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One-on-one skilled nursing at home, ordered by a physician and delivered by registered nurses and licensed practical nurses. For conditions that move beyond what a home health aide is authorized to manage.

24/7 continuous care
RN-led shifts, staffed for continuity, with an on-call care coordinator line for the whole family, every night and weekend. One number is always answered.
Private duty nursing is how families keep someone home who, a generation ago, would have been in a long-term facility. Trach care, infusions, complex wound care, post-operative recovery, these are nursing interventions, and they belong in the hands of a nurse.
Our nurses build a plan around the physician's orders and the family's actual hours. We coordinate with hospital discharge teams, pharmacies, DME suppliers, and specialists so nothing slips through a gap between providers. Shifts are staffed for continuity; the family is not re-meeting a new nurse every week.
Coverage and payment options vary by state, plan, eligibility, and authorization. Private duty, skilled nursing, and intermittent visits may be covered by Medicaid, long-term care insurance, or other payment options depending on the circumstances; rehabilitative care may be addressed separately. Our care coordinators walk every family through what applies before any commitment.
Families should not meet a new nurse every shift. We staff for continuity and backfill with nurses already familiar with the plan.
We work directly with hospital discharge teams, pharmacies, DME vendors, and specialists so the family does not become the coordinator.
Plans run alongside the treating physician's orders and are escalated, by phone, not fax, when something changes.
A service record you can verify and trust.
The Joint Commission is the most widely recognised standard for health-care quality and safety in the United States. Home health agencies that hold the Gold Seal have been surveyed on-site against hundreds of patient-safety, clinical-practice, and infection-control standards, and are re-surveyed every three years.
Accreditation is the floor we operate above, not the ceiling we aspire to. Between surveys, our nursing leadership runs monthly internal rounds on medication accuracy, infection control, and family-reported experience, the measures families actually feel at the kitchen table.

The process is short on purpose. A care coordinator walks each family through the steps so first calls, assessments, and caregiver matches stay in one conversation.
A 30-minute conversation with our care coordinators. No forms first, no phone tree.
Hospital discharge notes, physician referrals, or case-manager introductions, we take them all.
Free in-home assessment scheduled based on availability, location, and care needs. A licensed nurse meets the person and the household.
Coverage and payment options vary by state, plan, eligibility, and authorization. Families can speak with Axzons intake about care needs, service availability, and next steps.
We propose caregivers whose training, language, and temperament fit the household. Families interview, families choose.
A plan, not a schedule. Nurse-reviewed, measurable, and revisited on a real cadence.
First shift, with the coordinator on standby. Small issues are addressed during business hours.
On-call care coordinator line for the whole family, every night and weekend. One number is always answered.
If your question is not here, the fastest way to get an answer is to call; intake is answered by care coordinators, not a scripted agent.
Ask a care coordinatorPrivate duty nursing is one-on-one skilled nursing delivered at home by Registered Nurses and Licensed Practical Nurses. It supports complex needs that cannot be safely managed alone, such as wound care, infusions, ventilator and tracheostomy care, and managing complex medication regimens.
Yes, private duty nursing can be arranged for scheduled shifts or continuous 24/7 coverage, depending on the clinical assessment and physician orders. Your care coordinator confirms staffing and start dates during intake.
Skilled nursing is provided under a plan of care and, where required, physician orders. Our nursing team reviews the orders and the home setup, then explains what can be provided and how supervision works before care begins.
Depending on the situation, skilled nursing may be covered through Medicaid, Medicare Advantage, long-term-care insurance, or private pay. Coverage and payment options vary by state, plan, eligibility, and authorization; a care coordinator maps the options that may apply before services start.
Every town page is connected to this service, with local contact steps, service details, and related care options across Nassau, Suffolk, Queens, and Westchester counties.