The complete operating system for small assisted living homes.

Med Pass, ADL charting, billing, calendar generators, compliance tracking, state-survey audit trails, and owner reporting. Every workflow your caregivers do and every insight you need as an owner, in one system. Ready out of the box. Built by an Arizona owner-operator who runs it too.

🌡 Built by an AZ AL owner πŸ“¦ Complete out of the box πŸ“‹ State-survey ready
Tendera Med Pass. 63 medications due today at Willow Ridge West, 0 given. Morning slot 6am to 11am with 41 meds. Barbara Kim's card showing Amlodipine with a hold params badge and inline SBP and DBP vitals inputs, plus Furosemide, Metformin, and Omeprazole, each with a Given button.
The Med Pass, mid-shift. 63 doses due today, charted from one page.
One system, the whole operation

Replaces the spreadsheets, sticky notes, and 4 other SaaS subscriptions.

Small AL operators usually cobble together a paper MAR, an ADL log book, a billing spreadsheet, a Word-doc menu calendar, a compliance binder in a filing cabinet, and hope. Tendera replaces all of that with one complete system, ready to run out of the box.

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Shift-centric Med Pass

Every scheduled med for every resident, grouped by shift and sorted by time. PRN follow-ups, PIN e-signing, hold-parameter enforcement, and hospital or day-trip suppression. All in one page instead of clicking through 12 resident charts.

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ADL charting

Track every ADL for every resident on shift. Bathing, dressing, toileting, mobility, meals, transfers. Independence flags per resident so caregivers know what each person handles alone. State-surveyor-ready ADL history is one click, not a filing cabinet.

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Billing & payments

Auto-generated monthly statements per resident, per-payer breakdowns, ACH payments via Plaid, aging reports, and Plaid-based bank-transaction matching. See who's paid, who's late, and what's outstanding at a glance.

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One-click calendars

Generate a full month's activity calendar or menu in seconds. No Word doc layout, no manual entry. Your staff prints, posts, and moves on. What used to take an afternoon takes a click.

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Compliance tracking

Every renewable tracked with automatic expiration alerts. Staff licenses, TB tests, CPR cards, insurance policies, facility documents. Nothing lapses because nobody remembered to check the binder.

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State-survey audit log

Every action timestamped with the caregiver's identity. Meds given, notes posted, records edited. When the surveyor asks "who did this and when?", you have the answer in three clicks. Surveyors love it.

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Portfolio reporting

Own multiple homes? Combined census, activity, and 12-month incident trends across every facility. Compare homes side-by-side, drill into any one with a click, and stop juggling separate reports.

Plus: resident face sheets, vitals with out-of-range flags, shift handoff notes, non-medication orders, incident reporting with state-reportable flagging, medication library with pill photos, and more. Every operator workflow, ready day one.

Who it's for

Built for owner-operators, not enterprise chains.

Most eMAR software is built for 200-bed skilled nursing facilities and priced accordingly. Tendera is built for the small-home operators who actually own their business. If you're licensed under AZDHS, it fits your regulatory reality especially well.

πŸ› 1-10 bed AL homes Family-owned residential care in a single house. The Med Pass fits the shift you actually run.
🏘 Multi-home operators Own 2-8 homes? The portfolio view aggregates census, incidents, and activity across every facility.
🧠 Small memory care Behavior charting, PRN follow-ups, and PIN-signed audit trails. The compliance stack survey teams look for.
Built by operators

We own the homes. We built the software. In Arizona.

Most eMAR software is built by product managers who've never had to make payroll for a caregiving team, or answer an AZDHS surveyor's question about a specific ADL entry. Tendera was built inside the assisted living homes we own in Arizona: Crossroads Care Homes, Abuelos at La CaΓ±ada, Keim Cares, and Panorama Assisted Living.

When our caregivers were tired of clicking through resident pages one at a time, we built the shift-centric Med Pass. When ADL charting on paper kept losing entries in the shift change, we built structured ADL tracking. When state surveyors kept asking about PRN follow-up documentation, we built the loop-closing prompts. When a caregiver mistyped initials on a controlled record, we built PIN e-signing.

