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Why Home Care Growth Feels Harder Right Now And What Smart Agencies Are Doing Differently

If you’ve been in home care long enough, you’ve probably noticed something over the last 6 to 12 months: 

Things might feel… tighter.  Families are more cautious with money. 
Competition has increased. Referral sources have more options. 
Gas prices, wages, and operating costs have climbed. 
….And between inflation, economic uncertainty, and global instability, many families are making different decisions around care. 

Some are cutting hours.  Some are delaying services.  Others are trying to “piece together” care with family members longer than they used to. 

And while demand for aging services is still strong overall, the reality is this: 

The market has shifted. 

….Which means the old approach to growth is becoming less reliable. 

For years, many agencies could survive simply by: 

  • Having a decent reputation 
  • Building a few referral relationships 
  • Letting organic and/or online leads help them slowly grow 

…But today?….That’s not enough. 

The agencies continuing to grow right now are becoming much more intentional about: 

  • Revenue growth 
  • Referral development 
  • Sales systems 
  • Their pitch 
  • Strategic partnerships 
  • Accountability 

….Because in this market, growth doesn’t happen by accident anymore. 

And perhaps nowhere is this more obvious than in the performance of home care sales teams. 

The “Sales Rep Problem” Most Owners Actually Have 

A lot of owners believe they have a sales rep problem. 

But many times?….They actually have: 

  • a hiring problem 
  • a systems problem 
  • a management problem 
  • or a strategy problem 

I’ve seen agencies go through multiple sales hires thinking: 
“We just haven’t found the right person yet.” 

….Meanwhile, the real issue was: 

  • unclear expectations 
  • weak onboarding 
  • poor territory strategy 
  • inconsistent messaging 
  • no KPI’s 
  • no accountability process 

….Even talented sales reps struggle in that environment. 

And unfortunately, underperformance gets expensive fast. 

A sales rep making $70k–$100k base+ fully loaded who underperforms by just a few clients per month can quietly cost an agency hundreds of thousands in missed revenue over time. 

That’s why getting sales hiring and management right matters now more than ever. 

So let’s talk about three of the biggest keys to hiring sales reps that actually produce. 

1. Hire for the Right Traits and personality profile. Not Just Industry Experience 

One of the biggest mistakes agencies make is overvaluing “home care experience” or so called “connections” 

Now don’t get me wrong. Industry knowledge helps.  

And…so do “connections” if they actually produce.   

But I’ve seen experienced reps fail…..And inexperienced reps absolutely crush it. 

Why? 

Because success in home care sales is usually less about experience…And more about traits and qualities. 

The best sales reps tend to have: 

  • High follow-through 
  • Emotional intelligence 
  • Resilience 
  • Strong communication skills 
  • Coachability 
  • Consistency and persistency 
  • Resilience 
  • Internal drive 

They know how to: 

  • build trust 
  • ask questions 
  • uncover problems 
  • follow up consistently 
  • and stay emotionally steady when referrals fluctuate 

And perhaps most importantly… 

While every sales rep still needs oversight …they won’t need constant chasing from management. 

A mediocre rep with 10 years of experience is still a mediocre rep. 

Meanwhile, the right personality with the right system can often outperform a more experienced person quickly. 

That’s why hiring should never be based solely on: 
“Do they know home care? Or have connections” 

The better question is: 
“Do they have the traits needed to succeed in relationship-based sales and do they have a track record of success?” 

Someone who has been successful at their last four sales jobs…..you will likely be their 5th

2. Build a Real Sales System . Not Just “Sales Activity” 

This is where most agencies struggle. 

They hire someone…Give them a territory… 
Maybe hand them brochures…Give them some basic guidelines…And then just hope they figure it out. 

That’s not a sales system….That’s expensive guessing. 

High-performing sales teams operate very differently. 

They have: 

  • Clear expectations 
  • Defined KPI’s 
  • Structured follow-up 
  • Territory strategy 
  • Consistent messaging 
  • Coaching 
  • A real sales process 

The rep knows: 

  • Which accounts matter most 
  • What questions to ask in their prequalifying process to uncover needs 
  • What conversations actually move relationships forward 
  • How to position the agency differently 
  • How often to follow up 
  • How to deliver a compelling pitch 
  • What success actually looks like 

…Without that structure?  Every rep starts doing things differently. 

Different messaging…..Different habits…..Different follow-up styles. 

