Features

Everything a residential care facility needs, in one system

Clinical documentation, multi-payer billing, and survey compliance — designed around the reality of small residential homes: SNF, assisted living, board & care, and CLHF, on web and mobile.

Clinical & EMR

Documentation that meets your survey standard

Every facility type is held to a documentation standard — from skilled-nursing regulations to residential-care service plans. CLHF Engine gives you that rigor without enterprise-hospital bloat.

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Resident charting

A complete resident record — demographics, diagnoses, history, and progress notes — organized for the small-facility reality of a residential care home.

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Electronic MAR

Medication administration records with scheduled and PRN tracking, so every dose is documented and nothing slips through a paper binder.

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Care plans

Individualized care plans with goals and interventions, tied to the resident's diagnoses and reviewed on schedule.

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Physician orders & e-signatures

Order entry and tracking with PIN-verified electronic signatures and a strike-through revision trail on signed documents.

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Assessments & vitals

Structured assessments and vital-sign tracking, scaling from ADL check-ins to the higher-acuity items ventilator-dependent residents require.

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Document management

Store and retrieve physician reports, consents, and licensing documents against the resident record — searchable, not in a filing cabinet.

Billing & revenue cycle

From documentation to paid claim

Residential-care revenue lives or dies on documentation. CLHF Engine connects the chart to the claim across every payer your residents carry.

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Multi-payer ready

Medi-Cal and managed-care plans, Medicare, regional centers (DDS), waivers, and private pay — track each resident's payers and obligations in one place.

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Documentation attached to claims

Capture the notes and assessments each payer requires as part of care, and package them with the claim or authorization automatically — no end-of-month scramble.

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HCBA Waiver TARs for CLHFs

For congregate living homes, build the daily nursing notes the HCBA Waiver requires, attach them to every Treatment Authorization Request, and bill CNSS at the U3 per-diem level — the right code and modifier, every time.

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Reauthorization tracking

Payers re-review each authorization. Track authorization windows and get ahead of renewals so coverage — and revenue — never lapses.

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Room & board billing

Payers don't cover room and board, so you collect it from residents. Track and invoice it separately from payer reimbursement, alongside private pay.

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Full-service billing option

Prefer to hand it off? Our team runs the revenue cycle from inside the application. Get a quote →

Compliance & survey readiness

Ready for your surveyor, every day

Whether you're licensed by the Department of Public Health or Community Care Licensing, CLHF Engine keeps the record a surveyor would ask for already in order.

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Staffing compliance

Coverage requirements scale with your beds and license type — RN, LVN, and CNA or caregiver tiers per shift. Log it and prove it.

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Incident & unusual-occurrence reporting

Capture incidents and unusual occurrences with the detail your licensing agency expects, and keep a defensible, time-stamped record.

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Regulatory conformance

Documentation structured to the regulations your facility type must follow — care plans, orders, MARs, service plans, and assessments aligned to the standard you're surveyed against.

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Audit trail & access control

Role-based access and a complete change log — who documented or changed what, and when — for HIPAA and for survey defense.

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Mobile & bedside

Document at the bedside on a mobile device, including offline, so charting happens in real time instead of at the end of a shift.

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Licensing document hub

Keep licensing paperwork, fire clearances, and policies organized and retrievable when the surveyor — or a new application — calls for them.

See it on your own facility

We'll walk you from a resident's chart through a claim with documentation attached to a survey-ready record.

Get Started