We are a mobile outpatient therapy service delivering personalized occupational and physical therapy directly to your doorstep.
Proudly Serving the Asheville Area of North Carolina

Co-Founder of Thrive in Home
Registered Occupational Therapist, Certified Dementia Practitioner, and Multimedia Artist
Tess is a dedicated Occupational Therapist with a Master of Science in Occupational Therapy, a Bachelor of Arts, and holds specialized certifications as a Certified Dementia Practitioner and LSVT Big Clinician. She blends clinical expertise with creative energy, drawing on diverse experience that spans assisted and independent living settings, as well as outpatient hand therapy. Passionate about helping adults and seniors reach their full potential, Tess is committed to empowering clients to live fulfilling, meaningful, and engaged lives.
Beyond her clinical work, Tess is a skilled multimedia artist specializing in pottery and leatherwork—a pursuit that reflects her belief in the restorative power of creativity. She is dedicated to living a balanced life, deeply committed to serving the senior population, and actively involved in the vibrant craft communities of Asheville and Black Mountain. Outside of her professional practice, Tess finds inspiration in hiking, yoga, travel, and hula hooping—activities that nourish her body, mind, and spirit.

Co-Founder of Thrive in Home
Registered Occupational Therapist, Certified Dementia Practitioner, and Multimedia Artist
Tess is a dedicated Occupational Therapist with a Master of Science in Occupational Therapy, a Bachelor of Arts, and holds specialized certifications as a Certified Dementia Practitioner and LSVT Big Clinician. She blends clinical expertise with creative energy, drawing on diverse experience that spans assisted and independent living settings, as well as outpatient hand therapy. Passionate about helping adults and seniors reach their full potential, Tess is committed to empowering clients to live fulfilling, meaningful, and engaged lives.
Beyond her clinical work, Tess is a skilled multimedia artist specializing in pottery and leatherwork—a pursuit that reflects her belief in the restorative power of creativity. She is dedicated to living a balanced life, deeply committed to serving the senior population, and actively involved in the vibrant craft communities of Asheville and Black Mountain. Outside of her professional practice, Tess finds inspiration in hiking, yoga, travel, and hula hooping—activities that nourish her body, mind, and spirit.

Co-Founder of Thrive in Home
Certified Occupational Therapy Assistant, Certified Dementia Practitioner
Karen Wilson is a driven entrepreneur and compassionate Certified Occupational Therapy Assistant with a strong background in massage and bodywork therapy. With the addition of being a Certified Dementia Practitioner and LSVT Big Clinician, she brings specialized expertise to her practice. Her passion for patient advocacy and personalized care shines through in her work, where she finds great joy in helping individuals, their families and caregivers thrive and reach their full potential.
Committed to promoting wellness, Karen is dedicated to enhancing the lives of those she serves and ensures that everyone she works with feels truly valued and supported. Outside of work, Karen cherishes family time, enjoys the company of her two beloved dogs, and fills her home with the joy of singing and all kinds of music. Known for her infectious energy and motivational spirit, Karen brings a fun and uplifting presence to everyone she meets.

Co-Founder of Thrive in Home
Certified Occupational Therapy Assistant, Certified Dementia Practitioner
Karen Wilson is a driven entrepreneur and compassionate Certified Occupational Therapy Assistant with a strong background in massage and bodywork therapy. With the addition of being a Certified Dementia Practitioner and LSVT Big Clinician, she brings specialized expertise to her practice. Her passion for patient advocacy and personalized care shines through in her work, where she finds great joy in helping individuals, their families and caregivers thrive and reach their full potential.
Committed to promoting wellness, Karen is dedicated to enhancing the lives of those she serves and ensures that everyone she works with feels truly valued and supported. Outside of work, Karen cherishes family time, enjoys the company of her two beloved dogs, and fills her home with the joy of singing and all kinds of music. Known for her infectious energy and motivational spirit, Karen brings a fun and uplifting presence to everyone she meets.
Step 1 - Inquire
Afterwards we'll reach out via phone and listen to your story and help you understand the pitfalls of the past and what your future may hold.
Step 2 - Meet
We’ll analyze your unique health history, lifestyle factors, health goals, and other assessments. Together we’ll create a complete and personalized plan of care.
Step 3 - Execute
As partners in health, we'll guide you from your current state to your desired destination, using ongoing testing and adjustments for success.
With Thrive in Home CCS, you can expect dedicated support every step of the way. Our services are tailored to each client’s unique needs, promoting independence and well-being. We love questions and have included a few of the common ones we get below!
OT practitioners work to restore, compensate, adapt, and maintain clients’ abilities to perform meaningful tasks in their daily lives. The focus is on addressing underlying causes of impairment and helping individuals regain independence in activities such as self-care, home management, and work-related tasks.
We specialize in working with adults and seniors! If you need a pediatric provider, we are happy to refer you to the right people.
We accept Medicare and can provide invoices for you to submit to other insurance carriers.
We begin with a thorough assessment to understand your needs and goals, then create a customized care plan focused on safety, independence, and quality of life. Each session is interactive and tailored to addressing your needs and personal goals. We’re here to guide you every step of the way, ensuring you feel supported and empowered.
Fill out a form and we will be in touch within 24 hrs.
Active seniors: Those seeking to maintain health, wellness, and improve home safety.
Neurological Conditions: Parkinson's disease, stroke, dementia, multiple sclerosis.
Upper Extremity Orthopedic Conditions: Fractures, arthritis, rotator cuff pain, carpal tunnel and other nerve issues.
Chronic conditions: Diabetes, heart disease, COPD, cancer, low vision, autoimmune disorders, fibromyalgia, chronic pain, EDS.
Pre-operative and post-operative clients: OT can assist with preparation for and recovery after surgery.
Mental health conditions: Anxiety, depression, etc.
And More!
Self-care: Assisting with daily tasks like bathing, dressing, and grooming.
Functional mobility and fall prevention: Improving movement, balance, coordination, and strength.
Sleep difficulties: Addressing sleep-related issues.
Safety at home: Ensuring a safe living environment.
Health and wellness: Developing personalized exercise plans and lifestyle modifications.
Equipment training: Teaching clients to use assistive devices and adaptive equipment. Including cell phones and computer use!
Maintaining habits and routines: Supporting daily rituals and roles
Leisure exploration, social participation, and community engagement!
