Faith-led. Compliance-focused. AFH smart.

We help Adult Family Homes stay compliant, profitable, and peaceful.

Exigent AFH Business Consultants supports Adult Family Home owners and healthcare leaders across Washington State with licensing, DOH and DSHS compliance, policies, documentation, and business strategy — so you can focus on loving your residents well and leading with peace of mind.

✔ Washington State AFH expertise ✔ Nurse-led & faith-rooted ✔ DOH & DSHS ready

Quick AFH Check-In

Tell us where you are, what’s keeping you up at night, and what you’re building. We’ll help you create a clear, doable plan.

  • First-time AFH startup
  • Policies, binders & documentation
  • Pre-inspection & survey readiness
  • Corrective action & deficiency support
Start My AFH Journey

Who We Are

Exigent Healthcare Group is a nurse-led consulting firm specializing in Adult Family Homes in Washington State. We understand the weight you carry — caring for elders and vulnerable adults, managing staff, staying compliant with ever-changing rules, and still trying to grow a healthy business.

Led by Terry Njoroge, LPN, Exigent brings together bedside experience, AFH operations, and real-world survey and licensing knowledge. We offer practical, honest, and faith-grounded guidance so you don’t have to walk this journey alone.

What Makes Us Different

  • Nurse-led — we understand both care and compliance.
  • Specialized in Washington State AFHs, not generic facilities.
  • Step-by-step support with real timelines and real tools.
  • Faith-rooted integrity, advocacy, and compassion.

What We Do

Whether you're planning your first Adult Family Home or managing multiple homes, we meet you where you are and help you move forward with clarity, confidence, and calm.

AFH Startup & Licensing

End-to-end support with Washington State AFH licensing: application, policies, forms, checklists, and readiness for inspections.

  • Pre-licensing strategy call
  • Licensing application support
  • Policy & procedure framework
  • Startup binder templates & tools

Compliance & Survey Readiness

Prepare for DOH or DSHS reviews with mock surveys, documentation reviews, and corrective action planning — before the knock on the door.

  • Mock surveys & home walkthroughs
  • Resident file & binder audits
  • Plan of correction support
  • Ongoing compliance coaching

Policies, Binders & Documentation

Customized, WAC-aligned policies and procedures with clear workflows so your team knows exactly what to do and when.

  • AFH policy manuals & procedures
  • Admission packets & service agreements
  • Staff files, training logs & checklists
  • Quality improvement templates

Operations & Business Strategy

Build a sustainable AFH business: staffing, systems, delegation, leadership, and practical financial clarity.

  • Operations & workflow review
  • Staffing & scheduling strategies
  • Process improvement & delegation
  • Growth & scalability planning

AFH Excellence Meets Innovation

Senior care is changing. Regulations are tightening, families are asking better questions, and technology is moving fast. Exigent Healthcare Group helps you stay rooted in compassionate, hands-on care while wisely using tools like AI and digital workflows to lighten your load.

We don’t replace your heart with an app — we help you use technology to protect it: less time chasing paperwork, more time being present with residents and leading your team.

How We Use AI & Digital Tools

  • Streamlining documentation and checklists.
  • Creating smarter templates for policies and care notes.
  • Helping you think through AI ethics in senior care.
  • Designing simple, realistic digital systems your team can actually use.

The goal is not to “turn your AFH into a robot home” — it’s to quietly support you behind the scenes so your residents still feel like family, not files.

Speaking, Workshops & Training

Need someone who can speak “AFH”, “nurse”, “regulations”, and “real life” all in the same sentence? Terry offers live and virtual sessions for AFH teams, churches, and community groups.

AFH Team Training

Practical, real-world training for your caregivers and leadership team focused on consistent care, documentation, and communication.

  • Orientation & ongoing training sessions
  • Documentation & charting basics
  • Team communication & handoff skills
  • Compassion fatigue & boundaries

Workshops for AFH Owners

Small-group or 1:1 workshops walking through startup, operations, and scaling your AFH with realistic expectations and a clear plan.

  • AFH startup roadmap
  • Reading your policies like a surveyor
  • Creating systems that actually get used
  • Planning your next home the smart way

Faith & Leadership in Care

Gentle, faith-rooted teaching around grief, caregiving, and leading with integrity in the middle of real-life pressure.

  • Faith in difficult seasons
  • Grief and caregiving
  • Leading as a woman of color in healthcare
  • Church & community conversations on aging

How Our Consultation Process Works

1

Discovery Call

We start with a focused consultation to understand your AFH, current challenges, and goals. No pressure — just clarity and honest guidance.

2

Assessment & Priorities

We review your licensing status, documentation, and operations, then outline your top priorities in plain language.

3

Action Plan

You receive a practical action plan with next steps, timelines, and where Exigent can support you most.

4

Ongoing Support

Need more help? We can walk with you through implementation, surveys, policies, and future expansion — you don’t have to do this alone.

What AFH Providers Are Saying

“Exigent walked me through the entire AFH licensing process. I went from overwhelmed and second-guessing myself to licensed, prepared, and confident. When DOH arrived, we were ready.”

– AFH Owner, King County

“The policies, binders, and mock survey helped us correct issues before the inspector saw them. It saved us time, money, and a lot of stress.”

– Administrator, Pierce County

“Terry understands both the heart and the business of care. She doesn’t just quote WACs; she helps you build a home that truly works in real life.”

– Multi-home AFH Provider

Book a Consultation

Complete the form and tell us a bit about your Adult Family Home. We’ll follow up with next steps and scheduling options that fit your world.

Email: exigentafhbusinessconsultants@gmail.com

Phone: (206) 973-9388

Based in: Washington State · Serving AFH providers statewide

We respect your time and your story. No spam, no pressure — just honest, practical support for the work you’ve been called to do.

Tell Us About Your AFH

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