ClnkOSTM MDS Agent · For Skilled Nursing Facilities

Care delivery your way.

Most SNF software was built to archive the past. ClnkOS orchestrates the present. The 1ST AI operating system for post-acute care that delivers trainable workflows. Our MDS Agent reads every referral, building the CMI in collaboration with you, and prepares the documentation so your MDS coordinator can focus on delivering the right care plan.

Your agency empowered by our agentic AI.

Validated by Administrators, Directors of Nursing (DONs) and MDS Coordinators across facilities.
Built for Administrators, DONs, MDS Coordinators, ADT Teams, Nurses, Therapists - every staff member at your SNF
HL7 FHIR C-CDA EPIC Cerner Athena PointClickCare Payer Mix Sensitive PDPM HIPAA
The reality at most SNFs

Scaling the "paperwork mountain" is not heroic - saving lives with "agency" is!

We've seen the heroic workarounds, the last-minute scrambles go unnoticed! We have felt the burnout and the operational costs leading to the missed revenue, the compliance risks.

Endless manual chart reviews

Each referral is a 60-page PDF read start to finish by hand. Your team hopes nothing critical got buried — every time, for every patient.

Decisions made on instinct

Accept or decline in four hours, on incomplete information, with three more referrals already queuing. Most of those calls come down to gut feel.

NTAs slipping through

A qualifying condition buried on page 47 goes unnoticed. That's $25–$100 per patient day left on the table — every day of the stay.

MDS accuracy under pressure

Coordinators race the ARD on imperfect information. One missed coded condition or wrong section GG score — and reimbursement drops without warning.

Nurses doing paperwork, not care

40% of every shift lost to the EHR. Burnout accelerates, agency spend follows, and the staff who stay are stretched thinner each quarter.

Families calling, again

"How's Mom doing today?" Six calls a day, per resident. Nurses can't step away from the cart, and families feel shut out of the very care they're paying for.

Disconnected departments

Therapy, nursing, social work, dietary — each running a different system, each holding a different version of the truth. The care plan that launched Monday rarely survives the week.

Readmissions, penalties, lower stars

One avoidable bounce-back undoes a quarter of careful work. The VBP penalty compounds it — for a full year.

Revenue you earned but never billed

The care was delivered. The documentation didn't keep pace. That gap shows up as a missing line item in next month's deposit.

Stop relying on systems that were built decades ago as static billing and compliance repositories .
Build your workflow with agency on ClnkOSTM Agentic AI Engine

The turning point

Meet MDS Agent of ClnkOS - for instant CMI clarity .

The Engine: Unlike point solutions bolted onto legacy architecture, ClnkOS is a clean-slate operating system that actively orchestrates clinical and operational workflows — and adapts continuously to how your facility actually operates.

The Agent: It reads every referral, builds your CMI, drafts your MDS, catches every NTA, keeps departments in sync, keeps families informed, and follows the patient home upon discharge.

The Impact: Your team stops shuffling paper. They start doing what they came here to do.

Referral & admission clarity

Every chart, summarized and scored, in seconds - fit, complexity, projected stay.

Automated Case Mix Index

A reinforcement learning engine watches every chart change, adapts to your facility's patterns, and lifts your CMI continuously — compounding over time.

Never-miss NTA detection

Every NTA-qualifying condition surfaced and evidenced, with the citation in the chart.

Zero-effort MDS & documentation

Drafts every assessment, every progress note, every section - from the EHR you already use.

Inter-department coordination

Therapy, nursing, social work, dietary - one shared source of truth, one care plan.

Family engagement, automated

Daily updates, milestones, photos - sent the way families want, with zero nurse time spent.

Post-discharge companion

Patient leaves with a digital companion that checks in, flags trouble, prevents bounce-backs.

Readmission prevention intelligence

Live risk model on every discharged patient - early signals, fewer 30-day returns, lower penalties.

What it means for you

Better care. Less gruntwork. More revenue. Every single shift.

Six places ClnkOS shows up the moment you turn it on.

A Reimbursement

Maximize reimbursements - automatically.

Every chart audited. Every NTA caught. Every MDS rock-solid. You don't squeeze more hours out of your team - we squeeze every legitimate dollar out of the care you're already delivering.

  • The most accurate Case Mix Index your facility has ever billed
  • Every valid NTA surfaced with chart-level evidence
  • Flawless MDS - every section, every ARD
  • Higher revenue without one extra hour from your team
+17%*
Average revenue lift in the first 6 months across active facilities.
PDPM components · live CMI +0.21
PT1.84
OT1.71
SLP1.22
Nursing2.04
NTA2.53
B Admissions & MDS

Eliminate the manual work that drowns your team.

No more thumbing through 60-page packets. No more instinctive accept/decline. Every relevant fact about every referral is surfaced, scored, and decision-ready in under a minute.

  • No more perusing referrals - the chart reads itself
  • No more instinctive decisions - fit, LOS, and projected revenue at a glance
  • Every clinical signal surfaced instantly, with citations
  • Nurses focus on patients, not on PDFs
−20%*
Drop in operational cost per admission within the first quarter.
Inbound referrals · this morning Auto-screened by KNOAH
MC

Margaret Coleman, 78

Mt. Sinai · CHF + wound care · LOS ~24d
Strong fit
RJ

Ronald Jenkins, 82

Methodist · Post-op THR · LOS ~18d
Good fit
DT

Diana Torres, 71

Hopkins · Stroke recovery · LOS ~30d
Review NTA
AB

Albert Brooks, 69

St. Luke's · IV antibiotics · LOS ~14d
Strong fit
C Team coordination

Supercharge how your departments work together.

