The Prata Model
How Concierge Nursing Works
Understanding how concierge nursing works starts with one fact that sets it apart from a typical home care agency: a registered nurse leads your care from the very first conversation, and stays with you. A concierge nurse is an experienced RN who coordinates your medical care, communicates with your physicians, manages medications, and delivers skilled nursing in your own home. Rather than rotating caregivers with occasional check-ins, you have a clinical professional who knows your history, anticipates what is next, and becomes part of your family.
For families
The private duty nursing process at Prata is built to remove the friction families feel when they are juggling appointments, prescriptions, and a system that rarely talks to itself. Below is exactly what to expect, from your first call to ongoing care.
RN-led care
A registered nurse leads every client
Multi-credential team
RN, RDN, PharmD, and Nurse Educator
Ten communities
Scottsdale, Phoenix, and the East Valley
Founder-led
Bianca Fabbo, MSN-ed, RN, AMB-BC
What a concierge nurse actually does
A concierge nurse is a registered nurse who takes ownership of your care instead of simply executing a task list. The scope is broad on purpose. Your nurse coordinates with your physicians and specialists, prepares for and attends appointments when helpful, reconciles and manages medications, monitors your condition, and provides hands-on skilled care at home.
The difference families notice first is continuity. The same nurse who sat with you at the kitchen table during your consultation is the one tracking your labs, flagging a medication interaction, and calling your cardiologist's office when something changes. Nothing falls through the gaps, because one clinically trained person is watching the whole picture.
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The consultation
Everything begins with a conversation, not a contract. You call or request a consultation, and we listen. We want to understand the person, the diagnosis or situation, what the family is managing now, and what a good outcome looks like for you.
This first step is unhurried and free of pressure. It is where we determine whether concierge nursing is the right fit and, just as honestly, whether it is not.
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Nursing assessment and care plan
Next, a registered nurse conducts a thorough assessment. We review your medical history, current medications, recent hospital stays or surgeries, mobility, nutrition, and the home environment itself. Where it helps, we gather records and speak with your existing physicians so we are starting from a complete picture rather than a partial one.
From that assessment we build a written, individualized care plan. It defines what your nurse will manage, how often care is delivered, which physicians we coordinate with, and the specific goals we are working toward. The plan is yours, and it changes as your needs change.
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Matching your nurse
Concierge nursing only works when the relationship works. We match you with a registered nurse whose clinical background fits your situation, whether that is post-surgical recovery, a complex chronic condition, aging at home, or end-of-life support.
Behind that nurse stands a multi-credential clinical team: registered dietitian, doctor of pharmacy, and nurse educator. When a question crosses into nutrition, pharmacology, or patient teaching, your nurse pulls in the right expert rather than guessing. You get one trusted point of contact backed by a depth of expertise most home care cannot offer.
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Ongoing care and coordination
Once care begins, your nurse delivers the hands-on skilled care in your plan and runs the coordination behind the scenes. That means managing medications, monitoring your condition, communicating with your physicians, preparing for appointments, and keeping your family informed in plain language.
Care is delivered on a schedule that fits your needs, from regular visits to more intensive support during recovery. As things change, a hospital discharge, a new diagnosis, a medication adjustment, your nurse adapts the plan and keeps everyone aligned. This is the part most agencies leave to the family. We take it on.
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Reassessment as needs change
Health is not static, and neither is your care plan. Your nurse reassesses regularly and after any significant event, then adjusts the level and type of support accordingly. Recovery may mean stepping care down over time. A progressing condition may mean stepping it up. Either way, the decision is clinical, deliberate, and made with you and your family.
What families can expect
From the first consultation onward, the experience is meant to feel calm, personal, and clinically sound. You are not managing a roster of strangers or chasing down answers. You have a registered nurse who knows your story and a clear plan you can see.
There is no rigid minimum or maximum commitment imposed on you up front. Care is scoped to what you actually need, and the plan flexes as life does. If you are unsure whether your situation fits, the consultation exists precisely to answer that.
Questions, answered
Frequently asked
Not listed here? Call 480-404-4737 and ask.
What is a concierge nurse?
A concierge nurse is an experienced registered nurse who personally leads a client's care at home. Rather than performing isolated tasks, the nurse coordinates with physicians, manages medications, provides skilled nursing care, advocates for the patient inside the healthcare system, and keeps the family informed. At Prata Health, every client has an RN leading their care, supported by a clinical team that includes a registered dietitian, a doctor of pharmacy, and a nurse educator.
How is concierge nursing different from a home care agency?
Most home care agencies assign caregivers or nurses with occasional supervisory oversight, and the staff can change from visit to visit. Concierge nursing inverts that: a registered nurse leads your care and stays with you, owning the coordination, the clinical decisions, and the relationship. You get continuity and a single clinically trained point of contact instead of a rotating roster.
What level of care can a nurse provide at home?
Our registered nurses provide skilled nursing in the home, including wound care, IV antibiotic therapy, medication management, post-surgical recovery nursing (after plastic, orthopedic, cardiac, or neurological surgery), chronic condition monitoring (such as CHF, COPD, and diabetes), aging-in-place support, and end-of-life care. Care plans are individualized after a nursing assessment, and many clients use concierge nursing specifically to recover at home rather than enter a skilled nursing facility.
How much does concierge nursing cost?
Cost depends on the level and frequency of care your individual plan calls for, which is why we do not quote a flat number before understanding your situation. After your consultation and nursing assessment, we provide clear pricing tied to the specific care you need. The consultation itself is where we determine fit and scope together.
Is there a minimum or maximum commitment?
Care is scoped to your actual needs rather than forced into a rigid contract. Some clients need intensive support during a recovery window and then step down; others need ongoing care for a chronic condition or aging at home. Your plan is reassessed as your needs change, and the level of support flexes up or down accordingly.
How do I get started with concierge nursing?
It starts with a consultation. You request a consultation, we listen to understand the situation, and a registered nurse completes an assessment to build your individualized care plan. From there we match you with the right nurse and begin care. There is no obligation in the first conversation; it exists to determine whether concierge nursing is the right fit for your family.
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Begin with a conversation
Let's talk about the care your family needs.
A consultation is a conversation, no obligation. We listen first, then build the plan around you.