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Growing older should never mean losing your voice, your dignity or the comfort of home. 

 

Heart & Hammer brings together RN-led healthcare coordination with practical home support to provide common-sense solutions to aging adults and the people who love them. 

Peace of Mind

  • Advance planning

  • Wellness check-ins

  • Crisis guidance

  • Support through care transitions

  • Communication tailored to client and loved ones

Home Safety Support

  • Fall risk reduction

  • Trusted handyman and contractor partners

  • Safety recommendations

  • Hurricane preparedness

Care Coordination

  • Medication oversight

  • Appointment assistance

  • Hospital and rehab navigation

  • Coordination across specialists

  • Curated referral network 

  • Specialized dementia support

Our Services

The Heart & Hammer Difference

Customized Care 

Every person's health, home, and support system look different. So should your care. 

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Let us build a plan that works for your life now and can evolve when things change.

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Heart & Hammer prides itself on it's "no rubber stamps" model and specially curated network of resources. 

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Advocacy & Support

When aging at home feels overwhelming, Heart & Hammer

  • Brings calm to chaos

  • Focuses on goals

  • Organizes your home, priorities, and available resources

  • Offers manageable, realistic solutions

  • Translates complex home and healthcare systems

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A Focus on Home

Heart & Hammer believes aging in place is just as much about the safety, comfort, and dignity of the "place" as it is about the healthcare needs that come with aging. 

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With our team of professionals, your home can expect the same level of care that you can. 

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Designed for you

Specialized Care for

  • Older Adults: 

    • Active and planning ahead 

    • Aging in place

    • Recent rehab or hospital stay

    • Transitioning to or living in a Senior Living Community 

    • Have a new diagnosis 

  • Loved Ones:

    • Caring for someone locally or in the home ​

    • Long-distance caregivers

    • Feeling overwhelmed by the healthcare system

  • Homes:

    • Safety adjustments​

    • Preparing for extreme weather

    • Home improvements for quality of life

where heart meets experience

Meet Toni

RN, BSN
Certified Dementia Practitioner


In my nearly 20 years as a Registered Nurse and executive leader, I've always felt a connection with older adults. I've found that seniors and their loved ones often struggle to be heard in a growing, complex healthcare system. That's why I have dedicated my career to bringing compassionate care, advocacy, and support to aging adults, wherever they call home. 
 
Throughout my career, I've had the privilege of serving older adults across the full continuum of aging -- from active 55+ communities to rehabilitation, hospice, memory care, and assisted living. I've learned that exceptional care is about more than clinical expertise. It is about advocacy, communication, problem solving, and knowing that no detail is too small when it comes to maintaining independence, dignity, and quality of life.  

Through Heart & Hammer, I bring together clinical expertise, real-world problem solving, and a deeply personal approach to aging in place.  I have built a curated network of trusted partners who share my passion for providing the highest level of care for older adults, their homes, and the people who love them. 

I can't wait to work with you. 

Toni Fisher
Owner/RN Case Manager

Testimonials

Toni is the kind of leader every family hopes to have by their side. Her clinical knowledge compassionate approach and ability to navigate complex situations make her an invaluable advocate for seniors and those who love them. 

Kelli Meyung

Former Colleague
Licensed Nursing Home Administrator & Executive 
 

In healthcare, there are people who simply do the job, and there are people who bring peace.

 

Toni has always been the person who calms the chaos, eases difficult conversations, and helps families and clients feel heard, supported and cared for. Her compassion and clinical expertise are truly exceptional. 

Sarah Hughes Jones, RN

Former Colleague
Oncology Nurse Navigator
 

For more than 14 years I watched Toni lead with integrity, compassion, and exceptional clinical judgement. She has an extraordinary ability to earn trust, navigate complex care needs, and advocate for older adults with professionalism and heart. 

Brianna Mettler

Former Colleague
Healthcare Executive

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