The operating system for skilled nursing.

In Prysm, one entry flows across the system. Problems escalate to the right person while there is still time to act, and operators get real-time visibility into census, staffing, documentation, and compliance in a single command center.

A nurse can spend more of a shift documenting care than delivering it.

The software in most skilled nursing facilities records what already happened. It asks for the same information over and over, and it tells no one anything. If a resident's health declines, it can take days for someone to notice.

Underneath that sits a patchwork of disconnected systems — one for MDS, another for PBJ, spreadsheets for the rest. Staff document the same facts in three places, and compliance gaps stay invisible until a survey or an ADR surfaces them.

Prysm is built to close that gap while it still matters.

Everything a facility needs. Nothing it doesn't.

Unified documentation

One entry drives nursing notes, care plans, tasks, and interdisciplinary outputs. Staff enter information once.

Compliance at entry

Validation runs at the point of documentation, not during an audit. Missing fields surface immediately, before they become findings.

MDS & PDPM

Capture IPAs, track ARDs, and keep reimbursement accurate with MDS and PDPM logic built in — no separate software.

Operator command center

Census, staffing, documentation status, and task completion in real time. Escalation is automatic rather than retrospective.

We're hiring engineers.

Senior and staff, remote-first, building the clinical core.

See open roles