# Senior housing operations software that keeps assessment, level of care and rate in agreement

> Senior housing operations is the day to day running of assisted living, independent living and residential care communities: resident assessments, level of care, staffing, census, billing and state survey readiness. The CDC counted 32,200 residential care communities with 1,313,600 licensed beds in 2022, alongside 14,700 nursing homes, and licensing rules differ in every state. Neurobird holds the assessment, the level of care, the rate and the review date on one resident record.

- URL: https://neurobird.com/seniorhousing/
- Product: Neurobird Senior Housing Operations Document Automation Platform
- Niche: senior housing operations
- Buyer: senior housing operators
- Status: in development, open for early access
- Updated: 2026-08-21

## What Neurobird Senior Housing Operations does

- Set the level of care from the assessment and carry it straight through to the rate
- Track care plan review dates so nothing goes past due without somebody seeing it
- Keep census, move ins, move outs and acuity in one place instead of a monthly rebuild
- Hold survey evidence where a surveyor can be shown it, not where it has to be reconstructed

## How it works

1. **Assess once** The move in and change of condition assessments set the level of care directly, with the reasoning attached rather than summarised later.
2. **Rate follows the level** A level change generates the rate change and the resident notice together, so clinical and billing cannot drift apart.
3. **Survey evidence stands ready** Care plan review dates, incident follow up and corrective actions live against the resident, so a surveyor is shown records rather than promised them.

## From the source material

> Additionally, compliance is a major portion of the work of all intermediaries that often diverts time and resources away from serving seniors and improving operations.

Source: coe.gsa.gov, https://coe.gsa.gov/2019/10/28/cx-update-14.html

## Industry context

- **32,200** Residential care communities counted in the United States in 2022, holding 1,313,600 licensed beds. Assisted living is licensed at state level, so operating requirements change across state lines. (source: CDC NCHS FastStats, residential care, https://www.cdc.gov/nchs/fastats/residential-care-communities.htm)
- **14,700** Nursing homes in the United States in 2022, with about 1.6 million licensed beds and 1.2 million residents. Many operators run both models inside one portfolio and one back office. (source: CDC NCHS FastStats, nursing home care, https://www.cdc.gov/nchs/fastats/nursing-home-care.htm)
- **483** 42 CFR Part 483 sets federal requirements for long term care facilities: comprehensive assessment, care planning, staffing and quality assurance. Assisted living sits outside it, which is exactly why the tooling fits badly. (source: eCFR, 42 CFR Part 483, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-483)
- **365 days** Certified facilities report direct care staffing for every day of the year from payroll data, so staffing became an auditable number rather than a self reported one. (source: CMS, certification and compliance, https://www.cms.gov/medicare/health-safety-standards/certification-compliance)
- **2050** Census projections put the US population aged 65 and over at roughly 82 million by 2050. Demand is not the constraint on this business. Operating capacity is. (source: US Census Bureau, older population, https://www.census.gov/topics/population/older-aging.html)

## Pricing

- Single community: $200 per community, per month
- Operator: $430 per community, per month
- Portfolio: $760 per community, per month

## Questions

### What are senior housing operations?

Senior housing operations are the day to day running of assisted living, independent living and residential care communities: resident assessments, level of care, staffing, census, billing and survey readiness. The CDC counted 32,200 residential care communities with 1,313,600 licensed beds in the United States in 2022.

### Is assisted living regulated federally or by the state?

Assisted living and residential care are licensed at state level, so requirements for assessment, staffing and medication management change every time you cross a line. Skilled nursing is different: certified nursing facilities answer to 42 CFR Part 483 as well as the state.

### Why does level of care matter so much?

Because it is both a clinical and a financial decision. The assessment sets the level, the level sets the rate, and if the change never reaches billing you keep giving care you are not paid for. It is the single most common leak in an assisted living P and L.

### How does this relate to skilled nursing software?

Most clinical software was built for skilled nursing, where 42 CFR Part 483 and payroll based staffing reporting drive the design. Assisted living has different rules, smaller teams and no federal survey, so operators end up with a system that fits badly or 3 spreadsheets that fit worse.

### Does this replace our billing system?

No. Invoicing and the general ledger stay where they are. What lives here is the resident record: assessment, level of care, rate, review dates and survey evidence, joined so billing gets the change the day it is made.

## Sources

- [42 CFR Part 483, long term care requirements](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-483)
- [CMS certification and compliance](https://www.cms.gov/medicare/health-safety-standards/certification-compliance)
- [CDC National Post acute and Long term Care Study](https://www.cdc.gov/nchs/npals/index.html)
- [Medicare Care Compare](https://www.medicare.gov/care-compare/)

## Contact

- office@neurobird.com
- https://neurobird.com/