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Our Oregon Team

Steve Alfonsi


Growing up in a small town in central Illinois, Steve learned the importance of ones family and the responsibility to provide care and support for the family when needed.

In 2005, Steve’s mom, Shelby was diagnosed with pancreatic cancer. He quickly turned his focus into becoming a caretaker himself.  Not knowing much about the home-care services industry, he immedialtely immursed himself into learning as much about these services to provide his mother the with best care possible.

After spending time as a succesful executive for a few well known fortune 500 companies, Steve decided to take a path towards a more fulfilling career to honor his late mother.

He learned the home care industrys ins and outs, intending to start a company to serve families who find themselves in the same postion he was in years before.

Steve has now started 3 different companies offering a variety of in home care services for families in need during their difficult times. Steve advises people who find themselves in a caregiving role for those who are ill or need assistance, that help is always just a phone call away.

“It’s something I feel deeply passionate about. We provide respect and dignity for others. We aspire to be perfect. Life is precious, it goes by so fast. Make those last hours, days and weeks a better experience for your loved ones.”


Mark and Christina Turnbull


Mark’s Story

I’m very grateful to have grown up in a family where I was encouraged to believe in myself and in the good of humanity. My past life experiences as a college football player, pastor, entrepreneur and businessman have afforded me the opportunity to be in a position in life where I can give back and serve those who need our assistance. ComForCare Home Care has become the perfect platform to bring together the breadth of my past with the present needs of our aging culture. Caring is loving, respecting, and protecting those who are the most vulnerable.

Christina’s Story

As people advance in age, they need our help. I have firsthand experience taking care of my mother and understand the realities many family members face when dealing with this life transition. There is stress, confusion and helplessness that can wreak havoc on a person. I want to be the person to help solve those problems.

I was a stay-at-home mom for many years, stepping up to take care of the house and volunteering in the community. When the opportunity to be a part of ComForCare presented itself, I saw an opportunity to help people who need my help.

Meg Gorst

Executive Director, NP

Hospice and palliative medicine has been my chosen practice since 2010. I love what we bring to our communities and the gift that we offer at such an important time in life.

My other loves are family and farming. We care for many rescue animals including donkeys, pigs, chickens and dogs. Their innocence and simplicity reminds me of what is important and rejuvenates me for each day ahead.  


Hospice Team

Royal Hospice hires professional and passionate experts in each designated field. Each team member is committed to patients and their families. 

Attending Physician

The Attending Physician makes the referral to Hospice as this is usually the patient’s Primary Care Provider. The Doctor is encouraged to continue and follow the patients care while on Hospice, but at the very least is expected to be updated as the patient’s condition changes. With continued involvement from the Attending Physician there is a better continuity of care for the patient.

Hospice Medical Director

The Hospice Medical Director provides oversight over the Hospice team for all of the patients. The Doctor does this by participating in Interdisciplinary Group (IDG) meetings and acting as a resource for the Nurse, Social Worker and Chaplain. The Hospice Medical Director usually follows with the Attending Physician on the care plan, but has the capability to become the Attending Physician should the patient’s Primary Care Provider not want to follow.

Registered Nurse Case Manager

The RN Case Manager creates and manages the patient’s care plan with guidance from the Attending Physician and/or the Hospice Medical Director. The RN Case Manager makes patient visits as little as once every two weeks to as much as three times a week or more, if the need occurs. The RN Case Manager supervises the Licensed Practical Nurse (LPN) and the Hospice Aide (CNA) that make visits to patients.

Social Worker

The Social Worker completes an initial psycho social assessment with the patient and/or their families to establish a care plan. The Social Worker than makes one to two visits per month with the patient to update the care plan. The patient and/or families may request additional visits in a month if there are additional needs that need to be met. This individual typically provides resources on Counseling, Do Not Resuscitate (DNR), assisting with financial and community resources and placement (permanent or for Inpatient Respite/General Inpatient (GIP)).


The Chaplain completes an initial spiritual assessment with the patient and/or their families to establish a care plan. The Chaplain then makes one to three visits a per month with the patient to update the care plan. If the patient and/or family do not have a spiritual provider within the community then he or she will assume that role. If the patient and/or family have an existing spiritual provider within the community, then the Chaplain can help establish a home visit from that spiritual provider. Care provided by the Chaplain is non-denominational and is accepting of all faiths and beliefs. The Chaplain can represent the Hospice as an officiant over the funeral.

Hospice Aide

The Hospice Aide (CNA) follows the care plan established by the RN Case Manager during the initial visit. The CNA will bathe and provide personal care to the patient, while also providing light housekeeping for the patient and/or family. The CNA is highly skilled in showing family members and/or caregivers the correct methods of positioning and providing other personal care. The visits from the CNA range from one time a week up to three or more times per week.

Hospice Volunteer

Hospice Volunteer – A volunteer is provided when the RN Case Manager determines that there is a lack of company or companionship with the patient, and the patient and/or family request additional company or companionship. A Volunteer for any need can be provided and the needs usually range from reading, knitting, completing puzzles to watching a movie or general conversation. The Volunteer is hands off and is not allowed to provide any physical care to the patient.

Bereavement Counselor

The Bereavement Counselor role is usually carried out by the Social Worker or Chaplain. An initial Bereavement Assessment is completed with the patient and/or family upon admission to Hospice. The Bereavement Counselor keeps contact with the Hospice Team, patient and/or family throughout the patients time to help counsel any of the changes that are occurring. This individual completes a second Bereavement Assessment upon discharge from services to determine any changes from the first Assessment. The Counselor will continue contact with friends, family and even the facility (if the patient lived in one) for a period of up to 13 months through phone calls and mailings. If further professional support beyond what the Bereavement Counselor can provide, a referral is made to a higher professional.