Nurse Next Door offers a home care franchise for entrepreneurs who want to build a local team, develop referral relationships and coordinate services around clients’ needs. Its model combines personal assistance and licensed nursing care with opening preparation, business coaching and centralized intake and scheduling resources.
What services does Nurse Next Door provide?
Nurse Next Door’s U.S. franchise provides personal support, companionship, respite care and skilled nursing in clients’ homes. Services may include meal preparation, light homemaking, transportation and assistance with everyday personal tasks. Approved institutional healthcare staffing is another option. Clinical services require qualified, licensed professionals and the applicable agency licenses.
The December 5, 2025 FDD requires both non-medical and skilled nursing services. It allows an initial non-medical period of up to two years while the owner applies for and diligently seeks the skilled nursing license. The owner leads a care business; owning the franchise does not itself authorize the owner to practice nursing.
The brand’s Canadian roots and U.S. franchise history
The Canadian parent, Nurse Next Door Professional Homecare Services Inc., was incorporated in British Columbia on October 30, 2001 and has operated a corporate care business in Canada since 2001. A Canadian affiliate began offering franchises in 2007.
The U.S. franchisor was formed in Washington on February 17, 2010 and has offered franchises since 2010. It is a wholly owned subsidiary of the Canadian parent and operates from Vancouver. Canadian affiliates also have separate master franchise arrangements for Australia and England.
Nurse Next Door franchise cost and working capital
The December 5, 2025 FDD estimates an initial investment of $119,286–$217,210, including a $72,000 standard franchise fee and a separate $8,000 technology startup fee. Item 5 permits the initial fee to vary by territory and describes qualifying discounts; buyers should confirm their applicable fee.
The three-to-six-month working-capital estimate is $20,000–$50,000, with at least 75% in cash. That category excludes royalties and other fees paid to the franchisor, the owner’s salary and personal living expenses. It is a business-funding estimate rather than a separately verified minimum applicant liquid-capital requirement.
Opening preparation and continuing support
The Countdown to Launch program normally lasts four to ten weeks and prepares owners for insurance, technology, recruitment, marketing and operating procedures. Mandatory Foundations Training lasts up to five days in Vancouver, another designated location or remotely. Both programs must be completed within 12 weeks of signing unless another date is agreed in writing.
Ongoing support includes access to a business coach, operating manuals and the Care Services Center. The center supports around-the-clock intake, employment inquiries, scheduling and attendance monitoring. Scheduling relies on the owner having qualified, available staff and accurate records. Platform and technology fees are separate from initial training.
The owner’s role and operating requirements
The Principal Owner must participate personally in direct operations. A trained general manager may run the business only in limited circumstances with franchisor approval. An Administrator or Agency Manager is required, and the owner may fill that role only with the qualifications required by the state. Nursing supervision and backup coverage must meet applicable rules.
A home office may be permitted by state and local requirements. Otherwise, an approved commercial office is needed. The franchisee remains responsible for licensing, hiring, employee training, supervision, pay and employment compliance.
The FDD describes a protected territory with exceptions, rather than an exclusive territory. Protection depends on compliance and minimum performance requirements; it does not promise a guaranteed customer base.
Why consider this home care franchise?
Nurse Next Door may suit a buyer interested in leading people and developing a service business within a local community. Its care model and centralized operational resources provide a framework for building relationships with families, caregivers and referral partners. The opportunity is particularly relevant to an entrepreneur who enjoys team leadership and organizing dependable services for clients at home.
Explore the Nurse Next Door franchise profile and our Nurse Next Door training and support guide for more detail.
Source: Nurse Next Door Home Healthcare Services (USA) Inc. FDD issued December 5, 2025, Items 1, 5, 6, 7, 11, 12, 15 and 16. Later amendments have not been independently verified. Review the current FDD applicable to your purchase.