Senior Care and Skilled Nursing
Survey-ready every day, across every building you operate.
One system for life safety records, preventive maintenance, resident comfort, and equipment health in skilled nursing, rehabilitation, and senior living. The evidence a surveyor asks for is assembled as your team works, not rebuilt the week before.
Life Safety Code survey
Standard Health survey
Emergency Preparedness
Per-shift fire drills
Generator testing
Water management
In skilled nursing, most life safety citations are documentation failures rather than equipment failures.
Workflow
From a scheduled task to evidence a surveyor accepts
The generator runs fine and the drill happens. What fails a survey is the record: a missing quarter in a test log, a drill that cannot be shown to have covered every shift, medical gas paperwork nobody can produce on the day. Facility OS closes that gap by capturing the proof at the moment the work is done.
Load the programmes the codes require
Fire drills per shift per quarter, generator testing on its monthly, annual, and three-year cycles, sprinkler and alarm inspections, medical gas checks, hood cleaning, and hot water temperature routes arrive pre-configured against NFPA 101 Chapter 19, NFPA 110, NFPA 99, NFPA 25, NFPA 72, and NFPA 96.
Capture the evidence as the work happens
Technicians close tasks from a phone that works in a basement with no signal. Photos, readings, scanned equipment tags, staff attendance, and signatures are required to complete a task, so the record is created on site rather than written up later.
Produce the binder, and see the gaps early
Any date range, any building, exported as a dated report. A readiness view flags what is drifting while there is still time to act, in plain language: night shift has not had a fire drill this quarter.
Capabilities
Built for the way a nursing facility actually runs
Designed around the maintenance director, the administrator, the nursing staff who report problems, and the regional team that has to compare buildings honestly.
Survey readiness
Records organised the way the Life Safety Code, Standard Health, and Emergency Preparedness surveys ask for them, with a daily readiness score per building and missing periods flagged automatically.
Life safety testing
Emergency power, fire protection, medical gas, and fire drill programmes tracked to the interval and load the codes specify, with the paperwork attached to each completed test.
Resident comfort and water safety
Resident room temperatures watched against the 71 to 81 degree range under F584, hot water logged at the tap, and a water management plan aligned to CMS QSO-17-30 and ASHRAE 188, including flushing of low-use rooms.
Emergency preparedness
The emergency plan, its annual review date, drill and exercise records, generator and fuel readiness, and staff training tracked per person under 42 CFR 483.73.
Equipment health, before the breakdown
Boilers, chillers, air handlers, generators, and laundry and kitchen equipment monitored continuously, with faults surfaced weeks early and priced so the expensive ones get fixed first.
Every building on one screen
Readiness, open work, overdue tests, and spend compared across a portfolio on identical measures, so a regional team knows which sites need help without calling around.
Engineering controls
It runs alongside the system you already have.
Most operators have years of history in a CMMS, staff who know it, and time left on the contract. Facility OS is built to add the parts that system was never designed for rather than demand a replacement, with one owner per domain so nobody enters anything twice.
Keep your work order system
Your team keeps raising day-to-day requests exactly where they do today. Nobody retrains and no workflow moves.
Your asset register stays yours
We import a copy on a schedule rather than becoming a second place to maintain it, so there is no re-keying and no drift between two lists.
We take the gap
Compliance programmes, the evidence behind them, and live equipment data are the parts a records system cannot cover. That is where Facility OS starts.
Consolidate only if you want to
Migration is available and free, reviewed at your renewal date on your terms, never as a condition of starting.
Outcomes
Who it is for
One system, so the maintenance director, the administrator, the care staff, and the corporate office are all working from the same record.
Maintenance and plant operations directors
Every code-required task on a calendar that does not forget, evidence captured without chasing anyone, and the binder produced on demand instead of assembled over a weekend.
Administrators and executive directors
A readiness score you can trust before survey window opens, and a defensible record of good maintenance if an incident is ever questioned.
Nursing and care staff
Report a problem in thirty seconds from a code on the wall, with no app to install and no password, then see the status without chasing maintenance.
Regional and corporate facilities teams
Every building measured the same way, capital planning informed by real failure history, and one place to see which sites are current and which are drifting.
Connected platform
How it fits the TwinEdge platform
Senior care runs on the same TwinEdge operating layer as water, manufacturing, and commercial facilities, so the compliance spine, the field app, and the analytics are the ones already in production elsewhere.
TwinEdge OS connects boilers, chillers, air handlers, generators, meters, and refrigeration over BACnet, Modbus, OPC UA, and MQTT, and keeps recording when the internet drops.
AssetOps EAM and Field carry the work: scheduling, rounds on scanned routes, parts, procedures, technician evidence, and offline closeout.
Agentic Analytics explains what changed overnight, prices each finding, and drafts recommendations that a person approves before anything acts.
Capital Planning turns failure history and equipment age into a defensible five-year plan per building.
The historian keeps years of readings so any trend, any room, any date can be pulled up in seconds during a survey.
Frequently asked questions
Questions about Senior Care and Skilled Nursing
Clear answers for buyers, operators, engineers, and evaluation teams.
Does TwinEdge hold resident health records?
No. Facility OS holds building and equipment data only. No resident records, no clinical documentation, and no connection to an EHR, so no protected health information is in scope.
Do we have to replace our current CMMS?
No. Facility OS is designed to run alongside an existing system, taking on the compliance programmes and equipment monitoring it was never built for while your team keeps raising work orders where they do today. Free migration is available if and when you decide to consolidate.
Which codes and CMS requirements does it cover?
Fire drills under NFPA 101 Chapter 19, emergency power under NFPA 110, medical gas under NFPA 99, sprinkler and alarm testing under NFPA 25 and NFPA 72, kitchen hood cleaning under NFPA 96, resident room temperature under F584, water management under CMS QSO-17-30 with ASHRAE 188, and emergency preparedness under 42 CFR 483.73.
How long does it take to set up one building?
Days for the asset register, preventive maintenance schedules, and compliance programmes, because that stage is software only. Live equipment monitoring follows once the controller connections are made.
Does it work across multiple facilities in different states?
Yes. Each building keeps its own records and state requirements while a portfolio view compares readiness, open work, overdue tests, and spend on identical measures.
Who this is not for / non-goals
- •Resident care planning, clinical documentation, MDS, or anything that reads or writes to an electronic health record.
- •Billing, census, staffing, or scheduling of care staff.
- •Operators who want a records system only. If nothing in the building is ever going to be connected, a conventional CMMS is a cheaper fit.
See claims and boundaries and labeled proof.
Related for search and evaluation
Primary product for asset management and maintenance work.
Condition, physics, and remaining-life workflows.
Governed recommendations with approval and replay.
Maximo, HighByte, MaintainX, Fiix, and field alternatives.
Definitions for CMMS, DataOps, UNS, twins, and agents.
Labeled benchmarks and pilot methods.
Evaluate TwinEdge
Stop preparing for surveys. Just be ready for them.
Start with one building. We migrate your asset register, schedules, history, and vendor records, or set up alongside what you already run, and produce your first survey binder from real records.