Providing Home Care in Central Minnesota
and Surrounding Communities

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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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Janeen Mitchell
Client Care Director
Janeen shares and oversees all client scheduling. She also handles many of our free in-home assessments. From an early age, Janeen enjoyed taking care of others. Her work experience includes employment as a nanny, housekeeper, and many years as an Assistant Teacher in a child care center. After having her children, Janeen developed a desire to care for the elderly.  She began working at Alternative Senior Care as a personal assistant in 2006 and soon after began working in the office. “I love being able to help families and the caregivers. “In her spare time she enjoys painting, decorating, cooking, baking, and most of all spending quality time with her “greatest blessings” – her two children.

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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 
Personal Assistant Director

Lanie has always had an admiration for seniors. In California in 1989, she began as a Certified Nursing Assistant and continued in long term care as an Restorative Nursing Assistant and Resident Services Coordinator in a center specializing in Alzheimer’s and Dementia Care. She enjoyed training and mentoring staff in different capacities in long term care, Women’s Ministry, and as Director of a Child Development Center. “My Grandmother recently loss her battle with dementia and as our family experienced her decline, I was touched by the dignity that was maintained by her care providers. I am personally honored 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. The joy of my heart is spending time with my husband and children, taking walks in the outdoors, or trying new recipes.”

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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.

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Dorie Twist
Operation Coordinator

Dorie began working at Alternative Senior Care in May 6 of 2019. Prior to coming to ASC Dorie worked for Central MN Council on Aging as the Finance Assistant and Senior Linkage Line Case Aide for 3 years. During that time, she become familiar working for seniors helping them with their Health Insurance such as Medicare. She discovered she loved working with them. Previously she worked in the non-profit sector serving as Executive Director of an agency that provide support to families and their children battling homelessness and abuse. “One of the greatest rewards in life is to help individuals, no matter what age they are, live free from hardships and struggles.” Her greatest passions is to support the work finding answers for the seniors who are stricken by Alzheimer and Dementia. “My mother was diagnosed with Alzheimer during the last couple years of her life and my grandfather and grandmother both had the disease. It was hard to watch their decline.” Dorie is a mother of 7 children and 3 grandchildren. She also has several Miniature Schnauzers that keep her going every day. She loves traveling with her husband, reading, and working on her artwork.

Patty Skalet

Patty Skalet

I’m married with two children and one grandchild. I was born in Reynolds, ND. I worked in Crookston MN at a nursing home as a CNA until I was 20 years old. I moved to Newport News, VA where I attended college and received an associate degree in Medical Administration Assistant. In VA I worked in the public-school system in special education. I also worked at VA Commonwealth University as a teaching assistant in the orthodontic department putting smiles on the young and old alike. I remained in VA for 30 years until my recent move to MN with my husband and our dog Chewy. I have a passion for caring for people of all ages. In my free time I enjoy biking, hiking and doing home improvement projects and hanging out with family. I feel truly blessed to be working for Alternative Senior Care

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