What kinds of facilities do you work with?

Skilled nursing facilities (SNFs), assisted living, and post-acute / long-term care — single buildings, multi-facility groups, and interim turnaround situations.

Do you cover interim DON / DNS roles?

Yes. I take on interim Director of Nursing coverage during transitions, survey weeks, and turnaround engagements, including multi-week on-site stays.

What does a typical engagement look like?

Four models: On-Site (I do it for you), Hybrid (we do it together), Remote Advisory (a fully remote monthly retainer), and DIY w/Help (toolkits, forms, and packets your team runs themselves).

Do you help with state survey preparedness and QAPI?

Yes. Chart reviews, mock surveys, QAPI build-outs, star-rating work, policy refreshes, and in-service training are all in scope.

Where are you based, and do you travel?

I'm based in the United States and travel nationally for on-site engagements. Hybrid and remote work happens from anywhere.

For Skilled Nursing & Assisted Living operators

I help SNF and Assisted Living leaders run a building that holds up — under survey, and under pressure.

I partner with facilities across the US to strengthen clinical operations, prepare for survey, and support the people leading the floor — DONs, ADONs, administrators, and the regional leaders backing them up.

Four ways to work with me — on the floor with you, alongside your team, fully remote on monthly retainer, or in your hands as the same toolkit I use during a survey week. One set of clinical standards behind all of them.

Skilled NursingAssisted LivingOwner / operator groupsDONs & ADONsAdministratorsRegional clinical leaders

Request a consultation See who I serve →

JayLee McGary, RN, BSN

Skilled & Assisted Living Advisor

Engagement models

4 paths. 1 lifelong passion for quality.

The forms, audits, huddles, and DON systems are the same in every engagement — the only question is whose hands are on them. Pick the path that fits your building right now.

On-Site

I do it for you

I show up in your building. I run the toolkit myself — chart reviews, mock surveys, huddles, in-services — so your team can keep caring for residents while I carry the clinical load.

Typical use

Survey weeks, turnaround situations, interim DON coverage.

Cadence

Multi-day to multi-week stays

See the on-site intensive →

Hybrid

We do it together

Same toolkit, but I work it alongside your DON and ADON. On-site intensives for the heavy lifts, structured remote weeks in between for coaching, tracking, and accountability.

Typical use

State Preparedness, QAPI rebuilds, new DON onboarding.

Cadence

Typically 6–12 weeks

See the hybrid partnership →

Remote Advisory

I'm with you — virtually

A fully remote monthly retainer. Weekly leadership calls, document and chart review, and email access through the business day — no travel, no on-site day. Your clinical leader on call.

Typical use

Buildings outside travel reach, between engagements, ongoing coaching.

Cadence

Monthly retainer

See the remote retainer →

DIY w/Help

You run it, with my tools

The exact forms, audits, huddle agendas, and DON systems I deploy on the floor — packaged as downloadable toolkits your team can run themselves.

Typical use

Tight budgets, strong internal leaders, between-engagement maintenance.

Cadence

Self-paced

Browse the DIY toolkits →

Who this is for

A clinical partner, not just a vendor — at whichever path fits.

Single-building SNF administrators

You run one skilled nursing facility and want a clinical partner who can sit at your table during survey week — and the quiet weeks before it.

Assisted Living operators

You're navigating state licensure, resident assessments, and clinical standards in a setting that doesn't get the SNF playbook handed to it.

Regional and portfolio clinical leaders

You want executive-level clinical advisory across multiple buildings — consistent standards, traveling support, and a second set of eyes on the trends.

New DONs and ADONs

You're learning the seat for the first time and want experienced backup from someone who has actually sat in it.

Operators between DONs

You need interim clinical leadership on the floor while you hire — without losing momentum on survey readiness or QAPI.

How I help

6 areas of clinical focus.

State Preparedness

Walk into survey week ready — not reactive.

·Mock survey & gap analysis
·Tag-by-tag remediation plans
·Staff drills and binder readiness

DIY versionThe State Survey Readiness Toolkit →

Star Rating Improvement

A measurable plan to move the needle on CMS metrics.

·Quality measure deep-dive
·Staffing & survey domain strategy
·Quarterly improvement roadmap

DIY versionQuality of Care Tracker →

In-Servicing & Training

Evidence-based education built for the realities of long-term care.

·Geriatric physiology
·Skin, falls, infection control
·Customized curriculum

DIY version30-Day Survey Readiness Quick-Start →

QAPI / QA Review

QAPI programs that actually move outcomes — not just paperwork.

·Committee structure & cadence
·PIP design & tracking
·Root-cause coaching

DIY versionQuality of Care Tracker →

Policy & Procedure

Creation and revision of clinical policy that holds up under scrutiny.

·New policy authoring
·Annual revision cycles
·Regulatory alignment

DIY versionThe Complete DON Leadership Bundle →

DON / DNS Support

Experienced backup for the hardest seat in the building.

·New-leader mentorship
·Interim coverage
·Executive clinical advisory

DIY versionDON Essentials Bundle →

From the floor → into your hands

The toolkits I built on the floor — packaged for your team.

Every form, audit, and DON system below started as something I actually used inside a building during a survey week, a QAPI rebuild, or a turnaround. If hiring me isn't the right fit right now, the work doesn't have to stop — you can run it yourself.