Alzheimer's Care Associates

Providing you the expertise needed to deliver dementia/Alzheimer’s care of the quality you’d want for a loved one.
The Mission

About Us

The mission of Nancy Schier Anzelmo and the ACA’s Associates is to actively participate in developing programs for persons with dementia that are a genuine practice of person-centered care.


Long before the term was popularized and the conceptual framework formalized, Nancy was advocating and developing person-centered dementia care. She is convinced this approach offers those living with dementia opportunities to grow socially and spiritually and to enjoy enriched and satisfying lives.

ACA believes dementia-specific programs must meet the personalized needs of the individuals residing within the community, as well as taking into consideration the interests and talents of staff, residents, and their families.

“Perfect” Model

The “perfect model of care” is unfolding. Every new program or service for individuals living with dementia is an opportunity for education, enlightenment and improvement. The challenge is to translate a person-centered philosophy into action.

Essential Elements

Special assisted living or dementia programs should include the following key components:

  • Leadership
  • Person-centered care practices
  • Person & Family Engagement
  • Staff and family involvement and resources
  • Community connections
  • A Specialized therapeutic environment
  • Dementia capable staff training
  • Meaningful Activity and Recreation
  • Continuous quality monitoring and improvement
Person Centered Care


Nancy Schier Anzelmo has gained over 20 years of hands-on experience in development, planning, start-up, stabilization, marketing, operations, budgeting, programming and evaluation of assisted living and dementia care communities and programs.

Signature Dementia Care Programs

To separate and distinguish your dementia care programs from your competitors, ACA’s specialized team can work with your entire company or specific communities to develop a signature program. Comprehensive plans include:

  • Integration of Person-Centered Philosophy and Practice
  • Definitions of Program Components and Service
  • Placement Issues
  • Care Planning
  • Staffing
  • Operational Manuals
  • Training (with Manual) to State Standards
  • Marketing
  • Support Services
  • Policies, Handbooks, Procedures and Documentation Systems

Development Services

Whether your company already offers senior living or wants to break into the industry, ACA crack team can provide expertise that will allow you to identify and respond to opportunities in the marketplace; avoid false starts or costly errors; and develop state of-the-art proficiency to ensure your competitiveness. Development services include:

  • Market research for project feasibility, based on a thorough understanding of pro forma market and operating assumptions
  • External/internal market data collection and analysis
  • Competition analysis
  • Consumer focus groups
  • Site selection
  • Design review
  • Interiors and space utilization review
  • Preparation of development budget
  • Profitability projections
  • Assistance with launch
  • Marketing planning, strategies and budgeting

Performance Evaluation / Assessment

An objective appraisal of your operations –- at any phase of its lifecycle — allows you to maintain the quality that is highly valued in the marketplace. ACA can:

  1. Review and evaluate your site and program, using a proprietary audit tool
  2. Provide objective reporting to your management team with detailed findings
  3. Set out recommended “next steps” and strategies to improve overall performance and strengthen occupancy, leadership, marketing, resident care, and financial performance

Operations Consulting

Ongoing excellence requires ongoing attention, which is especially meaningful when provided by an objective third party. ACA can review your operations and recommend any needed enhancement in the following areas:

  • Business organization
  • Business planning
  • Management systems
  • Budgeting
  • Best practices
  • Marketing
  • Staff recruitment, selection, training, utilization, and retention
  • One-to-one staff mentoring
  • Training manuals
  • Community usage and needs
  • Development of policies, handbooks, procedures, and documentation systems

Training / Coaching / Mentoring

Nancy Schier Anzelmo is a nationally known, highly regarded speaker, trainer and teacher.  All of ACA’s training courses, even when taught by associates, are designed by Nancy and incorporate her knowledge and values. ACA’s team is well aware that individuals have different learning styles. That is why a range of training formats are provided, including:

  • “Train-the-trainer”
  • Group participatory workshops
  • One-to-one coaching and mentoring
  • Family and consumer focused presentations

CQI — Continuing Quality Improvement

To maintain the excellence of your program, ACA will continue working with our clients, by providing:

  • Follow up visits and bi annual review
  • Signature Program Design
  • A “Success Indicators” plan
  • Benchmark best practices resources

Consultation is available on an hourly or per project basis.

Through ACA Nancy offers cutting-edge services to investors-developers, architects and designers, existing and start-up providers, proprietary companies and nonprofits, individual private facility owners and family owned and operated communities, multi-facility companies and national corporate entities.
Meet Us

Nancy Schier Anzelmo

Award-winning, highly regarded and nationally known gerontologist and Alzheimer’s/dementia care specialist, Nancy Schier Anzelmo is founder and principal of Alzheimer’s Care Associates LLC (ACA). In addition, she coordinates the California Program Forum of the California Alzheimer’s Association, and is a faculty member in the Gerontology Department of California State University, Sacramento.
She serves on the board of the California Assisted Living Association, and the California Culture Change. She is an active member in the following organizations: the American Society on Aging, Argentum, The Gerontological Society of America, the American Association of Gerontology in Higher Education, and the Pioneer Network, and the Dementia Action Alliance. She is the co founder of the Connected Horse a non profit organization focused on the research and implementation of equine guided interventions for all people affected by dementia.
Alzheimer’s Care Associates

Our Projects

While there are many organizations throughout the country focused on treating and curing dementia, there are only a few devoted primarily to the provision of care for persons affected by dementia.

The Connected Horse

In mid-2015, long-time friends, equestrians and residential dementia care specialists, Nancy Schier Anzelmo and Paula Hertel, began to wonder if they could combine their passion for horses with their knowledge of dementia to create programs to benefit those affected by cognitive disorders.

Dementia Action Alliance

In January 2012, the Alliance invited Nancy Schier Anzelmo, Founder and Principal of Alzheimer’s Care Associates (ACA), along with other highly regarded advocates in the field to Washington, D.C. to develop the group’s assessment of dementia care in our country. Nancy continues her involvement and active advocacy with DAA as a Partner.

Our Blog

What is Person-Centered Care?

What is Person-Centered Care?

What is Person-Centered Care? ✔︎ Values each resident’s history ✔︎ Provides a positive environment ✔︎ Relies on you KNOWING each resident’s lifestyle, likes/dislikes, interests, etc.; especially what “ingredients” make them who they are? ✔︎ Depends on you knowing the...

Finger Foods

Finger Foods

Finger Foods Some senior living residents, especially in memory care programs, find eating to be a challenge because of their cognitive or physical limitations. Finger foods are a viable alternative. The variety of foods included in a finger food (appetizer-style)...

Contact Us

We want to hear from you

Send us any questions or comments and we will get back to you ASAP.

Nancy Schier Anzelmo, M.S.G.

Principal, Alzheimer’s Care Associates

(916) 708-4904
Fax: (916) 652-4776

2351 Sunset Blvd. Suite 170-143
Rocklin, CA 95756

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