Complex Toenails | Registered Nurse | Home Visits | 508-348-9128
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
Office Location: (Closed)
1336 Main Street, Unit 2
Osterville, MA 02655
Home Visit | $100
Second Person | +$60
Thick Nails | +$20
Thick Calluses/Corns | +$20
Thick nails and thick calluses/corns must be treated at each visit, if present. Monthly visits may resolve thick nails and thick calluses/corns.
Rationale: Thick nails and thick calluses/corns can lead to nailbed ulceration and deep tissue pressure injuries (i.e. wounds that can lead to chronic infection and amputation).
Normal nails for one person: $100
Thick nails for one person: $120
Normal nails and thick calluses/corns for one person: $120
Thick nails and thick calluses/corns for one person: $140
Normal nails for two people: $160
Thick nails for two people: $180
Thick nails and thick calluses/corns for two people: $240
Home visits for Cape-side of the bridge only.
Private pay* - check or cash at time of service.
New: Approved Cape Wellness Collaborative Practitioner
New: Office closed**
Why Cape Cod Foot Care?
- For anyone who wants specialized, detailed attention.
- At-risk routine foot care when a podiatrist isn't available.
- Routine foot care services at home.
- All tools are processed by manual cleaning, ultrasonic cleaning, and dry heat sterilization with mechanical, chemical, and biological verification.
- Environmentally friendly.
Toes in the Sand, Mayflower Beach, Dennis, MA
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 am also certified by the National League for Nursing as a Certified Nurse Educator (CNE). I develop educational materials for both clients and nurses with the purpose of preventing injury and infection and promoting independence and well-being.
I enjoy the merging of the art and the science of nursing within this specialty. Please feel free to ask any questions even if you are only curious.
To provide risk management and education for prevention of injury and infection and promotion of independence and well-being.
To promote a foot and nail care nursing community with accessible information sharing for scholarly nursing and lifelong learning.
Kristen Ritchie, RN, CFCN, CNE
Academic Nursing Education:
MS Nursing Education 2020 UMass Amherst
BS Nursing 2015 UMass Amherst
AS Nursing 2010 Cape Cod Community College
American Nurses Association
Wound, Ostomy, and Continence Nurses Society
American Foot Care Nurses Association
American Podiatric Medical Association
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, 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).
*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.
**I am in contact with the Barnstable Senior Center with plans for discussion of restarting their foot care clinics. I will have more information about these clinics by the start of June.
In the meantime, please seek out the right foot care professional for your needs.
1. Manicurists can cut, trim, polish, tint, color, or cleanse normal nails with no fungal or bacterial infections as long as you have no at-risk medical conditions. It is safe to see manicurists as long as they use proper disinfection/sterilization techniques (dry heat sterilization, autoclave, or high level disinfectants). 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, as is working on nails with fungal/bacterial infections.
2. Foot Care Nurses can provide routine foot care for both diabetic and non-diabetic clients as well as those with complex medical conditions or 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. 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.