Sam’s Story

Advanced Nursing & Home Care has been a family-owned private duty home care and skilled nursing provider since 1993, helping families throughout Montgomery County, Maryland, and surrounding areas care for the people they love at home.

What began as one office has grown into a team of experienced care providers, licensed nurses, and care professionals. But one idea has remained constant: good care has to be able to change as a person’s needs change.

That might mean a few hours of help with daily routines, overnight or 24-hour support when staying alone is no longer safe, or skilled nursing when medical needs become more complex. Sometimes care begins with one level of support and grows into another. This continuum of care allows support to evolve as a person’s needs change.

Whatever a family is facing, we start by understanding what is actually happening at home — then build a plan around it, not the other way around.

Samuel R. Lish Founder / CEO
Sam with his parents in 2004
Sam with his mom, Fran
Sam with his family in the 1980s
Sam with his dad
Samuel R. Lish Founder / CEO
Sam with his parents in 2004
Sam with his mom, Fran
Sam with his family in the 1980s
Sam with his dad

Sam’s Story

Advanced Nursing & Home Care has been a family-owned private duty home care and skilled nursing provider since 1993, helping families throughout Montgomery County, Maryland, and surrounding areas care for the people they love at home.

What began as one office has grown into a team of experienced care providers, licensed nurses, and care professionals. But one idea has remained constant: good care has to be able to change as a person’s needs change.

That might mean a few hours of help with daily routines, overnight or 24-hour support when staying alone is no longer safe, or skilled nursing when medical needs become more complex. Sometimes care begins with one level of support and grows into another. This continuum of care allows support to evolve as a person’s needs change.

Whatever a family is facing, we start by understanding what is actually happening at home — then build a plan around it, not the other way around.

Sam with his mom, Fran
Caregiver and smiling senior woman
Sam's mom and dad swimming

A Company Built From Personal Experience

Advanced Nursing & Home Care founder Sam Lish understood the challenges of family caregiving long before he entered the home care profession.

As a college student, he came home on weekends and breaks to help his parents care for his grandmother after she was diagnosed with Alzheimer’s disease. Years later, after building Advanced Nursing & Home Care, Sam found himself relying on the team he had created to care for his own parents.

After his father died, Sam’s mother asked him to make one promise: never put her in a nursing home.

Advanced Nursing & Home Care helped him keep that promise for the next eleven years, adapting her care from a few hours of help each day to overnight care and, eventually, licensed nursing as her needs became more complex.

That experience continues to shape how we care for families today.

Sam with his mom, Fran
Caregiver and smiling senior woman
Sam's mom and dad swimming

A Company Built From Personal Experience

Advanced Nursing & Home Care founder Sam Lish understood the challenges of family caregiving long before he entered the home care profession.

As a college student, he came home on weekends and breaks to help his parents care for his grandmother after she was diagnosed with Alzheimer’s disease. Years later, after building Advanced Nursing & Home Care, Sam found himself relying on the team he had created to care for his own parents.

After his father died, Sam’s mother asked him to make one promise: never put her in a nursing home.

Advanced Nursing & Home Care helped him keep that promise for the next eleven years, adapting her care from a few hours of help each day to overnight care and, eventually, licensed nursing as her needs became more complex.

That experience continues to shape how we care for families today.

The Advanced Nursing and Home Care Difference

Family-Owned Since 1993

More than 30 years of experience helping families navigate changing home care needs.

Personal & Companion Care to Skilled Nursing

Whatever your loved one needs — daily help at home, medical support, or both — we provide the right level of care and adjust it as things change.

RN-Supervised Care

Skilled nursing is provided by RNs and LPNs, with care plans built around each person’s medical needs.

Overnight & 24-Hour Care Available

Support can increase as safety, mobility, memory, or health needs change.

The Advanced Nursing and Home Care Difference

Family-Owned Since 1993

More than 30 years of experience helping families navigate changing home care needs.

Personal & Companion Care to Skilled Nursing

Whatever your loved one needs — daily help at home, medical support, or both — we provide the right level of care and adjust it as things change.

RN-Supervised Care

Skilled nursing is provided by RNs and LPNs, with care plans built around each person’s medical needs.

Overnight & 24-Hour Care Available

Support can increase as safety, mobility, memory, or health needs change.

Meet the People Behind Our Care

Good care depends on the people providing it.

Meet the nurses, staffing coordinators, care providers, and support professionals who help families navigate home care and make sure the right support is in place as needs change.

Awards

These recognitions are based on feedback from the people who matter most: our clients, families, and home care providers.

How We Work

Here’s what to expect, from your first call to the day home care begins.

From the first conversation and in-home assessment to care planning, care provider matching, nursing oversight, and ongoing communication, we keep the process clear from the start.

How We Work

Here’s what to expect, from your first call to the day home care begins.

From the first conversation and in-home assessment to care planning, care provider matching, nursing oversight, and ongoing communication, we keep the process clear from the start.

Connected to the Communities We Serve

Our work extends beyond the families we care for directly.

Advanced Nursing & Home Care maintains relationships with community and professional organizations serving older adults, people with disabilities, care providers, and home care professionals, including the Parkinson’s Foundation, The Arc Montgomery County, CaringMatters, G.R.O.W.S., and our local Aging Life Care Association, Mid-Atlantic Chapter.

These connections help us stay involved in the issues affecting the families and communities we serve.

Not Sure What Kind of Care Your Family Needs?

You don’t need to have every detail figured out before you call.

Tell us what has been changing at home, what you are worried about, and what is becoming harder to manage. Our care team can help you understand what kind of support may make sense now — and what you may need to plan for next.

Frequently Asked Questions

Yes. Advanced Nursing & Home Care has been family-owned since Sam Lish founded it in 1993. For more than 30 years, we’ve provided private duty home care to families throughout Montgomery County, Maryland, and the team Sam built went on to care for his own parents.

Sam started the company after helping care for his grandmother through Alzheimer’s. He saw firsthand the uncertainty, stress, and hard decisions families face, and he built the agency he wished his family had: experienced care providers, clinical oversight, and people families can trust. Decades later, that same team cared for his own parents.

Yes. Advanced Nursing & Home Care is licensed by the Maryland Office of Health Care Quality as a Residential Service Agency (License #R2467) and a Nurse Referral Service Agency (License #NRSA071104).

No. Advanced Nursing & Home Care is an independent, family-owned home care agency, founded in Montgomery County in 1993. We aren’t part of any hospital or health system. We work alongside the hospitals and rehab centers our clients come home from, but our care team and care plans are our own

Yes. Advanced Home Support, Inc. is the legal name of the company that does business as Advanced Nursing & Home Care. You may see either name on licenses, invoices, or our website address, advancedhomesupport.com.

Ready for Home Care in Montgomery County, MD