Missed visits and care gaps are rarely caused by a single failure. They’re usually the result of small warning signs that went unnoticed—an overworked caregiver, a scheduling conflict, a communication delay, an after-hours alert that wasn’t escalated in time. For years, most home care agencies have operated reactively. A caregiver calls off. A client reports a no-show. An EVV alert appears. The office scrambles to fix it. But as agencies grow and regulatory expectations incre