How does SeniorCRE run the morning stand-up and the 24-hour report so the building runs on protocol, not memory?
Schedules, stand-up huddle, PBJ submission, staffing-rule compliance, agency reduction, turnover prediction, credentialing, HPRD variance — every dollar that touches an FTE.
Detail
The 24-hour report assembles itself from the audit log: admissions and discharges, incident reports, hospital transfers and returns, medication errors, behavior events, weight loss, infection-control flags, scheduled tours, open shifts, AR exceptions, and the day\u2019s clinical census changes. Stand-up runs from one screen on a TV in the conference room. Action items captured during the huddle become tasks with owners. The next morning\u2019s report includes the close-out on yesterday\u2019s items.
The schedule is generated from current acuity, required hours per resident day, and credentialed staff availability. Open shifts publish to qualified staff first, then to a pre-approved float pool, then to agency as a last resort. Call-outs trigger immediate fill workflows. Every schedule change is timestamped against the variance it creates.
Each community has an active staffing-rule profile: federal floor, state-specific ratios by shift and unit, waiver status with expiration, and the documentation supporting the waiver if one exists. Scheduled and worked hours by role roll into a daily compliance view — RN hours, NA hours, total HPRD — color-coded against the binding standard for the day. Shortfalls surface before the shift, not after the survey.
Job codes map to PBJ labor categories once, with effective-dated overrides for new positions. Hours flow from the time-clock and the schedule into a PBJ staging view validated continuously, not the day before the deadline. Exceptions — missing hours, unmapped roles, double-counted contract staff — surface daily. The submission file generates on demand; 802 and 672 forms render from the same data when a surveyor asks.
Every agency shift is captured with the reason it was not filled internally — credential gap, call-out, acuity surge, or scheduling error. Agency rates are benchmarked against internal blended rate per role. A weekly agency dashboard shows hours, dollars, reasons, and trend by community. Agency-to-internal conversion programs run against the float pool with visible ROI.
Outcomes it supports
- stand-up-huddle-and-24-hour-report
- Stand-up / 24-hour report
- One screen, one source — action items close in 24h
- Schedule & fill
- +15–25% internal fill
- CMS staffing rule
- Daily HPRD vs. internal targets + state ratios
- pbj-submission-and-802-672
- PBJ / 802 / 672
- Pre-deadline cleanup → one-screen sign-off
Inputs
- Schedule volatility over the past 90 days (shifts changed, cancelled)
- Overtime as a share of scheduled hours
- PTO balance and recent PTO-use pattern
- Tenure curve and time since last promotion or pay change
- Time since last manager 1:1 logged
- No-show or late-arrival pattern
Key points
- Whiteboard at the nursing station
- Printed 24-hour report passed shift to shift
https://seniorcre.com/workflows/workforce