And then owners wonder why results feel inconsistent. 

One of the biggest breakthroughs agencies have is realizing: 

“More activity” does not automatically equal more production. 

A rep can stay busy all week and still produce very little revenue if their activities are not strategic. 

That’s why strong agencies focus on: 

  • Quality conversations 
  • The right lead measures 
  • Account penetration 
  • Referral source psychology 
  • Relationship development 
  • And measurable activities that actually predict growth 

….Not just: “How many donuts did we drop off this week?” 

And perhaps most importantly…They understand that sales is not just about activity. 

It’s also about positioning….. 

Because if your reps sound exactly like every other agency…You disappear into the noise. 

Strong sales teams know how to: 

  • uncover referral source pain points 
  • communicate value clearly 
  • overcome objections naturally 
  • emotionally connect quickly 
  • and position the agency as different 

Because sales is not just information transfer…..It’s emotional positioning. 

And in today’s market?…..That matters more than ever. 

3. Sales Management and Accountability Matter More Than Most Owners Realize 

This may be one of the biggest hidden gaps in home care. 

A lot of agencies have sales reps…But very few have real sales management. 

There’s a difference. 

Because once reps are out in the field… 

Most owners don’t actually know: 

  • what conversations are happening 
  • which accounts are progressing 
  • where opportunities are getting stuck 
  • which reps need coaching 
  • If their reps are even following the sales process (if there even is one) 
  • or what activities are truly driving referrals 

…So management becomes reactive instead of proactive. 

And over time?…Underperformance gets normalized. 

That’s dangerous…..Because small inefficiencies compound fast. 

The agencies getting the best results today usually have: 

  • Weekly accountability systems 
  • KPI tracking 
  • Structured coaching 
  • Pipeline visibility 
  • Consistent “value add”  follow-up processes 
  • And regular review of top accounts and opportunities 

Not to micromanage reps…But to create clarity, strategize, and optimize 

Because clarity creates: 

  • Better coaching 
  • Better execution 
  • Better consistency 
  • Better morale 
  • Better production 

And perhaps most importantly…It allows owners to stop guessing. 

When accountability and management are done correctly… 

Sales becomes measurable…..Predictable….Scalable. 

And that’s when agencies start pulling ahead of the competition. 

If you are one of those agencies trying to finally get it right with getting production out of your sales people, then make sure you get these top 3 pieces in place.    If you are looking for hands on guidance and support with this, reach out to us at gregg@homecarebreakthrough.com 

