Operational audits and CPR training for healthcare teams
For home-health agencies, senior-living communities and skilled nursing facilities. Led by Sheena L. King, a nurse and American Red Cross instructor. Choose what you need:
Audits and state-survey rescue
A five-day, non-clinical audit of the workflows that wear staff down, or hands-on help with a Plan of Correction after a state citation.
See consulting → For HR and staff educatorsCPR training
American Red Cross BLS and First Aid/CPR/AED classes taught at your facility, scheduled around your shifts.
See CPR classes →See where the workflow breaks. Then fix it.
For home-health agencies, senior-living communities and skilled nursing facilities. Start with a transparent five-day audit before a surveyor finds the problem, or bring us in after a state citation to build and carry out your Plan of Correction.
Choose your situation
Operational audit
Skilled nursing and assisted living: up to 60 beds $15,000; 61–120 beds $20,000. Home health, one branch: up to 50 active patients $15,000; 51–100 $20,000. Larger buildings, more than one branch and private duty agencies (priced by field staff count) are custom-quoted.
- Five days on site at one location, department or workflow, for every size tier
- Written summary and a three-priority action plan with owners, deadlines and measures
- Leadership readout
Plan of Correction blueprint
One fixed fee, due at booking. Needs at least 5 full business days left in the submission window.
- Rapid operational review and root-cause analysis of every cited tag
- Written, state-ready Plan of Correction, first draft within 3 business days of receiving your Statement of Deficiencies
- Executive action checklist
Remediation sprint
50% non-refundable deposit before on-site work; balance at completion.
- 10–14 days on site across your correction window
- Shift-handoff audits, staff floor training and workflow restructuring
- Mock re-inspection and staff sign-off before the official re-inspection
Regulatory compliance retainer
Phone and email support Monday to Friday, 9 a.m. to 5 p.m.
- Two on-site days a month, scheduled when you need them (unused days expire at the end of the month)
- Monthly survey-readiness report: top three risks, owners and deadlines
- A mock-survey walkthrough of one area each quarter
- Phone and email support, reply within one business day
- Priority scheduling if a survey or citation hits
A 50% non-refundable deposit is due before on-site work begins (the Plan of Correction blueprint is one fixed fee, due at booking). A team culture cohort ($10,000 for up to 20 employees) and a staff culture and resilience retainer ($4,000 per month: two on-site visits a month, scheduled when you need them, each with a leadership session and a staff resilience session, plus a monthly retention and morale check-in with three action items) are also available. Retainer visits must be used within the month; unused visits expire and do not carry over. On-site weekend deployments during an unannounced survey are quoted separately.
How we build your Plan of Correction
A Statement of Deficiencies puts the whole building on edge. Getting through it is not about clever paperwork. It is about systems that still hold up when the surveyors come back. Sheena has supervised in skilled nursing and managed memory care, so she knows how a missed shift, a charting lag or an undocumented intervention shows up on a 7 a.m. med pass. We work with skilled nursing facilities, assisted living communities and home health agencies in Orange, Seminole and Volusia counties, and every plan we draft covers the elements surveyors look for:
Fix it for the people cited
The corrective action for each resident or patient named in the deficiency.
Find who else could be affected
How your team will check for others in the same situation.
Fix the system, not just the incident
Root cause, policy changes and staff re-education, written so floor staff can actually follow them.
Prove it is holding
Audit tools and a quality assurance schedule that show compliance is sustained.
Realistic completion dates
A date for each correction that your team can actually meet.
No vague promises like “staff will be more careful.” Each step has an owner and a measure your team can track.
Before and after the survey
Mock surveys and walkthroughs
With leadership and staff informed, we walk the building to find gaps in documentation workflow, med pass flow, resident safety and the environment before the surveyors do.
Deficiency review
We help your director of nursing and administrator read the Statement of Deficiencies calmly and respond in clear, factual language.
Chart audits your team runs
Your own staff run any chart audits. We design the audit tools and review the results with you, within the written scope.
Have a Statement of Deficiencies? Email us the cited tags and your deadline. We reply within one business day.
What waiting can cost
Replace one staff RN, or fix the workflow
The audit costs about a quarter of what one RN departure costs on average. If better handoffs and clearer escalation help you keep even one nurse, the arithmetic works in your favor. That is arithmetic, not a promise.
Federal penalties build every day
Per-day penalties for Medicare- and Medicaid-certified nursing homes range from $136 up to $27,378 a day, and home health agencies can face up to $26,262 a day. Not every citation draws a penalty at these levels, and amounts depend on severity and scope. A nursing home that is not back in substantial compliance 3 months after the survey must also be denied payment for new admissions.
Sources: NSI 2026 National Health Care Retention & RN Staffing Report, as summarized by Becker’s Hospital Review (national average per staff RN; hospital-based data). CMS civil money penalty ranges, 2025 inflation-adjusted. 42 CFR 488.417. Totals multiply the daily amount by 45 days of continued noncompliance for illustration. Your survey notice sets your actual deadline. These figures are estimates, not guarantees of savings or outcomes.
What the audit looks at
Shift and office-to-field
Where information gets lost between people, shifts and departments.
Routes staff can find
Who to call, when, and whether staff actually know.
Admissions, discharge and assignment changes
The steps that slow down or get skipped under real conditions.
What you receive
Written summary
What leaders reported, set side by side with what the review actually showed.
Three-priority action plan
Each priority has an owner, a deadline and a measure your team can track.
Leadership readout
A working session with your leaders to walk through the plan and agree on next steps.
How the audit runs
- DAY 1Intake
Meet leadership, confirm scope and boundaries, walk the workflow.
