For Skilled Nursing
Going home is the goal. It's also where things go wrong.
Your team works hard to get each person ready to go home. Then they leave your building, and you lose sight of them.
What we heard
Skilled nursing operators and clinicians told us the pressure points are staffing, the discharge process and what happens after.4
The move home is fragile.
At the median facility, about half of Medicare stays (50.9%) end with a successful discharge back to the community. About 1 in 10 (10.4%) lead to a potentially preventable readmission.1
There aren't enough staff.
The industry reports that inadequate staffing has limited access for new residents.1 Teams are stretched before anyone even thinks about technology.2
Discharge needs simple tools.
The discharge process needs simple tools for compliance, nudging, fall detection and behavioral support. If it isn't simple, a busy team can't take it on.2
Falls send people back.
Falls among older adults lead to about 4.5 million emergency room visits and 1.4 million hospital stays each year.3
Help with tech is missing.
Clinicians know tech can help. What's missing is education, training and someone to support it.4
How NestCara helps
NestCara goes home with the person, on the TV. The care team stays close, and the care plan keeps going after discharge.
- Send them home with a connectionThe Nest HD goes on the TV at home. Video check-ins with your team, the family and the doctor's office happen on the big screen.
- Nudges that keep the plan on trackReminders for medicines, exercises and follow-up visits, plus a daily check-in that notes changes from the person's own normal.
- Fall and fire alertsFall Call for falls inside and outside the home. FireAvert for the stove. The person is told first, then family and the care team.
- Health readings from homeA blood pressure cuff, a scale and a blood oxygen meter can send readings on their own. Readings a doctor ordered go to that doctor's office.
- Behavioral and chronic care supportSupport for chronic care, and videos that help people living with dementia and Alzheimer's.
- White-glove serviceThe NestCara team installs, trains and supports. Your clinicians stay focused on patients.
What it means for you
- A smoother handoff home.
- Earlier word when something changes.
- Families who feel supported, not alone.
- A view of how people are doing after they leave, instead of guessing.
Where you fit in the NestCara ecosystem
On the NestCara Partner Network, Skilled Nursing sits with OTs: compliance and nudging. The move from your building to home is where NestCara can do the most good.
Make the move home safer
NestCara is not on the market yet. Facilities who talk with us now help shape how it supports discharge and the weeks after.
Sources
- 1. MedPAC, March 2025 Report to the Congress, Chapter 6, Skilled Nursing Facility Services: for FY2022 to FY2023, the median facility risk-adjusted rate of successful discharge to the community was 50.9% and the median rate of potentially preventable readmissions was 10.4%; the industry reports that inadequate staffing has limited access for prospective residents. https://www.medpac.gov/wp-content/uploads/2025/03/Mar25_Ch6_MedPAC_Report_To_Congress_SEC.pdf
- 2. Long Haven Partners, research and channel findings summarized in the Master Business Plan, October 2026.
- 3. CDC, Facts About Older Adult Falls (reviewed September 8, 2026): more than 1 in 4 older people fall each year, but less than half tell their doctor; falling once doubles the chance of falling again; about 4.5 million emergency department visits and 1.4 million hospitalizations each year; home hazards are a risk factor. https://www.cdc.gov/falls/data-research/facts-stats/index.html
- 4. Long Haven Partners, 230+ interviews across manufacturers, healthcare, agencies and all 5 verticals, January to September 2026. Findings are paraphrased; no one is quoted by name.
Statistics come only from the sources above. Interview findings are paraphrased and do not name the people we spoke with.