Combined 60 years of experience

While seated at a kitchen table in 1990, MKA founders Jeanette Mefford and Sally Knutson started Mefford, Knutson & Associates with a single goal in mind: To strategically position home health and community-based businesses for success in today's transitional marketplace.

To this day, MKA continues to work hard to meet that goal.

Mefford, Knutson & Associates offers a combined 60 years of experience with up-to-date knowledge of all critical requirements that will help your business succeed.

Our directors


Jeanette Mefford


Jeanette Mefford has more than 30 years of experience in administrative and clinical management and leadership. She is a registered nurse with a Bachelor of Science in Nursing and a Masters Degree in Public Health and is widely recognized for home health care education and training. She is an approved provider of continuing education in nursing and offers industry knowledge in federal/state regulation, compliance requirements, OASIS and Prospective Payor System.


Sally Knutson


Sally Knutson has an extensive background in business and market development and financial planning. She has more than 30 years of experience in business development and home health care organization and practice. She is a registered nurse with a Bachelor Degree in Counseling and a Masters Degree in Health and Human Services Administration and experience in both patient care and business operations.

MKA offers

Three decades of experience

Expertise in all facets of home health care

Practical experience as registered nurses

Up-to-date knowledge of legal, medical requirements

MKA is committed to each step of your business trajectory.

We serve home health care operators thoughout the Midwest