The Firm
A specialty growth firm for home-based care.
We bring your agency the right clients, help you hire the caregivers to serve them and turn more inquiries into care starts. Our team builds and runs the campaigns and follow-up, and measures progress in admissions, staffed hours and business results.
- Client acquisition
- Admissions and follow-up
- Caregiver and nurse recruiting
- The Monday Census & Capacity Ledger
For private-pay home care and private duty nursing agencies, and for home health, hospice and waiver agencies on recruiting and operations.
Your team
One accountable lead. A specialist for every stage.
Every engagement is run by a dedicated lead with at least five years in home care, supported by specialists in client acquisition, admissions and recruiting. Sam leads your Diagnostic and the Day-90 review.
Engagement lead
Owns the plan, the Monday review and the result.
- Walks you through the Census & Capacity Ledger every week
- Ranks each fix by what the gap is costing you
- Directs every specialist on this page
Client acquisition
Brings in the families you can serve, paced to the care you can staff.
- Google, Meta and local search, run by territory
- Service-area pages and creative written for families choosing care
- Spend eased back when caregiver hours are full
Admissions
Keeps family inquiries moving toward an assessment, with a clear next step for your team.
- Automated replies and routing 24/7, with a named callback owner
- Ongoing follow-up and appointment reminders, with scripts your team approves
- Works alongside the scheduling system you already use
Caregiver and nurse recruiting
Builds a pipeline of caregivers and nurses for the cases you need to cover.
- Recruiting campaigns by territory
- Applicants reach a first shift sooner
- Screening matched to shifts, skills and location

Founder
Sam Tofighi
Sam began his career in the Investment Banking Division at J.P. Morgan, in the Healthcare Coverage Group, where he evaluated 40+ home-based care businesses and saw what drives their value: census that is predictable and doesn’t depend on the owner.
He then helped a private duty agency grow from $8M to $22M in 18 months, including a merger. Acensus is built on that work.
Sam on LinkedIn →Why Acensus
One accountable team. Less for you to coordinate.
Your engagement lead brings paid media, recruiting, creative and automation together around the problem holding your agency back.
When staffing is tight, recruiting takes priority. When you can serve more clients, acquisition can increase. When inquiries stall, we fix the follow-up.
You have a direct line to your lead and a weekly review of what changed, what needs attention and who is handling it.
Acensus is not affiliated with Ascensus or Acusensus.
The Admissions Diagnostic
Find the first thing worth fixing.
A 20-minute call on your numbers. You leave with a clear next step, and a written Growth Assessment within 24 hours.