The care loop for senior living
Keep residents safer and families informed.
AcuityRow helps long-term care teams match resident acuity, staffing, and family updates before small gaps become hard days.
The morning huddle loop
Overnight signal
Flagged at 6:12 AM
Acuity reviewed
3 items flagged
Staff fit checked
Float reassigned
Family update drafted
Awaiting RN
Survey trail saved
Logged · #0241
Care loop · Room 204
Today- AcuityWatch
- StaffingFloat reassigned 9–11
- Family updateAwaiting RN
Reviewed by charge nurse · 7:42 AM
Why it matters
Three quiet failures that turn into hard days.
Staffing headcount misses acuity
Shift counts look fine until the morning's real load lands — bath blocks, fall watches, wound checks.
Family updates fall behind
When a daughter calls before her son does, you can hear the trust drain out of the conversation.
Survey trails are reconstructed too late
Surveyors arrive, and the nurses are pulled off the floor to remember what good care looked like three months ago.
The care loop
One loop for the day's care decisions.
Risk spotted, staff adjusted, family updated — every step keeps a human in the loop and writes itself into the survey trail.
Risk spotted
- Daily patterns, vitals, and events surfaced together
- Source observation linked on every signal
Staff adjusted
- Right skills suggested for today's shift
- Manager approves before any change lands
Family updated
- Plain-language draft assembled from the day
- Sent only after a human reviewer approves
What the morning brief catches
The small things that turn into the big things.
Fall-watch gaps
Watch resumed before next round
Delayed medication confirmation
Outstanding pass surfaced in huddle
Wound check follow-through
Day-2 check tracked, not just day-1
Hydration trend
Two missed fluids overnight
Transport handoff
Appointment + family pickup at 11
Family callback
Open question from yesterday's call
Signature product
The Morning Row shows what needs review first.
Example Morning Row view — how the first hour opens for a charge nurse and administrator on a typical shift.
Morning Row
Earlier this shiftFacility
Staff gap note
CNA coverage 1 short for AM bath block. Float available from west wing 9–11.
Suggest float reassignment
Review status
2 items awaiting RN sign-off
Nothing sent to families yet
Risk queue · this shift
Room 204 · Reduced mobility
PT + transfer assist suggested
Room 118 · Hydration trend
Two missed fluids overnight
Resident A · Post-fall day 2
Steady · tracking this shift
Family update queue
Daughter of 204
Morning summary drafted
Son of 118
Hydration note drafted
Family of 312
Steady day update
Staff fit
Staff by acuity, not headcount alone.
Helps teams compare scheduled coverage with resident acuity, so the right skills are in the right place before the shift starts.
RN
3 scheduled
High AM rounds
MatchedLPN
4 scheduled
Med pass + 2 wound checks
MatchedCNA
7 scheduled
Bath block + 2 fall watch
1 shortMed tech
2 scheduled
Standard pass
MatchedTransport / support
2 scheduled
3 appts, 1 family pickup
Tight at 11
Care station still life — the kind of huddle board this view replaces.
Family loop
No sensitive detail is sent without review.
Every family update is drafted from the day's care notes, edited by a nurse, approved by a lead, and logged — in that order.
Draft
Assembled from today's care notes
Nurse review
Edited by charge nurse · 1 line adjusted
Approved
Signed off by lead earlier this shift
Logged
Saved to resident's survey trail
Family update · Receipt
Earlier this shift"Mom had a good morning and joined the music hour. PT helped with standing transfers and she rested comfortably after lunch."
Integrations
Buildium first, then supported import workflows.
The Buildium Resident Management System integration is verified in production. Everything else is listed as a supported import workflow.
- Verified integration
Buildium Resident Management System
Tier 1 bidirectional API via OAuth 2.0
Inbound: Resident Inventory and Incident Logs. Outbound: daily acuity scores and family note drafts for manual review. Fallback: 48-hour queued retry during API outage. Integrity: SHA-256 batch verification for Batches 102 through 899.
- Supported import workflow
CSV / spreadsheet / PDF files
File-based intake
Roster, staffing, medication, and incident files mapped during onboarding.
- Supported import workflow
Email / SMS provider of record
Family delivery
Family notes leave the building through the provider the operator already uses, after manual review.
Vendor names identify systems AcuityRow can map from or work alongside. They do not imply endorsement, certification, or partnership unless a contract says so.
Pricing fit
Priced to the shape of your operation.
Facility Pilot
Single building getting the loop into the morning huddle.
- Care Signals
- Morning Row
- Family Loop
- Survey trail
Regional Operations
Two to ten buildings under shared clinical leadership.
- Everything in Pilot
- Cross-site Morning Row
- Director review tools
- Staffing import / export
Network Enterprise
Multi-state networks with central operations and compliance.
- Everything in Regional
- SSO + role library
- Audit export pipeline
- Named onboarding lead
Operator proof
Verified inside a 14-location senior living operator.
Heritage Senior Living Management uses AcuityRow across 14 Northeast US locations to move morning huddles, survey evidence packets, and family-note drafts into a reviewed digital loop.
Operator
- Heritage Senior Living Management
Privately owned senior living operator · 14 locations · Northeast US, multi-state · 247-bed capability · 85 active users
Implementation March 10, 2025 to present · activated March 14, 2025 post-integration
- Resident review time, Q1 2026 vs. Q1 2025 baseline.
8.4 min to 5.1 min
Resident review time, Q1 2026 vs. Q1 2025 baseline.
HSLM operational logs
- Morning Row Brief ingestion latency after activation.
<30 sec
Morning Row Brief ingestion latency after activation.
HSLM operational logs
- Survey Trail packet generations confirmed in AcuityRow-Logs-2026-01-V2.4.1.
12,000+
Survey Trail packet generations confirmed in AcuityRow-Logs-2026-01-V2.4.1.
AcuityRow-Logs-2026-01-V2.4.1
- Clinical validation alignment with Manual Nursing Flow.
93.4%
Clinical validation alignment with Manual Nursing Flow.
Clinical validation
Metrics supplied from HSLM operational logs and AcuityRow-Logs-2026-01-V2.4.1. Family-note drafts require manual review before use.
Trust & safety
Built with resident data in mind.
HIPAA-aware workflows
Every workflow assumes PHI and treats it accordingly.
Role-based access
Caregivers, nurses, managers, and families see only what they should.
Audit logs
Every signal, intervention, and family update is logged with source.
Human approval
Nothing reaches a family without a human reviewer signing off.
Start with one morning huddle.
Bring AcuityRow into a single building, see how it lands in the 7 AM huddle, and grow from there.