For Senior Living
Clinical Intelligence for Senior Living Communities
Practical compliance and risk prevention for senior living operators, without a heavy program.
Why it matters
Falls, wounds and changes in condition can expose gaps between the care plan, daily notes and the response documented. Medical-Legal Analysis helps your clinical, risk and compliance leaders see what the record supports and what needs attention.
Every Lexcura review is balanced. Your report names the strengths in your documentation alongside the concerns — including unfavorable evidence and gaps — so you see the record the way an attorney, an auditor or a surveyor would.
How we review
Every record review uses The Lexcura Clinical Intelligence Model™ to assess completeness and reliability, establish baseline, measure care against the standard and map whether a failure connects to injury.
- 01
Record Integrity
- 02
Baseline
- 03
Imaging Analysis
- 04
Timeline Reconstruction
- 05
Standard of Care
- 06
Regulatory and Compliance Overlay
- 07
Causation Mapping
Senior living services and pricing
The base price is paid in full upfront. Agreed overages are invoiced separately and paid before work begins. Card payments add 3%; bank transfers have no added fee.
Standard record reviews take 30 business days after complete records are received; the listed rush option is 20 business days for an additional $1,500. The staged pilot schedules are described on their offer pages.
- Leadership Briefing: What an Attorney Sees in Your ChartsA free 45-minute session that shows your leaders your records the way a plaintiff's attorney will read them.Record limits: No records are shared or reviewed.FreeBook a time
- Charting That Holds Up: A Documentation In-ServiceA 60-minute session that teaches your nurses and caregivers to write notes that protect residents, staff, and the community.Record limits: No records reviewed. Up to 40 attendees per session.From $1,950Pay Now
- Single-Event Review: Know Where You Stand After an IncidentA clinical review of one serious event, with a written risk memo in 30 business days.Record limits: One resident's record, including the first 500 pages. Additional pages are $350 per 100, confirmed with you before the review continues.$4,500Pay Now
- Chart Snapshot: Five Charts, One Clear PictureWe review five resident charts from one community and give you a one-page read on your documentation risk.Record limits: 5 charts from one community, each covering the most recent 90 days of documentation. Therapy notes and outside hospital records can be added at $350 per 100 pages.$2,950Pay Now
- Records Request Check: Know What the Attorney Will SeeWhen an attorney asks for a resident's records, we review them first and tell you what's in them.Record limits: One resident's complete record, including the first 500 pages; $350 per additional 100 pages. The record is never changed, removed or delayed.$4,500Pay Now
- Policy vs. Practice: Does Your Charting Match Your Policies?We compare four of your written policies with what your charts actually show, and rank the gaps by risk.Record limits: 4 policies and 12 charts (three per policy), each covering 90 days of documentation around the event. Additional records at $350 per 100 pages.$5,950Pay Now
- The Lexcura Pilot: 30 Charts, Three CommunitiesA full look at documentation risk across three of your communities, with a written report and a leadership briefing.Record limits: 30 charts — 10 from each of three communities — each covering the most recent 90 days of documentation. An optional add-on event review includes its first 500 pages.The high-risk event review is optional and costs an additional $4,500.$15,000Pay Now
- Compliance & Risk Prevention Pilot30 charts across three communities, plus one included high-risk event review, a written findings report and leadership briefing. The included event review distinguishes this package from The Lexcura Pilot.Pay Now — $15,000
Lexcura runs a conflict check before every engagement and does not take matters adverse to a current client.
How an engagement works
- 01
Agree the scope and complete a conflict check.
- 02
Sign the agreement and BAA; pay the base price upfront.
- 03
Receive your private secure-portal link and upload only the agreed records there. Never send resident records by email or through this website.
- 04
Pay agreed overages before review; receive balanced written findings directly, with the discussion described in your offer.
Who does the work
Clinical findings are made or verified by clinicians holding an active registered nurse license or a higher clinical license.
Trained analysts, including paralegals, organize records, build timelines and check citations under clinical supervision. They may confirm that a date, medication or citation matches the source page; standard-of-care, causation and other clinical judgments go to a licensed clinical reviewer.
Michelle Carroll, Founder and Chief Clinical Strategist, developed the Model and leads each engagement personally.
Ongoing protection
After the Compliance & Risk Prevention Pilot, quarterly retainer service levels are available by proposal. Scope and fees are agreed before commitment; training and briefings remain as agreed in the proposal.
Essential
- 5 patient records audited per community, per quarter
- 1 high-risk event review per community, per quarter
- Documentation survey-readiness reviews at list price
- Claim, notice and audit-letter reviews at list price
Comprehensive
- 10 patient records audited per community, per quarter
- 2 high-risk event reviews per community, per quarter
- 1 documentation survey-readiness review per community, per year
- 1 claim, notice or audit-letter review per community, per quarter
Enterprise
- 15 patient records audited per community, per quarter
- 3 high-risk event reviews per community, per quarter
- 2 documentation survey-readiness reviews per community, per year
- 1 claim, notice or audit-letter review per community, per quarter
Allowances are calculated per paid location and pooled across the operator’s covered locations. Records, event reviews and included claim, notice and audit-letter reviews are quarterly allowances; survey-readiness allowances are annual, not quarterly. Unused allowances do not roll over. Work beyond an allowance, and services not included in the tier, are billed at list price and paid before work begins.