Welcome To
Grade A Nursing Services

Our commitment lies in delivering exceptional in-home services, providing care and support to individuals in the comfort of their own homes. We believe in fostering a genuine and compassionate environment for our dedicated caregivers

We are Hiring!

We’re seeking caregivers who are passionate, compassionate, and professional. Experience and expertise are valued, but we also welcome those who are willing to learn. Strong communication, adaptability, and a willingness to undergo background checks are essential. If this sounds like you, we invite you to apply for a caregiving position with us.

Find your dream client

We believe in finding the perfect caregiving match. Through personalized assessments, we match compassionate caregivers with clients who align with their skills and approach. Our goal is to connect you with your ideal caregiving client, creating lasting and meaningful relationships.

Who are we hiring?

We're hiring for FT/PT and PRN positions, including opportunities for RNs, LPNs, CNAs, and HHAs. All applicants are welcome, even without the same credentials. Join our team by applying today!

About US

Our commitment lies in delivering high-quality in-home services to individuals, ensuring they receive the care they need within the comfort of their own homes.

Grade A Nursing Services LLC, established in 2019 by Owner and CEO Niki Smith, who is a compassionate and dedicated provider. We take pride in extending a helping hand to individuals who are unable to tend to their own needs, fostering a caring and supportive environment.

Services Offered

We offer a comprehensive range of high-quality services tailored to meet the unique needs of our clients.
Skilled Nursing

Our skilled nursing services offer specialized care for patients with specific medical needs, including tracheostomy care, g-tube and j-tube care, and enteral feedings. 

Private Duty Nursing

 With our private duty nursing services, we offer personalized and one-on-one care in the comfort of your own home.

Residential Nursing

 Our residential nursing services are designed to provide round-the-clock medical care within a residential setting including medication management, medical treatments to residents, promoting their overall well-being and comfort.

Respite care

Respite care offers temporary relief to primary caregivers by providing short-term care for their loved ones. We ensure the safety and comfort of individuals while their caregivers take a well-deserved break, knowing their loved ones are in capable hands.

Personal Support and companion

Our personal support and companion services offer companionship for individuals who may require additional support.

Fall prevention

Our falls prevention program focuses on reducing the risk of falls among individuals, especially seniors. We can assess the home environment, provide education on techniques, and offer personalized strategies to enhance safety and minimize the risk of falls.

Blood Glucose Monitoring and Education

Our skilled nurses specialize in blood glucose monitoring and education for individuals managing diabetes. We provide regular monitoring, education on proper glucose management techniques, and support to ensure optimal diabetes care.

Patient Family Safety Education

We understand the importance of patient and family safety. Our education programs provide valuable information and resources to patients and their families, empowering them with knowledge to maintain a safe and secure environment at home.

Medication Management and Education

Our medication management services aim to ensure safe and accurate medication administration. Our trained nurses assist with medication organization, reminders, and education, helping individuals understand their medication regimens and potential side effects.

Assisting with ADL's

We provide assistance with activities of daily living (ADLs) to support individuals in their daily routines. Our caregivers offer help with tasks such as bathing, dressing, grooming, toileting, and mobility, enabling individuals to maintain their independence and quality of life.

If you would like to work with us...

Fill out the application and apply today!

Serving the following locations...

North East Florida Region- Putnam, Alachua, Duval, Clay, Madison, Taylor, Volusia, Lafayette Counties, etc.



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