skilled nursing/ long term care support services

Comprehensive survey-readiness assessments designed to evaluate facility compliance through a regulatory lens. Solèa reviews key clinical and operational systems, identifies potential areas of vulnerability, and provides actionable recommendations to help leadership strengthen compliance and prepare teams for the survey process.

Focused support for facilities navigating deficiencies following a regulatory survey. Solèa assists leadership in understanding identified concerns, evaluating contributing system failures, prioritizing corrective actions, and developing sustainable strategies to restore compliance and reduce recurrence.

Strategic assistance with developing clear, comprehensive Plans of Correction that address identified deficiencies and demonstrate a systematic approach to correction. Support may include root-cause evaluation, corrective-action development, monitoring strategies, education planning, and preparation for continued compliance.

Proactive evaluation of clinical, regulatory, and operational risk areas that may place residents or the organization at increased risk. Assessments identify vulnerabilities, trends, system gaps, and opportunities for intervention, followed by prioritized recommendations for risk reduction and improved oversight.

Intensive consulting support for facilities participating in, approaching, or recovering from the Special Focus Facility process. Services focus on identifying systemic compliance concerns, strengthening leadership oversight, establishing sustainable monitoring systems, improving accountability, and supporting long-term operational stabilization.

Rapid-response consulting support for facilities facing Immediate Jeopardy-level concerns or significant regulatory risk. Solèa assists leadership with immediate risk identification, resident-protection strategies, root-cause analysis, corrective actions, staff education, monitoring, and development of systems designed to demonstrate effective and sustainable correction.

A comprehensive review designed for facilities experiencing persistent clinical, regulatory, leadership, or operational challenges. Solèa evaluates key systems, identifies underlying vulnerabilities and priorities, and works with leadership to develop a structured stabilization strategy focused on resident safety, compliance, accountability, and sustainable performance improvement.

Focused regulatory education developed in response to identified deficiencies, compliance concerns, or directed educational requirements. Training is designed around applicable regulatory expectations, facility-specific needs, staff responsibilities, and practical strategies for translating regulatory requirements into everyday resident care.

Focused support for facilities operating under a Directed Plan of Correction, including rapid compliance assessment, corrective action implementation, staff education, monitoring, and evidence development to support sustained regulatory compliance.

Rapid response strategies designed to address serious regulatory enforcement actions, including Denial of Payment for New Admissions (DPNA) and Civil Money Penalties (CMPs). Solèa provides focused compliance support, corrective action development, and evidence-based validation to help facilities demonstrate sustained compliance, reduce ongoing regulatory exposure, and support successful recovery.

A comprehensive evaluation of the clinical systems that drive resident outcomes and regulatory performance. Reviews may include nursing processes, documentation, change-of-condition management, falls, wounds, medications, infection prevention, care planning, risk events, and other high-risk clinical areas. Findings are translated into practical recommendations for system improvement.

Targeted analysis of Quality Measure performance to identify trends, contributing factors, documentation opportunities, and areas requiring clinical intervention. Solèa works with facility leadership to develop focused strategies designed to strengthen resident outcomes and improve the systems influencing Quality Measure performance.

Development, evaluation, and strengthening of Quality Assurance and Performance Improvement systems. Solèa assists facilities with identifying meaningful performance priorities, developing Performance Improvement Projects, establishing measurable interventions, monitoring outcomes, and creating sustainable processes for continuous quality improvement.

Focused analysis of hospital transfers and rehospitalization patterns to identify potentially preventable events and opportunities for earlier clinical intervention. Services may include review of change-of-condition processes, communication systems, clinical assessment, provider notification, documentation, and facility practices affecting successful management of residents in place.

Assessment and strengthening of facility infection prevention and control systems, including surveillance practices, transmission-based precautions, staff practices, outbreak response, antibiotic stewardship processes, education, documentation, and ongoing monitoring. Recommendations are designed to support effective infection prevention and regulatory compliance.

Individualized mentorship for Directors of Nursing focused on developing confident, effective clinical leadership. Support may include regulatory oversight, survey readiness, clinical systems management, staff accountability, risk management, QAPI, prioritization, communication, and development of sustainable leadership practices.

Practical coaching for nursing and interdisciplinary leaders who need support translating regulatory expectations into daily operations. Solèa helps leaders strengthen accountability, critical thinking, communication, problem-solving, delegation, and oversight of high-risk clinical systems.

Strategic clinical and regulatory consultation for owners, operators, executives, and senior leadership teams. Services provide an independent perspective on organizational risk, clinical performance, regulatory exposure, operational priorities, leadership structure, and opportunities for system-wide improvement.

Short-term clinical leadership and consulting support during periods of transition, vacancy, regulatory challenge, or operational instability. Services are customized to organizational needs and may include leadership guidance, system oversight, stabilization planning, regulatory preparation, and support for incoming leadership.

Practical education designed specifically for the long-term care environment. Programs connect regulatory requirements with real-world staff responsibilities, helping employees understand not only what is required, but how their everyday actions affect resident safety, quality of care, and facility compliance.

Focused education addressing identified regulatory deficiencies, areas of concern, or directed training requirements. Programs can be customized to the applicable regulatory topic, staff roles, facility circumstances, and corrective-action objectives.

Structured competency assessment designed to evaluate whether staff can appropriately demonstrate required knowledge and skills. Validation may incorporate education, observation, return demonstration, knowledge assessment, and documentation based upon the competency being evaluated and applicable requirements.

Facility-specific education developed around identified risks, performance trends, regulatory concerns, or organizational goals. Programs can be designed for frontline staff, licensed nurses, department leaders, DONs, administrators, or interdisciplinary leadership teams.

Nurse Aide Training Program and Train-the-Trainer support designed to assist organizations with developing and strengthening compliant educational programs, instructor preparation, competency-based education, and applicable program requirements. Availability and scope of services are subject to applicable state approval and regulatory requirements.

Consulting support designed to help organizations navigate the clinical and regulatory components of a Change of Ownership. Services may include baseline compliance assessment, clinical systems review, risk identification, transition planning, leadership support, and development of priorities for the new ownership period.

Structured monitoring following an ownership, management, or leadership transition to identify emerging clinical and regulatory risks before they become larger problems. Solèa provides independent evaluation of key systems, progress toward established priorities, and areas requiring additional leadership attention.

Pre-transition and post-transition assessment of key regulatory and clinical systems to help organizations understand their current compliance position. Findings are prioritized to provide leadership with a practical roadmap for addressing vulnerabilities and establishing stronger systems during periods of organizational change.

Solèa Healthcare Consulting

Guiding Care. Improving Outcomes. Elevating Excellence.

Services are customized according to client needs, facility circumstances, and agreed-upon scope of engagement. Consulting services are intended to support organizational compliance and quality improvement and do not guarantee specific survey, regulatory, or enforcement outcomes.