Sustainable growth for hospice and skilled nursing operators.
We help small operators and new acquirers build the ongoing education, clinical rigor, and compliance discipline that too many skip — and pay for later.
The topsail is the highest sail on a ship — the one that catches the wind first. That's the work: helping leaders see what's coming, navigate change early, and sail through storms rather than be caught by them.
An RN who can actually work with your team — wherever you are.
Mock surveys, plan of correction support, ongoing survey readiness for hospice and skilled nursing.
Remote advisory for DONs and executive directors — a thinking partner for the hardest calls.
First-90-day playbook for new EDs, DONs, and hospice leaders stepping into complex situations.
Clinical risk review before the deal closes — what the financials don't show and the survey history does.
A 30-minute call. We identify your two biggest survey risks and one growth opportunity you're missing. No cost. No pitch.
Every engagement starts with a written scope and a number. You know what you are buying before you buy it.
A sample of your charts read the way a surveyor reads them. Written findings, the citations you are exposed to, and the fix for each.
Two days onsite run like the real thing, then a written report your team can work from before the state walks in.
Ongoing eyes on your charts, your QAPI, and your plan of correction. A clinical leader on call without the full-time salary.
Eight audit tools and the monitoring cadence a hospice needs to prove its plan of correction is working. Download today, use tomorrow.
Get the kit →One contact hour approved by the Ohio Nurses Association, covering the two baseline criteria and the decline indicators for eight referral diagnoses. Self-paced, certificate at completion.
See the course →Pre-acquisition clinical due diligence and QAPI builds are scoped per deal. Book a 30-minute scoping call and leave with a number.
Topsail Clinical was founded by a nurse executive with nearly twenty years in healthcare, most of it consulting in one form or another. She came up through the bedside, starting in the ER — a vantage point that meant seeing this business from nearly every side: as a clinician and clinical educator, in award-winning hospice sales and skilled-nursing marketing, in hospice operations and leadership up to the VP level, and in strategy and network development for value-based care. Few people in this field have sat in all of those seats.
That breadth is what Topsail brings. The clinical realities and the business pressures a small operator or new acquirer is under are both familiar firsthand — from inside ACHC, CHAP, and CMS frameworks and state-specific quality measures across multiple markets.
Topsail exists because too many nurse leaders get thrown into complex roles without the tools, playbooks, or support they need. The work isn't telling you what to do. It's being a thinking partner who's been where you are and can help you see what's coming — the storms, the openings, the way through.
That's what the topsail does. It catches the wind first.
Whether you know exactly what you need or you're not sure where to start, the first conversation is always complimentary.
✉ info@topsailclinical.com