Shift brief
Start with what changed.
Before report, each nurse sees their residents sorted by priority: who needs attention, how many updates since their last shift, and the pending tasks waiting for them.
ChartRail's private open-source LLM reads the referral packets, nursing notes and therapy notes before your nurses do. They start the shift knowing what changed, with every line traced to its source page.
* Six residents on one shift, about 66 pages each. A single hospital referral packet can run 300 pages (Skilled Nursing News, 2026).
Keep scrolling. The clock only moves when you do.
Sarah sits down at the nurses' station computer in soft early light, coffee beside the keyboard, and opens the first of six charts. As you scroll, she leans in and reads, scrolling page after page.
Video slotReport at the nurses' station. The night nurse talks through a folded brain sheet while Sarah writes. A call light blinks, a phone rings. The footage only advances as you scroll.
Video slotThe night nurse, twelve hours into her shift, grabs her bag and badge, glancing at the clock as she hurries down the corridor. Report is cut short.
Video slotThe med cart is waiting in the hallway. Sarah pushes it away from the station, leaving the stack of unread pages behind.
Video slotEach came from the hospital with a referral packet. Together they run to 396 pages across 15 kinds of documents.
resident handoffs a year in U.S. skilled nursing facilities, most still done verbally or on paper.
of each nurse's 8-hour shift spent on report and preparing for it.
preventable 30-day readmissions a year from Medicare skilled nursing stays.
ChartRail estimates from CMS facility and staffing data. Field validation is under way with pilot sites.
ChartRail turns the chart into a shift brief: what changed since the nurse's last shift, what needs attention first, and the page it came from. Handoff becomes a review, not a reading assignment.
Before report, each nurse sees their residents sorted by priority: who needs attention, how many updates since their last shift, and the pending tasks waiting for them.
Nothing is summarized without a source. Tap a citation and the original note opens at the right page, so nurses can trust the brief and verify it in seconds.
Status, history and last shift, in the structure your unit already uses. The outgoing nurse reviews and adds to it rather than starting from a blank sheet.
Open Ask ChartRail from any resident and pick a ready-made question built from that resident's case, or type your own. Nurses, physicians and staff get answers drawn only from the resident's record, each with the page it came from.
The team confirms or flags each item, resident by resident. Flags go to a discussion queue, and the record shows who acknowledged what, and when.
Know which residents changed and why before report begins. Spend the first hour on care, not on catching up.
See which items were acknowledged at every shift change, and which were flagged for follow-up. Evidence you can show a surveyor.
Shorter report means fewer nurses staying late to finish it. Earlier warning on decline means fewer transfers back to the hospital.
ChartRail runs a private, open-source LLM on a server inside your facility or in the cloud, in a private environment dedicated to you. Briefs, handoffs and every question your staff asks are processed there and nowhere else.
We're selecting a small group of skilled nursing facilities to shape ChartRail alongside our team.