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Home and Community Support Services


The Waiver is designed to provide as much independence at home and in the community as possible. Home and Community Support Services (HCSS) are the physical and prompting support services that enable the participants to remain healthy and safe, as well as to complete their daily tasks and activities. These services provide cueing and supervision of safety (at home and in the community), and the cueing to complete activities of daily living.

Some of the Services Available

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    Turning the stove off after use

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    Prompting taking medications

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    Paying bills, or making an appointment

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    Taking care of personal hygiene

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    Transportation into the community such as banking, shopping, or visiting friends/family

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    Cooking/Meal preparation

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    Prompting organizational skills

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    Prompting good communication skills

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    Toileting assistance


HCSS is in place to promote as much independence in these activities as possible. For Waiver participants that are able to complete tasks on their own, HCSS is simply there to provide a prompt to complete the tasks when necessary (and provide as much assistance as needed in their completion). For participants that are unable to complete tasks, HCSS will complete tasks in their entirety (with the exception of administering medication).

Our HCSS staff follow a plan of care developed by our Nurse (RN) in conjunction with the Waiver participant’s doctor. The Doctor is also required to be notified and sign off on any changes to the plan of care resulting from changes in needs, the prescriptions, or even the reduction of family supports. HCSS staff write daily notes that are reviewed by our nursing staff for any indications of changes in health status. Any concerns will be followed up on by the RN, as well as the Waiver participant’s doctor if necessary.

Home and Community Support Services are scheduled around the participant’s needs, and scheduling can be provided in blocks of hours in the AM, PM, both, or up to 24 hours per day.

How can we help?

Feel good knowing we’re there when you can’t be there.


Some of Our Team

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Robin Bertini, RN

Robin brings to Allwel 39 years of combined experience as an RN/LPN in Psych/Addictions, Correctional nursing, Primary Care and various levels of home care, starting out as a live-in aide caring for the elderly at home. Robin will collaborate with all members of the Allwel team, as well as with doctors, multiple other organizations and discharge planners to see to it that our participants get the services they need in order to be able to safely remain in their homes. Robin is the DPS at our Western New York branch.

Director of Patient Services (DPS)
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Brandy Lenox

Brandy has been one of Allwel’s Scheduling Coordinators since February 2010, and became our Lead Scheduling Coordinator in 2015. Brandy, along with the rest of the scheduling team, have the ultimate responsibility for taking the recommendations and needs of our Participants, their families, as well as the Service Coordination, Nursing, and Clinical teams and actually making them happen in our participants’ homes.

Lead Scheduling Coordinator
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Tracey Brown-Cashdollar, RN

Tracey brings to Allwel over 28 years of experience in working with individuals with special needs including Service Coordination, education, private duty nursing, clinical nursing for the medically frail, dementia care, and hospice nursing. As Nurse Supervisor in the western New York region, along with Robin and Geoff, Tracey builds the foundations for strong team relationships between Allwel, our participants and their families, as well as other providers.

Nurse Supervisor
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Geoff Engel, RN

Geoff is a veteran home care field nurse, who joined the western New York Allwel nursing team in 2016. As a Nurse Supervisor, Geoff works to ensure all those involved have what they need to work effectively together. In addition to starting out his nursing career in home care through direct care of pediatric patients, Geoff brings together ideas and experiences from being a lifeguard, as well as an EMT.

Nurse Supervisor