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Skilled Home Nursing Care for Seniors and Adults
Adult Nursing Services on Long Island
RN-owned and operated and licensed by the New York State Department of Health, Serene Home Nursing Agency provides home nursing services Long Island families rely on, across Queens, Nassau and Suffolk counties. Our nurses care for adults at home — after a hospital stay, through a chronic condition, or as part of long-term support that lets someone stay where they want to be.
Many families come to us at the point where managing alone has stopped being realistic, and the alternatives on the table are assisted living facilities or a nursing home. Home care is often the better answer, and for most older adults it is the one they would choose. Our dedicated team builds care around the person rather than a schedule, and a registered nurse oversees every case. Family members are part of that conversation from the start, because they usually know things about a loved one that no assessment form captures.

We offer the following Adult Nursing Services:
We provide quality and compassionate care for adults in their own homes, from skilled nursing visits through to daily support with personal care and daily living activities. Every caregiver is background checked and every plan is supervised by an RN, and care is built around the specific needs of the person rather than a standard package.
General Nursing Services
Ventilator / Tracheostomy Care Services
Wound Care Specialists
Facility Staffing
Nursing Visits
Skilled Nursing Services
Registered and licensed practical nurses providing clinical care at home: wound care, medication management, injections, catheter and ostomy care, vital sign monitoring and disease management. These are the home care services that would otherwise mean a clinic visit or a longer hospital stay.
Visits can be scheduled anywhere from a few hours a week to daily, and the frequency is reviewed as the situation changes. Our nurses coordinate with the physicians, discharge planners and the social worker already involved, so nobody is working from a different plan.
Home care in New York is delivered by several different roles - registered nurses, licensed practical nurses, home health aides and personal care aides - each with its own training and scope of practice. Part of our job at the assessment stage is working out which level a client actually needs, because paying for skilled nursing when an aide would do serves nobody.


High-Tech and Complex Care
We specialize in cases many home care providers turn down. Our nurses are experienced in tracheostomy and ventilator care, seizure disorders, neurological conditions, TPN and infusion therapy, and short bowel syndrome. If another agency has told you a case cannot be managed at home, it is worth a conversation before you accept that.
Complex care at home only works with proper clinical oversight, which is why every one of these cases is supervised by a registered nurse and reviewed regularly rather than set up once and left.
Home Health Aide Support
Certified aides support the parts of the day that have become difficult: bathing, dressing, grooming, mobility, meal preparation, and light housekeeping. This is the practical help that keeps someone safely in their own home rather than moving into a facility.
Aides work under RN supervision and are matched to the household rather than assigned at random. Many families begin with a home health aide and add skilled nursing later as needs change.
Support with daily tasks is easy to underestimate until it is needed. Getting washed and dressed, preparing a meal, and moving safely from one room to another. These are the daily living activities that decide whether staying at home is realistic. Quality home care is largely a matter of getting these small things right, consistently, on an ordinary Tuesday.


Companion Care
For clients who are managing physically but shouldn't be spending long days alone. Our companion care service provides conversation, errands, appointments, and a familiar face who notices when something has changed. For a family member living at a distance, it is often the service that makes the whole situation workable.
Isolation affects well-being as much as any physical condition does, and the benefits of regular company show up quickly in mood, appetite, and engagement with daily life. There are many benefits families do not anticipate, like an extra pair of eyes on how someone is really doing, and relief for family caregivers who have been carrying it alone.
Nursing Visits
Our private duty nurses provide continuous care and scheduled nursing visits based on each patient’s needs and physician recommendations.
We are committed to delivering compassionate, high-quality visiting nurse services tailored to every patient’s unique condition and care goals. From routine health assessments and medication management to post-hospital follow-up and ongoing clinical monitoring, our nursing visits provide the skilled oversight and personalized attention that support recovery, safety, and long-term wellness.
Whether you need weekly check-ins or daily skilled nursing care, our team will create a personalized care plan designed around your schedule and healthcare needs.
Contact us to discuss your care needs or visit our Get Care page to get started.

