Tier 02 · Hybrid Partnership
1 On-Site Day.
4 Weeks of Momentum.
A monthly retainer built so your building gets better every week — not just the weeks I'm on the floor. One full on-site day per month, a standing weekly leadership call that doubles as hands-on mentoring for your DON, ADON, and unit leaders, and email access through the business day.
If on-site is the sprint, hybrid is the season.
A month with me
Repeats monthly
Week 1
On-site day · leadership working session
Week 2
Weekly call · email access
Week 3
Weekly call · email access
Week 4
Weekly call · metrics check-in
Investment
Inquire for pricing
How the month flows
One rhythm — on-site, on-call, on-track.
01
1 full on-site day per month
I'm in your building once a month — leadership working session, chart spot-checks, walking the floor, face time with the team.
02
Weekly leadership call
A standing call with Admin, DON, ADON, and any other leaders you want in the room. We work the metrics and don't let anything quietly drift.
03
Email access through the business day
Questions, document review, escalation, second opinions — you have a clinical leader on call between visits so progress doesn't stall.
04
Monthly metrics check-in
Each month we measure against the goals we set together — survey readiness, QAPI follow-through, star-rating metrics — and adjust.
05
DON mentoring & training
Your leaders get real-time coaching on the decisions that matter — document review, in-service planning, escalation judgment, and building the systems that let them carry the work without me.
The RENEW™ Method
The five phases behind the monthly rhythm
The rhythm above isn't ad-hoc — one on-site day plus weekly leadership calls carries a full RENEW™ cycle each month. Here's what each phase looks like when the engagement runs hybrid.
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
Who this is for
Buildings that want a partner, not a one-off.
Operators who want a clinical leader on retainer
You don't need a full embedded intensive every month, but you do want someone in your corner every week — and in your building every month.
Buildings between major engagements
You wrapped a survey or a turnaround and want to hold the gains. Hybrid keeps the momentum without going back to zero.
New DON / ADON onboarding
Your new leader gets a seasoned partner walking alongside them — weekly calls, monthly on-site, email all the time, and structured training so they grow into the seat instead of just surviving it.
DONs and ADONs who want structured training
Your leader already has the title; now they need the clinical judgment, systems, and confidence that come from working alongside someone who has sat in the seat.
For the full list of clinical areas I cover across every engagement, see the SNF consulting overview.
Investment
Inquire for pricing
Hybrid retainers are priced per facility based on building size, scope, and travel. Reach out and I'll send a clear monthly proposal after our scoping call. Engagements run on a 6-month initial term, then a 12-month renewal — billed monthly throughout, no annual prepay.
Location & travel
Available in the US.
Hybrid works best when the monthly on-site day is realistic to travel. Tell me where you are — if the fit is right, I'll travel for it.
FAQ
Quick answers.
What does the weekly leadership call cover?
We work the metrics that matter — survey readiness, QAPI follow-through, quality measures, staffing, and any open issues. The Admin, DON, ADON, and any other leaders you want in the room.
How fast do you respond to email?
Throughout the business day. I'm not your floor nurse, but I'm your clinical sounding board — questions, document review, escalation calls, judgement on tricky situations.
What does the monthly on-site day look like?
A full day in your building — leadership working session, chart spot-checks, walking the floor, and a face-to-face with your team. The on-site day anchors the rest of the month.
Can we upgrade to on-site for survey weeks?
Yes. Hybrid retainers can scale up to a full on-site intensive when survey hits or a turnaround moment shows up.
Where will you travel?
Hybrid is scheduled around the on-site day each month. Tell me where you are — if the fit is right, I'll travel for it.
Is DON mentoring part of the hybrid retainer, or a separate service?
It is built into the hybrid partnership. Weekly calls, on-site shadowing, real-time document review, and training shaped to your building's needs. The work stays in your team's seat, but your leaders get the backup and teaching that makes it stick.
Other ways to work with me
Need a different shape?
Inquire about the hybrid partnership
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.