The 6 Preventable Gaps Driving 30-Day Readmissions (Ethan Guerrieri)

The federal government invested $500 million to understand why seniors are readmitted to the hospital within 30 days—and uncovered six key “preventable” gaps driving the problem. Ethan Guerrieri, VP of Operations at Preferred Care at Home, breaks down the research, explains each gap, and shares how his team turned these insights into their Smooth Transition Care Program. Designed for hospitals and SNFs, this evidence-based approach equips case managers and discharge planners with the tools and education they need to reduce readmissions—and shows why home care is the missing link in keeping clients safely at home.

Play Episode

min

Apr 21, 2026

The 6 Preventable Gaps Driving 30-Day Readmissions (Ethan Guerrieri)

Miriam Allred (00:00)
Hey everyone, welcome back to the Home Care Strategy Lab. I'm your host, Miriam Allred. It's great to be back with you. Today in the lab, I am joined by Ethan Gurrieri, the VP of Operations of Preferred Care at Home. Ethan, welcome to the lab.

Ethan Guerrieri (00:15)
Happy to be here. Thank you

Miriam Allred (00:17)
Everyone should be watching this on YouTube because Ethan's setup is better than mine. He's a podcast, want to be over there. Just kidding. They do a ton of training for their franchise system and so they've got a great setup, which is awesome. So you're walking the walk and talking the talk today, Ethan. Let's start with your introduction. You might be a new face to many people listening to this and watching this. So let's start with kind of your personal background and your foray into home care.

Ethan Guerrieri (00:21)
No, just different, just different.

Sweet, happy to be here.

Yeah, so I introduce myself as third generation home care. It was actually my grandmother, mother and father who started back in senior care in 1984 in Daytona Beach, Florida. I don't know if this detail matters, but it was actually like in the garage with carpet, my dad always says, which I think makes it nicer, their first office. fast forward over 30 years later.

We started the franchise system in 2007, and then here we are today, a national franchise system, Preferred Care at Home can be found in about 20 different states, 60 individual owners, about 130 location units, Preferred Care at Home has, so yeah.

Miriam Allred (01:33)
Awesome. I always ask people like you that grew up with parents doing this. Do you feel like you understood what they were doing? Like in your teenage years, do feel like you understood what was going on or you are more just like a bystander?

Ethan Guerrieri (01:44)
Yeah, funny enough, growing up, my dad is ⁓ very Italian. He's got this white hair. ⁓ And growing up in Tennessee for part of my life, everyone thought he was in the mafia because he just was always around. ⁓ And they're like, your dad's always around. Who is this guy? ⁓ They must be, like the Guerrieri's must be in the mafia. And so part of me was like,

But maybe, but no, my whole life, ⁓ I always knew what my parents did just because my mother is a registered nurse. When you grow up in senior care, you hear the caregiver names and the client names and you visit the clients. So I always had an understanding of what senior home care was. And I would even be like with my dad, you should call Margaret. Maybe she could take the shift.

‍