Home Care Strategy Lab

Nearly 100% Show Rates When AI Handles 830 Caregiver Touches a Week (Nate West)

June 9, 2026·1h 22m
Episode Description from the Publisher

#64 Most home care agencies are still operating the old way: phone calls, spreadsheets, reactive scheduling, and constant firefighting. Nate West, owner of Heritage Home Care in Arizona, joins me to discuss how he's transformed a well-established agency from what he jokingly calls "the Stone Age" into a modern, tech-enabled operation in just two years. He talks about eliminating edge cases, transitioning from reactive scheduling to proactively filling shifts days and weeks in advance, and the role AI is playing in caregiver communication, shift confirmations, and open shift management. And maybe more importantly, we discuss what happens when technology frees schedulers from constant firefighting and allows them to focus on relationships, retention, and the overall client/caregiver experience.Nate explains the results Heritage has seen after six months of using Phoebe, including:• Median open shift fill time of just 9.7 minutes• No-call/no-shows reduced from 8 to just 1 year-over-year• 830 caregiver touch points per week handled by AI• 2,800+ shifts confirmed with a 97.8% confirmation rateNate West / nate@heritagehomecareaz.comHeritage Home CarePhoebe—AI scheduling assistant for home care, mention the ‘LAB’ for a discount

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