RN-Led Clinical Direction
A registered nurse reviews every referral and supervises care in the home. The answer a family or discharge team receives is a clinical answer, not a scheduling answer.
High Acuity ★ Nurse-Led ★ Home Care
Advanced Nursing and Complex Care at Home
Liberty Advanced Nursing provides nurse-led care at home for Maryland patients with complex medical, post-hospital, chronic, and extended-care needs.
Speak With Our Care Team 240-376-2550
Maryland-Licensed Provider
Advanced and skilled nursing services under Maryland law.
RN-Directed Oversight
Every case is reviewed and directed by a registered nurse.
Skilled & Extended-Hour Nursing
Clinical staffing is matched to the patient's actual needs.
Rapid Referral Review
Clear, honest answers for discharge teams and families.
Care Plans Built on Need
Care plans are structured around the patient, not the agency.
Who Are You?
Three pathways, each purpose-built for a different question. Choose the door that fits your situation.
I'm Looking for Care
For individuals and families trying to understand what level of support is needed, how it is paid for, and how care begins.
Explore Care for a Loved OneI'm Referring a Patient
For hospitals, rehabilitation centers, physicians, case managers, social workers, MCOs, and community organizations.
Submit a Secure ReferralI'm a Nurse Looking for Work
For RNs and LPNs interested in high-acuity home-care assignments across Maryland service areas.
Explore Nursing OpportunitiesCases We Evaluate
The Clinical Cases Liberty Is Prepared to Review
Tracheostomy care
Ventilator-dependent care
Feeding-tube and enteral support
Complex wound care
IV therapy and infusion-related nursing
Seizure and neurological-condition monitoring
Medication administration and complex medication regimens
Post-hospital and post-surgical recovery
Medically fragile patients
Extended-hour and private-duty nursing
Chronic-condition monitoring
Caregiver training and clinical coordination
Liberty evaluates each case individually. Services are provided when authorized, clinically appropriate, within Liberty's licensure and payer approval, and when qualified staffing is available. One case may combine several of the needs listed above; the clinical review determines what can be arranged.
Can Liberty Help?
A Quick Clinical Navigation Check
Not sure whether advanced home care is the right fit yet? Answer eight short questions and the tool will tell you whether a clinical review may be appropriate. There is no account, no saved data, and no diagnosis.
Can Liberty Help?
Clinical Navigation Tool
What Happens Next
Based on your answers, a clinical review may be appropriate. Send your information securely or request a call from Liberty's care team.
This tool is for guidance and engagement only. It is not a diagnosis, it does not determine coverage, and it does not guarantee acceptance or start of care. Services are provided when authorized, clinically appropriate, within Liberty's licensure and payer approval, and when qualified staffing is available.
Referral Response Process
From Referral to Start of Care, in Five Clear Steps
Submitting a referral does not automatically mean acceptance. It does mean the case enters a structured review that ends with a clear answer.
- 01
Send the Referral
Submit basic details and supporting clinical documents securely. Liberty accepts referrals from hospitals, rehabilitation centers, physicians, case managers, social workers, MCOs, and community organizations.
- 02
Clinical Review
A nurse reviews the patient's needs, location, timing, payer, orders, and staffing requirements before any decision is made.
- 03
Benefits and Service Verification
Liberty determines whether the requested service can be provided and what authorizations may be necessary.
- 04
Assessment and Care Planning
When appropriate, Liberty coordinates an assessment and an individualized plan of care with the physician.
- 05
Staffing and Start of Care
Qualified nurses are matched according to the patient's clinical and scheduling needs.
The Reason Why We Do This
Built for the Cases Ordinary Agencies Decline
Liberty does not market itself with generic promises. The difference is operational: how cases are reviewed, how referral sources are treated, and how the plan of care is held together after it starts.
Clinically Directed, Every Day
Vashon Hargrove owns and strategically leads Liberty Advanced Nursing. Clinical judgments and day-to-day operations are the work of Liberty's licensed nurses and its Director of Nursing.
- RN-led clinical review of every case
- Ability to evaluate complex cases, not just schedule visits
- Direct communication with referral sources
- Clear referral-status updates from intake to start of care
- Flexible care structures, from visits to continuous coverage
- Coordination with physicians and discharge teams
- Escalation protocols for changes in condition
- Focus on safe transitions and reduced avoidable readmissions
- One organization that adjusts as patient needs change
Why Choose Us
Why Families and Referral Sources Choose Liberty
The reason is clinical, not generic: every case receives RN-led review, oversight and quality sit with a Doctor of Nursing Education, and the same clinical standards apply to every assignment, from a single visit to round-the-clock care.
Doctor-Led Oversight and Quality
Dr. Keisha Rollins-Munroe, Liberty's Director of Nursing, leads clinical oversight, care planning standards, supervision protocols, and quality assurance across all cases.
Consistent Standards on Every Case
The same review, documentation, supervision, and escalation standards apply from a single wound-care referral to a round-the-clock ventilator assignment.
Professional headshot coming soon
Director of Nursing
Dr. Keisha Rollins-Munroe
PhD · MSN in Nursing Education · BSN · LPN
Dr. Rollins-Munroe brings more than 21 years of nursing experience across intermediate care units, emergency services, population and community health, nursing management, and nursing education. Her career began as an LPN in 2004 and advanced through BSN, MSN, and PhD.
As Liberty's Director of Nursing, she leads clinical oversight, care planning standards, supervision protocols, and quality assurance across all cases, so families and referral sources can expect one standard of care no matter the assignment.
Meet the Clinical Leadership
For Discharge Planners & Case Managers
A Clearer Route Home for Medically Complex Patients
When a patient is approaching discharge, uncertainty about home support can delay the transition. Liberty reviews the clinical needs, requested schedule, payer information, geographic location, and available staffing so the referring professional receives a clear response.
Direct referral line: 240-376-2550
Visit the Professionals HubFounder's Perspective
Care at Home Requires Understanding More Than the Diagnosis
Liberty Advanced Nursing was founded by Vashon Hargrove, whose work with older adults and families extends across in-home care, housing, accessibility, home safety, and senior relocation. In addition to leading Liberty, he is a Certified Aging-in-Place Specialist, Senior Home Safety Specialist, Maryland-licensed home improvement contractor, and longtime licensed real-estate professional.
That background gives Liberty a broader understanding of the environment in which care must actually succeed: the patient's home, accessibility, family support, safety risks, and long-term living plans.
- Owner, Liberty Advanced Nursing
- CAPS · Certified Aging-in-Place Specialist
- SHSS · Senior Home Safety Specialist
- Maryland Licensed Home Improvement Contractor
- Associate Broker with 20+ years of real-estate experience
Liberty remains unmistakably a clinically directed care company. Vashon's housing and accessibility background exists to explain why Liberty sees more of the patient's situation than an ordinary agency does, not to change what the company is.
When the Home Itself Needs Attention
Some Care Plans Reveal Environmental Challenges
Unsafe bathrooms, difficult entrances, fall hazards, poor accessibility, or spaces that no longer support the patient's needs can undermine even the best clinical plan.
When requested, families may be introduced to Senior Home Solutions, an affiliated aging-in-place and home-modification company. Families remain free to use any contractor or service provider they choose.
Explore Home Safety and AccessibilityTalk With the Care Team
The Faster Liberty Reviews a Case, the Sooner a Plan Is Clear
Whether you are a family arranging care or a professional planning a discharge, the first step is a conversation with Liberty's nurses.
or call us at 240-376-2550