HIPAA
Compliant Practice
LeadingAge
Verified Partner
CALA
Assisted Living Alliance
HL7 FHIR
EHR Integration Ready
ALFA
Assisted Living Federation

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.

No vendor kickbacks
HIPAA-compliant process
Fixed-fee engagement
Senior care facility hallway with modern technology infrastructure and clean corridors

Facility Assessment

Clearwater Senior Living

Completed in 3 days · 127-bed facility

Audit Checklist
Nurse call system age
Network infrastructure
EHR compatibility
Fall detection coverage
Family portal access
Compliance
State audit ready
94/ 100
01

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.

Duration2 days on-site, 1 day remote analysis
DeliverableWritten audit report with photo documentation
Who attendsOne senior consultant + your ops director
CostIncluded in all engagement tiers
Schedule a Facility WalkthroughNo commitment required
Consultant with clipboard reviewing network infrastructure in a senior care facility wiring closet
Avg. findings per audit
11critical gaps
47 inspection points
Sample Deliverable
Gap Analysis Matrix
2 Critical
Nurse Call SystemNon-compliant

System installed 2011, no IP integration

Fall DetectionPartial coverage

68% of rooms covered, memory wing gap

EHR IntegrationManual only

No HL7 FHIR endpoint, paper-based transfer

Network InfrastructureAging hardware

Cat5e wiring, no redundancy path

Family CommunicationFunctional

Basic portal in place, no mobile app

Emergency ResponseCompliant

State standard met, upgrade optional

Full report →
02

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.

Schedule a Facility WalkthroughNo commitment required
03

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 commissions, ever
Three-vendor comparison for every category
Integration compatibility verified before recommendation
Staff training burden assessed per platform
Schedule a Facility WalkthroughNo commitment required
Evaluated Platforms40+ vendors assessed
R
Rauland
Nurse Call
SH
Stanley Healthcare
RTLS & Safety
PCC
PointClickCare
EHR Platform
CM
Caremerge
Family Portal
VY
Vayyar
Fall Detection
CM
Cisco Meraki
Network Infra
DN
Dina
Care Transitions
VH
Vigil Health
Wander Mgmt

No affiliate relationships. Recommendations based solely on fit.

Typical Engagement
90-Day Roadmap
Live in 90 days
Day 1Day 45Day 90
Audit & Gap AnalysisDay 1–14
Vendor SelectionDay 15–21
Procurement & ContractsDay 22–35
Installation & IntegrationDay 36–70
Staff TrainingDay 71–84
Go-Live & HandoffDay 85–90
Timeline varies ±14 days based on vendor lead times and facility availability. We manage the schedule — you stay focused on residents.
04

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.

1
Point of contact throughout
90
Days to full implementation
0
Disruptions to resident care
100%
Of projects completed on schedule
Schedule a Facility WalkthroughNo commitment required

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.

Margaret Okonkwo
Director of Operations · Sunrise Gardens Senior Living
Audit citation resolved in 47 days
"

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.

Robert Castellano
Owner & Administrator · Hearthside Memory Care
Full technology modernization, $0 vendor kickbacks
"

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.

Diane Frederickson
Adult Child / Family Member · Reviewing Brookview Gardens
Chose facility based on documented tech compliance

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.

Schedule a Facility Walkthrough
We'll confirm within one business day

We respond within one business day. No sales pressure.

Free Assessment Checklist

The same 47-point checklist our consultants carry on every audit. Use it to evaluate your own facility before you call us.

Nurse call system age & IP capability
Network coverage map (Wi-Fi dead zones)
EHR vendor & integration status
Fall detection coverage percentage
State compliance checklist items
+ 42 more inspection points

One email with the PDF. No drip campaigns.

Who We Help
Operations directors at senior living chains
Compliance audit prep, multi-site rollouts
Independent facility owners
Infrastructure modernization, budget clarity
Adult children researching memory care
Evaluating a facility's technology standards