In-Home and Telehealth CareQuality Healthcare, Right at Home

Our healthcare services merge in-home personalized care with tele-health's convenience, offering comprehensive, adaptable solutions for all, especially benefiting home-bound patients and those seeking efficient remote consultations.
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In-Home Medical Care

Focused on providing personalized medical care directly at the homes of adults and older adults. Ideal for those who prefer or require healthcare in the comfort of their own home.

Online Consulations

Offering convenient and immediate access to healthcare professionals via online platforms.

Healthcare Follow-Ups

Facilitating follow-up healthcare services through telehealth, ensuring continuous care and monitoring.

Medical Advice

Providing expert medical advice remotely, aiding in healthcare decision-making and support.

Care You Can Trust


House Call Primary Care

Personalized medical care at your home, catering to adults and older adults who prefer or require in-home healthcare.

Telehealth Services

Access to healthcare professionals through online platforms, providing consultations, follow-ups, and medical advice.

Lifestlye Coaching

Coaching Individuals for Wellness, Nutritional and Weight-Loss Goals.

Weight Management

Progress monitoring, and ongoing support for sustainable health and weight goals.

Dedicated to Compassionate, Patient-Centered Care

In-Home and Telehealth Care dedicated to Compassionate, Patient-Centered Care.  This approach epitomizes our unwavering commitment to delivering healthcare that prioritizes the unique needs and preferences of each patient. By emphasizing high-quality, patient-centered care, we ensure that every treatment plan, consultation, and healthcare service is tailored to meet the individual requirements and health goals of our patients, fostering a more personalized healthcare experience.

Our healthcare approach, centered on compassion and empathy, aims to provide nurturing care in both house calls and telehealth services, focusing on enhancing the wellbeing and overall health of our patients, affirming our dedication to truly patient-centered, compassionate healthcare.

Better Doctors, Better Care

Meet Our CEO
Founder, Ph.D., APRN, FNP-BC, FAANP, Dip. ACLM

Loureen Downes

Loureen Downes, a distinguished figure in the healthcare sector, serves as the CEO of Smart Healthcare PA.

Loureen Downes (Ph.D., APRN, FNP-BC)

Dr. Loureen Downes, a certified family nurse practitioner serves as the CEO of Smart Healthcare PA. Throughout her illustrious career, spanning 26 years as a family nurse practitioner, she has played integral roles in various clinical settings, such as primary healthcare, emergency departments, cardiac rehabilitation, and critical care. She holds board certification as a family nurse practitioner and her primary care practice emphasizes lifestyle behaviors and chronic disease management. Dr. Downes earned her Ph.D. in nursing from the University of Connecticut and completed her MSN as a nurse practitioner at Florida Atlantic University. Her leadership and expertise have significantly contributed to the field of healthcare and nursing education.

About Us

Your Health, Our Priority - At Home and Online

Specializing in primary healthcare delivered to your doorstep. Tailored care for home-bound adults and older adults. Telehealth services for convenient, accessible healthcare.
Competent and Compassionate

Our Approach

Promoting Independence

Smart Healthcare PA helps its patients to improve function and live with greater independence. Smart Healthcare PA nurtures an optimal level of well-being for its patients and helps them remain at home, minimizing the need for hospitalization or admission to long-term care institutions.

Sustaining a High Quality of Life

Smart Healthcare PA believes that quality of life is a patient-defined state. The dignity of our patients, peace of mind for families, and removing the burdens and associated stress on family caretakers allows Smart Healthcare PA's patients and their families healthier, quality time to enjoy life’s gifts and each other.

Practicing Proactively to Improve Healthcare

Smart Healthcare PA believes that a proactive consultative approach to healthcare best supports our patients and their families. After initial consultation, Smart Healthcare nurse practitioners visit regularly with patients, not only monitoring chronic conditions but also truly getting to know our patients. Often, all it takes is a very subtle change in an elder’s personality and/or function to indicate the onset of an episodic illness or an exacerbation of a chronic condition. Timely medical assessment and intervention from Smart Healthcare may prevent hospitalization and an extended skilled nursing facility admission. Smart Healthcare PA is determined to minimize these episodes in order to maximize the quality of life for our patients and their families.
The care has greatly improved my father's health and wellbeing. We're truly grateful
Daughter of Patient
I've noticed remarkable improvements in my own health. I'm deeply appreciative.
My wife's health has stabilized and her spirits have lifted. Their care has been a game-changer for us.
Husband of Patient
My mother is much happier now. We couldn't be more thankful
Son of Patient
Pillars of our services

What We Do

Primary Care
Smart Healthcare PA offers a patient-centered approach to primary care, prioritizing the comfort and needs of patients and their families. Unlike traditional medical practices, Smart Healthcare PA delivers high-quality medical services directly to the patient’s home. Our Nurse Practitioners are exceptional listeners, understanding that effective communication about medical history and health objectives is key to achieving the best outcomes. Through thorough in-home physical exams and medication reviews, our practitioners develop personalized care plans. At Smart Healthcare PA, patients and families are actively involved and empowered in the healthcare process, ensuring a collaborative and supportive care experience.
Transitional Care
Smart Healthcare PA provides seamless transitional care, crucial after significant medical events such as surgeries, hospital stays, or emergency visits. Our approach begins with detailed home visits post-discharge, where our Nurse Practitioners collaborate with patients and families to tailor health plans for both immediate recovery and long-term wellness. We actively coordinate with surgeons, specialists, primary care providers, family members, and care facility staff, ensuring an integrated and comprehensive care plan for optimal health outcomes.
Palliative Care
At Smart Healthcare PA, we understand the complexity of managing chronic conditions and life-limiting illnesses. Our palliative care program is rooted in a multidisciplinary approach, focusing on alleviating symptoms, pain, and stress, regardless of the illness stage. This approach is designed to enhance the quality of life for both patients and their families. Our compassionate Nurse Practitioners offer not only symptom relief but also support in navigating medical decisions and discussing hospice care options when necessary. This holistic approach ensures that both physical and emotional needs are addressed, providing comfort and guidance during challenging times.
Honest, Trusted, Compassionate

You Deserve The Best Healthcare

Our Location
Fort Myers
Working Hours
Monday - Thursday: 8AM - 7PM
Friday: 8AM - 5PM
Saturday: 8AM - 4PM
Sunday: Closed
Call Us Now
(949) 695-3445
Online Booking

Let’s Get In Touch

Contact us through our contact form and we’ll get back to you as soon as we can. Please bear in mind a reasonable reply time is necessary for our staff.