Senior Living Infrastructure
CareLayer is the unified API layer that lets any senior living technology company connect to every major EHR platform through a single integration — maintained, HIPAA-compliant, and ready in days.
The Problem
There are over 57,000 senior living communities running more than eight competing EHR platforms — and none of them share a common data layer. The result is fragmented, expensive, and slowing down every company trying to serve this market.
01
Most companies integrate with their first EHR platform, declare success, and quietly leave the rest of the market unreachable. Their customers on other platforms get a degraded product — or nothing at all. One platform is a start. It isn't a business.
02
Every platform has its own authentication model, data schema, rate limits, and partner approval process. Each one is weeks of engineering and business negotiation, on top of ongoing maintenance that never ends. The math doesn't work — so most companies never build the second one.
03
A resident record on one EHR is not a resident record on another. Field names differ. Data types differ. Null handling differs. Every normalization problem has to be solved from scratch, by every company, independently. That's the waste this market can't afford.
04
Staffing tools, clinical documentation platforms, remote monitoring systems, and family engagement apps are all being built right now — and every one of them is solving the same integration problem independently, before they can deliver a single line of care value.
What We're Building
CareLayer is being built on three core components that together eliminate every piece of EHR integration work a technology company would otherwise have to own — permanently.
One adapter per EHR platform — handling authentication, API credentialing, rate limit management, webhook subscriptions, error handling, and every platform-specific quirk. When an EHR updates its API, we fix the adapter once. Every CareLayer customer gets that fix automatically, without touching their codebase.
A single unified schema for every data object — resident, census record, shift assignment, care plan, medication, incident. Every adapter's output maps to this schema. Technology partners build against CareLayer once and never need to think about the underlying EHR's data model again.
Full API reference documentation, sandbox credentials, webhook testing, live connection dashboards, HIPAA audit logs, and BAA workflow — plus partner onboarding, billing, and facility authorization tracking. World-class developer experience from day one.
Why Now
The conditions that make CareLayer possible — and necessary — came together in 2025 and 2026 in ways that didn't exist before.
Open Access
For the first time, any developer can access a major senior living EHR with public REST API documentation, sandbox access, and OAuth2 credentials — no months-long approval process required. This creates the viable starting point for a unified integration layer that simply didn't exist before.
Regulatory Urgency
Every skilled nursing facility in the country now faces regulatory pressure to prove specific staffing ratios or face penalties. The AI staffing and scheduling tools that can help only work if they have real-time EHR data access — creating urgent, funded demand for exactly what CareLayer is building.
Ecosystem Density
The developer ecosystem has crossed the threshold where a unified API layer has enough potential customers to be viable. Hundreds of companies are building AI staffing tools, clinical documentation platforms, remote monitoring systems, and family engagement apps — all blocked by the same integration problem CareLayer is designed to solve.
Who It's For
CareLayer serves technology companies — not facilities. If you're building a product that needs to read from or write to a senior living EHR, this is your infrastructure.
You've built a staffing tool, family engagement platform, or clinical analytics product. You have product-market fit. You're leaving most of the market on the table because of EHR incompatibility.
You're building the next generation of senior care technology — AI scribes, predictive monitoring, workforce optimization. You need EHR data but don't want your first year spent navigating partner programs.
You're building business intelligence or quality analytics for senior living operators. Your models are only as good as their inputs — and right now those inputs are fragmented across incompatible systems.
Why We're Building This
The people running senior living communities are doing remarkable work under enormous pressure — staffing shortages, regulatory complexity, residents and families who deserve more. The technology to make their jobs easier exists. It just can't reach them.
The problem isn't a shortage of great senior care technology. It's that every company building that technology spends weeks solving the same integration problem before they can deliver a single line of care value. That engineering time is not recoverable.
We're building CareLayer because this problem is solvable — and because solving it once, properly, for the entire ecosystem changes what's possible for everyone building in this space.
One of the biggest challenges in senior living is that our systems don't talk to each other. We have valuable resident insights in one platform, but clinical teams need that same context in the EHR — without duplicating work.
We're working with a small group of senior care technology companies to shape CareLayer before launch. If you're hitting the EHR integration wall, we'd like to talk — no sales pitch, no deck, just a direct conversation about what you're building and what you need.
We respond within one business day. No sales calls, no decks — just a conversation.