Overview
skyComply is the system of record for legal, risk, and compliance in senior living and post-acute care — AI-assisted, human-attested, and auditable end to end. Part of the Skypoint AI for Senior Living 365 Suite, it covers independent living, assisted living, memory care, CCRCs, and skilled nursing on one tenancy model and one audit trail.
The principle: AI assembles. Humans attest. Everything is logged. No corrective action closes without evidence, no ADR case is approved with an open item, no resident is matched to a chart without a person confirming it, and nothing auto-submits.
Survey documents, incidents, and reimbursement letters become guided workflows with automatic routing, evidence-validated closure, and real-time portfolio visibility.
The Problem: Manual Compliance Is Breaking Down
Many operators still track corrective actions and Plans of Correction in spreadsheets, binders, and email. Documentation scatters, turnover erases knowledge, and survey prep becomes a last-minute sprint — so proof of correction is inconsistent, putting licenses, revenue, and reputation at risk.
Key Capabilities
Upload citations, inspection reports, complaint letters, or audits; skyComply identifies cited tags, extracts corrective actions, and suggests structured Plans of Correction. Historical Insights imports support custom titles.
Upload dozens of surveys or reports at once and extract compliance insights in a single pass — ideal for backlogs or multi-community uploads.
Build regulatory-aligned Plans of Correction with default tasks, due dates read from the agency cover letter, and regeneration of stale responses. Every submit, approve, and publish is versioned, approved POCs can be revised, and supporting documents can be attached from SharePoint several at a time.
Live updates to review status, comments, and assignments, with only the assigned approver able to review.
@mention colleagues in task, ADR, Plan of Correction, and incident comments; they get an in-app notification and an email. Only people with access to that community and record can be mentioned.
Assign corrective actions by role, deficiency type, or community — to one or several people, each notified individually.
See overdue, stalled, and systemic issues portfolio-wide, with reminders as each next survey date approaches.
Require photos, logs, invoices, training records, or updated policies before an action can be marked complete.
All documentation in one secure, searchable location for staff, regional teams, and auditors.
Track compliance trends and repeat deficiencies across communities, including a Community Standing chart that shows which communities lack survey data.
Consistent corrective action workflows regardless of staffing changes.
Regulatory language such as "Immediate Jeopardy" or "Actual Harm" is mapped to normalized levels — Critical, High, Medium, or Low — during extraction.
Alerts for assignments, overdue tasks, deadlines, evidence reminders, and escalations — delivered immediately or as a daily or weekly digest, with one-click unsubscribe.
Tasks created from a POC carry the source deficiency's tag code, severity, and violation type.
Administrators configure how state-specific severity terms map to normalized levels for consistent extraction.
Log falls, altercations, elopements, and more with structured intake. Repeat detection watches residents, resident pairs, locations, and buildings, and a person attests whether each event is state-reportable.
Repeat patterns can create an assigned task — training, investigation, or care-plan review — that requires evidence to close, and re-arms if the pattern recurs.
Incidents attach to a shared resident identity — entered, imported from CSV, or synced from a connected EHR — so repeat detection relies on exact matches, not names.
Track licenses with tiered expiry alerts, renew-in-place version history, AI-assisted intake, and bulk import and download. The register shows each license's owners and alert status, filters for licenses needing attention or without an owner, and a timeline of every expiry alert sent and to whom; owners acknowledge alerts with a renewal plan.
Store policies, import from SharePoint, and retrieve the document that governs a specific citation — linking each finding to its root-cause fix.
A ranked triage feed of what to do next across modules, with undetermined incidents prioritized.
An eight-factor engine rates every community low to critical and rescores daily, showing contributing factors — including incident volume, repeats, and severe injuries — rather than a black-box number.
An in-app assistant answers questions from the governed record using only facts a person pinned or verified in skyBrain. Writes are proposed, never silently applied, and Skills save recurring analyses as one-click prompts.
AI Survey and Citation Ingestion
Upload PDFs or documents, including large SOD packets, and skyComply extracts tags, corrective actions, and timelines into suggested Plans of Correction. State-specific formats are supported, including Michigan (with the LARA BCAL-1894 form) and Washington.
Incidents, Determination, and Risk
Incidents are a first-class hub, not a side log.
- Determination — On request, AI suggests whether an event is reportable, with reasoning. It writes nothing: a person proposes and an approver confirms.
- Watch lists — Repeat residents, pairings, and severity trends surface before they become claims.
- Internal investigation — Evidence, notes, rationale, and oversight flags stay on the incident; EHR charting excerpts can be attached with PHI minimized.
- Legal hold — Held incidents are removed from Reportables, Insights, risk scores, exports, and skyAgent, visible only to named people on the Legal Hold page.
- Insights — Portfolio charts by type, community, and trend, with Community Risk ranking sites on incident facts.
- Manage Residents — Roster edits and batch-safe uploads.
The clinical incident layer (involved parties, location/mechanism codes, per-resident and per-pair repeat detection) is part of the skilled-nursing edition.