- DAY 2Friction map
Follow the handoffs and ownership changes in ordinary conditions.
- DAY 3Findings
Sort what leaders reported from what the review actually showed.
- DAY 4Leadership review
Check context and agree on practical priorities.
- DAY 5Handoff
Written summary and a three-priority plan, each priority with an owner and a measure.
Clear boundaries
- No clinical care, staffing substitution or medication decisions
- No secret recording or undisclosed observation
- No patient information beyond what the written scope allows
- Chart audits for a Plan of Correction are run by your own staff
- Your emergency and clinical chain of command stays in charge
- No promises of guaranteed savings or outcomes
- No guarantee that a state or federal agency will accept a Plan of Correction
Questions directors of nursing ask first
Will this disrupt care?
No. We watch handoffs and workflows in ordinary conditions and never step into care. Your clinical chain of command stays in charge the whole time.
What do you need from us?
One leader as our point of contact, a workspace, the schedules, handoff forms and policies named in the written scope, and about an hour of leadership time on days 1, 4 and 5.
Will you see patient information?
Only what the written scope allows, set before we start. The audit looks at how information moves, not at charts. When the scope involves any patient information, we sign your Business Associate Agreement (BAA) before work begins.
Who gets the findings?
The written summary and action plan go to the leader who engaged us. You decide who else sees them.
Do you write it for us?
We draft the written, state-ready plan and the root-cause analysis. You and your administrator review it, sign it and submit it, because the facility is the one that answers to the state.
Who is doing the work?
Sheena King, a nurse who has worked the floor in home health, skilled nursing and assisted living, and has been through state surveys as a supervisor and manager. She has a current Florida Level 2 background screening. You will not be handed to a junior analyst.
Getting approved and started
- STEP 1Email us
Tell us the location, the workflow or the citation. We reply within one business day and confirm whether an audit or a Plan of Correction fits.
- STEP 2Written scope and price
You receive a written scope with a fixed fee before anything starts. No hourly billing and no open-ended hours.
- STEP 3Deposit and dates
The 50% non-refundable deposit holds your dates (the Plan of Correction blueprint is one fixed fee, due at booking). Work begins on site and the balance is due at completion.
- Fixed fee stated in writing before work begins
- Vendor information you can view, print or save as a PDF yourself: unbreakablecpr.com/vendor-information
- One point of contact from first call to final readout
Describe the workflow that keeps coming up. We set the scope before anything else.
Book a 15-minute callPrefer email? Send the details instead
Also need staff certified? See CPR training →
Get your team certified without sending anyone off site.
Classes come to your building and fit around your shifts. Everyone who passes receives an American Red Cross digital certificate, valid for two years, that you can verify online.
Unbreakable Consulting and CPR (Unbreakable CPR LLC) is an American Red Cross Licensed Training Provider.
Courses
Basic Life Support (BLS)
Healthcare-provider level CPR for nurses, CNAs, medical assistants and other clinical staff.
Adult and Pediatric First Aid/CPR/AED
For caregivers, activities, dining, front desk, maintenance and office teams.
Blended learning
Staff finish the online part on their own time, then attend a shorter skills session on site.
Pricing
Group classes only, with a 5-person minimum. Smaller groups are billed at the 5-person rate ($500). Certificates, workbooks and all equipment included.
Class details
Blended: 1–2 hours online, then a 2–3 hour skills session on site.
Blended: about 2½ hours online, then a skills session of about 1¼ hours.
Scheduled around your shifts.
Larger groups are split into back-to-back sessions.
Classes are held on site at your facility.
How a class works
- 1Book
Choose the course, headcount, date and location.
- 2Roster
Send names and emails five business days before class.
- 3Class day
All manikins and AED trainers come with the instructor. You provide a room with floor space.
- 4Certified
Digital certificates are issued, and you get a renewal roster.
Who books CPR training
- Home-health agencies onboarding new field staff
- Assisted- and independent-living communities
- Skilled nursing facilities managing BLS renewals
- Physician and medical offices certifying as a group
Request a CPR class. Send your facility name, the course, how many staff and two or three dates that work.
Request a classLooking for an operational audit instead? See operational audits →
Behind both divisionsSheena L. King
Nurse, educator and Red Cross instructor with 20 years in healthcare.
I started as a phlebotomist and medical assistant and worked my way through nursing. For more than ten years I’ve cared for medically fragile children at home, many with vents, trachs and G-tubes. I’ve supervised in skilled nursing, managed assisted living and memory care, worked with hospice patients, and taught nursing and allied health at three schools. I’ve been on the floor, supervising and in management through state surveys in skilled nursing and memory care, so I know what surveyors look for and what a building goes through after a citation.
That work taught me where care breaks down: not in the policy binder, but in the handoff at 7 p.m. and the phone call nobody knows who should answer. I teach the skills that keep people alive, and I help teams build the workflows that keep them steady.
- Red CrossBLS and First Aid/CPR/AED Instructor
- NursingLicensed Practical Nurse, active Florida license
- SettingsHome health, skilled nursing, assisted living, hospice, schools
Which do you need?
Consulting
Pick a time that works and tell me what’s going on. Fifteen minutes, no cost, no obligation. Prefer email? Write to info@unbreakablecpr.com.
Book a 15-minute callWe reply within one business day.
Unbreakable Consulting and CPR is a fictitious name of Unbreakable CPR LLC, a Florida limited liability company. American Red Cross training is delivered under a Licensed Training Provider Agreement; consulting services are not affiliated with or endorsed by the American Red Cross. Privacy Policy