Tendera is the complete operating system for a small assisted living home. Every caregiver workflow, every owner insight, in one place. Because it's what we needed for our own homes, and we shipped it once it actually ran ours.

Every feature in Tendera started as a problem in our own Arizona homes. If our caregivers didn't need it on shift, it didn't ship. What's left is the only software our staff uses to run every part of the day.
OS
Oscar Soto Founder, Tendera Β· Owner-operator, Diana Enterprise LLC (Arizona)
See it in action

Real screens. Real data.

These are actual Tendera screens from a live demo tenant with three assisted living facilities. Every workflow you see is what your caregivers, admins, and you would use starting day one.

Tendera billing dashboard. Three facilities, $118,300 billed, $53,200 collected, $65,950 outstanding, 44% collection rate. Progress bars per facility.
The owner-level billing dashboard. Totals across every facility you own, "who owes what" at a glance, and per-facility progress bars so you know where the collections work actually needs to happen.
Tendera billing reports page with revenue trend chart
Financial reports Collection rate, aging, partial vs unpaid counts, and a "billed vs. collected" chart across the last several months.
Individual resident billing profile showing ALTCS as primary payer with email
Per-resident billing profile Monthly rate, due date, late fee rules, and the primary payer (private pay, LTC insurance, VA, ALTCS, or family) with email for automatic statements.
Payment history table showing 5 payments across 3 months with methods and reference numbers
Full payment history Every payment recorded with date, method (ACH, check, credit card), reference number, and who logged it. Audit-trail ready.
Monthly billing statement showing itemized charges, payments received, and balance due
Monthly statements, generated Print, save as PDF, or auto-email to family payers. Replaces the Word doc process most small operators run today.
The Med Pass your caregivers actually run Most systems make you open one resident at a time. This is the whole shift on one page, charted in place.
Tendera Med Pass for Willow Ridge West. 63 medications due today, 0 given. Morning slot 6am to 11am with 41 meds. Barbara Kim's four medications listed with times and doses, an Amlodipine row flagged hold params with SBP and DBP vitals inputs, and Given buttons on each row.
One page, one shift, every resident. 63 meds due, grouped into morning, afternoon, evening, and night, charted right from this view without opening a single resident page. The Amlodipine row shows a hold parameter: the SBP and DBP boxes appear inline, so the caregiver records the blood pressure before deciding whether to give it.
Prep meds for Betty Lopez dialog. Morning slot, 5 meds, initials field showing DM, and a list of Amlodipine, Furosemide, Lisinopril, and Memantine with doses. Each row has a segmented control with three buttons: Prep (selected, blue), Unavailable (amber), Skip (slate). Submit button at the bottom reads Mark: Prep 5.
Prep and pass, kept separate Pulling meds and giving them are two different acts, so they get two different records. Every dose gets one of three tags at prep: Prep (pulled and verified, in the cup), Unavailable (not on hand, audit-stamped and flagged amber on the shift view), or Skip (handle at admin time). Administration is charted separately when it actually happens.
Record Acetaminophen dialog for Barbara Kim, 500 mg, 1 to 2 tabs po q6h prn pain. Time, status, initials, and notes fields with a Record button.
PRN meds, recorded on demand As-needed meds sit in an "Also available" strip under each resident instead of cluttering the scheduled list. Time and initials prefill. Notes are optional for a given dose and required for refused or held.
Owner-level insight across every home Census, activity, and 12-month incident trends for every facility you have access to, on one page. Click any home to drill into its full reports.
Tendera Portfolio overview across 3 facilities. Combined census 30 active residents, 0 inactive, care level split Personal 10, Supervisory 9, Directed 11. Last 30 days: 4 move-ins, 2 move-outs, 5 incidents. Incidents by category: Fall 2, Skin injury 2, Medication error 1. 12-month incidents-per-month bar chart with monthly counts.
Portfolio view rolls every home into one page. Census by care level, 30-day move-ins and move-outs, incidents by category, and a 12-month trend across the whole portfolio. The per-facility table below (not shown) lets you drill into any one home's own reports in a click.
