In 2010, this concept became Dignity Plus Complete Home Living and Care Management Services. A concept designed to deliver the highest level of personal care and care management at a competitive price. Now called Care Management Solutions, a company owned and operated by Vickie Adorno, and Dignity Plus Home Care a company managed by Lisa Carlo and Michael Adorno, the concept is still the same. Vickie focuses on care management to bring balance back to the family life while able to communicate with the management team at Dignity Plus Home Care.