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Strategic & transition support

Experienced oversight for high-risk transitions

Facility closures, leadership gaps, EMR rollouts, and special projects need someone who has done them before. SMK Medical’s leadership has guided organizations, including a hospital, through closure.

Closures

Facility closure & management

Closure is one of the most sensitive events a provider faces. We help you plan it, run it, and protect residents, staff, and the organization throughout.

  • Closure plan development
  • Management and oversight of the closure plan
  • Administrator and owner consulting before the decision
  • Legal and regulatory compliance support
  • Communication with residents, families, staff, and community
  • Resident transition and placement planning
  • Financial management and closure reporting

Projects

Project management

Service line development

Market analysis and project management to launch or expand service lines.

EMR optimization & rollout

Assessment, workflow redesign, rollout planning, and user training.

PointClickCare assessment tools

Custom assessment templates built to your documentation and regulatory needs.

Policy & procedure development

Tailored policies and procedures that standardize compliant practice.

Interim leadership

Experienced administrators and clinical leaders to stabilize a building during transition.

Special projects

Complex needs that require experienced, hands-on oversight.

Experience

Why experience matters in a transition

Closures, ownership changes, and leadership gaps are when survey risk and resident risk are highest. Staff leave, documentation slips, and regulators are watching closely.

SMK Medical’s founder, Dr. Demetrius Kirk, led Wahiawa General Hospital through its closure in 2022 as Chief Administrative Officer. Our team brings that experience, plus years of nursing home administration, to every transition: a written plan, clear communication, and close attention to resident safety and regulatory notice requirements.

Closures

A closure plan, step by step

  1. 01

    Decision support

    Before a decision is final, we review census, finances, licensure, and regulatory options with owners and administrators.

  2. 02

    Notices and plan

    We help prepare the written closure plan and the notices required by the state, CMS, residents, families, and staff.

  3. 03

    Resident transitions

    Each resident gets an individual transition plan, with attention to choice, clinical needs, and safe placement.

  4. 04

    Staff and operations

    We plan staffing through the final day so care quality holds while the census declines.

  5. 05

    Records and close-out

    Medical records retention, final reporting, and financial close-out are planned and tracked to completion.

FAQ

Frequently asked questions

What is involved in closing a nursing home?

A closure requires a written closure plan, required notices to the state and CMS, resident and family communication, safe placement for every resident, staff planning, records retention, and financial close-out. Requirements vary by state.

Can you provide an interim administrator or director of nursing?

Yes. We provide experienced interim leaders to stabilize a building during turnover, a change of ownership, or a survey crisis.

Do you help with PointClickCare and EMR projects?

Yes. We assess EMR use, redesign workflows, build custom assessment templates, and train staff during rollouts.

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.