Compliance without the spreadsheet Every document, every expiration, every home. Two counters at the top tell you what needs action today and what's coming in the next 30 days.
Tendera Compliance dashboard across all facilities. Two summary cards at the top: Overdue or Due Today shows 4 with Action needed now, Upcoming Next 30 Days shows 6 renewals coming up. Status filter pills for All, Expired, Missing, Expiring Soon, Valid. Tabs for Service Plans 30, Employees, Facilities 6, Residents 28. Service Plans table sorted with Expired rows highlighted red and Expiring Soon rows highlighted amber. Each row shows resident, level of care, status, last updated date, expires date, facility, and a Renew action button.
One page for every document across every home. Service plans stay on cadence per resident's level of care (Directed every 3 months, Personal every 6, Supervisory every 12). Facility permits and inspections track the same way. Filter to just what needs action, or search by resident, document, employee, or facility.
"Would we pass an AHDS visit today?" A live scorecard across seven dimensions surveyors actually check. Not a substitute for a walk-through, but the fastest gut check on the market, and the only place we know of that answers it as a single number.
Tendera State Survey Readiness scorecard for Willow Ridge East. Big overall score of 64 with Deficiency Risk label. Seven category cards below: Resident file completeness scored 12 with red pill and action items naming specific residents and missing documents like HIPAA Release and Residency Agreement and Healthcare POA. Service plans 90 green, Facility documents 100 green, Incident review compliance 50 amber, Signing PIN adoption 0 red, Recent charting activity 100 green, Employee certifications 100 green. Each category card shows counts and specific action items with severity dots.
Seven categories, scored 0-100, computed live from your actual data. Below each score, specific action items like "George Fujimoto: HIPAA Release missing" or "Incident #4 (Skin injury, low) not yet reviewed", so the number isn't just a grade, it's a to-do list. Red categories become your Monday morning plan.
Personnel files, one screen per employee Every AZ AHDS baseline document per caregiver: Employment Application, I-9, TB test, CPR, Fingerprint Clearance Card, DCW cert, Article 9. Percent-complete pill per employee so you know at a glance who's ready for a surveyor to pull their file.
Tendera Employee Compliance page. Header explains personnel files follow the AZ AHDS baseline (hire packet, health and safety recurring certs, AZ-specific items) with custom docs at the bottom. Diana Chen's card expanded to show 11 document slots as tiles: Employment Application, Reference Check, I-9 Form, W-4 Form, Job Description Acknowledgment, and Confidentiality Agreement each with a blue No Expiration pill and a Signed date. TB Test shows a green Valid pill with certified 2026-03-13 and expires 2027-03-13. CPR/First Aid shows a red Expired pill with certified 2024-05-29 and expires 2026-05-29. Fingerprint Clearance Card green Valid pill expires 2027-06-05. Direct Care Worker Certification shows a gray Missing pill with 'Not on file' and an Add button. Article 9 Training green Valid. Diana's header shows a red 1 Expired chip, a gray 1 Missing chip, and a 76% percent-complete pill. Below Diana, Priya Patel's collapsed card shows a 7 Missing chip and a 42% red pill.
One collapsible card per caregiver. The header chips tell you at a glance what's on file and what's not ("1 expired, 1 missing"), and the percent pill is weighted by severity so a missing Employment Application costs more than a missing W-4. Expand any card for the full grid: catalog slots on top (blue = keep-on-file, green = valid, red = expired, gray = missing), plus any custom docs at the bottom. Click Add on a missing slot and the add-doc form opens with employee name and document already prefilled.
Owner controls, one page Everything an owner or admin actually uses to run the business, gathered into one tile grid on the home screen. No hunting through menus.
Tendera admin menu. A tile grid with seven admin tools: Manage Users (invite, edit roles, deactivate accounts), Audit Logs (every action timestamped by user), Reports (census, activity, incidents, trends), Survey Readiness (would we pass an AHDS visit today), Employee Compliance (personnel files, expirations, missing docs), Medication Library (canonical drugs, photos, side effects), and Add Facility (open a new home under this organization). Each tile has an icon and a one-line hint.