ADR Automation (skilled nursing)
Medicare review contractors (CERT, MACs, RACs, SMRC, UPICs) send Additional Documentation Requests with hard deadlines; non-response means denial and recoupment.
skyComply reads the letter — including its actual due date — with step-by-step progress and each captured detail highlighted on the scanned page. When a letter names several residents, it becomes one case per resident, each with its own due date, requested items, and letter pages. Administrators choose which fields identify an ADR, so a letter matching an existing case is caught at upload.
Each case's checklist starts from a standard document list in the ADR settings, and documents can be added or removed at any stage, including after submission; an updated packet goes through the same approval as the original, and every change is recorded. skyComply retrieves records from PointClickCare scoped to the claim's dates of service — including care plans, diagnostic reports, and coverage records — picks up newly added items on later pulls, and states plainly when a record does not exist for those dates. It highlights the passages that answer each item and requires per-item human validation.
Approval is a signature from named approvers, blocked until every item is validated or accounted for. skyComply then assembles a CMS-ordered submission packet with an attestation manifest and optional cover letter. ADR Outcome reads determination letters into the outcome form, and an Appeal stage (Beta) carries denied claims through judicial review.
Deadline escalation fires at 14, 7, 3, and 1 days, then daily once overdue. skyComply prepares, records, and audits the packet — it does not transmit it to the contractor.
Mock Surveys
Regionals can run internal mock surveys covering scheduling, checklists, findings, and entrance and exit conferences. Communities write POCs in the same format used for real SOD POCs, corrective tasks stay off the live compliance score, and an internal CMS-2567-style packet can be exported — there is no path to submit a mock survey to the state. Checklists are published as versioned templates.
Editions
The senior living edition includes deficiency reports, POCs, tasks, incidents and reportables, checklists, quality checks, policy playbook, insights, licenses, and skyAgent. The skilled nursing add-on adds ADR automation, the PointClickCare connector, the clinical incident layer, and employee injury / workers’ compensation cases.
Integrations
Connect PointClickCare, August Health, and ECP yourself in Settings → Integrations. Chart writes are designed to require a person, and chart write-back is not live until a vendor agreement and clinical sign-off are in place.
| Integration | What it does today |
|---|---|
| PointClickCare | ADR record retrieval (including care plans, diagnostic reports, and coverage records), resident matching, and roster sync via the certified marketplace API |
| August Health | Resident roster sync for IL, AL, and memory care |
| ECP | Roster sync and care-charting evidence |
| SharePoint | Evidence sync, Plan of Correction documents, and Policy Playbook import |
| Microsoft Entra ID | Enterprise single sign-on |
| Microsoft Teams | Read-only bridge onto skyAgent |
| MCP connector | OAuth sign-in for Claude, ChatGPT, and Cowork |
Built for Senior Living Regulations
skyComply supports federal frameworks — CMS F-Tags (default), Emergency Preparedness, and Life Safety Code — plus state frameworks:
| State | Framework |
|---|---|
| Illinois | AL/SH Establishment Code |
| Indiana | Health Facility Licensure |
| Iowa | Assisted Living Programs |
| Michigan | Adult Foster Care |
| Minnesota | 144G Assisted Living |
| Missouri | ALF II |
| Nebraska | Assisted Living Facilities |
| North Dakota | Basic Care Assistance |
| Ohio | RCF Licensure |
| Pennsylvania | ALR |
| Virginia | Assisted Living Facilities |
| Washington | State survey letter and checklist formats |
| Wisconsin | CBRF |
Corrective actions map to state-specific tags, and POCs match how inspectors expect to see them.
Why Now
State agencies are raising documentation requirements.
Turnover creates gaps in compliance knowledge and evidence.
Growing operators need standardized visibility.
Rising litigation makes documentation essential.
ROI and Business Impact
Immediate Benefits
- Administrators save hours each week on manual follow-up
- Survey prep, mock assessments, and ADR deadlines stay on track
- Consistent follow-through reduces repeat deficiencies, reportable misses, and fines
Operational Improvements
- Lower risk through verifiable documentation and portfolio-wide oversight
Financial Upside
- Avoiding a single citation, resurvey, or Stop Placement order pays for skyComply many times over
Security You Can Trust
Microsoft Entra ID or Google Single Sign-On.
Each organization's data is isolated and separate.
HITRUST r2 and SOC 2 Type 2 certified infrastructure.
Permissions at region, community, and team levels.
Complete audit logs that record which field changed, not the PHI value.
Resident names stay out of URLs, logs, and notifications; ADR matching is human-confirmed; AI providers operate under zero-data-training terms.
Built on Microsoft Azure and Google Cloud, with seven-year audit retention and soft-deleted compliance artifacts.
English, Spanish, French, and German, with per-organization date formats, light and dark modes, and layouts for phones and tablets.
The skyComply Advantage
A consistent, defensible way to manage legal, risk, and compliance across every community.
skyComply. Modern compliance for senior living and post-acute care. Predictable execution. Stronger inspections. Lower risk.