Marie D. Grosh, DNP, APRN-NP, LNHA
Board Certified in Adult and Geriatric Primary care
Cleveland, Ohio West side suburbs

*Telehealth/Virtual Visits and COVID testing are available*

Examples of chronic conditions that can be well managed in the home setting:


Heart Failure

COPD (Lung Conditions)

Hypertension (Blood Pressure)


Thyroid conditions

Bowel and Bladder dysfunctions

Kidney Conditions

Sensory Deficits (Vision, Hearing, etc.)

Examples of acute ailments that can be treated on the spot:

  • Exacerbations or complications of chronic conditions such as heart failure or diabetes
  • Bladder infections
  • Infections of the eyes, ears, nose and throat and respiratory system
  • Minor wounds, abrasions, muscle/bone strains and sprains
  • Skin conditions/rashes or infections

**Telehealth/Virtual Visits and COVID testing are available**

During visits a Nurse Practitioner is able to:

  • Diagnose and treat common illnesses/ailments

  • Prescribe/adjust/refill your prescriptions

  • Arrange for same-day Prescription home delivery 

  • Manage/order laboratory work and other diagnostic testing

  • Home Coumadin (Warfarin) PT/INR monitoring

  • Xrays, ultrasounds, EKGs and other diagnostic tests

  • Home sleep studies and CPAP/oxygen ordering

  • Laboratory specimen collection (blood, urine, etc.) in the home

  • Monitor the status of any chronic conditions

  • Vital sign monitoring (Blood Pressure, Heart Rate, Oxygenation)

  • Perform minor procedures such as wound debridement and ear cleaning

  • Collaborate with your specialists (example:  Cardiologist, Neurologist, etc.)

  • Order daily/weekly/monthly skilled nursing home visits  

  • Order Physical/Occupational/Speech Therapy home visits

  • Prescribe durable medical equipment (wheelchairs, blood sugar testing devices, etc)

  • Administer injections (vaccines, b12, etc.)

  • Driving Safety Evaluations

  • Mental status Evaluations

  • Home Safety Evaluations

Visits can be as minimal as every 6 months or as frequent as once per week, depending on your health/stability and your preferences

Visits are billed to your Medicare/Insurance/Medicaid in the same manner as a doctor’s office visit

No payment is due at the time of the visit

Adult Patients Only