Tier 03 · Remote Advisory

Fully Remote.
Fully in Your Corner.

A monthly retainer with no on-site day. Weekly leadership calls with Admin/DON/ADON, document and chart review by video, and email access through the business day — wherever your building is.

Same clinical standards. No airfare.

Inquire about remote See the hybrid partnership →

A month with me

Repeats monthly

Week 1

Weekly call · email access

Week 2

Weekly call · document review

Week 3

Weekly call · email access

Week 4

Weekly call · metrics check-in

Investment

Inquire for pricing

How the month flows

One rhythm — fully remote, fully on the metrics.

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.

Email access through the business day

Questions, document review, escalation, second opinions — a clinical leader on call so progress doesn't stall between meetings.

Document & chart review

Secure document review, chart spot-checks, policy red-lines, and walkthroughs over video — anything that doesn't require physical presence.

Monthly metrics check-in

Each month we measure against the goals we set together — survey readiness, QAPI follow-through, star-rating metrics — and adjust the plan.

The RENEW™ Method

The five phases behind the weekly rhythm

The cadence above isn't ad-hoc — every touchpoint maps to a phase of RENEW™, my proprietary framework. Here's what each phase looks like when the whole engagement runs remote.

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

Review

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

Engage

Unified team collaboration — build strong connections with the team to foster alignment and drive success.

• Meet with Leadership
• All Staff 1:1s

Navigate

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)

Execute

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

Watch

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

When remote is the right shape.

Buildings outside reasonable travel reach

You want a seasoned clinical partner, but travel-based engagements don't pencil out for your location. Remote keeps the standards without the airfare.

Operators who want a clinical leader on retainer

You don't need someone on the floor every month — but you do want someone in your corner every week, with a real grip on your building's metrics.

Between major engagements

You wrapped a survey or a turnaround and want to hold the gains. Remote keeps the momentum and the rhythm of accountability.

New DON / ADON support

Your new leader gets weekly coaching with someone who has actually sat in the seat — without pulling a travel budget to do it.

For the full list of clinical areas I cover across every engagement, see the SNF consulting overview.

Investment

Inquire for pricing

Remote retainers are priced per facility based on building size and scope. 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.

Where it works

Anywhere in the US.

Remote is built for buildings outside reasonable travel reach — or for operators who don't need a monthly on-site day. If you need feet on the floor, see Hybrid or On-Site.

FAQ

Quick answers.

Is this really fully remote — no travel at all?

Yes. Remote Advisory is built for buildings outside my travel reach or operators who don't need a monthly on-site day. Every touchpoint happens by video, phone, or email.

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 your clinical sounding board — questions, document review, escalation calls, judgment on tricky situations.

Can we review documents and charts together remotely?

Yes. Secure document review, chart spot-checks, policy red-lines, and walkthroughs over video — anything that doesn't require physical presence in the building.