About Us

About Risto Consultancy, LLC — Healthcare Business & Compliance Experts

Risto Consultancy, LLC is a healthcare consulting firm based in Farmington, Minnesota, dedicated to helping providers launch, grow, and operate with confidence in a highly regulated industry. Founded by Richard Ooga, a seasoned healthcare leader with over 25 years of experience, we bring deep operational insight and regulatory expertise to every project.

Richard’s background spans group homes, home care agencies, assisted living facilities, and adult day programs, supported by his credentials as a Licensed Assisted Living Director (LALD) and Food Management License holder. After decades of leading teams, passing audits, and building compliant systems, he recognized a growing need: many providers struggle to navigate Minnesota’s complex DHS processes, waiver program requirements, and MN-ITS systems.

Risto Consultancy was created to bridge that gap — offering clear guidance, audit-ready documentation, and practical operational support that helps healthcare organizations succeed from day one.

  • Deep expertise in compliance for group homes, homecare and other service-based businesses.
  • Strong design capability (branded templates, training decks, forms)
  • Ability to translate complex regulations into simple, actionable tools
  • Cross regional and global experience
  • Fast turnaround and iterative improvement approach

About Risto Consultancy, LLC

Risto Consultancy, LLC is a healthcare consulting firm located in Farmington, Minnesota. We help healthcare providers navigate the complex world of DHS licensing, waiver program requirements, MN-ITS registration, and ongoing compliance

Founded by Richard Ooga, a healthcare leader with over 25 years of experience in group homes, home care, assisted living, and adult day programs, our firm brings unmatched operational insight and regulatory expertise to every project.

Richard’s credentials include:

  • Licensed Assisted Living Director (LALD)
  • Food Management License
  • Extensive experience leading teams, passing audits, and building compliant systems
  • We exist to help providers launch strong, operate confidently, and deliver safe, high-quality care.

Our Mission

To empower healthcare providers with the structure, compliance, and operational clarity needed to successfully navigate DHS licensing, MN-ITS registration, waiver program requirements, and ongoing regulatory expectations.

Our Vision

To be Minnesota’s most trusted partner for healthcare business development — recognized for helping organizations launch, stabilize, and excel through expert licensing guidance, regulatory compliance, and operational excellence.

Mission

To empower healthcare providers with the structure, compliance, and operational clarity needed to successfully navigate DHS licensing, MN-ITS registration, waiver program requirements, and ongoing regulatory expectations.

Vision

To be Minnesota’s most trusted partner for healthcare business development — recognized for helping organizations launch, stabilize, and excel through expert licensing guidance, regulatory compliance, and operational excellence.

What We Do

We support healthcare organizations at every stage of their journey, from startup to daily operations. Our services are designed to reduce risk, strengthen compliance, and build sustainable systems that support high-quality care.

Core Services

Business Start-Up Support

We guide new providers through every step of launching a compliant, sustainable healthcare business.

  • Includes: business plans, service models, staffing plans, readiness checklists, and operational setup.
  • Why it matters: Starting with the right structure prevents costly delays, denials, and compliance issues.

Licensing & Compliance

We prepare complete, audit-ready submissions for DHS, MDH, and county licensing.

  • Areas of expertise: Assisted Living, Home Care, 245D, Adult Day Services, and more.
  • Why clients choose us: We don’t use generic templates — we build customized systems that match your service model and meet Minnesota’s regulatory expectations.

Waiver Program Expertise

We help providers navigate BI, CADI, DD, and EW waiver programs with confidence.

  • Support includes: MN-ITS setup, billing guidance, documentation standards, and service authorization processes.
  • Why it matters: Accurate documentation and billing protect your revenue and reduce compliance risk.

new staff training and annual staff training

We deliver practical, compliant training that equips staff to perform confidently and safely.

  • Topics include: 245D & Assisted Living training, documentation standards, abuse prevention, medication assistance, emergency preparedness, and more.
  • Why clients trust us: Our training is clear, engaging, and built for real-world application.

Operations & Management Support

We help agencies build strong internal systems that support daily operations and long-term stability.

  • Examples: workflow design, scheduling systems, quality assurance, incident management, and supervision tools.
  • Why it matters: Strong operations reduce errors, improve care, and protect your license.

Compliance Monitoring & Quality Assurance

We keep providers audit-ready year-round.

  • Services include: internal audits, file reviews, mock DHS inspections, corrective action plans, and policy updates.
  • Why clients rely on us: We identify issues early and help you correct them before they become violations.

Financial Reporting & Administrative Support

We help agencies maintain financial clarity and meet payer expectations.

  • Includes: billing support, budgeting, revenue cycle support, and audit documentation.
  • Why it matters: Strong financial systems ensure accurate payments and long-term sustainability.

Why Providers Choose Risto Consultancy

  • Real-World Experience: We’ve run programs, passed audits, and built systems — not just read regulations.
  • Minnesota-Specific Expertise: We understand DHS, MDH, MN-ITS, and county processes at a level most consultants cannot match.
  • Audit-Ready, Not Template-Ready: Every document is customized to your service model and regulatory requirements.
  • End-to-End Support: From startup to daily operations, we provide a complete ecosystem of tools and guidance.
  • Ethical, Compliance-Driven Approach: We help agencies build systems that support safe, person-centered services and long-term success

Designated Coordinator /Manager Coordinator Services

  • Includes: Develop, implement and update ISPs or CSSP Addedums..
  • Why it matters: Run day-to-day operations of the location.

For Consultation

Schedule Consultation