The operating system for residential care facilities.
EMR, billing, and compliance in one platform — built for the reality of a small residential home: skilled nursing, assisted living, board & care, and congregate living, not borrowed from enterprise hospital software.
Built on the same platform that runs Hospice Engine and Home Health Engine — one login across your post-acute lines.
Charting, billing, and survey-readiness — without the spreadsheets
Most residential care homes run on paper binders and a patchwork of tools. CLHF Engine puts the whole operation in one place.
Clinical documentation
Resident charting, electronic MARs, care plans, physician orders, assessments, and e-signatures — versioned with a full audit trail, built to the documentation standard your facility type is held to.
Multi-payer billing
Medicaid/Medi-Cal, managed care, regional centers, and waiver programs — plus resident room & board and private pay. HCBA Waiver TARs and nursing notes handled for CLHFs.
Survey-ready compliance
Unusual-occurrence and incident reporting, staffing logs that scale with your licensed beds, and a complete record for your state licensing agency — so a survey is a non-event.
Whichever residential population you serve
CLHF Engine adapts to the documentation, billing, and survey requirements each license type is held to — without enterprise-hospital bloat.
Skilled Nursing (SNF)
Higher-acuity skilled nursing with comprehensive charting, eMAR, care plans, and assessments — plus Medicare and Medi-Cal billing — kept survey-ready every day.
Assisted Living & RCFE
Non-medical residential care: ADL tracking, medication assistance, individualized service plans, and resident room & board, private-pay, and waiver billing in one place.
Board & Care
Small residential homes that need real records without enterprise software. Resident charting, MARs, incident reporting, and licensing documents — organized and retrievable.
Congregate Living (CLHF)
Ventilator-dependent, terminally ill, and catastrophically disabled residents — with the higher-acuity nursing, HCBA Waiver TARs, and hospice coordination these homes require.
Residential care, hospice, and home health — together
CLHF Engine, Hospice Engine, and Home Health Engine are the same codebase and the same login. That matters for residential care: many homes serve hospice-eligible residents, so your hospice partners — or your own hospice line — work in the same system, with one vendor and one support team.
Explore Hospice Engine →- Shared login at live.hospice.us.com
- Resident charting & multi-payer billing
- Hospice election, per-diem & the HOPE assessment
- Home health OASIS & PDGM
You bill. We give your biller the tools.
Billing Suite is EMR plus the software to submit claims, follow up on outstanding ones, and prepare adjustments and appeals — with the chart attached to the claim. Your biller stays in the seat. We don't take a cut of collections on this plan.
- Submit claims across Medi-Cal, managed care, Medicare, waivers, and private pay
- Follow up on outstanding claims and authorization windows
- Prepare adjustments and appeals with supporting documentation attached
- HCBA Waiver TARs with daily nursing notes packaged to the request
- Room & board invoiced separately from payer reimbursement
See it on your own facility
Book a walkthrough and we'll show you charting, a claim with documentation attached, and a survey-ready record.
Get Started Call (866) 522-1138