About Heather

For nearly 30 years, I have worked alongside older adults and their families in home health, hospice, and senior care.

Over the years, I’ve learned something important:

Most families don’t miss the crisis.

They miss the subtle changes that appear months—or even years—before it.

  • The unopened mail.

  • The missed medications.

  • The forgotten appointments.

  • The parent who slowly stops doing the things they once loved.

By the time a crisis occurs, families are often forced to make difficult decisions under pressure, with limited information and strong emotions.

That’s why I created Before the Fire™—a framework designed to help families recognize the early signs of change, understand what they are seeing, and create a plan before an emergency forces the conversation.

As an independent consultant, I do not work for a hospital, home care agency, hospice, or placement service. My recommendations are based solely on what is best for you and your family.

Whether you are an adult child worried about a parent, a long-distance caregiver, or someone who simply wants to plan ahead, I provide practical guidance, objective insight, and trusted community resources to help you move forward with clarity and confidence.

My role is simple: to help you understand your options, protect independence whenever possible, and create a plan for what comes next.

Heather Harvey, OTR/L

Occupational Therapist • Aging Independence Consultant