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 usually wins. Clarity Admit recognizes your own resident on arrival, so your health center can be the one that answers first.
Five 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
The leakage estimate is illustrative, and it is the first thing a pilot measures with your own data.
The problem
How skilled stays leave campus
Your residents paid an average entrance fee above $480,000 for the continuum: the promise that care stays on campus as their needs change. When a resident goes from the hospital to someone else’s skilled bed, that promise is broken. Hospitals send each referral to many facilities at once, including referrals for your own residents.
Your resident’s referral goes to other SNFs too
When a resident is hospitalized, the discharge planner sends the packet to 5–10 SNFs at once. Your health center is on the list and may not even know the patient is your own resident. Most communities find out about the leaked stay weeks later, when the fee invoice changes.
Slow answers lose the referral
The 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 does rehab across town.
One leaked stay costs you three ways
You lose the skilled stay, you put roughly $54,000 a year of service-fee revenue at risk if the resident never comes back, and you keep paying to staff an empty bed (illustrative figures). Health-center beds are also disappearing at about 1% a year (NIC), so each skilled bed you keep on campus is worth more every year.
How Clarity helps
Your health center is a skilled nursing facility, so screen like one
Clarity Admit gives your health center the same five-gate, cited screening it gives standalone SNFs, aimed at keeping the skilled stay and the resident on campus. Each referral is parsed, scored, and assigned before anyone opens it, and your coordinator can see which ones have waited too long and which patient is your own resident.
Cited AI, in production
A cited answer in minutes
Clarity Admit reads the referral packet the moment it arrives. A 30–60-minute manual review becomes a cited recommendation in minutes, and the document pipeline behind it runs in production today.
Click any citation and the discharge summary opens. When the evidence isn’t there, Clarity says insufficient evidence instead of guessing.
- 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, which is a design target and not a guarantee
Five-gate screening
A safe yes for your own residents
“It’s our resident, of course we take them back” is a good instinct, but the admission still needs the same checks as any other. The decision workflow, fully built and entering live-data rollout, runs every referral through the clinical, financial, regulatory, operational, and choice gates, and deal-breaker rules quote their evidence.
The financial gate spells out life plan contract benefit days and Medicare Part A coordination, which are often handled by word of mouth today. Choice is usually the easiest gate a community will clear, and it is still worth documenting. When the answer has to 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 across units and readiness for the arrival window.
Choice
Patient choice confirmed and a clean handoff from the sender.
Leakage dashboards · launching with the rollout
Measure how many stays leave campus
Leakage dashboards and response-time reporting, launching with the live-data rollout, give you a weekly count of the stays that leave campus. The rollout starts by measuring yours.
- 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 notify your liaison when a resident is admitted to another hospital or ED, within a hard 31-day post-discharge window that auto-unsubscribes. Your liaison can start the return-to-campus conversation before the packet goes out to other SNFs. For residents, that keeps the continuum promise: 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 will be for treatment purposes only and will never cover 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, with the arithmetic for each of three levers. A pilot replaces every assumption with your community’s own baseline.
Illustrative annual value
three levers, with the arithmetic below
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 come back to campus instead of moving out for good. This protects fee revenue, so it is a softer number than the other two.
2 × $4,500 × 12$108,000
Total illustrative annual value
~$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 come back to campus instead of moving out for good. This protects fee revenue, so it is a softer number than the other two. | 2 × $4,500 × 12 | $108,000 |
| Total illustrative annual value | ~$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.
FAQ
Questions CCRC teams ask
Maybe not, but most communities can’t say how many of their residents’ post-hospital skilled stays went off campus last year. The leak doesn’t show 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 helps you win 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.