RN-led triage on every call
A licensed registered nurse with senior living experience answers, assesses symptoms and determines urgency — no scripts, no hand-offs.
Experienced RNs · Nights, weekends & holidays
After-Hours RN Triage For Senior Living Communities
Calm, clinically sound support when it matters most. Signia Solutions provides RN-led after-hours triage that protects residents, supports staff, and gives communities confidence around the clock.
The problem
The After-Hours Gap Is Real
When the phones ring at night, your team is juggling resident needs, family expectations, and limited on-site clinical support. Without clear guidance, communities face:
- Unnecessary ER transfers
- Stressed and uncertain staff
- Inconsistent decision-making
- Risk to residents and reputation
You shouldn't have to choose between safety, cost and peace of mind.
How we support you
Clinical partnership, not an answering service
Our RNs work as an extension of your team — following your policies, your pathways, your procedures and your standards, every night.
Clear, evidence-based guidance
Staff are walked through structured assessment step by step, then given a safe, defensible next action they can act on immediately.
Documentation & leadership notification
Every call is documented and sent to leadership, so mornings start with a complete record instead of unanswered questions.
Custom pathways, policies and procedures
We build your on-call tree, your thresholds and your notification rules into the workflow, so escalation happens the way you want it to.
Quality reporting & analytics
Call volume, themes and outcomes surfaced back to you — turning after-hours activity into targeted staff education and QAPI evidence.
Predictable flat-fee pricing
Built from RN wage economics and aligned to your census. Predictable monthly cost — no per-call billing, no surprise invoices.
How it works
How Signia Fits Into Your Workflow
Five steps, the same way every night. Your staff never has to wonder who to call or what happens next.
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Staff Call Our Dedicated Line
Your caregivers reach an experienced RN within seconds.
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The RN Assesses The Situation
Using structured clinical guidance and your community's specific pathways, policies and procedures, the nurse evaluates urgency and risk.
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Clear Guidance Is Provided
Staff receive step-by-step instructions tailored to the resident's condition.
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Documentation Is Completed
Every call is documented and sent to leadership for transparency and follow-through.
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Escalation Happens When Needed
If the situation requires leadership involvement or emergency services, the RN initiates the appropriate pathway under your policies and procedures.
The outcome
The Impact On Your Community
Nurse triage strengthens your entire care ecosystem.
- Safer resident outcomes
- More confident staff
- Fewer unnecessary transfers
- Better family communication
- Consistent decision-making
- Predictable after-hours operations
It's the backbone of reliable, high-quality after-hours care.
Who we serve
Built For The Way Senior Living Actually Runs
One community or fifty — the coverage model scales with you.
Assisted Living
Clinical backup for evening, overnight and weekend shifts when your nurse has gone home.
Memory Care
Calm, structured guidance for behavioural changes, falls and acute symptom shifts.
Independent Living With Clinical Oversight
A clinical voice on call for residents who live independently but still need judgement after hours.
Multi-Building Campuses
One consistent standard of decision-making across every building on the campus.
Regional & Enterprise Operators
Standardised escalation and reporting across markets, with visibility for regional leadership.
Not Sure Where You Fit?
Tell us about your census and your current on-call setup — we'll tell you honestly whether triage helps.
Start the conversationWhy Signia
This Is Not A Call Center. It's Clinical Partnership.
We were created to close the gap that occurs when the building quiets, staffing thins, and critical decisions still need to be made. Our nurses support caregivers with real-time clinical guidance so residents receive safe, timely care — every night.
We operate as an extension of your team. Whether you're a single community or a multi-building operator, we help your staff feel supported, your residents stay safe, and your leadership rest easier.
Our commitment
Every Call. Every Shift. Every Night.
We believe every resident deserves safe, timely care.
We believe every caregiver deserves support.
We believe every community deserves clarity after hours.
This is the standard we uphold.
Ready To Reclaim Your Nights?
Tell us about your community. Most inquiries receive a reply within one business day.