Assisted living communities already run on an EHR, and the last thing a Care Director needs is a second chart. CareTrace sits in front of the system you have: staff dictate, a licensed reviewer signs, and the finished note is filed where your team already looks for it.
Reviewed observations land in the progress-note and care-record fields your Care Managers and nurses already work in, with the timestamp and author preserved.
Shift documentation is prepared for the resident record after licensed review, so the note your reviewer signed is the note that gets filed.
If your community runs something else, we map the reviewed-note workflow against your fields during the pilot. There is no migration project and no data to move.
A secure browser extension fills the fields a reviewer would otherwise type by hand. Nothing is filed until a licensed reviewer signs it.
A Care Manager, Med Tech, or nurse speaks the observation once, where the care happens.
CareTrace drafts the artifact in the community's own documentation format, structured around California Title 22.
A licensed reviewer edits and signs. Nothing reaches the resident record unattested.
The extension types the signed note into the fields your team already uses, during the shift rather than after it.
Most pilots start with a single shift on a single floor. Your team dictates, your reviewer signs, and you see exactly what lands in the record before anyone commits to a rollout.