Welcome back to Care to CEO, the podcast where caregivers become confident care entrepreneurs. In this candid episode, “The Ugly Truth: The Hardest Parts of Running a Care Business,” host Crystal Smith pulls back the curtain on what it really takes to build and sustain a care-based business. You’ll hear Crystal’s raw reflections on staffing nightmares, staying compliant, emotional burnout, and those moments when everything seems to fall apart at once. She shares personal stories, like the unforgettable day when staff quit, clients threatened to walk, and her own child fell ill, and reveals how she found the resilience to keep going.

From learning the critical difference between hiring hands and hiring hearts, to the ongoing challenges of compliance (“the license is just the wedding, compliance is the marriage”), Crystal gets real about the emotional and organizational tolls of entrepreneurship. She also opens up about the importance of self-care, learning to ask for help, and forging strong boundaries to avoid burnout.

Whether you’re just dreaming of starting your own agency or are deep in the trenches, this episode is packed with advice, hard lessons, and the encouragement you need to stay in the game, even when it gets messy.

Timestamps:

00:00 Entrepreneurship: A Heartbreaking Calling

04:14 Overcoming Crisis with Resilience

07:32 "Heart Over Skills in Home Care"

12:31 Organizing: Key to Legacy Building

14:58 Embracing Self-Care and Balance

19:15 Boundaries Bridge, Protect, Empower

20:43 Rethinking Boundaries as Bridges

25:42 Learning to Delegate with Love

28:52 Clutter Reflects Mental Health Struggles

31:06 Challenges of Building a Business

34:59 "Embrace Solitude in Business"

38:34 Networking for Success

41:46 Breaking Cycles, Empowering Women

46:40 Strategic Thinking Reflection

47:30 Coping with Leadership Stress

Care to CEO - Podcast Show Website - https://caretoceo.com/

Crystal Smith - https://www.crystalsmithandco.com/

TopHealth - https://tophealth.care/