About Us
Heart to Home Incorporated was founded in 2007 as an alternative to traditional large-scale assisted living, memory care and nursing home facilities.  With the realization that most long term care was being delivered in clinical, impersonal, fast paced settings we wanted to create something different.  Our unique homes house a small number of residents (6-7) and are organized in a way intended to maximize normal living environments and routines, resident autonomy, sense of community, and quality of life.  In addition our staff take a holistic approach to care focusing on the well-being of the whole person.  Mind.  Body.  Soul.   

Our Exceptional Team

Paulette Vrem, MSN, BSN, RN-BC, Director of Nursing
Masters Degree in Nursing (MSN), Masters Degree in Community Health (MACH), Board Certified in Gerontological Nursing (RN-BC)*, Registered Nurse, Co-Founder

Paulette has worked extensively as a geriatric nurse, homecare nurse and patient advocate since 1982.  She is Heart to Home's onsite managing nurse and care coordinator.  She works directly with our visiting doctor, Dr. Laura Pattison (Bluestone Physician Services) to ensure your loved one receives the best possible care. 

Paulette has a great sense of joy and passion enhancing the lives of our residents.  Her career has been dedicated to improving the lives of seniors.  *(Only 1% of the 2.2 million registered nurses nationally are board certified in gerontological nursing.)

Josh Cesaro-Moxley, Administrator
Bachelor of Business Administration, Real Estate Licensed, Certified Nursing Assistant, Co-Founder

Josh is passionate about helping our residents and their families.  He provides on-going management support, business implementation, business development and is Heart to Home's community liaison. 

In addition to his work with Heart to Home, he is an active board member with the Saint Paul Senior Workers Association (SPSWA) and Residential Care Providers Network of Minnesota (RCPN).  He also assists in fundraising efforts for both the Alzheimer's Association, American Cancer Society and Alzheimer's Research Center.    

Nick Cesaro-Moxley, Environmental Manager
Bachelor of Arts, Licensed Contractor,  Retired Nationally Registered Paramedic, Co-Founder

Nick, a residential builder for over 35 years, brings an immense amount of building design and construction knowledge to Heart to Home.  To provide safe and beautiful accommodations for our residents is a monumental priority.   

Certified Nursing Assistants, Registered Nurses & Support Staff
All of our caring staff members are passionate about enriching the lives of our residents.  They are selected, certified, licensed and trained according to the highest professional standards.   

Proud Members & Supporters

LeadingAge Minnesota
Care Options Network
Alzheimer's Association
Residential Care Providers Network
Care Providers of Minnesota
Senior Workers Association of the Greater St. Paul Area
Minneapolis Area Senior Workers Association
The Minnesota Association for Guardianship and Conservatorship
Minnesota Statewide Activity Professionals

MN State Licensed & Inspected

Comprehensive Home Care License
Registered Housing with Services
Board and Lodging License
Heart to Home's Wonderful Staff
Paulette Vrem - Director of Nursing
Heart to Home's Founders: Nick, Paulette & Josh
Residents and Staff Enjoying an Outing to the Minnesota Zoo.
Heart to Home's Staff
Heart to Home's Founders Nick, Paulette and Josh
Personalized Assisted Living and Memory Care Services
Residents and Staff Enjoying Walks in the Neighborhood.
Call (651) 454-5250
Phone (651) 454-5250  |  Fax (651) 686-5295  |  Info@HeartToHomeInc.com  |  Employment Opportunities

Our Photo Blog  FAQs  |  Privacy Policy  |  Useful Links

Testimonials  |  In The News  |  Consulting Services