Administrative Staff

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Cindy Karasch
COTA CSA President, CEO
As the founder and CEO of Alternative Senior Care, Cindy is responsible for all areas of the business. She has an Associate degree in Occupational Therapy and a Bachelors degree in Management of Human Services. “My skills in Occupational Therapy were useful in adapting methods, materials, and environments for children in special education classes as well as with adults in rehabilitation centers and local nursing homes.”
Cindy grew up in Sauk Centre and raised her three children here. She has five grandchildren.  Married to Mike since 2010, she keeps busy with gardening and outdoor activities.

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Mike Karasch
Community Relations Coordinator
Mike grew up in Sauk Centre but spent 30 years in the Twin Cities metro area. For years, his desire was to transition back to the Sauk Centre area. It finally happened back in 2010 when he and Cindy were married.
“I have family in the area and I now play a larger role in helping with my aging mother. Having a mother who requires a little help to remain independent at home, gives me greater appreciation for the services our company provides.”
Mike has a long history of business development so the role of Community Relations Coordinator is comfortable for him. “It’s exciting to be part of an established company in a rapidly growing industry. It gives me professional and personal satisfaction knowing the services our company provides are helping people obtain their goal of remaining in their homes.”

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Paula Bromenshenkel
Client Care Coordinator
Paula began working at Alternative Senior Care in 2014 as a personal assistant. She started working in the office in January of 2016. Her duties include scheduling and helping with the phones. Paula enjoys spending time with her family and friends, being outdoors, going for walks and runs photography business in her spare time. She is a wife and mother of three busy girls.
“I love being able to help people remain independent and stay in their home. I love hearing their stories of the life they’ve lived!”

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Sheila Towle
Registered Nurse
Sheila began working for ASC in March 2017. For the previous 12 years Sheila worked as the RN/Administrator at Valley View Assisted Living in Long Prairie. “I have been a care giver most of my adult life. First as a licensed day care provider while my 2 children were small. From there, with my husband’s help and understanding, I went right into caring for my Grandparent’s prior to their passing. Following this I felt a huge void because of my desire to help others.  I found my way into the field of nursing, graduating with an Associate Degree in Registered Nursing. I specifically love geriatric nursing.”

“It is very rewarding to help the elderly live productive, meaningful lives right in their homes. That is what Alternative Senior Care is all about, compassionate caregivers helping those who desire to continue living at home, giving them the confidence and peace of mind to do so.”  ASC is a great company to work for and we share the values I believe are essential for the aging community.”


Lainie Berg 
General Manager

Lainie began working at Alternative Senior Care in 2017. She began her passion to help seniors in 1989 as a Certified Nursing Assistant and continued in long term care as a Restorative Nursing Assistant and Resident Services Coordinator in a center specializing in Alzheimer’s and Dementia Care. She enjoys training and mentoring staff as she has for 19 years in different capacities in work as well as Women’s Ministry. “I am proud to be a part of the Alternative Senior Care team and it’s passion to bring dignity and quality of life to seniors in my own community. I love encouraging our staff to reach their highest potential.”

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Brenda Stone
Administrative Assistant

Brenda began working at ASC in February of 2018. She started as a personal assistant in our client’s homes then moved into the office as our fulltime Administrative Assistant. Some of her duties include answering and directing phone calls, keeping the office organized and flowing smoothly. She brings eleven years of experience as a receptionist and scheduler for an eye clinic.  Previously she worked for many years as a Certified Nursing Assistant in hospital and nursing home settings. Brenda is a wife, mother of two grown daughters, and a grandma of three beautiful, active grandkids.  She enjoys spending time with her husband, family, and friends, as well as gardening, walking and cooking in her spare time.  “I love caring for and helping our elderly. They appreciate everything we do for them.  It is so rewarding to know that we make a difference by providing them peace of mind while staying in their home. That is what Alternative Senior Care is all about.”

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Lisa Dreger 
Registered Nurse

Lisa Dreger is married and lives outside Alexandria, with 2 children and 4 grandchildren. Our family enjoys MN outdoors thru generational camping & lake activities, 4 wheeling, gardening and crafts. My desire to be a caregiver sparked years ago while inpatient and having pivotal caregiver influences mentor me. While they demonstrated the powerful way that caregivers impact lives of others, they “planted a seed” and I knew I wanted to be part of this time honored profession. My initial training was in acute care setting for over a decade. Though that learning experience was amazing, I soon realized my ability to truly help others was limited by time constraints. I then found my niche in Home Care for the next decade, working both in Assisted Living setting and individual homes before coming to ASC. Growing up in a small rural community, my parents taught me the value sharing our talents with others and the realization that we are all on the same journey from “cradle to grave.” In their final years, months and days on earth, my mom and dad both renewed my appreciation for our geriatric population, my calling to support our elders’ efforts to “age in place” with dignity and the importance as caregivers to provide palliative care with respect.

Bethany Knutson

Bethany Knutson
Personal Assistant Coordinator

Bethany grew up in Grey Eagle MN and now lives in St. Cloud with husband Ryan. She enjoys listening to audio books, traveling, playing with her dog and spending time with family and friends.

“I grew up caring for the elderly. My parents helped my great-grandparents live in their home as long as possible. When great-grandpa passed, great-grandma moved into my parents’ home and we cared for her until she passed. Helping my great grandparents remain home was such a wonderful experience even if it meant bringing meals, cleaning or even sharing my room.” Beth began working for ASC in October 2019. “It's humbling to work with a company who shares my passion of helping others and I'm excited to be a part of the ASC team!”

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Laura Winarske

Laura Winarske is married and lives outside of Evansville, MN on a beef cattle farm/family lake resort. Her and husband Aric, have one daughter. Their family enjoys the outdoors; ice fishing and sledding in the winter while tubing, four-wheeling, and camping in the summer. Laura began working for ASC in December 2019

“I’ve always been drawn to serving others in life’s unpredictable journey. My previous positions have been in childcare and retail. The older generations have valuable life lessons to teach us all. I look forward to working with and meeting many more individuals who have lived full, rich lives. The idea of keeping people in their homes as long as possible is made a reality through ASC. I’m thrilled to be a part of that!”

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