Porsche Middleton, PMP
Porsche Middleton, PMP, is the President and CEO of Get Care at Home, a Sacramento-based in-home care agency specializing in high-acuity dementia and Alzheimer’s support. She founded the organization to address a critical gap in care for families navigating the “middle stage” of memory loss—when safety concerns and behavioral changes escalate, but full facility placement is not yet appropriate. Under her leadership, the agency provides structured in-home oversight focused on behavioral stabilization, wandering prevention, caregiver support, and coordinated care with medical professionals.
With over a decade of experience in housing, healthcare, and community services, Porsche’s career began in supportive housing work with Sacramento Self-Help Housing, where she helped transition individuals experiencing homelessness into permanent housing. Her professional path later expanded into public service, including her role as a City Council Member in Citrus Heights, California, where she also served as Vice Mayor and Mayor. She is recognized as the first African American woman to serve on the council and to hold the mayoral position in the Sacramento region, with a strong focus on affordable housing, equity, and community development.
Porsche holds a bachelor’s degree from the University of Louisville and a master’s degree in Project Management, along with PMP certification from the Project Management Institute and specialized training in memory care. Her work is deeply informed by personal experience, including the loss of her grandfather to dementia, which shaped her commitment to helping families avoid crisis-driven care decisions. She is also active in statewide and nonprofit initiatives related to aging, disability inclusion, and Alzheimer’s support, and continues to balance her leadership roles with advocacy, caregiving, and community engagement.
• Certified Project Manager (PMI) 2023
• Certified Memory Care Specialist 2024
• Home Care Organization
• Project Management Professional (PMP)
• Keller Graduate School of Management of DeVry University - MS
• First African American Woman Elected to City Council in Citrus Heights (2018)
• First African American Woman to Serve as Mayor in Sacramento Region
• 2019 Women in Politics and Government
• Leadership Sacramento
• Emerge America
• American Leadership Forum
• Leadership Citrus Heights
• California Association for Health Services at Home (CAHSAH)
• Alzheimer's Association of Northern California & Northern Nevada
• PMI-Sacramento Valley Chapter
• League of California Cities
• National Women's Political Caucus Sacramento Chapter
What do you attribute your success to?
My success is rooted in lived experience, which has deeply shaped my perspective and purpose. Two years ago, my grandfather passed away after a rapid and aggressive onset of dementia. He had lived in Oakland, California, while I am based in Sacramento, and when he became disoriented and got lost, our family was suddenly faced with urgent care decisions. Although we had promised he would never live in a facility, circumstances and limited access to timely skilled care ultimately led to that outcome. This experience profoundly changed how I think about caregiving and strengthened my commitment to helping ensure families have better options and support so they don’t feel forced into institutional care.
What’s the best career advice you’ve ever received?
The best career advice I’ve ever received came during my time on the City Council: to sit and listen. I learned the importance of allowing people the space to fully express themselves and to really sit with what they are saying before responding. Instead of immediately trying to solve a problem, sometimes the most appropriate response is simply to listen and ensure people feel heard and understood. I’ve carried that with me ever since, often reflecting back what I’ve heard by saying, “So what I’m hearing is…” or “Correct me if I’m wrong, but…” This approach helps create an environment where people feel respected, without judgment or shame, and encourages more open and honest communication.
What advice would you give to young women entering your industry?
My advice to young women entering my field is to take action even when things aren’t perfect. Perfection isn’t the goal, and waiting for it can actually slow your progress. Mistakes are a natural and necessary part of learning, and the more you accept that early on, the faster you grow and move toward what you’re trying to achieve.
What are the biggest challenges or opportunities in your field right now?
The biggest challenge in my field is the stigma and sense of shame many families feel around not being able to care for a loved one on their own. Memory care can be incredibly difficult, especially with symptoms like sundowning, forgetfulness, and repeated questions, which can become overwhelming and frustrating over time. As a result, families often wait until they are at their breaking point before seeking support. We are working to shift that mindset by encouraging earlier planning and intervention, which can actually help individuals remain at home longer and improve quality of life. Too often, families carry guilt about whether they are making the right decision, instead of being able to focus on spending meaningful, quality time with their loved ones.
What values are most important to you in your work and personal life?
The values most important to me in both my work and personal life are authenticity, integrity, and compassion. In a world increasingly shaped by social media and AI, showing up as your true, authentic self is essential. Integrity, to me, goes beyond telling the truth—it also means taking responsibility when you make a mistake and doing what you can to make it right. I also deeply value compassion, as heart-led work is not only more fulfilling personally, but it also guides you toward meaningful and impactful decisions. Leading with empathy and staying grounded in what genuinely fills your cup helps ensure that the work you do is both purposeful and sustainable.