Quality-of-care assurance for skilled nursing
Know every resident was turned. Prove it when it matters.
Peace of mind for everyone who answers for a resident. Your residents, your reputation and your team's hard work are protected. Your DON sees every deviation as it happens. You hold the proof when CMS, a managed care plan, an insurer or an attorney asks. And the same staff safely serves more beds.
Guardian Agents makes operational protocols verifiable, quality-controlled and easy to manage. A dime-sized sensor on the resident records every turn and every self-turn against the care plan, and the record flows straight into your EHR. Turning is the first protocol. Every protocol we add unlocks more value from the system you already have. No cameras, no microphones, nothing extra to chart.
Win-win-win: what the facility, the staff and the residents get.
| Value | Facilities | Staff | Residents & families |
|---|---|---|---|
| What they get |
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And beds that sit empty for lack of staff become beds you can fill.
See the value we unlock and the friction we reduce for you:
Peace of mind for the building you answer for. Your DON has full oversight, protocols are followed, and the proof is on record for every survey, claim and family question. Less leakage, lower risk and more beds you can staff.
Learn more: Facility administratorsStay on top of the turning protocol and see which residents deviate from their care plan. Get a bird's-eye view of your units and your nursing assistants, right on your phone.
Learn more: Nursing and care teamsMake operational protocols verifiable, quality-controlled and easy to manage, leveling up every facility and reducing leakage and loss of reputation due to deviations from operational protocol: pressure injuries, clawbacks, rehospitalization fines, federal fines and litigation that result from missing proof of protocol.
Learn more: Investors and angelsOne minute: how a turn becomes proof.
Know every resident was turned. Prove it when it matters.
The evidence gap: when care isn't provable.
Skilled nursing, post-acute and long-term care facilities leak money through pressure injuries, falls, aspiration pneumonia and readmissions. Staffing shortages and 70% turnover put the oversight burden on nurses and cap the number of servable beds. Verdicts keep rising, insurers raise premiums or leave the market, and the Silver Tsunami keeps adding residents.
In many cases the facility is not at fault, but it cannot prove the care protocol was followed. The result is clawbacks, rehospitalization penalties, federal fines, lawsuits and a damaged reputation. A single nuclear verdict can put a facility out of business. When care isn't provable, insurers and litigators assume the worst.
A turn charted on paper is a note written after the fact, and it rarely holds up in a hearing or a clawback review. Guardian Agents logs every turn automatically and gives your team oversight with the whole picture in view.
Verifiable care at scale. Turning first, more protocols next.
Prevention and operational excellence through awareness and auditability.
Turning is the necessary protocol for preventing pressure injuries, and the first one CMS, managed care plans, insurers, surveyors and plaintiff's attorneys check when a pressure injury appears. It drives clawbacks, rehospitalization penalties, federal fines, premium hikes and lawsuits. Guardian Agents starts there: every turn recorded, verified and under quality control.
The same sensor and platform extend to more protocols: upright positioning against aspiration pneumonia, mobilization, gentle handling and falls. Every protocol you add unlocks more value from the system you already have.
See how it worksHow it is different.
The four questions we hear first.
- Isn't this just another wearable?
- No. A wearable is built for the person wearing it. This is built for your facility. The resident does nothing: no buttons, no screen, no app. Your team gets every turn, every position and how long it held, against the resident's own care plan.
- How is it different from a bed mat or a smart bed?
- A mat senses pressure on a surface. Guardian Agents is on the resident and records the turn itself: from which position to which, how long it held and whether the resident self-turned. Those are the facts a turning protocol is judged on.
- Why not just audit the chart?
- A chart audit checks what was written down after the fact. Guardian Agents records when the resident was actually turned and how long the position held, while there is still time to act.
- Why not cameras?
- Video captures far more than the protocol needs and adds hours of review. Guardian Agents records the protocol and nothing else. No images, no speech, easy to explain to any family.
Designed to pay for itself many times over.
A small monthly cost against a large, recurring leakage, before you count the beds your staff can now serve.
Plus capacity and trust. When your nurses stop chasing charts, the same staff can safely serve more beds, beds that sit empty for lack of staff can be filled, and agency staff and new hires work to the same protocol.
See it working.
The unit view your DON uses: each resident's care plan against the measured position, a green check for every turn on plan and a red mark where care diverged from the protocol, with the minutes and the correction. And the facility view your administrator opens: deviation by unit for today, the last 7 days and the last 30 days.
Questions we hear
How does the data reach our EHR?
Guardian Agents runs on your existing Wi-Fi and pushes the processed turning record straight into your EHR through an official marketplace integration. Place the sensor, pair it with a phone scan, and you have a digital audit trail: proof of care and quality control, with nothing extra to chart.
What does our IT team have to do?
Very little. Enable a VPN connection and internet access for the sensors. We integrate with your EHR for a simple, frictionless setup. No servers, no gateways, no interface project.
Our budget is already tight. Can we afford another system?
Guardian Agents is designed to pay for itself many times over. One serious pressure-injury claim, around $240,000, equals the system's cost for a 100-bed facility for about ten years. The leakage you already carry per bed is more than twelve times the system's yearly cost, before you count the beds your staff can now serve.
Does it replace our charting or our nurses' judgment?
No. Your chart stays the chart, and clinical decisions stay with nursing. Guardian Agents adds a verified, timestamped record of every turn and takes the turn sheets and the reconstruction work off your team.
Does it monitor our staff?
No. The sensor is on the resident, not on staff: position and motion only, no camera, no microphone. What goes on the record is the care your team delivers. A turn done on time is on the record as done on time.
What happens when a resident turns themselves?
It is recorded as a self-turn, never as a missed turn. Your team sees when the resident moved out of the planned position and when they were brought back.
Is it comfortable on fragile skin?
The sensor is dime-sized and light. It attaches with the same kind of standard adhesive patch used for continuous glucose monitors. Your nursing team decides placement and which residents wear it.
Is it a medical device?
No. Guardian Agents gives you operational proof of a care protocol: when the resident was turned, from which position to which and how long it held. It does not diagnose and does not make clinical decisions.
How do we start?
With a conversation with Yogev, our founder. Come as you are. He shows you the record and the facility view, and you decide what comes next.
A conversation with the founder
Peace of mind. Protocol followed. Proof on record.
We invite you to a conversation with Yogev Wallach, our founder. Come as you are.
Schedule a meeting with Yogev. Pick any open time.
or email yogev@guardian-agents-us.com