MDS nurse out or behind? Remote MDS coverage, PDPM audits and Medicare ADR responseMDS or survey help: (313) 314-8267

Full-service long-term care consulting · MDS and reimbursement first

The experts you call when failure isn’t an option.

SMK Medical keeps MDS and PDPM reimbursement accurate and gets nursing homes, skilled nursing facilities, and assisted living communities ready for survey. For single buildings and smaller operators, nonprofit and for-profit, we are the regional MDS support you don’t have in house. Remote and onsite, in all 50 states.

Survey team in the building or just left? Call (313) 314-8267 for Immediate Jeopardy removal plans and Plan of Correction support.

Trusted by facilities, associations, and partners

  • Pleasant View Home
  • AAPACN Training Partner
  • Florida Health Care Association
  • Partner organization
  • SurveyGuard
  • Partner organization
  • LeadingAge Oklahoma
  • American Association of Post-Acute Care Nursing
  • NSDXpert
  • Partner organization
  • Westwood
  • PointClickCare
  • Partner organization
  • Partner organization
  • Islands
  • Chesaning
  • Partner organization
  • Partner organization
  • Western Horizons Care Center
  • Wilber Care Center
  • Kirk Leadership
  • Partner organizations

For single buildings and smaller operators, nonprofit and for-profit

Your regional MDS team, without the regional overhead

Large chains have regional MDS consultants checking every assessment. Single buildings and smaller operators usually don’t, so missed PDPM capture, late assessments and flat quality measures go unnoticed until a denial or a survey finds them. SMK fills that seat.

Monthly MDS and PDPM audits

We review your assessments every month, flag missed reimbursement and coding errors, and show your team how to fix them.

Coverage when your MDS nurse leaves

Remote MDS coverage within 48 hours so assessments stay on time and your Medicare billing does not stall.

Training that sticks

Hands-on MDS and PDPM training for new and experienced coordinators, led by an AAPACN-certified master trainer.

100+facilities supported
48 hrsto an MDS nurse on your assessments
125+ yrscombined post-acute leadership experience
50 statesremote and onsite coverage

Services

What we do

Six service lines, one team of licensed administrators, nurses, and MDS specialists who have run buildings themselves.

Most requested

Mock surveys & survey readiness

Full CMS-style mock surveys with chart audits, observations, interviews, and a written report within 7 business days.

  • Onsite MockSurvey® and remote SurveyPrep™
  • Real-time staff coaching
  • Executive summary for leadership
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Crisis support

Survey emergency response

Immediate Jeopardy removal plans, CMS-2567 review, and Plan of Correction writing when the survey has already gone wrong.

  • IJ removal plans
  • Plan of Correction development
  • Revisit preparation
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Revenue integrity

MDS & PDPM support

MDS completion with a 48-hour nurse guarantee, PDPM accuracy reviews, and audits that hold up to CMS review.

  • MDS coordinator coverage
  • PDPM and CMI review
  • Monthly MDS audits
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QAPI & performance improvement

QAPI programs built by QCP-certified consultants that drive measurable change, not binders.

  • QAPI program design and reset
  • Performance Improvement Projects
  • PDSA coaching
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Education & leadership training

Onsite and remote training for administrators, DONs, MDS teams, and frontline staff, plus executive coaching.

  • Survey-readiness training
  • DON and NHA coaching
  • MDS education
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Strategic & transition support

Experienced oversight for facility closures, interim leadership, EMR projects, and policy development.

  • Facility closure planning
  • Interim leadership
  • EMR and PointClickCare projects
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Our approach

Why post-acute leaders call SMK Medical

Our consultants are operators. They have held the administrator, DON, MDS coordinator, and regional roles your team holds now, and they have stood in the room during IJ exits and revisit surveys.

That shapes how we work. We review your real documentation, sit with your department heads, and correct the systems that produce citations. You get findings you can act on the same week, not a template.

  • Crisis response for Immediate Jeopardy, CMS-2567, and Plans of Correction
  • MDS consulting with a 48-hour nurse guarantee
  • PDPM accuracy review and missed revenue recovery
  • Owners of the MockSurvey® brand and creators of SurveyGuard
  • QCP-certified QAPI program design
  • Free initial consultation and facility review
SurveyGuard logo

Sister company

Between consultant visits, SurveyGuard keeps watch.

SurveyGuard is the AI-powered compliance platform built by SMK Medical’s founder for nursing homes. It runs mock surveys, QAPI, grievances, audits, and Plans of Correction in one system, and integrates with PointClickCare and MatrixCare. More than 25 facilities already use it.

SurveyGuard compliance dashboard

Google reviews

What clients say

★★★★★
They have assisted our facility to be on the right path to increase our quality measures from a 1 to a 4-star within a 12 month period. Very easy to work with.
Carrie KellyApril 2024 · Google review
★★★★★
Thank you SMK. After our MDS nurse left you were able to fill in without any disruptions and actually handled things more efficiently with better results.
Corey PowellMarch 2024 · Google review
★★★★★
Demetrius Kirk, as President of SMK, has consistently demonstrated exceptional leadership and consulting expertise in MDS and Care Plan Development.
Laurie LoughneyJanuary 2025 · Google review

Talk to a consultant this week

Tell us what is happening in your building. A senior consultant will call you back, usually the same business day.