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Documentation intelligence for skilled nursing

Better documentation starts at the point of care.

Lummen helps skilled nursing teams recognize potential documentation gaps within their existing workflow — making documentation clearer, more consistent, and easier to review.

  • Chrome extension
  • Runs on top of PointClickCare
  • Rules mined from CMS deficiency records

Try it — tap an underlined phrase

Progress noteIllustrative · Fictional resident · 14:32

Resident stated an aide with her during morning care. noted to left forearm. .

02Experience Lummen

See what others miss.

Ordinary notes hide ordinary gaps. Choose a scenario, then open any underlined phrase. Every finding here is the real output of Lummen’s engine on a fictional note.

Progress note14:10 · Unit B · Fictional resident
3 findings

Resident reports left knee pain rated 7/10 during morning care. per order at 14:15. Resident .

Repositioned with pillow support. Call light within reach. .

What Lummen noticed

Fictional resident and details · findings generated by the Lummen engine · not clinical guidance

03How it works

The intelligence behind every insight.

An underline is never a black box. Here is one real finding from Lummen’s engine, followed from the words on the page to the F-tags a surveyor would cite.

  1. 01/In the note

    Resident found sitting on floor beside bed at 02:15. Assisted back to bed with two staff. No apparent injury.

    Fictional event note

  2. 02/Read in context

    Falls / Accidents

    Vague fall follow-up

    A brief conclusion after a fall should be supported by objective assessment findings and a defined follow-up plan.

    Flagged because this note describes a fall. On its own — “Resident denies pain. No apparent injury.” — Lummen leaves it alone.

  3. 03/Surveyor view

    5 gaps a surveyor would cite · 1 needs more detail

    A surveyor reading this as a fall note checks that the circumstances, the post-fall assessment, who was notified, what was done to prevent another fall, and the monitoring plan are all written down.

    1. Documented: How the fall happened and how the resident was found
    2. Needs more detail: Injury assessment with findingsF689 Free of Accident Hazards/Supervision/Devices
    3. Missing: Pain assessmentF684 Quality of Care
    4. Missing: Vital signsF684 Quality of Care
    5. Missing: Neuro assessment and neuro checksF689 Free of Accident Hazards/Supervision/Devices
    6. Missing: Provider notification (who, how, when, response)F580 Notify of Changes
    7. Missing: Family / responsible party notificationF580 Notify of Changes
    8. Documented: Immediate response and interventions to prevent recurrence
    9. Documented: Monitoring plan with frequency and duration
  4. 04/Regulatory context

    Lummen’s fall rules map to these CMS F-tags, and each checklist item names the one a surveyor would cite.

    • F689Free of Accident Hazards/Supervision/Devices
    • F580Notify of Changes
    • F684Quality of Care
    • F842Resident Records

Built on the record, not on guesswork.

Lummen’s rules are mined from CMS deficiency records — the statements surveyors write when they cite a facility — and mapped to specific F-tags. A deterministic engine reads each phrase in clinical context: negation, history, and who it’s about. “No skin tears noted” is read as negated, not as a wound note.

For events like falls, changes of condition, and medication issues, it compares the note against what a surveyor expects to see — and tells the nurse, item by item, what’s missing while it can still be written.

Every finding on this page is generated by the Lummen engine

04Built for skilled nursing

One tool. Four people who care how the chart reads.

The nurse writing the note, the DON coaching the team, the administrator preparing for survey, and the operator setting the standard all see something different in Lummen.

Feedback right where you write.

Lummen underlines wording that may leave a gap while the note is still open, and explains what a reader would need — in plain language.

  • Works on top of PointClickCare, in Chrome
  • Hover or tap an underline to see why, and what to add
  • Mark an underline “Not relevant” or an item “Documented elsewhere”

…Bed in low position, call light within reach. No apparent injury.Lummen: After a fall, replace the conclusion with the findings behind it: what you looked at (skin, range of motion, pain scale, vitals, orientation) and what you found.

05Lummen Survey Intelligence

Your facility’s survey history. A clearer path forward.