Article by Gregg Mazza

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Peg Pickett
"Gregg has been a game-changer for my business! After 20 years in the industry, I had a lot of knowledge but didn't always know how to ...
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Peg Pickett
Owner, Visiting Angels
"Gregg has been a game-changer for my business! After 20 years in the industry, I had a lot of knowledge but didn't always know how to apply it effectively. In just six months of working with him, I've more than doubled my business. His detailed explanations, structured approach, and weekly check-ins keep me focused, addressing bottlenecks and celebrating wins. His educational videos for all aspects of the Home Care Business for all employees duties are outstanding. Gregg ensures you stay on track and turn insights into action. I highly recommend him to anyone looking to grow their business. Let him be your mentor as he is mine."
Peg Pickett
Peg Pickett
Owner, Visiting Angels
Mario D'Aquila, MBA
“Way back in 2020 Gregg reached out to me to see if I wanted to join his Homecare Revenue Breakthrough Mastermind Group. I proceeded...
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Mario D'Aquila, MBA
COO Assisted Living Home Care Services
“Way back in 2020 Gregg reached out to me to see if I wanted to join his Homecare Revenue Breakthrough Mastermind Group. I proceeded both with intrigue and excitement but unsure of how it would help me and my company. Being that we are one of the largest homecare agencies in our state I didn’t know how Gregg would be able to get us to the next level. I will tell you that it’s one of the best business decisions that I have ever made! Gregg has not only been a mentor and friend, helping to guide us on our homecare business journey, but he created this unbelievable think-tank called the Homecare Mastermind group. This group of like-minded business owners shares ideas, critiques each other, and grows our companies together. Since joining this group and implementing what I’ve learned our revenue has increased over 30%!! From Greggs sales, marketing, recruiting, and business operating Mastermind sessions we were able to incorporate strategies and processes that have launched our company into the stratosphere. If you are ever considering hiring a coach or consultant that knows home care well, Gregg is the real deal, and he’s built a phenomenal Mastermind group.”
Mario D'Aquila, MBA
Mario D'Aquila, MBA
COO Assisted Living Home Care Services
Rosaleen Doherty
"My home care team has been working with Gregg for the past 4 or 5 years. Gregg's salesperson training and 10x growth trainings are excellent and help ...
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Rosaleen Doherty
Co-Owner/CEO Right At Home
"My home care team has been working with Gregg for the past 4 or 5 years. Gregg's salesperson training and 10x growth trainings are excellent and help you to sit back and look at your people and your business. When we came to Gregg, we were already very successful in our home care franchise and had been in business over 20 years. Gregg helped us solidify our outside sales strategy after COVID and leverage his training to grow our private care business. I also joined his Mastermind, because I was paired with other home care owners around the country about my size and of my tenure in the industry. My franchise business was so much larger than most businesses in the system, so finding "peers" in the home care space has been invaluable to me. Gregg is an expert in the home care business and we feel like there is so much more to learn!"
Rosaleen Doherty
Rosaleen Doherty
Co-Owner/CEO Right At Home
Cara Delgado
"Working with Gregg Mazza was truly transformative for my home care business. After facing major setbacks —like rebuilding after Hurricane Harvey —I was ready...
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Cara Delgado
Former owner Home Instead Home Care
"Working with Gregg Mazza was truly transformative for my home care business. After facing major setbacks—like rebuilding after Hurricane Harvey—I was ready to give up. But Gregg challenged me to commit to growth, and that mindset shift made all the difference. His strategies gave me clarity, structure, and confidence, helping me grow referrals and increase my business's value and eventually selling it for almost half a million dollars more than my prior valuation. The focus on accountability, financial awareness, and team culture was game-changing. If you're feeling stuck, just know: if I could do it as a non-sales person/former social worker, so can you. This journey proved that with the right guidance and determination, incredible success is possible. I got so much value from my experience with Gregg that I decided to join his company as an accountability coach after I sold my business"
Cara Delgado
Cara Delgado
Former owner Home Instead Home Care
Jennifer and Brian Perruccio
When we had been in the home care business for about eight years, we were hovering around $1 million in revenue. While we...
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Jennifer & Brian Perruccio, Owners
HomeChoice Home Care Solutions, Raleigh, NC
When we had been in the home care business for about eight years, we were hovering around $1 million in revenue. While we were experiencing some growth, it wasn’t at the pace we wanted. Attending one of Gregg’s events was a turning point for us. At first, we were hesitant about working with a coach/consultant—it felt like a big investment in both time and money. But taking that step turned out to be one of the best decisions we’ve made. While working with Gregg we implemented his Rapid Referral program, focusing on refining our sales process and systems. It was a challenge at first, especially as a small agency with limited staff, but by following Gregg’s methods closely, we started seeing real results. Shortly after, we joined Gregg’s Mastermind group, and the ongoing exposure to his insights on recruiting, management systems, and innovative strategies has transformed our business. Not only have we built a stronger, more independent team—something Gregg strongly encouraged—but our business has more than tripled in size since we started working with him. More importantly, we’ve shifted from being consumed by the day-to-day operations to having a company that runs more and more without us. Gregg has been an incredible mentor, constantly pushing us to think bigger and step outside our comfort zone. Every time we take his advice, our agency grows stronger. If you’re serious about growing your business and want to be energized by a forward thinker, don’t hesitate—work with Gregg. You won’t regret it!
Jennifer and Brian Perruccio
Jennifer & Brian Perruccio, Owners
HomeChoice Home Care Solutions, Raleigh, NC

Gregg Mazza

After nearly losing my business in 2010 and facing intense personal burnout, I turned things around—growing our agency by over $1 million in just one year. That transformation not only stabilized the business but gave me the freedom to step back from daily operations. That journey inspired me to launch Home Care Breakthrough and Home Care Insider Magazine—platforms built to share the hard-earned insights and strategies that helped me scale, so fellow agency owners don’t have to walk the road alone. I know firsthand how isolating and overwhelming home care ownership can feel. But I’ve also discovered that building a larger, systems-driven agency brings clarity, stability, and more balance to your life. Through our articles and resources, my mission is to help you achieve that too—and to remind you that there’s room for all of us to succeed.

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