A grandfather and his granddaughter laughing over a chess game in the living room

Chapter 01 — Courthouse Square, Gainesville, TX

Home health · Gainesville, Texas

Sixty days. One family. A lot of good mornings.

Nurses and therapists who come to your home across Cooke County and the Red River valley, from the first night home to the morning you don't need us. Medicare-certified since 1999.

Chapter one · The first night home

Every recovery has a story. Here's how ours usually go.

It starts the evening you come home. The bag of new prescriptions on the counter, the walker that doesn't fit through the bathroom door, the daughter who has to drive back to Denton in the morning. The next day, our nurse knocks. She sits down at the table and reads every bottle, walks every room and writes down what you want to be doing in sixty days.

The middle chapters are work: therapy in the hallway, wound care at the kitchen table, a phone call at 2 a.m. that a nurse answers. And the last chapter is the one we love: a final visit, a review of everything you've learned, and a hug at the front door. Evelyn Marchetti has been writing those endings in Cooke County since 1999.

— Evelyn Marchetti, RN, MSN, founder

A nurse sitting on the edge of the bed beside an older man

A plan of care is sixty days long. We think of it as a story with a good ending: you, at home, doing the things you love, with people who know how to help you get there.

What sets us apart

Where we shine

A home health nurse listening to an older man's heart on his sofa
01

Start-of-care nursing visit

A full assessment, a home safety walk and a plan you help write.

Medicare
A caregiver beside an older woman practicing the stairs
02

Physical therapy

Strength, balance and walking, practiced on your own floors and steps.

Medicare
An older woman going over her husband's health log with him
03

Self-management teaching

Medications, symptoms and exercises, until you can do them without us.

Medicare

Our team

The people in the story

Evelyn Marchetti, RN, MSN, Founder & Administrator

Evelyn Marchetti, RN, MSN

Founder & Administrator

Dr. Walter Huang, MD, Medical Director

Dr. Walter Huang, MD

Medical Director

Lorena Vasquez, RN, BSN, Director of Nursing

Lorena Vasquez, RN, BSN

Director of Nursing

Sam Whitley, PT, DPT, Therapy Director

Sam Whitley, PT, DPT

Therapy Director

Meet the team

An older woman taking her husband's blood pressure at a round table

Our story

Our own story

Evelyn Marchetti opens Elm Fork on California Street with two nurses and a promise to answer the phone.

Read our story

Sample family reviews

How their stories ended

Day one, Dad couldn't get to the bathroom alone. Day fifty-two, he drove himself to the domino hall.
Rachel T.Daughter of a patient, Gainesville
The nurse wrote my goal on the refrigerator: Thanksgiving dinner at my own table. I made it.
Lois M.Heart failure patient, Muenster
Sam had me back to walking the square after my knee. Sixty days almost exactly.
Jerry D.Joint-replacement patient, 2025
Bria got my husband talking again after his stroke. He told me he loved me in week four.
Carolyn B.Wife of a patient, Whitesboro
Danielle drove out past Saint Jo twice a week all winter. The wound closed in February.
Ray H.Wound care patient, Montague County
Martha Jo talked me through Mom's breathing at 3 a.m. We stayed home and she was fine.
Kevin L.Son of a patient, Valley View
The last visit felt like a graduation. The nurse hugged Mama at the door.
Yolanda P.Daughter of a patient, Gainesville
Ruben set us up with Meals on Wheels and a church ride before the sixty days ended. That's thinking ahead.
Doug W.Son of a patient, Callisburg
Naomi rearranged my kitchen so I could cook one-handed. I baked a pie for the whole team.
Peggy R.Occupational therapy patient
They called two weeks after we were done, just to check. Nobody does that.
Helen F.Patient, Lindsay
Kayla had the first visit booked before we left the hospital in Denton.
Mark S.Son of a patient

Care settings

Where the story takes place

Same nurses, same standards, wherever home is.

Caring moment between a senior man and a supportive woman at home, fostering connection and well-being.
01

Your own home

Victorian houses near the square and ranch homes out toward Lake Ray Roberts.

  • Nursing
  • Therapy
  • Aide visits
Elderly man tending to garden plants beside a chicken coop on a warm day outdoors.
02

Farms and country places

Gravel roads past Muenster and Saint Jo are part of every route.

  • Rural routes
  • Lab draws at home
A senior adult and teenager sharing a cozy teatime conversation indoors.
03

Senior apartments

We coordinate with building staff so skilled care comes to your apartment.

  • Shared updates
  • Medication review
Friendly intergenerational conversation at a kitchen table.
04

Assisted living

Skilled nursing and therapy alongside the assisted living team.

  • Therapy on site
  • Care conferences
Emotional scene of a father and daughter sharing a tender, supportive moment in a modern kitchen.
05

A family member's home

Recovering at your daughter's in Denton? We'll visit you there.

  • Caregiver teaching
  • Equipment setup
Elderly man sitting on couch, using a pulse oximeter for health monitoring.
06

On video, between visits

Quick check-ins when a full visit isn't needed.

  • Same-day calls
  • Wound photo review
A nurse reviewing a care plan with an older man on his sofa

Admissions

From hospital to home, handled

One intake coordinator guides your family from the first call to the first week.

  • We call the hospital and get the orders
  • We verify Medicare or insurance coverage
  • We deliver equipment before you get home
  • Your nurse writes your sixty-day goal at the first visit
  • We call after the first week to check how it's going
  • 1999first visit from the square
  • 60 daysin a typical plan of care
  • 4counties along the Red River
  • 24/7a registered nurse on the line

Ratings & recognition · sample

  • Community Choice · Best Home Health Agency
  • Regional Business Journal · Best Places to Work
  • Area Agency on Aging · Community Partner
  • County Chamber · Business of the Year
  • Rural Health Association · Partner
  • Veterans Coalition · Community Partner
  • Regional Hospital Network · Preferred Partner
  • Hometown Newspaper · Readers' Favorite
  • Family Caregiver Coalition · Partner

Now hiring

Good routes, steady caseloads and a team that has been together for years.

Contact

Serving Cooke, Montague, Grayson and Denton counties

Office & nurse line

  • Office, Mon – Fri8a – 5p
  • Intake, Sat9a – 1p
  • Nurse line for patients24 hours

After hours, the main line rings the on-call RN, who can see your chart.

Let's write a good ending.

Call the office, or ask your doctor or hospital case manager to send the referral to Elm Fork Home Health.