Home Care: Doors Open

Scaling with Systems: Paul Kezin on Performance, Growth & the Future of Home Care

Lucas Carroll Season 1 Episode 27

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0:00 | 22:00

In this episode of Home Care: Doors Open, host Lucas Carroll sits down with Paul Kezin, Regional Director of System Performance at Nurse Next Door, to discuss what it really takes to scale a home care organization with intention, structure, and consistency.

Paul shares insights from his experience supporting system-wide performance, working with operators at different stages, and helping agencies navigate the real challenges of growth. The conversation covers leadership mindset, common pitfalls new owners face, and how systems, culture, and technology come together to drive long-term success.

They also explore where home care is headed next — and what agency leaders should be paying attention to now to stay ahead.

If you’re building, scaling, or supporting a home care organization, this episode delivers practical perspective you can apply immediately.


Episode Highlights:

00:16 – Introduction to Nurse Next Door and System Performance
03:16 - The Journey into Home Care: Backgrounds and Experiences
05:16 - Challenges Faced by New Home Care Owners
09:04 - Scaling a Home Care Agency: Key Components for Success
12:08 - Future of Home Care: Trends and Technology


Connect with Paul Kezin:

📧 Email: paul.kezin@nursenextdoor.com
🔗 LinkedIn: https://www.linkedin.com/in/paulkezin/