For a personal in-home consultation, please call:

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Home Health & Personal Care - Southern WI:

262.723.2700   262.723.2704 Fx

Counties: Dane, Dodge, Jefferson, Kenosha, Milwaukee, Racine, Rock, Walworth, Washington & Waukesha

Home Health - Central WI:

715.544.2322   715.544.6398 Fx

Counties: Adams, Clark, Green Lake, Lincoln, Marathon, Marquette, Portage, Waupaca, Waushara & Wood

Transitions At Home, Inc.    Copyright 2020; All rights reserved.   Personal care is currently only available in southern WI.



Leah Perras, NHA

Transitions At Home Administrator

Leah completed her education at the University of Wisconsin – Eau Claire earning her bachelor’s degree in Business Administration in Health Care Administration in May, 2018. After completing her 52-week practicum experience at a skilled nursing facility in Minneapolis, MN, she made the move to the west side of Madison. Leah served as a Nursing Home Administrator for Ingleside Communities, in Mt. Horeb, WI from August 2018 to July 2019. Transitions At Home and Ingleside Communities are both owned by Wisconsin Illinois Senior Housing Inc. (WISH), a nonprofit organization.


Leah began her role as the Administrator for Transitions At Home, central and south locations in June 2019.  In this new position she leads a team of care staff who are dedicated to one purpose: helping people have a safe home life that focuses on living with comfort, independence and dignity. As the Administrator, Leah is responsible for the overall direction, coordination and performance of Transitions At Home’s team. She carries out management responsibilities in accordance with the organization’s policies and procedures, ensuring compliance with state and federal regulations.


Leah grew up in Neenah, WI with her parents, a sister and a brother. In her free time, she enjoys downhill skiing, spending time on the lake, sports, art, and enjoying the company of her friends and family.


Nick Sawyer

Therapy Manager, Southern Region

With experience in a variety of settings including many years in skilled nursing/acute care and home health, Nick brings a broad perspective to his role as therapy manager.  He is most passionate about providing guidance and education to patients, family members, and caregivers to help people return to, and maximize, their functional mobility independence. As therapy manager for Transition's southern region, Nick works with the nurses and intake coordinator to ensure patients receive the treatment they need efficiently and with a patient-centered focus. 

Nick earned his bachelor's degree in Kinesiology from the University of Minnesota-Twin Cities in 2006, and a master's degree in Physical Therapy from the University of Wisconsin-Madison in 2008. His certifications include APTA advanced credentialed clinical instructor, and he is dry needle certified through Myopain Seminars. Nick is an avid Wisconsin sports fan, and enjoys spending his free time with his wife and four kids.