Our Care Team

Paulette Vrem, MSN, MACH, RN-BC, Director of Nursing, Co-Owner
Paulette has her Masters Degree in Nursing (MSN), Masters Degree in Community Health (MACH), Board Certified in Gerontological Nursing (RN-BC)* and is a Minnesota licensed Registered Nurse. She has worked extensively as a geriatric nurse, home care nurse and patient advocate since 1982. She is Heart to Home's on-site Director of Nursing. She works directly with our visiting doctor, Doctor Laura Pattison (Bluestone Physician Services) to ensure your loved one receives the best possible care. She finds a great sense of joy and passion enhancing the lives of our residents. Her career has been dedicated to improving the lives of older adults. *(Only 1% of the 2.2 million registered nurses nationally are board certified in gerontological nursing.)

Josh Cesaro-Moxley, BBA, CNA, CFM, Real Estate Licensed, Administrator, Co-Owner
Josh has his Bachelor of Business Administration from the University of Minnesota Duluth, is a licensed real estate agent, a licensed food manager and a certified nursing assistant. Josh is passionate about helping our residents and their families. He provides on-going management support, business implementation, business development and is Heart to Home's community liaison. In addition to his work with Heart to Home, he is an active board member with the Saint Paul Senior Workers Association (SPSWA) and Residential Care Providers Network of Minnesota (RCPN). He also assists in fundraising efforts for both the Alzheimer's Association, American Cancer Society and Alzheimer's Research Center.

Nick Cesaro-Moxley, Licensed Contractor, Environmental Manager, Co-Owner
Nick has his Bachelor of Arts, contractors license and is a retired nationally registered paramedic. Nick, a residential builder for over 35 years, brings an immense amount of building design and construction knowledge to Heart to Home. Nick was the general contractor and builder of all of our custom built residential care homes. His fine craftsmanship has been featured several times on the Parade of Homes. Nick's priority is to provide our residents with safe and beautiful accommodations.

Misty Burnette, RN, Nurse Manager
Misty is a registered nurse licensed with the state of Minnesota. She has worked for Heart to Home since 2011. She provides on-going support to new staff and helps assist Paulette with nursing services throughout Heart to Home. Her experience includes managerial roles with hospice agencies and memory care facilities. Her strong North Dakota work ethic and compassion for caring for older adults is second to none.

Angie Burnette, CAEd, CAC, CNA, CFM, Operations Manager
Angie has been with Heart to Home since 2011. She is a certified Alzheimer's caregiver and dementia care trainer recognized by the National Certification Board for Alzheimer's Care. In addition she is a certified nursing assistant and licensed food manager who shows a true gift in caring for our residents. She has several years of experience in various long term care settings, but found her true passion in providing one-on-one care for our residents at Heart to Home. She has received extensive dementia care training and hospice training both in-house and through Care Providers of Minnesota. She is a wonderful trainer and motivator for our staff. In addition, Angie coordinates on-site activities, group outings and ensures our menu's are nutritious and delicious!

Marlena Godinez, CNA, Staffing Coordinator
Marlena, a certified nursing assistant has worked at Heart to Home since 2012. Prior to her work at Heart to Home she gained valuable experience in various long-term care settings. She has received specialized training via Teepa Snow (Dementia Care Expert), specialized hospice training and has attended several programs hosted by Care Providers of Minnesota. She always takes the initiative to go above and beyond with our residents to ensure that they feel right at home. Furthermore she works diligently to ensure adequate staffing levels are maintained at all times.