Explore historical F-tags, uncover recurring citation patterns, and see how Lummen approaches documentation concerns like those found during inspections.

Public CMS inspection data. No sign-up required.

Open Survey Intelligence

Deficiencies start in the chart — nationally

62.7%

of all nursing home deficiencies nationwide are Level D — no actual harm occurred, but potential for more than minimal harm.

2.34%

of all deficiency findings nationally are rated J, K, or L — immediate jeopardy to resident health or safety.

$937,000

is the highest total in penalties a nursing home has paid over a single three-year inspection cycle.

Source: ProPublica Nursing Home Inspect / CMS data, May 2026

06Documentation clarity

Same shift. Same care.
Now it’s on the page.

The second note isn’t longer for the sake of it. It records what the nurse actually observed and did — so a reader months later can see the care that happened.

Facts the nurse provided

  • Pain in left knee, 7/10 at 14:10
  • PRN given per order at 14:15
  • Reassessed at 14:45 — 3/10, reports relief
  • Next reassessment planned for 18:00
BeforeOpen to interpretation

Resident reports pain rated 7/10. PRN medication administered per order. Will continue to monitor.

Lummen engine

  • Medication issue — 1 item needs more detail (3 of 4)
  • Vague monitoring plan — “Will continue to monitor” underlined
AfterSpecific and complete

Resident reports left knee pain rated 7/10 at 14:10. PRN medication administered per order at 14:15. Reassessed at 14:45: resident rates pain 3/10 and reports relief. Next pain reassessment planned for 18:00.

Lummen engine

  • Medication issue — Complete — everything a surveyor looks for is here (4 of 4)
Compare

Lummen points to the gap. The nurse writes the note — using only what they observed and the care they actually provided.

07Trust & practicality

Built for the real world.

Documentation is clinical, legal, and personal. Here is plainly what Lummen does, how it handles information, and where its limits are.

Lummen is documentation support — not clinical decision support, and not a compliance guarantee.

Workflow

On top of the chart, not beside it.

Lummen is a Chrome extension that runs on top of PointClickCare. Nurses document the way they already do; underlines appear while the note is still editable — not weeks later in a chart audit.

Human oversight

The clinician decides. Always.

Every insight is a prompt to review, not an instruction. Nurses can mark an underline “Not relevant” or a checklist item “Documented elsewhere.” Lummen doesn’t write, complete, or submit notes, and it never suggests recording care that wasn’t provided.

Data handling

Note text stays on the nurse’s computer.

Notes are scanned locally by a deterministic rule engine — no note text is sent to an AI service. For the leadership dashboard, Lummen records only which rule fired, its category and F-tags, severity, and time — never the note or the flagged phrase.

Implementation

Light to roll out.

A pilot starts with a 30-minute walkthrough and a one-day install of the Chrome extension — no EHR integration project. After 30 days, we review your facility’s own patterns together.

Leadership view

Patterns for coaching, not surveillance.

Leaders see how often flagged phrases are revised before a note is finalized, and the focus areas where teams may need support — with no rankings or leaderboards.

Limitations

Honest about what it is.

Lummen recognizes documentation patterns. It can miss gaps and can flag phrases that are already appropriate. It doesn’t evaluate clinical care, and it can’t guarantee survey outcomes. It supports clinical judgment and facility policy — it never replaces them.

Every clinical example on this site is fictional. Details you share in a demo request are used to respond to you — see our privacy policy.

Questions from nursing leadership.

08Request a walkthrough

See it on your own charting.

Book a walkthrough. We’ll show you what Lummen highlights, how your nurses would use it, and what a pilot at your facility looks like.

  1. 01Walkthrough30 minWe show Lummen on realistic charting scenarios and answer your team’s questions.
  2. 02InstallOne dayA Chrome extension — no EHR integration project, no change to how staff chart.
  3. 03Pilot30 daysYour facility’s own flag patterns, reviewed together at the end.

Request a walkthrough

Takes about a minute. No resident information needed. Prefer to choose a time now? Book on Calendly.

By submitting, you agree to be contacted about your request. Please don’t include resident information. See our privacy policy.