Tier 01 · On-Site Intensive
Booking on a rolling basisIn the building.
On the floor.
Each week.
The on-site intensive is my highest-touch engagement. I'm physically on your floor 3–4 days a week, working shoulder-to-shoulder with your DON, ADON, administrator, and staff — for one week up to several weeks at a time.
Cadence
3–4 days/wk
Length
1–4+ wks
What an intensive looks like
Four things you can count on every week.
01
In your building 3–4 days a week
I show up on the floor — chart reviews, mock surveys, huddles, in-services, leadership coaching — for the duration of the intensive.
02
Side-by-side with your leaders
I work directly with the DON, ADON, and administrator. When interim coverage is needed, I sit in the DON seat myself.
03
Tight, written deliverables
Every week ends with a written summary: what we found, what we fixed, what's still open, and what the team owns next.
04
On-call between site days
While the intensive is live, I'm reachable by email through the business day. Urgent issues don't wait for my next on-site day.
The RENEW™ Method
The five phases behind the on-site week
The 3–4 days above aren't a checklist — each day advances a phase of RENEW™, my proprietary framework. Here's what each phase looks like when I'm executing all five inside your building in real time.
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
When this is the right fit
You need someone in the building, this week.
- →Pre-survey crunch — you have weeks, not months
- →Post-survey remediation with a tag-by-tag plan
- →Interim DON or DNS coverage during a transition
- →Turnaround situations needing a clinical leader on the floor
- →Multi-facility groups rolling out a single standard
For the full picture of the clinical areas I cover (QAPI, mock surveys, policy, training, leadership coaching), see the SNF consulting overview.
Location & travel
Available in the US.
On-site engagements are scheduled around travel. Tell me where you are and the window you're working with — if the fit is right, I'll travel for it.
FAQ
Quick answers.
How many days a week are you on-site?
3–4 days per week, in your building, for the duration of the intensive. The rest of the week I'm on email and async for your team.
How long does an intensive last?
Anywhere from one week up to several weeks. Survey crunches and turnaround engagements typically run multi-week; targeted projects can wrap in a week.
Do you cover interim DON / DNS?
Yes — interim Director of Nursing coverage during transitions, survey weeks, and turnaround stays is a core use case for on-site work.
Where will you travel?
On-site engagements are scheduled around travel. Reach out with your location and timeline — if the fit is right, I'll travel for it.
How do we get started?
Send an inquiry below with your facility, the situation, and the window you're working with. I'll respond personally with a scoping call invite.
Other ways to work with me
Not the right fit this quarter?
Inquire about the on-site intensive
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.