For RN delegation firms
Every community you serve, in one place. See each client's compliance at a glance, standardize your nurses' workflow, and give each client's leadership access to their own buildings — and nothing more.
CareScope 360 — RN Delegation Compliance Software Suite
RN Delegations
Made Easy.
Delegate with confidence. Know exactly where every delegation stands.
CareScope 360 is compliance-tracking software for the people who carry RN delegation — outsourced RN delegation firms serving many communities, and facilities running delegation in-house. Assessments, delegations, caregiver training, supervisory visits, and signatures live in one secure system — deadlines tracked automatically, lapses escalated before they become survey findings, and every record ready at a moment's notice. And with CareCall, our built-in TeleHealth service, nurses can check in and supervise over live, encrypted video — no drive required.
Delegation is the first module in a growing compliance suite — built by a nurse, for the nurse who holds it all together.
- HIPAA compliant
- Multi-Factor Authentication (MFA)
- Federally recognized digital signatures
- 7-year tamper-evident records
What CareScope offers
Hours back Delegation admin time lifted off the RN's week, so the license is spent on nursing
More capacity One RN can confidently oversee more delegated residents
Fewer gaps Expired and missing delegations caught before they become survey findings — or costly fines
Room to grow Growing census and acuity becomes a viable option for your organization
Every community is different — we'll model what this looks like for yours in a walkthrough.
Who it's for
Built for how delegation actually works
For facilities and multi-site operators
Run delegation in-house with a system that does the tracking for you. Look at one building or roll up every facility in your organization, so leadership sees risk long before a surveyor does.
One platform, three promises
When the nurse wins, everyone wins.
For the delegating nurse
Delegation paperwork follows nurses home — to the kitchen table, to the weekend, to the back of the mind. CareScope 360 turns hours of forms, tracking spreadsheets, and "did I renew that?" worry into minutes of guided, signed, done. The clinical judgment stays with the nurse. The paperwork doesn't.
For the residents in their care
Every hour a nurse isn't buried in delegation paperwork is an hour back with residents and staff. Caregivers work from clear, current delegation instructions and documentation approved by the nurse. Residents receive safe, documented, and consistent care. It's a culture of service, built on documentation the whole team can trust.
For the community's bottom line
A nurse with capacity is a community with capacity. When delegation is managed instead of improvised, communities gain the confidence to admit and support residents who require delegation without adding unnecessary administrative burden to the nurse. Delegation stops being the reason a community says no to a resident. And because the documentation stays survey-ready, delegation never has to become a costly surveyor finding.
The problem nobody budgets for
The time and money quietly lost to delegation
In most communities, one nurse is the entire delegation program: assessing the resident, training the caregiver, writing the delegation, filing it, calendaring the renewal, re-doing all of it when a med tech leaves — and answering for every page of it when the surveyor arrives.
- ~20 minutes a week, per delegated resident of oversight, tracking, and documentation upkeep.
- ~2.5 hours of paperwork for every new delegation — often finished after the shift ends, because the shift didn't have room for it.
- Every caregiver turnover restarts the clock — new training, new delegations, new signatures, same nurse.
Delegation isn't the problem. The paperwork is. CareScope 360 was built — by a nurse — to take the administrative weight off the license without taking the clinical judgment out of the nurses' hands.
How it works
From assessment to audit trail
Assess
The RN completes and e-signs the resident assessment and becomes the delegating RN of record.
Delegate and sign
Build the delegation from a task catalog with your state's rules enforced. The caregiver acknowledges on their own login, in person with the RN, or remotely with a secure one-time code.
Train and supervise
Log training, return demonstrations, and renewals. Supervisory visits are scheduled from state rules, so none slip through the cracks.
Track and escalate
CareScope watches every expiration date, routes lapses to the right people, and records every action in a tamper-evident audit trail.
The delegation module
Everything in one signed record
Clear documentation is the foundation of safe delegation. CareScope 360 keeps all assessment and delegation documentation complete, current, and organized. When management or a surveyor asks to see it, it's already at your fingertips.
One signed source of truth
Every delegation lives in one complete record — from assessment and training to supervision and renewal. Electronic signatures are built in, documentation stays organized, and every version is easy to find. No loose forms. No missing pages. No "I think it's in the binder."
Deadlines that watch themselves
Authorizations, reauthorizations, and assessment intervals are tracked automatically. Each RN gets a digest of every delegation expiring in the next 14 days, and anything left to lapse escalates up your chain. Nothing quietly expires — so no resident's care is ever running on an expired authorization.
A dashboard that reads the building
One glance shows what's expired, expiring, awaiting signature, or sitting in draft — for one community or an entire portfolio. Instead of discovering problems during survey, nurses and leaders can identify risks early, prioritize follow-up, and keep delegations current.
State rules, enforced in the workflow
Delegation criteria, authorization timelines, and task restrictions for each state we serve are built into the forms themselves — with the regulatory citation attached. If a rule says a task can't be delegated, the system says so before anyone signs. We're expanding into new states regularly. Ask about availability in yours.
Audit-ready isn't a season
Every action — create, sign, print, rescind — is captured in a tamper-evident audit trail and retained for seven years. When the surveyor asks who trained the caregiver and when, the answer is ready before they finish the question.
CareCall TeleHealth
Live, encrypted video calls
Ongoing supervision is what keeps a delegation valid — and travel is what makes it hard. Where your state approves remote supervisory visits, CareCall lets the delegating RN see the caregiver and resident live over encrypted video, then document the visit in the same system that holds the delegation. For a delegation firm, that means more communities covered by the same nurses. For a facility, it means supervision that happens on schedule, not when the RN can get there.
