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For state agencies, courts and receivers

When the state has to step in, we are the operators who step in.

Temporary management under an enforcement remedy, receivership operations, independent monitoring, managed closures and resident transfers — delivered by licensed nursing home administrators who run buildings today, with reporting built for the agency and the court from day one.

Speak with a partner 650-418-2280

Where we are engaged

  • Temporary management imposed as an enforcement remedy, where the agency needs a qualified administrator in the building immediately and reporting it can rely on
  • Receivership and court-appointed operations for a facility in financial or operational collapse, run through to transfer, sale or orderly closure
  • Independent monitoring under a settlement, consent order or corporate integrity obligation, with verification the agency does not have to take on faith
  • Managed closure and resident relocation when a licence is surrendered or revoked — safe transfers, family communication, records and trust funds accounted for
  • Rapid stabilization after immediate-jeopardy findings or an abandonment event, where the state’s priority is resident safety tonight
  • Forensic accounting of a facility’s funds, payroll and related-party transactions for the agency, the receiver or the attorney general

What the agency gets

  • A licensed administrator and a director of nursing in the building within days, matched to the state’s licensure and survey history
  • A first-72-hour resident safety assessment and a written stabilization plan
  • Weekly reporting in the format the agency or the court specifies: census, staffing, clinical risk, cash, vendor status, open deficiencies
  • Financial control from day one — cash, payroll, resident trust funds, AP — with an independent accounting at the end
  • A defined exit: transfer to a qualified operator, a sale, or an orderly closure with every resident placed
  • Fixed, pre-agreed fees that fit a state contract, a court order or an enforcement remedy

Why operators, not consultants

A mandated engagement is only as good as the people in the building at 2 a.m.

Our principals and network are working administrators and nurse leaders — people who hold the licence, have run buildings through survey, and have taken over failing operations before. That is the difference between a report that describes the problem and a building that is safe tonight.

We run our own operating businesses on the latest AI computing, and every mandated engagement gets the same stack: daily census, staffing and cash briefs, payroll anomaly monitoring, and a documentary record the agency can audit.

  • Licensed NHA and DON leadership, multi-state
  • Reporting in the agency’s format, weekly from week one
  • Independent financial control and accounting
  • Defined exit and hand-off plan
  • Fixed fees suitable for public contracting

How a mandated engagement runs

  1. 1

    Day 0–3

    Administrator and DON in the building. Resident safety assessment. Financial controls taken over. First report to the agency.

    Stabilize
  2. 2

    Weeks 1–6

    Deficiencies corrected with evidence. Staffing rebuilt. Vendors and payroll current. Weekly reporting.

    Correct
  3. 3

    Months 2–6

    Systems that hold without us. Census and cash stabilized. Options prepared: transfer, sale or closure.

    Rebuild
  4. 4

    Exit

    Hand-off to a qualified operator, or an orderly closure with every resident placed and every dollar accounted for.

    Resolve

For procurement

We contract directly with state agencies, courts and appointed receivers, and can serve as the operator of record under a temporary-management or receivership order. Scope, deliverables, reporting cadence and fixed fees are set out in writing before the engagement begins. Statements of qualifications, references and insurance certificates are available on request to info@mainspringhcp.com. Regulatory remedies and receivership authority vary by state; we work within the specific order or contract that governs each engagement.

For agencies and courts

Tell us about the facility.

Same-day response. We will say within one conversation whether we can have leadership in the building this week, and what the engagement would involve.

Speak with a partner Call 650-418-2280
info@mainspringhcp.com New York · Tennessee
Under a survey or short an administrator? Same-day response on survey and leadership situations.
650-418-2280 Speak with a partner