Routine Foot Care Provided by:
Kristen Ritchie, Registered Nurse, Certified Foot Care Nurse
Routine Foot Care is:
Toenail Shortening and Thinning
Callus and/or Corn Reduction
Foot Hygiene and Moisturizing
Thick nails and thick calluses/corns must be treated at each visit.
Monthly visits may resolve thick nails and thick calluses/corns.
Please do not soak; feet must be dry for callus/corn reduction.
Home Visit | $105
Second Person | +$70
Currently accepting Lower Cape clients only.
- For anyone who wants specialized, detailed attention.
- At-risk routine foot care when a podiatrist isn't available.
- Routine foot care services at home.
- Clean Air: Dust extraction is accomplished with an ULPA (Ultra-Low Particulate Air) filter vacuum.
- Sterilized tools: All tools are processed by manual cleaning, ultrasonic cleaning, and dry heat sterilization with mechanical, chemical, and biological indicators.
Toes in the Sand, Mayflower Beach, Dennis, MA
Foot Care Nursing
Registered Nurses and Licensed Practical Nurses can perform foot care in Massachusetts if they have special education and training. Certification guarantees compliance with the Massachusetts Board of Registration in Nursing Advisory Ruling on Nursing Practice (AR 9305 Foot Care), which requires nurses to have education (knowledge) and training (skills) to provide foot and nail care.
The two certifications are Certified Foot Care Nurse (CFCN) through the Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) and Certified Foot Care Specialist (CFCS) through the American Foot Care Nurses Association (AFCNA).
Please seek out the right foot care professional for your needs:
1. Manicurists can cut, trim, polish, tint, color, or cleanse toenails with no fungal or bacterial infections. Consider a foot care professional with a nursing or medical license if you have an at-risk medical condition. Do not soak your feet if you have any broken, swollen, or irritated skin. Ask to have your nails cut straight across and corners filed smooth. Cutting along the sides of the nail can lead to long term discomfort, pain, and infection. DO NOT let anyone use a sharp grater on your calluses - it is against manicurist regulations.
2. Foot Care Nurses can provide routine foot care for both diabetic and non-diabetic clients, as well as those with at-risk medical conditions and fungal nails. Clients with bacterial infections can have routine foot care performed, but will be recommended to go to their PCPs for treatment of the infection. Nurses cannot paint nails and all nail polish should be removed before seeing a foot care nurse or podiatrist.
3. Podiatrists and Foot Care NPs are able to take insurance and Medicare/Medicaid for clients with applicable conditions (a qualifying diagnosis and Class Finding(s) "290 - Foot Care" D and F). Clients with inflamed, painful, ingrown toenails should see a podiatrist or NP who can administer a local anesthetic, provide medical level nail care, and treat the infection. Anyone with recurring wounds should see a podiatrist or foot care NP.
*RNs and LPNs cannot submit claims to Medicare, which selectively covers "Routine Foot Care". Most routine foot care is considered a personal care service and not a medical service.
My name is Kristen Ritchie. I'm a Registered Nurse and certified by the Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) as a Certified Foot Care Nurse (CFCN). I specialize in providing routine foot and nail care and have offered these services since January of 2020. I started foot care with my mom and continue to treat each client's foot with the same gentle touch.
To provide risk management and education for prevention of injury and infection and promotion of independence and well-being.