Private, RN-guided, non-medical support that helps families coordinate care, stay organized, manage appointments, and communicate clearly with providers—bringing clarity, confidence, and peace of mind every step of the way.
"Care guided with Heart and Purpose"
Serving families across East Texas • 20+ years of nursing experience

RN-Led Senior Care Concierge & Care Support

How We Support You:

Every family’s needs are different. We’re here to support you in a way that feels right for you.
🌿Foundation Support PlanConsistent oversight for peace of mind and early support.Ideal for individuals and families who would like a trusted professional to check in, help keep things on track, and provide gentle ongoing guidance.What’s included:
✔ Initial RN assessment
✔ One monthly in-home visit
✔ Medication organization support
✔ Appointment reminders
✔ Monthly family update
✔ Resource coordination & guidance
✨Guided Support Plan (Most Popular)Hands-on support to reduce overwhelm and keep everything organized.Designed for those who need more consistent support, communication, and assistance navigating appointments and care needs.What’s included:
✔ Everything in the Foundation Plan
✔ Two in-home or hybrid visits per month
✔ Biweekly family updates
✔ Accompaniment to up to two appointments (with summary)
✔ Communication support with providers
✔ Ongoing organization of important information
👑Premier Support PlanElevated support for comfort, confidence, and continuity.For families who want a higher level of access, faster support, and consistent communication during more complex care situations.What’s included:
✔ Everything in the Guided Plan
✔ Priority access for questions and support
✔ Additional appointment accompaniment as needed
✔ Enhanced support during transitions (hospital, rehab, home)
✔ Ongoing coordination to keep everything on track
✔ Weekly family communication
Additional Support:
🏥Transitional Care PackageWe help families navigate care transitions with more confidence by providing guidance and support after discharge or major care changes.Includes:
✔ RN visit within 24–72 hours post-discharge
✔ Discharge instruction review
✔ Medication organization & reconciliation support
✔ Follow-up appointment coordination
✔ 7–14 days of check-in support
✔ Communication with family and providersIdeal for families who want:
A smoother transition with fewer gaps and less uncertainty.
💜Premier Presence & Connection Visits
(within 40 mile radius)We provide reassuring, professional check-ins for clients, offering presence, oversight, and meaningful family updates.Perfect for families who live out of town or want added support between visits.Includes:
✔In-person supportive visit
✔Emotional reassurance & companionship
✔ FaceTime or phone connection with family
✔ Real-time or post-visit updates
✔Available in home, hospital, hospice, or care facilities
🏡Fall Prevention & Safety EvaluationA personalized home safety review to reduce risks and improve confidence.Includes:
✔ Identification of fall risks
✔ Safety recommendations
✔ Home modification guidance
✔ Equipment suggestions
💊Medication Review & Reconciliation SupportWe help families stay organized with medication routines by reviewing lists, supporting setup, and identifying concerns that may need follow-up.Includes:
✔ Review of current medications
✔ Identification of discrepancies or duplicates
✔ Medication organization guidance
✔ Communication support with providers and familyIdeal for families who want:
More confidence and less confusion around daily routines
✔ You're supporting a loved one from a distance✔ Managing multiple needs and want everything organized✔ Want clear communication between providers and family✔ Prefer a trusted professional guiding care and decisions✔ Ready for calm, clarity, and confidence

✔Ensuring smooth, well-coordinated transitions of care✔Enhancing communication between patients, families, and providers✔Supporting continuity to help reduce unnecessary readmissions

Shanacia (Naci) Tyiska BSN, RN, CPC
Founder | RN Care Manager
Hi, I’m Shanacia Tyiska, BSN, RN, CPC, founder of Hands of Meraki LLC.With over 20 years of nursing experience across multiple healthcare settings and knowledge of value based care, I understand how overwhelming the healthcare system can be for families.I created Hands of Meraki to bridge the gap between medical care and real-life support—ensuring no family has to navigate this journey alone.My approach is rooted in professionalism, compassion, and personalized attention because your loved one deserves care guided with heart and purpose.
If your family needs trusted, RN-guided support to bring clarity, organization, and peace of mind while navigating care, Hands of Meraki is here for you.Let’s connect to discuss how we can best support you or your loved one.
You don’t have to navigate this alone—let’s talk.
Prefer to speak directly? Call or text anytime.📱 (903) 752-0041📧 Email:
[email protected]
Hands of Meraki LLC provides non-medical care coordination and concierge support designed to bring clarity, structure, and peace of mind.We do not provide skilled nursing care or medical treatment.
© 2026 Hands Of Meraki LLC. All rights reserved.
If your family needs trusted, RN-guided support to bring clarity, organization, and peace of mind while navigating care, Hands of Meraki is here for you.Let’s connect to discuss how we can best support you or your loved one.
You don’t have to navigate this alone—let’s talk.