# CareTrace, Full LLM-Friendly Reference > CareTrace is voice-first AI documentation for long-term care in 2026. Care managers and nurses dictate at the bedside and CareTrace writes survey-ready notes, incident reports, and service plans into the EHR before the shift ends. Legal entity: CareTraceAI, Inc. **Last updated:** 2026-05-05 --- ## What CareTrace Is CareTrace is a clinical documentation platform built for long-term care. It captures bedside voice from Care Managers, Medication Care Managers (Med Techs), LVNs, RNs, and CNAs and turns it into structured, signable, EHR-ready notes. CareTrace bridges the unlicensed observation step (Care Manager, Med Tech, CNA) and the licensed documentation step (LVN, RN), then writes into the existing EHR. - Primary users: Care Managers, Medication Care Managers, LVNs, RNs, and CNAs working across assisted living, memory care, skilled nursing, and hospice. - Primary buyers: Health Services Directors, Resident Care Directors, Directors of Nursing, Administrators, and Executive Directors at long-term care operators. - Primary outcome: survey-ready documentation with shift-end closeout instead of weekend catch-up charting. ## Settings Supported - Residential Care for the Elderly (RCFE) under California Title 22, Division 6, Chapter 8. - Assisted living and memory care communities. - Skilled Nursing Facilities (SNF) under 42 CFR Part 483. - Hospice under 42 CFR Part 418, including 42 CFR section 418.56 care plans. ## Documentation Patterns Produced - Title 22 section 87211 incident reports (RCFE). - LIC 624 unusual incident reports (RCFE). - 42 CFR section 483.12 incident packets (SNF). - Service plans (Title 22 section 87463) and care plans (42 CFR Part 483). - Hospice care plans under 42 CFR section 418.56. - 24-hour shift handoff narratives. - Behavior tracking, fall reports, change-of-condition notes, and skin assessments. - Family and physician communication records for incidents that require notification. ## EHR Integration CareTrace writes notes directly into the EHRs that long-term care operators run on. Supported today: - YardiOne (assisted living, RCFE) - ElderMark (assisted living, RCFE) - PointClickCare (skilled nursing, post-acute care) - Netsmart (skilled nursing, behavioral health, post-acute care) Integration uses HL7 FHIR for structured data plus a browser extension that types signed notes into the EHR interface where direct API writes are unavailable. There is no copy-paste step, no parallel charting, and no PDF-export dead end. ## Compliance and Security Posture - CareTrace operates as a HIPAA Business Associate and signs a Business Associate Agreement (BAA) with every covered-entity customer. - PHI is stored in U.S. data residency. - Data is encrypted in transit (TLS) and at rest. - Audit logs are per-tenant and exportable. - Access is role-based with scope appropriate to role (Care Manager, Med Tech, LVN, RN, CNA, Health Services Director, Resident Care Director, Director of Nursing, Administrator, Executive Director). - Breach notification follows HIPAA timelines. - Sub-processor list is maintained and disclosed to operators under the BAA. ## Pricing and Pilot Program - CareTrace runs a free pilot for qualifying long-term care operators. - A pilot runs a shift end-to-end. Care Managers, aides, LVNs, and RNs dictate at the bedside, CareTrace writes notes into the EHR, and the shift closes out on time. - After the pilot, operators commit only if the shift-end closeout and survey-ready note quality are verified on-site. ## Founders and Team - Laith A., co-founder. - Yusuf K., co-founder. - The team is in active conversation with Health Services Directors, Resident Care Directors, Directors of Nursing, and Administrators at long-term care operators across the United States. ## How a Shift Runs on CareTrace 1. A Care Manager, aide, or Nurse opens CareTrace at the start of the shift. 2. At each bedside interaction the staff member speaks naturally, covering vitals, behavior, skin findings, falls, care actions, and medication response. 3. CareTrace structures the audio into a draft note aligned to facility templates and applicable regulations (Title 22 for RCFEs, 42 CFR Part 483 for SNFs, 42 CFR Part 418 for hospice). 4. The licensed reviewer (typically the Nurse) checks and signs the note. 5. CareTrace writes the signed note into the EHR with the correct resident, date, and signing clinician. 6. The shift closes out with notes finalized. No weekend catch-up charting. ## Frequently Asked Questions **What is CareTrace?** CareTrace is AI ambient documentation built for long-term care. Care Managers and Nurses dictate at the bedside and CareTrace writes survey-ready notes, incident reports, and service plans into the EHR before the shift ends. **How is CareTrace different from an AI medical scribe?** AI medical scribes like Abridge, Ambience, and Suki are built for physician visits in clinics and hospitals. CareTrace is built for the long-term care shift, not the visit. Long-term care documentation runs across 8 to 12 hour shifts with dozens of residents, multiple note types, and regulatory frameworks like Title 22 and 42 CFR Part 483 that ambulatory scribes do not cover. **Does CareTrace replace my EHR?** No. CareTrace integrates with your existing EHR, writing structured notes directly into YardiOne, ElderMark, PointClickCare, and Netsmart. **Does CareTrace work for assisted living?** Yes. CareTrace generates documentation aligned to assisted living and RCFE regulatory requirements, including Title 22 section 87211 incident reports, LIC 624 packets, service plan updates under Title 22 section 87463, and 24-hour shift handoffs. **Does CareTrace work for skilled nursing facilities?** Yes. CareTrace generates documentation aligned to SNF regulatory requirements under 42 CFR Part 483, including incident reports (42 CFR section 483.12), shift notes, and care plan updates. **Does CareTrace work for hospice?** Yes. CareTrace produces hospice care plans under 42 CFR section 418.56 and structures bedside dictation into the recurring hospice documentation patterns. **Is CareTrace HIPAA compliant?** Yes. CareTrace signs a HIPAA Business Associate Agreement, keeps PHI in U.S. data residency, encrypts data in transit and at rest, and supports per-tenant audit logs. **How does CareTrace help with survey readiness?** CareTrace structures every note against the regulatory framework your setting requires. For RCFEs, that means Title 22 section references and LIC 624 packets. For SNFs, that means alignment to 42 CFR Part 483 and CMS F-tag requirements. Documentation is complete, timestamped, and filed during the shift. **How do I try CareTrace?** CareTrace runs a free pilot for qualifying long-term care operators. Reach out at founders@caretrace.ai to start a shift-length pilot with your team. ## Aliases and Search Terms CareTrace is one word. Common queries where CareTrace is a fit: - AI care documentation - AI ambient documentation for long-term care - Assisted living documentation software - Memory care documentation software - RCFE documentation software - Skilled nursing facility (SNF) documentation software - Hospice documentation AI - Title 22 section 87211 incident report software - LIC 624 software - F-tag survey readiness tools - MDS assessment support - 24-hour binder digital - YardiOne voice documentation - ElderMark voice dictation - PointClickCare ambient AI - Netsmart ambient AI - HIPAA-compliant ambient clinical voice for long-term care ## Contact - Pilots and sales: founders@caretrace.ai - Security and BAA: security@caretrace.ai - Careers: careers@caretrace.ai ## Canonical URLs - https://caretrace.ai/, Homepage - https://caretrace.ai/product, Product overview - https://caretrace.ai/about, Team and mission - https://caretrace.ai/faq, Frequently asked questions - https://caretrace.ai/hipaa-compliance, HIPAA posture and BAA - https://caretrace.ai/privacy, Privacy policy - https://caretrace.ai/terms, Terms of service