The Audit Before The Audit.
ADHS surveys are unannounced. When a surveyor walks in, everything is on the record. Our licensed RN auditors conduct the same systematic review a state surveyor would — before they arrive, so you can fix what they'd find.
Our Audit Portfolio
Five distinct compliance services — from a full facility mock survey to targeted record review. Every engagement is led by a licensed RN auditor and delivers a written report.
Solstice Audit
From $1,800Full-facility mock survey. Our licensed RN auditor conducts a systematic review of your entire operation benchmarked against current ADHS R9-10 standards.
- Documentation review (assessments, care plans, physician orders)
- Medication management audit (MAR accuracy, storage, controlled substances)
- Staffing file compliance (background checks, training records, ratios)
- Infection control documentation
- Physical plant safety records
- Written report with risk ratings (Class A/B/AA equivalent) and corrective action roadmap
Gap Analysis
$1,200Targeted, faster assessment of a specific regulatory domain. Ideal for post-survey corrective action, medication management issues, or documentation-specific problems.
- Defined scope agreed in advance (1—2 domains)
- On-site or remote assessment available
- Written findings with prioritized corrective actions
- Typical turnaround: 3—5 business days from site visit
Policy & Procedure Rewrite
$2,200Full P&P development or update to current ADHS standards. Covers the entire P&P library or a targeted section. Delivered as survey-ready documents.
- Review existing P&P against current regulatory language
- Identify gaps and outdated references
- Deliver updated, compliant documentation
- Includes review period and one revision cycle
Medical Record Audit
$750 / 10 recordsClinical documentation review benchmarked against care plan requirements, physician order compliance, and ADHS charting standards.
- Review of 10 resident records per engagement (scalable)
- Assessment currency, care plan individualization, nurse notes
- MAR consistency with physician orders
- Written findings list with per-record findings
DON Coverage
$600 / dayLicensed RN Director of Nursing coverage for facilities experiencing a DON vacancy, leave, or transition. Maintains clinical oversight continuity during leadership gaps.
- Licensed RN with DON-level experience
- Maintains care plan oversight, physician communication, and staff supervision
- Survey-ready documentation maintained throughout
- Minimum engagement discussed at intake
Staff Training & Education
From $500/cohortTargeted staff training designed around your specific compliance gaps. Delivered on-site at your facility.
- Caregiver Skills Lab: $500/cohort
- Arizona AL Manager Exam Prep: $800/cohort
- Custom training modules by compliance domain
- Post-training competency evaluation included
What Every Audit Report Includes
Executive Summary
High-level overview of audit scope, overall compliance status, and top-priority findings for leadership.
Findings by Domain
Organized list of specific findings by regulatory domain (documentation, medications, staffing, etc.) with evidence cited.
Risk Classification
Each finding rated by risk level (high/medium/low, equivalent to Class A/B/AA survey deficiency classification).
Corrective Action Plan
For each finding: the specific corrective action required, who is responsible, and a recommended timeline.
Regulatory References
Each finding cited against the specific ADHS rule section (R9-10-xxx) or CMS requirement it violates.
Follow-Up Options
Recommendations for follow-up Gap Analysis, targeted training, or ongoing compliance retainer based on findings.
Compliance Consulting FAQs
How is the Solstice Audit different from a state survey?
+The Solstice Audit mirrors the structure and standards of an ADHS survey — but you control the timing, and findings are confidential to you. A state survey is unannounced, the record is public, and deficiencies carry regulatory consequences. The Solstice Audit identifies what they'd find before those consequences apply. It's not the same legal authority as a state survey, but it uses the same standards framework.
Do you help implement the corrective actions you identify?
+Yes. Our engagement doesn't end with a written report. We offer follow-up consultation, P&P development, staff training, and ongoing compliance retainer services. Many facilities use us for the initial audit, then retain us on a monthly basis for ongoing monitoring and documentation support.
How quickly can you schedule an audit?
+Typically within 5—10 business days for a Solstice Audit or Gap Analysis, depending on facility size and auditor availability. For urgent post-survey situations (plan of correction due, recent deficiency), we prioritize scheduling. Contact us with your situation and we'll give you a specific timeline.
When Do You Want to Know What They'd Find?
Before survey — or after? Schedule a 20-minute scope call. We'll tell you what a Solstice Audit covers for a facility your size and what it costs.