Always-on · autonomous-first

The night shift
that never
sleeps.

Roundspring runs AI-native rounds over every resident — pulling vitals, scoring fall risk, watching medication windows — and only pulls a nurse in when it's a real judgment call.

Uplift
38%

fewer falls

Reclaimed
+2.1h

billable / shift

Family
94

NPS

How a round actually runs

Three steps.
Agents do the first two.

The boring parts of a nursing round — the same six checks, every ninety minutes, every shift — are the part a model handles best. We're not adding an alert system; we're hiring out the routine so the people on the floor can spend their attention on the residents who need it.

  1. 01Sense

    Ambient + wearable streams flow in

    Vitals, motion, sleep, and adherence signals come from wristbands, room sensors, and bedside patches — no daily device-handling, no change to bedside routine.

  2. 02Score

    Agents run the routine watch

    Fall risk, sepsis flags, sudden decompensation, missed doses, mood shifts — scored continuously against each resident baseline. Calm updates to the floor, sharp ones routed to the nurse.

  3. 03Step in

    Humans take the judgment calls

    A real nurse or clinician sees only the cases that need eyes, hands, or a call. Family gets a conversational touch instead of an after-the-fact voicemail.

Coverage

What's on the watch

Four signal streams, scored continuously, escalated by exception. Nothing exotic, nothing missing.

vitals
escalations
rounds log

Continuous vitals

HR, SpO₂, skin temp, respiratory rate — visible to the floor the moment a baseline drifts.

Fall risk + response

Posture transitions, gait drift, unstaffed-hours risk — scored and queued for the nearest available clinician.

Medication adherence

Dose timing, refusals, partial administrations. Exceptions page the nurse before the next med pass.

Family touchpoints

Conversational summaries land in the family channel — the kind of update that used to take a phone call.

ROI

Real numbers, not dashboards.

Pulled from twelve facilities running Roundspring on the floor, audited against CMS-reported falls and time-on-task studies.

38%

median fall reduction

across 12 SNFs, 24 months

+2.1h

billable clinical hours / nurse / shift

reclaimed from routine checks

94

family NPS

conversational updates vs. before

Falls drop because the watch never went off-shift. Billable hours recover because nurses spend their shift on the residents in front of them, not on the chart. Family NPS lifts because somebody is actually saying something when it changes.

Compliance

The AI doesn't fly solo.

Every escalation the agent produces is co-signed by a clinician before it's acted on. Liability, audit, and reimbursement all follow that hand-off — never the model's call alone.

HIPAA & SOC2-ready

PHI isolated, BAA in place, every agent action logged at the row level.

CMS reimbursement-aware

Remote patient monitoring time codes lined up before any agent is trusted to triage.

Clinical sign-off

Escalation protocols reviewed by medical director, refreshed per quarter.

Round the clock

Every resident should feel held.
Without burning out the people holding them.