In Home Care, Personal and Companion Care for Seniors, Elderly and Disabled Care in Richmond Virginia Hand n Heart has been providing senior elderly and disabled people care in their homes for over 20 years! Same-day service in most cases, and each branch is managed by an RN with experience in home health care. Our caregivers and aides are screened beyond the typical agency requirements, meaning extra peace of mind for vulnerable seniors, disabled and their families. We understand that you are allowing us into your home and never take that privilege lightly. Affordable, flexible home care from bathing and dressing to housekeeping, errands and just companionship. Hand 'n Heart offers care designed BY you, FOR you!