* Since 1997, we have been locally owned and operated-private duty agency. Firstat Nursing Services have provided a superior standard of care for anyone who needs home care throughout the entire San Diego area. * We take pride in our California State license with the Department of Health Services, our Alzheimer’s Association Certification and the continuous education and training that Firstat provides our nurses. * Firstat requires background checks on all of our nurses as we take these important preventative measures very seriously when choosing our employees. ** We are aware that you take these factors into consideration when deciding on a nursing care provider, and at Firstat we know that we will meet and exceed your expectations. ** Our office team at Firstat is dedicated to providing exceptional customer service to all of our patients and their families. We offer a comforting voice on the phone and a welcoming office environment for all who come through our doors. **** We start working with each patient by offering a complimentary RN assessment before each service. ****