Licensed private duty nursing, delivered at home.
When someone you love comes home from the hospital, is recovering from an injury, or is living with a long illness, the care they need can come to them. Since 1997, Firstat's RN, LVN, and HHA staff have brought licensed, skilled nursing care to San Diego homes. Call us and we'll talk through what your family needs.
Our mission
At Firstat Nursing Services, our mission is to bring licensed, skilled nursing care into the homes of San Diego families, guided by three commitments: Continuity, so we work to keep the nurse who knows a patient's history on the case; Clinical Excellence, so skilled care is delivered under a physician's plan of care, without leaving home; and Access, so starting care is straightforward for families and referral partners. We've served San Diego families this way since 1997, one patient at a time.
Why San Diego families choose Firstat.
A plan built for the patient
No fixed package. Every plan of care follows the diagnosis, not the other way around.
Licensed clinical care
RN, LVN, and HHA staff performing real clinical work under a physician's plan of care.
Continuity whenever possible
We work to keep a consistent nurse on a case when scheduling allows, so care doesn't reset every visit.
Direct, private billing
Private pay, long-term care insurance, and workers' comp, billed directly.
It starts with a conversation.
No fixed package, just a plan built around the patient in front of us.
Reach out
Call or send a message. No referral is required to start the conversation.
RN assessment
An RN visits to evaluate needs and build an individualized plan of care.
Care begins
A nurse is matched to the case, with continuity in mind from day one.
Skilled care first, built around your physician's plan.
Every plan of care starts with an RN assessment, so care is built around the patient, not a fixed package.
Home health & skilled nursing
Wound care, injections, ventilator and tracheostomy support, and intermittent skilled nursing under physician orders.
Hospital discharge
A smoother, monitored transition home after an injury, surgery, or extended hospital stay.
Stroke & fall recovery
Support through the physical, communication, and behavioral changes recovery brings.
Alzheimer's & dementia
Specialized, patient-centered care from staff trained for the realities of memory-related decline.
Spinal cord injury and mobility care
Long-term, high-acuity care for patients with significant mobility needs, including cases we've supported for decades.
End-of-life care
Compassionate, skilled support for patients and families during the most difficult chapter.
We take the intakes you can't place elsewhere.
We welcome referrals from case managers, discharge planners, and physician offices, including workers' compensation, and we can work with VA case managers on care for veterans. Call, fax or request a callback.
My Mom's greatest wish was to live in her own home and Firstat made that possible. I will always be grateful for your calm, organized and assured manner when dealing with my family's needs.K.D., San Diego, CA