No downloads
Runs in the browser on iPad, iPhone, and desktop. No outside video vendor.
Private by design
Calls are encrypted between the two devices. We never see or record the video.
Easy guest access
Anyone without an account joins with a short, single-use code.
On the record
Every call is logged to the audit trail.
Access & alerts
Everyone sees what they need — and hears about problems first
Credential-based access
Account admins, regional nurses, executive directors, facility admins, RNs, read-only reviewers, and caregivers each see only the facilities and records their role allows.
Alerts that climb the ladder
Before a delegation expires, the RN gets a heads-up. If a delegation, assessment, or training lapses and sits, CareScope emails the roles you choose and escalates up the chain — regional nurses, executive directors, and regional leadership. Alert emails never contain PHI.
Configured your way
Per facility, choose who receives each alert type, how long before an issue escalates, and the order of the chain. Set your own caregiver title (UAP, Med-Tech, and more), put your logo on every PDF, and set how long remote-signing codes stay valid.
Security & compliance
HIPAA compliant, down to the signature
CareScope 360 manages protected health information, electronic signatures, and audit records every day. Security, privacy, and compliance are built into the platform from the start.
HIPAA compliant
Resident health information is protected the way HIPAA requires — encrypted in transit and at rest, with role-based access and activity logging throughout the platform. Every community receives a signed Business Associate Agreement (BAA).
Federally recognized digital signatures
Every delegation is executed with digital signature technology that is legally binding under the federal E-SIGN Act and state UETA statutes — the same legal standing as ink on paper. Each signature is attributed to the signer, time-stamped, and sealed in an encrypted tamper-evident digital "envelope."
Records that hold up
Every action lands in a tamper-evident audit trail retained for seven years. When a surveyor — or a lawyer — asks for the record, you produce it in seconds, exactly as it was signed.
Have a security questionnaire or a BAA to review? Bring it to the walkthrough — we like those questions.
The business case
An RN with room to nurse is an organizational advantage
Delegation capacity influences census capacity. When nurses spend less time managing paperwork, renewals, signatures, and tracking deadlines, they have more time to support residents, staff, and admissions. Communities gain greater confidence to admit and support residents who require delegation — turning opportunities that may have felt operationally difficult into opportunities they can confidently accept.
- Say yes to more admissions. Residents who require delegation often represent both a care opportunity and a business opportunity. CareScope 360 helps remove the administrative load associated with delegation, making it easier to support higher-acuity residents while maintaining organization, documentation, and oversight.
- Reduce compliance risk. Expired delegations, missed renewals, and incomplete documentation create unnecessary survey risk — and the expensive surveyor findings and fines that can follow. Continuous tracking, automated alerts, and centralized records help communities identify problems early — before they become survey findings.
- Support nurse retention. Delegation is important work, but the administrative burden can contribute to frustration and burnout. By simplifying delegation management, CareScope 360 helps nurses spend less time chasing paperwork and more time supporting residents and staff.
- Pricing that scales. Simple pricing based on delegated residents. No user licenses. No per-seat pricing. No surprise line items.
Who's behind it
Built by a nurse who's lived the delegation binder
CareScope 360 wasn't built by a software company looking for a healthcare market. It was built by people who understood the problem first — then built the software to solve it.
CareScope 360 was founded by
Kevin MillsKevin Mills, RNKevin has a degree in Nursing and Physiology from the University of Oregon, as well as a degree in Anthropology from Oregon State University. He built his career in senior living clinical leadership, compliance, and consulting.
As an approved nurse consultant for the State of Oregon, Kevin worked with assisted living and memory care communities facing regulatory challenges. He helped facilities develop plans of correction, respond to state findings, improve compliance systems, and navigate the realities of survey. Over the years, he reviewed countless delegation records, incident reports, and compliance findings, seeing the same problems surface again and again. (COO), an RN with years of compliance
consulting experience inside senior-living communities — and
Brendan O'MaraBrendan O'MaraBrendan has a degree in Computer Science and brings the entrepreneurial and software-development expertise behind CareScope 360. A small business owner and software developer with an electrical-engineering background, he has started a handful of product and service companies over 25 years as an entrepreneur.
As the son of a nurse, he's become fully aware of the demands healthcare places on the nursing community — the endless stress and the severe shortage of nursing staff available to handle the critical tasks the industry depends on. That drives his focus on building healthcare systems that solve real-world problems by reducing the time and energy demanded of critical staff. (CEO), the
entrepreneur son of an RN, who uses his knowledge and appreciation for the
industry to build products and services that solve problems. Together,
they created CareScope 360 with a simple goal: make compliance tasks easier to
manage, easier to defend, and easier to sustain for RNs, staff, and the facility.
More than software, CareScope 360 is a commitment to a culture of documentation and
service — where clear, current records protect the nurse, the resident, and the
community alike.
"Compliance only works when responsibilities are delegated clearly and carried through consistently."
- HIPAA compliant
- E-SIGN Act digital signatures
- Encrypted in transit & at rest
- Tamper-evident audit trail
- Business Associate Agreement included
Talk to us
See what your nurse gets back
A live screen-share walkthrough with one of our team only takes thirty minutes. Bring your delegation count, your bed count, and your survey calendar — we'll show you the platform and model what CareScope 360 returns to your nurse, your residents, and your bottom line.
We also offer a complimentary consultation if your organization has specific compliance needs.