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.
3 ways to work with me — remote advisory, care plan reviews, or DIY with the same clinical toolkit I use daily. One set of very high clinical standards behind all of them.
JayLee McGary, RN, BSN
Skilled & Assisted Living Advisor
The RENEW™ Method
How I work: the RENEW™ method
RENEW™ is the proprietary framework I run on every engagement — Review, Engage, Navigate, Execute, Watch. Same five phases whether I'm on your weekly leadership call, in your inbox, or in your team's hands as a toolkit.
Why RENEW™ exists
A framework built on the floor, not in a classroom.
I built RENEW™ over years of walking into buildings mid-survey, mid-turnaround, and mid-crisis — and watching the same patterns repeat. Strong clinical teams without a system to lean on. Good administrators flying blind between surveys. New DONs handed a seat with no playbook for the first 90 days.
Every fix I made on the floor — every audit, every huddle, every leadership meeting that actually changed an outcome — got refined, named, and slotted into a phase. RENEW™ is the result: the working method I'd want if I were walking into your building cold.
Built from
Survey weeks, turnarounds & interim DON seats
Refined across
Skilled nursing, assisted living & post-acute
Designed for
Administrators, DONs, ADONs & regional leaders
Measured by
Quality of care, quality of life & survey outcomes
Comprehensive assessment for clarity — observe all angles to understand the current state and identify areas for improvement.
- • Onboarding Process
- • Corporate Mock Survey
- • Staff Reviews
- • Operational Audits
Unified team collaboration — build strong connections with the team to foster alignment and drive success.
- • Meet with Leadership
- • All Staff 1:1s
Strategic direction and priorities — set the course so the team knows what matters most.
- • OKR's, Big Rocks, KPIs
- • S.C.P.s (Simple Clinical Procedures)
Effective implementation — put plans into action efficiently, empowering people and driving meaningful results.
- • Put the Right People in the Right Seats
- • Empower and Support Each Step of the Way
Measure what matters — sustain momentum and keep the facility on track for long-term success.
- • Continuous Monitoring for Improvement
- • Develop a Culture of Accountability
Engagement models
3 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.
Remote Advisory
I'm with you — virtually
Fully remote clinical advisory: weekly leadership calls, document and chart review, and email access with 24 hour turnaround. Your clinical leader on call.
Typical use
State Preparedness, QAPI rebuilds, new DON onboarding, ongoing coaching.
Cadence
Monthly advisory plan
Care Plan Reviews
A second set of eyes, weekly
Weekly remote review of your residents' care plans by a registered nurse — consistent, documented, and focused on the gaps that show up under survey.
Typical use
Care plan accuracy, survey exposure, MDS and documentation alignment.
Cadence
Weekly, ongoing
DIY w/Help
You run it, with my tools
The exact forms, audits, huddle agendas, and DON systems I deploy — packaged as downloadable toolkits your team can run themselves.
Typical use
Tight budgets, strong internal leaders, between-engagement maintenance.
Cadence
Self-paced
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 on call 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, remote support at every site, 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 experienced clinical leadership backing up whoever is holding the seat 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
Star Rating Improvement
A measurable plan to move the needle on CMS metrics.
- ·Quality measure deep-dive
- ·Staffing & survey domain strategy
- ·Quarterly improvement roadmap
In-Servicing & Team Communication
The daily structure that keeps a nursing team aligned, coached, and on the same page.
- ·15-minute daily huddle rhythm
- ·Handoff & staff communication templates
- ·Weekly quality metric touchpoints
QAPI / QA Review
QAPI programs that actually move outcomes — not just paperwork.
- ·Committee structure & cadence
- ·PIP design & tracking
- ·Root-cause coaching
Policy & Procedure
Creation and revision of clinical policy that holds up under scrutiny.
- ·New policy authoring
- ·Annual revision cycles
- ·Regulatory alignment
DON / DNS Support
Experienced backup for the hardest seat in the building.
- ·New-leader mentorship
- ·Remote leadership backup
- ·Executive clinical advisory
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.
Scope & scale
From a single review to a season of partnership.
I work at three distinct scales so the engagement matches the problem in front of you.
Instant · downloadable toolkits
DIY Form Packs
The exact forms, audits, huddle agendas, and DON systems I use on the floor — packaged so your team can run them without me.
- →Survey-ready audit checklists
- →Daily clinical huddle agendas
- →Care plan & MDS templates
- →Policy & procedure starters
Buy once, use forever. Add an advisory plan if you want a second set of eyes.
Ongoing · weekly rhythm
Remote Advisory
Weekly leadership calls, document and chart review, and email access with 24 hour turnaround. Clinical and operational support.
- →Weekly DON / administrator strategy calls
- →Policy, audit & chart review
- →Survey prep and post-survey debriefs
- →QAPI guidance and trend review
6-month initial term, then 12-month renewal — billed monthly. Includes the matching DIY toolkits your team needs.
Weekly · focused scope
Weekly Care Plan Reviews
Remote, recurring review of your residents' care plans by a registered nurse — the most focused way to work with me.
- →Weekly care plan review cycle
- →Documented findings and recommendations
- →MDS and documentation alignment
- →Survey-exposure flagging
Buy once, use forever. Included in the Remote Advisory Plan, plus I'll help your teams actually use them.
What to expect
A simple, honest process.
01
Inquire
Share your facility, the situation, and what you're working toward.
02
Scoping call
A focused conversation to define fit, scope, and engagement model.
03
Proposal & start
Clear deliverables, timeline, and pricing — then we get to work.
Request a consultation
Tell me about your facility.
I personally review every request and will respond as soon as I can. The more specific you can be, the faster I can help.