For hospice & skilled nursing leaders

Catch the wind
early.

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.

Start with the Diagnostic See how we work
LICENSED TO PRACTICE ACROSS
40+ NLC compact states
California
New York

An RN who can actually work with your team — wherever you are.

HOW WE HELP

Three ways to work together

Compliance & Survey Readiness

Mock surveys, plan of correction support, ongoing survey readiness for hospice and skilled nursing.

RIGHT FIT IF YOU:
Recently had a citation, are due for survey in 90-180 days, or need ongoing eyes on compliance without hiring full-time.
Retainer or project

Clinical Leadership Support

Remote advisory for DONs and executive directors — a thinking partner for the hardest calls.

RIGHT FIT IF YOU:
Are a new DON or ED, work in an organization without executive infrastructure, or need someone to think through calls you can't make with your own team.
Monthly retainer

Turnaround & New Operator

First-90-day playbook for new EDs, DONs, and hospice leaders stepping into complex situations.

RIGHT FIT IF YOU:
Just completed an acquisition, took over a struggling location, or stepped into a role after a leadership departure.
90-day engagement
START HERE

The Compliance Growth Diagnostic

A 30-minute call. We identify your two biggest survey risks and one growth opportunity you're missing. No cost. No pitch.

YOU WALK AWAY WITH
A one-page written summary of your top 2 risks and 1 opportunity
Specific citations from CMS or state data that apply to your setting
A recommended sequence of what to fix in what order — no pressure to hire us
Book the diagnostic call
Not ready to book? Take the 8-minute self-assessment and see your risk profile first.
WHO'S BEHIND THIS

Twenty years, bedside to boardroom.

20
Years in nursing
ER → VP
Bedside
→ Business
Clinical to
strategy
ACHC
CHAP · CMS
Regulatory
experience

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.

Let's talk.

Whether you know exactly what you need or you're not sure where to start, the first conversation is always complimentary.

info@topsailclinical.com
© Topsail Clinical
topsailclinical.com