The EHR that runs your home — not the other way around.

Heart & Home unifies eMAR, care plans, incident reporting, billing, and Medicaid claims into one fast system — built specifically for Washington's Adult Family Homes, not retrofitted from a big assisted-living platform.

Modules
15+
Built for
WA AFHs
Encryption
AES-256
Caregivers reviewing a resident's care plan on a tablet at a Heart & Home Adult Family Home

Adult Family Homes don't run on assisted-living software.

Most EHRs are built for 60-bed communities and shrunk down to fit a 6-bed home. The gaps show up exactly when the state, a pharmacy, or a family is watching.

Without Heart & Home

  • Paper MARs and binders that vanish when you need them most
  • A spreadsheet for Medicaid claims, separate from your care records
  • Faxes handled through a separate login — or a machine down the hall
  • Incident reports written after the fact, from memory
  • Caregiver payroll calculated by hand, every pay period

With Heart & Home

  • One MAR your whole team trusts, on every shift, on every device
  • Medicaid claims, payers, and payables inside the same record
  • A built-in fax inbox — no add-on fee, no second login
  • Incidents logged the moment they happen, timestamped and audit-ready
  • Caregiver payroll calculated from the hours already on the clock

Every part of running an Adult Family Home, in one system.

Fifteen-plus modules that talk to each other — so a medication change, an incident, and an invoice all tell the same story.

Billing, Payroll & Medicaid Claims

Invoices, cash flow, AR aging, caregiver payroll, and Medicaid claims tracking — the financial half of running a home that most EHRs leave to spreadsheets.

eMAR & Medication Management

Medication passes, PRN and controlled-substance tracking, and due-now alerts your caregivers actually see.

Family Portal

A secure, read-only portal for residents' families — care plan updates, upcoming visits, and signed documents, without exposing a single clinical record.

Built-In Enterprise Fax

A full inbox, outbox, drafts, and archive for HIPAA-compliant faxing — inside the EHR, not a separate login or per-location add-on.

Pharmacy Integration Platform

A dedicated integration engine — adapters, audit logging, and a sync queue — built to keep orders, refills, and the MAR in step as Washington long-term care pharmacy partners come online.

Care Plans & Assessments

Living care plans and structured assessments that update the moment a resident's needs change.

E-Signatures & Emergency Records

Multi-party e-signatures for consents and care plans, plus a one-click emergency packet — face sheet, MAR history, and POLST — ready for EMS or the ER.

Incident Reporting

Structured, timestamped incident reports that are audit-ready the moment the state asks.

Staff Scheduling & Shift Clock

Documents & Secure Storage

Secure Care-Team Messaging

Reports & Analytics

SMS & In-App Alerts

Vitals Tracking

Built for whoever is holding the tablet.

Owners and administrators get the full picture. Caregivers get exactly what they need for the shift in front of them — nothing more.

Run the home with a clear view of everyone in it.

Census, care plans, medication compliance, incidents, staffing, and billing — one dashboard for owners, administrators, and nurses.

  • Real-time resident census and care plan status
  • Medication compliance and incident reporting
  • Staff scheduling, documents, and audit-ready reports
  • Billing, payers, and Medicaid claims in the same system
Provider & Admin sign in
Maple Grove AFHToday

6

Residents

3

Meds due

12/14

Tasks

1

Alerts

Morning medication pass

JM

James M.

Metformin 500mg

Given
RC

Ruth C.

Lisinopril 10mg

Due now
AO

Alice O.

Donepezil 5mg

Given
DK

David K.

Warfarin 2mg

Late

Not another platform borrowed from assisted living.

A lot of EHRs on the market were built for 60-bed communities and scaled down. Here's what changes when software is built for a 6-bed Adult Family Home from day one.

CapabilityHeart & HomeTypical senior-care software
Built specifically for Adult Family HomesPurpose-builtRetrofitted from assisted living
Billing & Medicaid claims trackingIncludedRarely included
Caregiver payrollIncludedSeparate software
Enterprise faxBuilt inOften a paid add-on
Family portal for residents' familiesIncludedRarely offered
Built-in e-signatures for consents & care plansIncludedThird-party add-on
Long-term care pharmacy integrationIntegration-ready platformGeneric or limited
Role-based access for every staff typeIncludedIncluded
Modern, tablet-first interfaceIncludedVaries by vendor

Pricing that fits a 6-bed home, not a 600-bed campus.

Start free with the core EHR. Add fax, pharmacy sync, and the full billing suite the day you're ready — never a per-location surprise.

Essentials

$0/mo

Up to 3 residents

For a single small home getting off paper and spreadsheets.

  • Resident profiles & census
  • eMAR & medication pass
  • Care plans & assessments
  • Calendar, tasks & incidents
  • Documents & secure messaging
  • 1 facility, unlimited staff logins
Start free
Most popular

Professional

$99/mo

Up to 6 residents

For a licensed home ready to run fax, pharmacy, and billing in one place.

  • Everything in Essentials
  • Built-in enterprise fax — no per-location fee
  • Family portal & e-signatures
  • Pharmacy integration platform
  • Invoices, payments & cash flow tracking
  • Staff scheduling & shift clock
  • Inventory management
Get started

Complete

$199/mo

Up to 8 residents

For homes that want the full financial back office alongside care.

  • Everything in Professional
  • Medicaid claims tracking
  • Caregiver payroll
  • Tax & accounting sync
  • Advanced reports & analytics
  • Priority support
Get started

Running more than one home?

Multi-facility pricing with centralized reporting and dedicated onboarding.

Talk to us

Prices shown per home, per month. Fax and pharmacy integration are included in Professional and Complete — never billed as a separate, per-location add-on.

Built for resident data, not retrofitted for it.

Adult Family Homes hold some of the most sensitive records in health care. Heart & Home treats security as the foundation, not a checkbox.

HIPAA-aligned by design

Every module — from the MAR to fax to billing — is built around facility-level data isolation and least-privilege access.

Granular, role-based permissions

Owners, administrators, nurses, and caregivers each see exactly what their role needs. Caregivers never touch billing or settings.

Encrypted where it matters

Sensitive credentials and integration connections are encrypted at rest with AES-256-GCM, keyed per facility.

Every action, on the record

Sensitive operations write to an insert-only audit log — who viewed, changed, sent, or deleted, and when.

Bring your adult family home online in minutes.

Residents, medications, care plans, billing, and compliance — everything your facility needs, from day one.

Frequently asked questions