Tiffinay Vargas has never strayed too far from home. Born in Coeur d’Alene because “there wasn’t a hospital in Mullan,” she grew up in North Idaho, where most of her family still lives. Today, she and her husband raise their children in Hayden, blending family life with a career and a calling that centers on compassion.
Tiffinay has worked in healthcare since she was sixteen. She became a certified nursing assistant and, for more than twenty years, has worked in home health and hospice care. As outreach director for Advanced Home Health and Hospice, she helps families understand their options and make the most of precious time.
Outside of work, Tiffinay has volunteered with Family Promise, United Way, Race for the Cure, and the Walk to End Alzheimer’s in North Idaho.
“My family are nonprofit donkeys,” she jokes. “We just keep carrying something for someone.”
A Loss That Changed Everything
In December 2016, her father, a 58‑year‑old construction worker, became seriously ill and passed away unexpectedly a few weeks later.
“That was the last holiday we spent together,” Tiffinay says.
Her youngest was only two, and she coped by pushing through. In her own words, she compartmentalized and pretended it hadn’t happened.
Months later, while seeing patients for home health, she met a woman with Huntington’s disease. The woman was bedridden and underweight, and Tiffinay knew she needed hospice care, but her husband couldn’t safely transport her to the doctor for an evaluation. Tiffinay offered to help.
The day of the appointment became unforgettable.
“She hadn’t spoken in six months,” Tiffinay recalls. “After the visit, on the way home, she reached out to my friend’s shoulder and said, ‘Would you please drive more?’”
They circled the neighborhood, passing a playground where the woman looked longingly at the children playing outside. It was a quiet moment of peace. The woman died 36 hours later, and the loss broke open something Tiffinay had been holding in.
“For the first time I actually grieved my dad,” she says. “I kept thinking, why didn’t I do this before? I have friends, I have access to wheelchairs. I could help people do the things they love one more time.”
This epiphany became the foundation of a new idea: a nonprofit that would give adults facing life‑limiting conditions a chance to do something meaningful one last time.
Building One More Time
Tiffinay filed paperwork with the Idaho Secretary of State and, by December 2017—less than a year after her father’s death—she received nonprofit status.
“I had no idea what I was doing,” she admits. “The first time someone handed me money I thought, I guess I’d better open a bank account.”
But since that filing in 2017, One More Time’s mission statement hasn’t changed: To help adults with life‑limiting conditions create a memorable experience one more time.
The First Experience
Soon after starting One More Time, Tiffinay’s friend reached out. The friend’s husband had pancreatic cancer. When Tiffinay asked if there was something he wanted to do, she discovered he wanted to attend his own wake so he could hear what people would say about him.
One More Time threw him a party filled with laughter and memories. At the end, the husband said he didn’t need a memorial. He already knew how loved he was.
That event was the first official One More Time experience. The word spread, and requests started coming in: birthday parties, small trips, meaningful gestures, and last wishes granted close to home.
The Power of Simple Joys
Tiffinay started offering hospice birthday parties for anyone who asked. She’s coordinated thousands through the years. The style and size of the parties depend on the requester. Tiffinay has done everything from cupcakes with nurses to full‑blown celebrations.
Tiffinay makes most of the desserts herself and has had some interesting requests over the years. She still remembers the man who asked for a lemon meringue pie.
“I’d never made one before, so I baked about a dozen to make sure one turned out right,” she says. “When I brought it to him, he said, ‘Did you make this?’ And when I said I did, he started crying. He told me he hadn’t had a homemade lemon meringue pie since his mom made one for his eighth birthday.”
Today, the organization operates four main programs:
- Bucket Wish Experiences
- Hospice Birthday Parties
- Legacy Videos
- Veteran Pinnings
Some ask to see Christmas lights around town; others dream of Disneyland. Memorable experiences they have helped create to date include a skydiving experience for a father and son, a horse trainer’s first ride in 19 years after suffering a stroke, a senior photoshoot, and a final motorcycle ride for two hospice patients accompanied by a group of 155 riders. When a young woman named Nellie wanted to visit Italy but was too ill to travel, Tiffinay recreated “A Night in Italy” with donated food, ballroom dancing lessons, and an Airbnb for her and her father. One More Time currently has several "One More Time" experiences in the planning phase and hopes they never have to say "no" to someone's last wish.
“We can’t always make every dream literal,” Tiffinay says. “But we make it meaningful.”
Making It Work
One More Time relies entirely on fundraisers, grants, and donations.
“We never charge anyone for anything,” Tiffinay says.
When hackers once stole $18,000 from the organization’s account, just after she promised to send a family to Legoland, Tiffinay understandably panicked. Then, hours later, a $5,000 check arrived in her mailbox from a family foundation. Days after that, the bank restored the stolen money.
“It was like God was saying, I’ve got you,” she laughs.
Giving Back One More Time
One More Time continues to grow, serving folks from Lewiston to Bonners Ferry and beyond. Tiffinay dreams of inspiring others to start similar efforts across the country.
Sometimes extending compassion means giving people a grand adventure; sometimes it’s as small as a song, a slice of pie, or a drive around town. To learn more or get involved, visit onemoretime.com or find upcoming events, including the January fundraiser at mrnorthidaho.com.













