not know anything about starting a business or running a business. I started it because I watched a family fall through the cracks of a broken system, and I wanted better for myself and my family.
In 2020, the peak of covid, a close friend’s father was discharged from the hospital after a serious medical event. When it was time to go home, the family was handed a single sheet of paper—just a list of home health agencies and caregiving companies. No explanations. No guidance. No vetting. No one saying, “Here’s who you can trust” or “Here is who I would call if this was my father.”
Just company names on a page in no specific order.
In the hospital, this patient had been carefully trained by registered nurses. He learned how to check his blood sugar with a glucometer, how to crush medications and administer them through a PEG tube, and how to manage other complex medical tasks that are handled by a nurse. The care was structured, supervised, and thorough.
But the moment he walked through his front door, everything changed.
At home, he was vulnerable, scared, and overwhelmed. His family was too. A home health nurse came once a week—but that was it. The rest of the nursing-level care fell entirely on the family for the other 6 days and overnight.
His wife was suddenly responsible for nursing tasks with only a 15 minute training session at the hospital. She was exhausted. She was terrified of making a mistake. She was overwhelmed by the weight of responsibility and the fear that one wrong move could harm the person she loved most.
And on top of that, they still needed help with daily living—transferring him safely to the bathroom, assisting with showers, helping him move without risking injury. They didn’t just need a nurse. They needed caregivers. They needed coordination. They needed support. They needed an advocate.
What they got instead was fragmentation.
Different companies– home health and caregivers. Different schedules. Different people showing up—or not showing up. No one managing the whole picture. No one asking, “How is this family really doing” or “What can we do better?” or “How can we help.”
That was the moment it became clear to me: this isn’t how care should feel.
Families shouldn’t have to become full-time nurses without proper training. Patients shouldn’t feel abandoned the moment they leave the hospital. And caregivers shouldn’t be treated like interchangeable names on a schedule.
I saw a need for something better.
I envisioned care where a registered nurse doesn’t just stop at the hospital discharge, but comes into the home—training families and caregivers on the specific medical needs of that client, in their real environment, with their real equipment, and their real challenges as frequently as the patient and families need, not as much as insurance approves.
I saw the need for more convenient, integrated care—where one company thoughtfully manages both nurses and caregivers, so families aren’t left coordinating multiple providers while already stretched thin.
And most importantly, I saw the need for more compassion.
At homeRN, we believe care is deeply personal. A person—not just a scheduler—should be intentionally and thoughtfully pairing caregivers with clients. Relationships matter. Trust matters. Consistency matters. No one thrives with a revolving door of unfamiliar faces coming into their home.
homeRN was created to provide thoughtful, reliable care that truly supports patients and the people caring for them—their families, providers, and care teams of nurses and caregivers
To make sure families feel supported instead of scared.To make sure caregivers feel valued and prepared.To make sure patients feel safe, seen, and cared for—not just managed.
As a Christian, wife, mother, daughter, nurse practitioner, and friend, this work is deeply personal to me. This isn’t just a business—it’s my heart. I want better care for my family, my friends, and for every family who finds themselves navigating care at home.
That’s why I started homeRN.