NextPhase Lifestyle Solutions • Fort Worth • Metroplex • DFW Senior Care Concierge

Whether you’re in a crisis or planning ahead, navigating senior care quickly becomes overwhelming and confusing. You don’t have to do it alone.

I personally help families across Fort Worth, the Metroplex, and DFW make the right decisions for assisted living, in-home care, and senior support services—quickly, clearly, and independently.

This is not a placement service. You work directly with me, David Karnes. I can often speak with you right away and usually schedule a same-day visit.

Exactly what I do

Clear, high-touch guidance for families who need answers now. I help you avoid costly, uncomfortable mistakes—like moving twice—by getting the decision right the first time.

Assisted Living Guidance

I help evaluate, tour, compare, and choose the right community without pressure or bias.

In-Home Care Setup

You may not need assisted living. I help arrange quality in-home care and support services when staying at home is the better fit.

Crisis Decision Support

Hospital discharge, falls, sudden decline, memory concerns, or caregiver strain—I help families make fast, smart decisions.

Family Guidance & Advocacy

In most families, one person ends up carrying everything. I help guide the decision for the entire family, including families with family members who live outside of the DFW area. I also advocate on your behalf and help negotiate with providers when appropriate.

Why families trust me

With more than 15 years in senior living operations, I have worked directly with families, residents, and care teams. I understand how quickly these situations become emotional, urgent, and expensive if the wrong decision is made.

I bring real experience, not theory. I know what to look for, what questions to ask, and how to help families move forward with confidence.

David Karnes with his family

Independent by design

I am not tied to any one assisted living, home care company, therapy group, or provider. I am not just a placement person.

My job is to help your family make the best decision for your situation—whether that means assisted living or arranging the right in-home care. I also help you avoid costly missteps and unnecessary transitions.

Why this matters

For the family

In most families, one person ends up carrying the decisions, logistics, emotions, and responsibility for everyone else. That is too much for one person to carry alone.

I step in so the entire family can move forward with clarity, not pressure—whether everyone is local or not. I offer a hybrid approach, both in-person and virtual, so every family member can be involved, informed, and confident in the decision.

For the people you love

When care needs increase, family roles begin to shift in ways that affect everyone. Let husbands be husbands again. Let wives be wives again. Let sons and daughters be family again—not full-time caregivers and decision-makers.

I help arrange the right care so safety, dignity, and quality of life can improve for everyone involved.

For families who do not live in town

If your parents live in Fort Worth, the Metroplex, or the greater DFW area and you do not, I can serve as your trusted local presence. I can meet with your parents, assess the situation, coordinate care, and keep you informed so you can make confident decisions from wherever you are.

You do not have to manage this from a distance alone.

How it works

📞 Call David Now — 817-300-1253

Free 15-minute consultation. Often same-day availability.

2. I assess

In-home visit and full evaluation of needs, priorities, and next steps.

3. I guide

Clear recommendations for assisted living, in-home care, therapy, and support services.

4. I stay involved

Tours, setup, transitions, monthly oversight, and ongoing support when needed.

Pricing

Starting point

Consultation

$500

Assessment, family counseling, and recommendations.

Most requested

Concierge

$1,250

Tours, coordination, financial option review, and full transition support.

Ongoing advisory

6-Month Advisory

Custom

Monthly visits, family reports, surveys, and ongoing oversight.

Testimonials

“David brought calm and clarity to a situation that felt impossible.”

“He stayed involved the whole time. That made the difference.”

“He helped us get the decision right the first time.”

If your family needs help now, call now.

If senior care has become overwhelming, confusing, or urgent, I can help immediately and often schedule a same-day visit anywhere in Fort Worth, the Metroplex, and DFW. Let’s get it right the first time—and avoid expensive do-overs.