For LTC Owners & Administrators
Your facility isn't broken. It's just running without systems.
Turnover. Survey deficiencies. A DON stretched past her limit. These aren't people problems — they're infrastructure problems. We build the operating system your facility needs to run, retain, and grow.
What No System Costs You
The chaos has a price tag.
Staff Turnover
Recruiting, onboarding, and training costs stack fast. A facility losing 4–6 nurses a year bleeds $20K–$30K before anyone notices the pattern.
CMS Survey Deficiencies
F-tags don't just cost fines — they drop your star rating, reduce census referrals, and create a liability trail that follows the facility for years.
DON Turnover
Losing a DON means losing institutional knowledge, team cohesion, and clinical leadership simultaneously. Facilities without systems lose DONs faster.
The LTC Operating System
A done-with-you facility systems engagement for LTC owners and administrators ready to stop depending on heroics and start running on infrastructure. Built by a Director of Nursing who has lived the problem from the inside.
What Gets Built
Facility Systems Audit
We map every gap — role overlap, accountability voids, onboarding failures — before we build anything.
Role Accountability Map
Every position. Every responsibility. Every escalation pathway. Nothing ambiguous.
Staff Onboarding System
A structured 30/60/90 pathway that gets new hires ready — and keeps them from walking out at 91 days.
Compliance-Ready SOP Library
Standard operating procedures built to regulatory standard — so survey season feels like a review, not a crisis.
Shift Communication Protocol
Handoff structures and escalation pathways that close the gaps between shifts and departments.
Start the conversation
Book a free Facility Audit call.
30 minutes. We review your CMS data and most recent survey, then map the biggest system gap in your building. You leave with clarity — whether we work together or not.
See engagement options ↓Start with the $75 Book FirstFree, 30 minutes, zero pressure.
Engagement Tiers
Three ways to install the system.
Every tier is fixed-fee, single-building focused, and led personally by Bilquis. Start where you are — diagnose, transform, or partner long-term.
Tier 1
The Diagnostic
See exactly what's broken — and in what order to fix it.
$5,000
2-day on-site evaluation · 8 hrs/day
- Bilquis travels on-site with you
- Operations, staff culture & compliance posture review
- Full CMS gap analysis
- Written Facility Intelligence Report
- Prioritized roadmap of what to fix first
Tier 2 — Core
The Transformation
Don't just see the gaps — close them.
$25,000
Everything in Tier 1 + build & implement
- Everything in The Diagnostic (or $5k credit applied)
- Custom staff training built around your gaps
- System builds: SOPs, intake flows, documentation
- 30-day remote implementation support
- Measurable outcomes tied to star-rating improvement
Tier 3 — Premium
The Partnership
Bilquis on-call for the building, all year.
$75K–$100K/yr
Annual retainer · limited to 3–5 facilities
- Ongoing strategic advisory
- Quarterly on-site visits
- Survey readiness on-call
- Direct line to Bilquis
- Exclusive — only 3–5 facilities accepted at a time
We review your public CMS data and most recent survey — no commitment.
How It Works
Four steps. One stable facility.
STEP 01
Free Facility Audit Call
30 minutes. We diagnose your facility's biggest system gap. No pitch until we know it's a fit.
STEP 02
Systems Blueprint
We map the full operating system your facility needs. Custom to your size, team, and regulatory environment.
STEP 03
Build & Implement
We build each system alongside your leadership team. Every piece is installed, explained, and activated.
STEP 04
90-Day Support
You keep the systems forever. We stay available for 90 days to ensure adoption and refine edge cases.
Start Here
Not ready for the full build yet? Start with the book.
Welcome to Long-Term Care is the $75 entry point that maps every role in the LTC setting — and shows exactly where systems break down.
Administrators buy it. DONs read it. Both realize what's missing. It's the first step toward the operating system your facility actually needs.
The Decision
Keep running on heroics. Or build something that lasts.
The audit call is free. Thirty minutes. You'll know exactly what your facility needs — whether you work with us or not.
No commitment. No pressure. Just clarity.