
Our Vision
We’re Dedicated to You
Our purpose is to provide compassionate, comprehensive, preventative Occupational Therapy in the homes of clients, supporting your daily life, safely at home. Including: fall prevention, home safety, caregiver training, adaptive equipment recommendations and training, and home modification consultations.

Services
Your Personalized Care Solutions

Home Safety Assessment
A preventative assessment aimed to promote home safety, fall prevention, and aging in place. Further individual training available as needed.

Fall Prevention Training
A series of visits focused on building confidence and preventing falls, before they occur.

Home Modification Consultations
Recommendations to promote long-term safety, accessibility, and functioning in your home.
What Makes Us Different
Patient-Centered Care
Home Foundations Occupational Therapy was formed on the basis of serving people, not insurance companies and unnecessary paperwork. With a background in Home Healthcare, I've seen and taught people how to improve their environments and safety, AFTER a fall or injury. I desire to help older adults gain this information BEFORE a fall or injury occurs, helping older adults, in Chautauqua County, live as safely, and independently as possible, in their own homes.

Holistic Services
Personalized Plans
Experienced Staff
Professionalism
Compassionate Care
Prevention
How Our Services Work
Private Pay Model
Home Foundations Occupational Therapy, PLLC operates as a private-pay practice. This is because Medicare, Medicaid, and most private insurances do not cover preventative occupational therapy services.
What This Means:
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I do not bill Medicare, Medicaid, or private insurance.
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Payment is due at the time of service unless otherwise arranged.
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A detailed receipt (“superbill”) can be provided upon request, though reimbursement is not guaranteed.
This Model Allows For:
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Longer, more personalized sessions
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Direct communication with families and caregivers
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No limits placed by insurance on visit count or service type
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Holistic, client-centered safety and home modification guidance
Accepted Payment Methods:
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Cash
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Check
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Venmo

Our Owner & Occupational Therapist
Brittany Paterniti, OTR/L
During my experience working in home healthcare, I found a desire to serve clients in a more holistic, client-centered way, that would help them prevent falls/injuries before they occur. I want to be able to provide services that are not limited by insurance companies, but that could truly help people without limits, being primarily driven by the client's needs, not paperwork.
Many older adults wish to stay in their own homes as they age, and I want to share my knowledge and experience with them, so they can do it safely and with confidence.