Therapy, nursing, social work, dietary, MDS - everyone on the same page, in real time, with the same source of truth. Faster decisions. Fewer errors. Happier staff.

  • Seamless cross-department communication, in-flow
  • One care plan, one truth - no more divergent notes
  • Faster decisions in standup, IDT, and at the bedside
  • Higher staff satisfaction - and lower agency spend
Nursing
12 online
Therapy
6 online
MDS
2 online
Therapy · Mrs. Coleman tolerated 30 min PT today. Recommending CMI re-score.
MDS · Confirmed - Section GG bumped to 11. ARD locked.
KNOAH · Care plan updated. CMI now 1.42. Reimbursement +$94/day.
D Family engagement

Keep families informed - without one nurse phone call.

Automated, personalized updates go out the moment something meaningful happens. Families feel close. Nurses stop fielding the same question six times a day. Star ratings rise as a side effect.

  • Daily and milestone updates, automated
  • Zero nurse time spent on repetitive family calls
  • Higher family satisfaction scores, every quarter
  • Cleaner CMS surveys. Better star ratings.
Hi Sarah - good morning from Pinewood. Mom slept well, ate a full breakfast, and just finished a 30-min PT session. She asked about the dog.
That's the best news. Tell her Biscuit misses her too 💛
Will do. Photo from PT below. Next update at 4 PM.
Pinewood SNF · Updates · Today, 10:42 AM
E Discharge

Make discharge smooth, accurate, complete.

No more last-minute scrambles at 4 PM. The discharge summary, the medication reconciliation, the home-care handoff - all drafted, all reviewed, all done. Patients leave with confidence. Your team leaves on time.

  • All discharge documentation auto-generated
  • No missing details, no last-minute fixes
  • Cleaner handoffs to home health, hospice, or the family
  • Patient and family leave actually understanding the plan
Mrs. Coleman · Discharge packet Ready · 14 min
Discharge summary AUTO
Medication reconciliation AUTO
Home-care handoff AUTO
Patient education sheet 10:14 AM
Family communication plan 10:14 AM
F After discharge

Care doesn't end at the front door. Neither do we.

Every patient leaves with a digital companion - checking in, answering questions, watching for warning signs, and looping back to your team the moment something matters. Adherence climbs. Bounce-backs fall. So do penalties.

  • A digital assistive companion in every patient's pocket
  • Better adherence to medication and rehab regimens
  • Early detection of decline, before the ER visit
  • Better star ratings. Lower VBP penalty exposure.
−10%*
Reduction in 30-day readmission penalties at participating facilities.
KNOAH · Home
Day 4 since discharge
Good morning, Margaret. How did you sleep last night? Don't forget your furosemide at 8 AM and a glass of water with breakfast.
I noticed you logged 2.4 lbs of weight gain in 48 hours. Let's loop in your nurse - that's worth a quick call before it becomes a problem.
😊 Slept well 💊 Took my meds 📞 Call my nurse

*Based on lab simulations.

Your move

Stop losing revenue. Stop burning out your team. Start transforming your SNF.

In 20 minutes, we'll walk you through what ClnkOS would look like in your facility - using your own referrals, your own MDS workload, your own numbers.

Live in 30 days Plugs into PointClickCare & MatrixCare HIPAA & SOC 2 ready No EHR rip-and-replace
Questions from SNF leaders

Frequently asked questions

What is ClnkOS™?

ClnkOS™ is an AI operating layer that sits on top of your facility's existing EHR. Its core job is to take the manual grunt work off your staff's plate — auto-parsing referral packets, speeding up charting, and keeping the whole team coordinated — while also tightening MDS accuracy, CMI, and NTA capture so reimbursement reflects your residents' true acuity. It works on top of your EHR, so there's nothing to rip out and replace.

What manual work does ClnkOS™ actually take off our staff?

A lot of the day-to-day load. ClnkOS™ auto-parses incoming referral packets and surfaces the information that matters, so admissions teams can triage quickly and accurately. It helps nurses and therapists chart faster and more accurately. And it keeps staff coordinated across roles and shifts so care stays consistent. The goal is to give your team back time and attention for residents.

Does ClnkOS™ also help with reimbursement?

Yes. Alongside the time it saves, ClnkOS™ improves MDS accuracy, raises your Case-Mix Index, and captures every eligible NTA comorbidity — surfacing acuity that's supported in the chart but easy to miss by hand. That means reimbursement reflects the real complexity of your residents, without piling more work on your MDS team. It's an important benefit, but it's not the only reason facilities run ClnkOS™.

Does ClnkOS™ work with our EHR?

Yes. ClnkOS™ is an AI layer that integrates with any EHR system — including PointClickCare, MatrixCare, and others. It runs on top of what you already use, so there's no EHR rip-and-replace and no disruption to your team's existing workflows.

How long does it take to go live?

Most facilities are live in about 30 days.

Is ClnkOS™ secure and compliant?

Yes. ClnkOS™ is HIPAA compliant and SOC 2 ready.

Will ClnkOS™ replace our nurses and MDS coordinators?

No. ClnkOS™ is built to support your team, not replace it. By automating the repetitive grunt work — chart hunting, packet review, cross-checking — it frees your nurses, therapists, and MDS coordinators to focus on judgment, accuracy, and resident care.