The owner cockpit. User management, audit trail, portfolio reports, survey readiness, employee personnel files, the medication library, and adding a new home, all in the same admin panel. No hidden menus, no six-click paths to the daily-driver tools.
Menu calendars that cross-check allergies Pick a month, hit generate, print. Every meal is scanned against every active resident's declared food allergies. Matches get flagged inline so kitchen staff see the risk without hunting through charts.
Tendera July Menu 2026. Full month table with Day, Breakfast, Lunch, Dinner columns. Meals populated across every day. Several breakfast cells have amber warning borders and inline alert lines. Fri, Sat, and Tue breakfasts are flagged with 'Robert Martinez: egg' warnings for eggs in the menu. Tuesday dinner shows 'Margaret Chen: almond' for Almond Biscotti. Wednesday breakfast shows 'Margaret Chen: peanut, nut' for Peanut Butter and Banana Toast. Footer lists substitutions and snacks.
Every meal on the month gets scanned against every active resident's declared food allergies. Any match gets an amber-bordered cell and an inline warning naming the resident and the trigger. Prints in color so a paper copy taped to the fridge preserves the flag.
Activity calendars, generated in seconds Same one-click flow, but for the monthly activity grid, pulled from your activity library and laid out Monday through Sunday.
Tendera July Activities 2026. Full month grid, seven columns for Monday through Sunday, each day cell populated with 2 to 4 scheduled activities such as Current Events, Bingo, Chair Yoga, Music Sing-Along, Garden Club, Bean Bag Toss, Church Service, and Nature Documentary.
Weekly rhythm laid out at a glance for the whole month. Draw from your activity library, add or remove any day, print the grid for the day room. No more manually retyping the same schedule every month.
ADLs charted in place, one page per shift The same shift-centric idea as Med Pass, but for daily living: bathing, care, meals, and activities for every resident on one page. Chart in place, save the shift.
Tendera ADL Pass for Willow Ridge West, 2nd shift on 2026-07-20. Top summary strip: 10 residents, 6 charted, 4 remaining. Shift toggle in the top right with 1st shift and 2nd shift pills. Barbara Kim's card is charted: Staff DM, BMs 1, Water 56 oz, Peri PM and Oral PM both by DM, Dinner 75 percent, Snack PM blank, Activity Bingo. Green pill badge reads '2nd shift charted by DM'. Dorothy O'Brien's card starts to show below with the same charted-badge state. Sticky Save 2nd shift button pinned at the bottom of the page.
One page shows every at-home resident's ADLs for the shift you're on. 1st shift covers bathing, AM care, breakfast/lunch/AM snack, and morning activities. 2nd shift covers PM care, dinner/PM snack, and the evening activity. Independent-flagged fields auto-stamp as self. Untouched fields are preserved, so the two shifts don't clobber each other. Only the caregiver's changes are saved on their shift.

That's the tour. Every module above is live, in daily use at four AZ assisted living homes.

Pricing

Simple, per-facility pricing.

Starting at
$200 /facility / month
  • Unlimited caregivers & residents per facility
  • Full Med Pass workflow (scheduled, PRN, controlled) with PIN e-signing
  • Complete ADL charting with independence flags per resident
  • Billing, payments, and monthly statements (Plaid included)
  • One-click monthly calendar & menu generators
  • Compliance tracking with automatic expiration alerts
  • State-survey audit log across every action
  • Portfolio reporting across all your homes
  • PHI encrypted at rest, BAA-backed hosting
  • Direct support from the founder
Book a demo to lock in pricing

No setup fees. No implementation project. No professional services. Sign up and your caregivers run their first Med Pass the same day. Volume pricing for 3+ facilities. Final pricing confirmed after a discovery call.

Book a demo

20 minutes. No slide deck. Your workflow, live.

I'll walk you through the exact daily workflow using a real facility. Med Pass, ADL charting, billing, calendars, compliance, audit log, portfolio reporting. If it's a fit for your home, we schedule a 2-week free trial. Your caregivers use Tendera the same day. No implementation project.

Prefer email? Reach out at hello@tendera.care.

We only use your info to schedule your demo. No spam, no lists.