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Holding Hands



The Botetourt Group is a Healthcare Management Firm. The Botetourt Group was founded by Trent Clugston in 2020. Trent's mission is to develop healthcare that honors the dignity of each human being. Trent graduated from Shepherd University in 2013 with a Bachelors of Science in Nursing. Two years later he became a licensed Nursing Home Administrator. He has worked primarily in the non-profit sector of Healthcare and Senior Living in a variety of leadership roles from a mid-level manager to a Senior Living Executive. Trent continues to be involved in the successful operation of Healthcare Facilities in Southwest Virginia. Trent is currently pursuing his Masters in Business Administration from Longwood University. His goal is to bring his mission focus and operational success together into the Healthcare industry to provide the highest level of care to citizens within the footprint of The Botetourt Group. Trent is married to his lovely wife Rhonda, and together they have four children. They enjoy spending time together outdoors in their Roanoke, Virginia area home. Trent's philosophy of Healthcare is grounded in his Christian Faith. He believes that how we treat those that can no longer care for themselves is a sign of our true character. Trent and his accomplished team specializes in Healthcare Management in both the Senior Living and Hospital Industries.

Our Vision

To provide healthcare that promotes dignity to each person we serve. 

Our Mission 

  1. To provide Healthcare Solutions that balance business and mission 

  2. To assist consumers in navigating the Healthcare System 

  3. To assist organizations develop efficiencies that promote the dignity of staff and patient 

  4. to assist organizations to develop empathetic and emotionally intelligent leaders 

The Pillars

  1. Compassion 

  2. Love

  3. Empathy

  4. Peace

  5. Stewardship. 

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