Four populations, reached through three programs. They have one thing in common: each is easy to stop looking at.
Residents of skilled nursing and assisted living facilities
A person in a nursing home has, by definition, lost the ability to leave and describe what is happening to them. Their family visits on a schedule. Their facility’s owner may be two states away. Between those two points is a building where the specific, physical details of daily life — whether the call light reaches the bed, whether the handrail runs the full corridor — determine whether the person gets hurt.
CareGuard serves that resident indirectly, by serving the people who can act: families, staff and ownership. CareGuard →
Families of those residents
Families are the most common people to notice a problem and the least likely to know where to take it. They are also, reliably, afraid that raising it will make things worse for their relative. That fear is the reason a confidential reporting channel exists at all. Confidentiality and retaliation.
Veterans
Veterans appear on both sides of this foundation’s work. They are served by Valor Medica — medical care, PTSD and trauma care, recovery support, vocational training. They also do the facility reviews for CareGuard. Keeping those two roles distinct is deliberate: nobody is asked to work in exchange for care. Veterans in this work →
Neighbors experiencing homelessness
Medicine assumes an address, a phone and a way to get to an appointment. A person sleeping in a car has none of the three and therefore does not exist to most of the health system — not because anyone decided to exclude them, but because every process quietly requires things they do not have.
Read more: You cannot treat someone you cannot find.
People on long-term opioid therapy
There is a population for whom opioid therapy is appropriate, for whom it is working, and for whom abrupt discontinuation is itself a serious harm. The last fifteen years of policy have served that population badly by treating the medication as the only variable. IntellaRx works on the other variable: whether anyone is actually monitoring. IntellaRx →
Who we do not serve
The foundation does not accept patients, does not take referrals and does not run a helpline. If you need care, the program is the door. If you need a regulator, the state survey agency and the long-term care ombudsman are the door. What we are not →