With Cove Concierge, senior care isn’t based on corporate strategy or generic checklists. It’s an exquisitely customized experience unlike anything you’ll find in the industry. Leveraging decades of healthcare experience, Cove client liaisons anticipate what matters, uncover hidden needs, and design elegant, emotionally intelligent care plans without hourly minimums or corporate constraints. From resolving prescription glitches or attending medical appointments to conceiving field trips, concerts, or garden parties, this isn’t simply elder services—it is curated concierge care that truly enhances the life of your loved one.
With over 30 years in healthcare, Donna's journey began in the New England seacoast town of Rye, New Hampshire, where her passion for service led her to volunteer at local nursing centers. She earned a B.S. in Rehabilitation Counseling from Boston University and an M.S. in Mental Health Counseling from New England College. Donna's clinical experience at Portsmouth Hospital’s Psychiatric and Referral Services, coupled with leadership roles in healthcare spanning medical home care, senior living, addiction medicine and primary care, shaped her holistic approach to geriatric care.
Driven by a desire to prioritize families’ needs over rigid corporate models, Donna founded Cove Concierge, offering a full-service approach to geriatric care management. The name “Cove Concierge” honors her father's legacy as the owner of the iconic Pirate’s Cove Restaurant in Rye, NH.
Now, based in the coastal community of Mount Pleasant, South Carolina, Cove Concierge blends the needs of families and stakeholders into a flexible, comprehensive care plan. Donna empowers families to focus on meaningful moments without the stress of managing complex logistics.
Donna has two adult daughters, Rylee and Avery. Luna, her rescue puppy, is the newest addition to the family.
Rylee Pellegrino is the Chief Operating Officer of Cove Concierge, where she brings more than a decade of experience in international business development, luxury wholesale, and relationship-focused sales to the senior care space. With a career built around high standards, tailored service, and global growth strategy, Rylee understands that exceptional care — like exceptional business — is rooted in consistency, clarity, and human connection.
Her background in luxury sales sharpened her instinct for what people value most: being seen, being understood, and being cared for with intention. These same principles now inform how she builds care systems, develops caregiver training, and oversees the full client experience at Cove. She views her work in senior care not as a pivot, but as a powerful evolution, one where the skills used to nurture global relationships now ensure deeply personal, dignified support for individuals and families.
Rylee has a particular passion for memory care, and it is this focus that drives much of her vision for the brand. She believes individuals living with cognitive decline deserve more than routine — they deserve personalized, engaging, and emotionally intelligent support that protects both identity and independence.
At Cove Concierge, Rylee leads with both operational precision and heart. She ensures that every layer of the business — from internal systems to client touch points — reflects a commitment to excellence, compassion, and care that feels as beautiful as it is effective.
If you'd like to schedule a complimentary consultation with Donna Pellegrino, please use the calendar below to choose a suitable time slot. We look forward to speaking with you!