Our service
Senior living doesn't stop at 5 p.m. — and neither do the needs of residents, families, or caregivers. Yet after hours, communities often face the greatest challenges with the fewest resources.
What we do
This is not a call center. It's clinical partnership.
The case for triage
Six things change the night a licensed RN picks up instead of an answering machine.
Residents rely on timely, accurate decisions — especially after hours. Triage ensures issues are escalated quickly, non-emergent concerns are managed safely on site, and every situation is evaluated through an experienced clinical lens.
Many after-hours transfers happen because staff feel uncertain or families feel anxious. Our on-call RNs help staff distinguish true emergencies from issues that can be safely monitored — reducing stress, cost and hospital exposure.
After-hours teams often work with limited clinical backup. Triage gives them a calm, experienced RN who validates their assessment and guides next steps, reducing anxiety and improving retention.
Families want clear, timely updates on their loved ones — reassurance and clarity. Our team provides a clinical voice they can trust, helping families understand what's happening and what comes next.
Every community has its own workflows and expectations. Triage ensures decisions align with your policies, procedures, escalation pathways and clinical standards — night after night.
With triage in place, leadership is contacted only when clinically appropriate. You can truly reclaim your nights and weekends. Overnight disruptions decrease, documentation is complete, and mornings start with clarity — not unanswered questions.
The workflow
Nothing about your operation has to change. We plug into the pathways, policies and procedures your team already follows and run them the same way, every night.
Your caregivers reach an experienced RN within seconds.
Using structured clinical guidance and your community's specific pathways, policies and procedures, the nurse evaluates urgency and risk.
Staff receive step-by-step instructions tailored to the resident's condition.
Every call is documented and sent to leadership for transparency and follow-through.
If the situation requires leadership involvement or emergency services, the RN initiates the appropriate pathway under your policies and procedures.
The outcome
Nurse triage strengthens your entire care ecosystem.
Concerns are evaluated through an experienced clinical lens before anyone decides what happens next.
Caregivers get their assessment validated by an RN instead of carrying the decision alone.
True emergencies move fast; concerns that can be safely monitored stay in the building.
Families hear a clinical voice that can explain what's happening and what comes next.
The same standard applied to every call, on every shift, in every building.
Documentation lands before morning, so leadership starts the day with a complete picture.
It's the backbone of reliable, high-quality after-hours care.
What partnership includes
Our pricing model is built from RN wage economics, giving you predictable monthly costs and high-quality clinical coverage aligned with your census.
No tiering, no message-taking, no "a nurse will call you back."
Structured assessment your caregiver can follow in the moment.
A written record of every call, routed to the people who need it.
Your on-call tree and thresholds, configured before go-live.
Repeat call themes become targeted staff education, not guesswork.
One number you can put in the budget and defend to ownership.
Questions
If the answer you need isn't here, call (763) 308-3282 and ask us directly.
After-hours nurse triage gives your caregivers a registered nurse to call when the building quiets and on-site clinical leadership has gone home. The RN assesses the resident's symptoms, determines urgency, guides staff through a structured evaluation, recommends a safe next action and documents the call for leadership. It is clinical decision support, not an answering service that takes a message.
An answering service records a message and passes it along. Signia's calls are answered by an experienced registered nurse who assesses the situation, applies evidence-based clinical guidance and your community's own policies, procedures and escalation pathways, and gives your caregiver a specific next step. Every call is documented and sent to leadership.
That is the intent. Many after-hours transfers happen because staff feel uncertain or families feel anxious rather than because the resident needs an emergency department. An on-call RN helps staff distinguish true emergencies from concerns that can be safely monitored on site, which reduces stress, cost and hospital exposure for the resident.
Assisted living, memory care, independent living with clinical oversight, multi-building campuses, and regional or enterprise operators. The model works for a single community as well as an operator running many buildings across markets.
Pricing is a flat monthly fee aligned to your census, built from RN wage economics. That gives you a predictable monthly cost rather than per-call billing that spikes in a hard month.
Yes. We operate as an extension of your team, following your policies, procedures and escalation pathways. Your on-call tree, your notification thresholds and your clinical standards are built into the workflow before the first call, so decisions align with how your community already works.
Every call is documented and sent to leadership for transparency and follow-through. If the situation requires leadership involvement or emergency services, the RN initiates the appropriate pathway under your policies and procedures at the time of the call rather than waiting for morning.
Signia Solutions is based at 10405 6th Ave N, Plymouth, Minnesota 55441. You can reach us at (763) 308-3282.
Tell us your census and your current on-call setup. We'll walk you through exactly how coverage would work for your community.