We've Assessed 200+ Facilities.
Here's Exactly How We Do It.
We walk into assisted living facilities with a clipboard and walk out with a technology roadmap — nurse call systems, fall detection, EHR integrations, family portals. Vendor-neutral. State-compliant. Clear.

Facility Assessment
Clearwater Senior Living
Completed in 3 days · 127-bed facility
Discovery Audit
We arrive with a structured checklist, not assumptions.
Every engagement begins with a two-day on-site audit. We walk every corridor, open every wiring closet, and interview your nursing staff and IT contact. We're looking at 47 specific data points — from the age of your nurse call panel to whether your Wi-Fi reaches the memory care wing.

System installed 2011, no IP integration
68% of rooms covered, memory wing gap
No HL7 FHIR endpoint, paper-based transfer
Cat5e wiring, no redundancy path
Basic portal in place, no mobile app
State standard met, upgrade optional
Gap Analysis
Every gap is ranked by urgency, not by what's easiest to sell.
The audit findings feed into a structured compliance matrix — the same format used by state licensing boards. We categorize every gap as Critical (state non-compliance risk), Advisory (operational inefficiency), or Monitored (watch list). You get the full matrix, not a summary.
State audit window: Facilities with unresolved nurse call or fall detection gaps face fines averaging $4,200 per citation in California and Florida.
Vendor-Neutral Recommendations
We work with every major platform. We're paid by none of them.
Our recommendations come from what fits your facility's size, budget, existing infrastructure, and staff capacity — not from reseller agreements. We've evaluated every major nurse call, RTLS, EHR, and family communication vendor. We'll tell you when the cheaper option is actually the right one.
No affiliate relationships. Recommendations based solely on fit.
Implementation Oversight
We stay on-site until everything works, not just until it's installed.
Most consultants hand you a report and disappear. We manage the vendor relationships, coordinate installation schedules around your census, sit in on staff training, and sign off on go-live. You have one point of contact from audit to handoff.
In Their Words
Three clients. Three different reasons to call us.
Our state auditor flagged our nurse call system in 2023. Counsel came in, mapped every gap in two days, and had us compliant before the follow-up visit. They didn't try to sell us the most expensive system — they found one that fit our 2011 wiring.
I'm a second-generation owner. My dad built this place. When I inherited it, I knew the tech was behind but I didn't know where to start. Counsel gave me a one-page priority list and we worked through it over six months. Nothing was rushed, nothing was oversold.
I was researching memory care options for my mother and asked to see their technology setup. The director pulled out a Counsel roadmap and walked me through every system. That document was more reassuring than anything else I saw that day.
Get Started
You've seen the process. Now let's run it for you.
Choose your path: book a walkthrough for your facility, or download our assessment checklist to start evaluating on your own.
The same 47-point checklist our consultants carry on every audit. Use it to evaluate your own facility before you call us.