For CCRCs & life plan communities
Keep the referral inside the continuum
When a resident goes to the hospital, outside SNFs get the referral too, and the first credible yes wins. Clarity Admit recognizes your own resident on arrival and is built so that yes can come from your health center.
Your own resident, recognizedFive gates in parallelYour team decides
- For
- COO, VP health services, health-center administrator
- Status
- Pipeline in production · decisions entering rollout
- Your health center
- A licensed SNF, screened like one
NIC · 2025
average entrance fee at entrance-fee communities, up 22% since 2020
NIC MAP · Q3 2025
independent-living occupancy at entrance-fee communities
Illustrative estimate
skilled stays a year that typically leak off a reference 350-resident campus
NIC figures are cited; the leakage estimate is illustrative and the first thing a pilot measures with your own data.
The problem
The leak you never see
Your residents paid an average entrance fee above $480,000 for one promise: the continuum. When a resident leaves the hospital for someone else’s skilled bed, that promise breaks quietly. Hospitals broadcast each referral to many facilities at once, including referrals for your own residents. Three things go wrong from there.
Your own resident, broadcast to everyone
When a resident is hospitalized, the discharge planner sends the packet to 5–10 SNFs at once, including your health center, which may not even know it’s your own resident. Most communities discover the leaked stay weeks later, when the fee invoice changes.
Fax-speed answers lose beds
Sector-average referral response is roughly 10 hours (industry estimate), and a manual review of a 40–80-page packet takes 30–60 minutes. An outside SNF with a dedicated admissions team says yes first, and your resident rehabs across town. A community can lose the referral for its own resident because it answered a fax too slowly.
One leaked stay is three losses
You lose the skilled stay itself, put roughly $54,000 a year of service-fee revenue at risk if the resident never comes back, and keep paying to staff an empty bed (illustrative figures). The inventory is shrinking too. Health-center beds are disappearing at about 1% a year (NIC), so every skilled bed you keep on campus is worth more each year than the last.
How Clarity closes it
Your health center is a skilled nursing facility, so screen like one
The same five-gate, cited screening Clarity Admit brings to standalone SNFs, pointed at keeping the skilled stay, and the resident, on campus. Every referral arrives parsed, scored, and assigned before anyone opens it. Your coordinator sees which one has waited too long, and which one is your own resident.
Cited AI, in production
Answer first, with citations
Clarity Admit reads the referral packet the moment it arrives, by upload, referral network, or eFax PDF. A 30–60-minute manual review becomes a cited recommendation in minutes. The document pipeline behind it runs in production today.
Click any citation and you’re looking at the discharge summary itself. When the evidence isn’t there, Clarity says insufficient evidence instead of guessing. Clarity recommends; your team decides.
- Referrals arrive by upload, referral network, or eFax PDF
- Every finding cites the exact page of the source document
- A decision window under seven minutes as the design target, not a guarantee
Five-gate screening
A safe yes for your own residents
“It’s our resident, of course we take them back” is an instinct, not a decision. The decision workflow, fully built and entering live-data rollout, runs every referral through five gates: clinical, financial, regulatory, operational, and choice. Deal-breaker rules quote their evidence.
The financial gate makes life plan contract benefit days and Medicare Part A coordination explicit instead of word of mouth. Choice is usually the easiest gate a community will ever clear, and worth documenting. When the answer must be no, the decline carries a structured reason code you can show a surveyor.
Clinical
Skilled need, acuity, equipment, infection control, behavior, specialty meds.
Financial
Network and contract, prior auth, qualifying stay, expected rate.
Regulatory
PASRR, state level-of-care, required documentation.
Operational
Capacity and arrival window readiness across units.
Choice
Patient choice confirmed and a clean handoff from the sender.
Leakage dashboards · launching with the rollout
See the leak, then close it
You cannot recapture a leak you cannot see. Leakage dashboards and response-time reporting, launching with the live-data rollout, turn it into a weekly number instead of an anecdote. Measuring yours is where the rollout begins.
- Which hospitals your residents land in
- Which referrals you won and lost
- Whether you answered inside the response window
Clarity Beacon · launching soon
Know the moment your resident moves
Clarity Beacon, care-transition alerts, will alert your liaison when a resident admits to another hospital or ED, inside a hard 31-day post-discharge window that auto-unsubscribes. The return-to-campus conversation starts before the packet ever broadcasts. It is the continuum promise, made operational: we will know, and we will come get you.
Beacon builds on the nationwide record connectivity and identity graph Clarity runs in production today. Monitoring is for treatment purposes only, and never covers anyone you declined. The early-access design-partner program is forming now.
Beacon alert · launch format
“Resident X (discharged 12 days ago, dx CHF) just admitted to St. Mary's ED. Liaison to call by 4pm.”— Clarity Beacon, concept
Illustrative economics
What keeping the referral home is worth
An illustrative model for a reference 350-resident community with a 60-bed health center. Three levers, arithmetic shown. A pilot replaces every assumption with your community’s own baseline.
Illustrative annual value
three levers, arithmetic shown; a pilot swaps in your baseline
Illustrative estimate
skilled stays a year from your own residents on a reference 350-resident campus; about a third leave campus
Illustrative
per recaptured skilled stay, the same PDPM math as a standalone SNF
Illustrative reference model, not audited customer results. Outcomes are targets, not guarantees.
Illustrative · reference 350-resident community
Leakage recapture
Your own resident is recognized on arrival and answered in minutes, so the health center wins back about half of the stays that leave campus today. Clarity Beacon, launching soon, is designed to start that conversation earlier still.
~9–10 of ~19 leaked × $11,250~$110,000
Fill the health center from outside
One additional outside skilled admission a month, won on speed with the evidence attached.
12 × $11,250$135,000
Continuum retention
Two residents a year who return to campus instead of transferring out for good. Protected fee revenue, a soft value.
2 × $4,500 × 12$108,000
Total illustrative annual value, plus the continuum promise kept
~$353,000
| Lever | Arithmetic | Annual |
|---|---|---|
Leakage recapture Your own resident is recognized on arrival and answered in minutes, so the health center wins back about half of the stays that leave campus today. Clarity Beacon, launching soon, is designed to start that conversation earlier still. | ~9–10 of ~19 leaked × $11,250 | ~$110,000 |
Fill the health center from outside One additional outside skilled admission a month, won on speed with the evidence attached. | 12 × $11,250 | $135,000 |
Continuum retention Two residents a year who return to campus instead of transferring out for good. Protected fee revenue, a soft value. | 2 × $4,500 × 12 | $108,000 |
| Total illustrative annual value, plus the continuum promise kept | ~$353,000 | |
Assumes 350 residents · 60-bed health center · ~90 hospitalizations a year · ~54 skilled stays · ~35% leaking off campus · ~50% recaptured · $4,500 monthly fee modeled (NIC average about $4,300). Every line is illustrative. A pilot replaces each one with your own hospitalization count, leakage rate, and contracts. The pilot’s job is to throw our assumptions away.
Common questions
Asked first, answered first
Most communities can’t say how many of their residents’ post-hospital skilled stays went off campus last year, because the leak is invisible until the fee invoice changes. The leakage dashboard, launching with the live-data rollout, answers the question with your own data. If the answer really is zero, the same speed still wins you outside referrals.
Keep the next referral on campus
A 20-minute walkthrough of the decision queue, the five gates, and how a community sees and closes its leakage.