Service · Senior Care & SNF
Back-office help for survey-ready facilities.
PBJ, survey readiness, background screening, staffing friction, and retention support for senior care teams.
PBJ
Submissions
24-48hr
Screening
Survey
Readiness
Facility operating layer
Facility compliance board
Filed
PBJ status
24-48hr
Screening
Visible
Survey gaps
PBJ validation
Payroll, schedule, census checks
Exclusion checks
OIG, SAM, LEIE, license lookups
Retention plan
Onboarding, agency drag, manager follow-up
Facility focus
Survey readiness
Survey-ready by your next look-back date, not scrambling after the notice arrives.
We run the compliance checklist against the current state rules, close documentation gaps, and keep the binder current so when the surveyor shows up, your DON isn’t rewriting policies at 2am. PBJ, CORI, OIG/SAM/LEIE, QAPI documentation, all owned.
Facility operating layer
Survey readiness workstream
Filed
PBJ status
24-48hr
Screening
Visible
Survey gaps
PBJ validation
Payroll, schedule, census checks
Exclusion checks
OIG, SAM, LEIE, license lookups
Retention plan
Onboarding, agency drag, manager follow-up
Facility focus
Staffing that holds
Direct-hire staffing that actually stays, so agency spend stops replacing retention strategy.
Turnover, onboarding gaps, and hiring bottlenecks are what make facilities dependent on agency labor. We clean up onboarding, tenure-based comp, and screening turnaround so direct hires become stable, and margins stop bleeding through premium labor rates.
Back-office, owned
Payroll, background checks, and compliance under one operator instead of four vendors.
Most senior care operators stack a payroll company, a screening vendor, a PBJ consultant, and an HR generalist. We replace that with one senior operator who knows your facility, your state, your survey schedule, and your hiring bench.
What's included
92%
survey readiness benchmark
100%
on-time PBJ submission
45%+
turnover reduction target
How this saves you money
Cut agency reliance
Retention and hiring friction cost facilities far more than most consulting engagements. Less churn means less premium labor.
Protect reimbursement and star ratings
Cleaner PBJ data and steadier staffing improve the numbers CMS sees and reduce the cost of bad submissions.
Reduce survey scramble costs
Facilities save money when readiness is built into operations instead of forcing leadership into panic mode before every window opens.
The senior-care operator thesis
Compliance lives in the back office. So do your margins.
Senior care facilities get crushed in the back office long before anyone sees it on the floor. Background checks slow hiring. PBJ errors trigger audits. Missed notices turn into deficiencies. We own the back-office so the floor can focus on care.
Operator vs. point-solution vendors
Why senior care operators move off bundled vendor stacks onto a single senior operator for HR, payroll, screening, and compliance.
Traditional vendor stack
- Payroll, screening, PBJ, and compliance split across 4+ vendors
- Exclusion monitoring runs quarterly in a spreadsheet, if at all
- Survey readiness rebuilt from scratch every survey cycle
- Generic HRO, MA SNF rules get discovered mid-survey
- Background checks take weeks and good candidates walk
King & Co., the operator
- One operator owns payroll, screening, PBJ, and compliance end-to-end
- CORI, OIG, SAM, LEIE, and state exclusion checks documented and current
- Survey prep is continuous, not a fire drill the week of the notice
- Senior care-specific: we know MA SNF rules, PBJ cycles, and DPH expectations
- Hiring bottlenecks owned, screening turnaround in days, not weeks
Certifications & partnerships
Need PBJ, survey, screening, or staffing drag owned?
Bring the back-office mess into one operating plan before it turns into agency spend, citation risk, or another leadership fire drill.
Senior Care FAQs
Straight answers about scope, cost, and where outside help can take pressure off facility leadership.