An insider's perspective, on your side of the table.
River City Care Navigators was founded by Jennifer Howell, a licensed nursing home administrator — someone who has sat on both sides of the care plan table.
One pattern became impossible to ignore.
A career spanning social services, admissions, and executive leadership inside skilled nursing and assisted living communities gives you a rare view — the family's side of the table, and the operations, regulations, and realities behind it.
Families were not struggling because they lacked compassion or commitment. They were struggling because no one had ever taught them how to navigate an increasingly complex system — and they were being asked to make life-changing decisions quickly, during periods of fear.
Families who understand their options ask better questions. Families who ask better questions make more informed decisions. And informed decisions lead to better care, greater confidence, and a better quality of life for the person at the center of it all.
We are intentionally independent — no referral fees, no quiet incentives. Only your family's interest.
- Licensed Nursing Home Administrator
- Leadership across social services, admissions, and facility operations
- Regulatory and compliance experience in SNF & ALF settings
- Serving the Greater Richmond region
Good advocacy is informed, independent, and respectful.
Informed
Real outcomes come from knowing how facilities operate — staffing, documentation, regulatory standards, and what's actually achievable.
Independent
We work for your family. No facility referral fees, no conflicts, no quiet incentives to keep anyone comfortable but you.
Respectful
The staff caring for your loved one are partners, not opponents. We advocate firmly while keeping those relationships intact.
Tell us about your situation.
Every family's circumstances are different. A short conversation is the best way to know whether we're the right fit.
Free 20-minute call. No pressure, no obligation.
Book a free call