Jo Alch is a highly experienced Registered Nurse with over 27 years of expertise in Geriatric Nursing. In 2006, she founded Acappella in Home Care and successfully grew it into one of the top private duty home care agencies in the nation. After selling her agency in 2020, Jo shifted her focus to nursing advocacy, continuing her dedication to improving the lives of seniors. Jo’s contributions to the nursing community are widely recognized. She has served on the board of the Texas Association for Home Care and Hospice and has received numerous accolades, including being named one of the Great 100 Nurses of DFW and receiving D Magazine’s prestigious Excellence in Nursing Award. In addition to leading Joy Care Management, Jo serves as Executive Director of Pajamas for Seniors, a nonprofit that raises awareness of the needs of low-income seniors in nursing homes.

Hope Self brings over 25 years of nursing experience, with a strong focus on Geriatric Nursing. Raised in New Orleans, Hope’s early exposure to nursing homes inspired her lifelong dedication to improving the quality of life for seniors. Her professional journey in the DFW area includes leadership roles in Private Duty Home Care, Assisted Living, and Acute Rehab. In 2017, Hope received D Magazine’s Excellence in Nursing Award and has since become a Certified Dementia Practitioner and a Professional Member of the Aging Life Care Association. She also plays a significant role in the community, serving on the boards of several nonprofit organizations, including her current position as Secretary for Pajamas for Seniors.

With over 28 years of nursing experience, Debbie Rote is a highly skilled Registered Nurse specializing in case management and senior care navigation. She earned her Bachelor of Science in Nursing from George Mason University and has spent the majority of her career helping older adults and their families remain independent and engaged in their communities. Debbie’s background includes directing clinical programs, patient education, and managing transitions through the healthcare continuum. She is also experienced in relocation management, assisting families as they prepare for their loved ones’ next stage of care. A professional member of the Aging Life Care Association, Debbie is passionate about providing personalized, high-quality care to each senior she works with.

Marianne Megarity, a Registered Nurse with over 30 years of experience, holds a Bachelor of Science in Nursing from The University of Texas at Austin. Specializing in Cardiac Nursing and Home Health, Marianne has spent much of her career in both staff and leadership roles within Cardiac Critical Care units and private duty nursing. Her experience extends to managing home health clients, ensuring they receive the highest standard of care while navigating complex medical systems. Marianne is deeply committed to improving patient outcomes and has dedicated much of her career to helping adult and geriatric patients live healthier, more comfortable lives.