A whole nursing team, without the full time RN pay.
ANDS provides RN delegation, RN oversight, state required certifications, and continuing education for assisted living, memory care, and long term care communities across the Pacific Northwest.
- Nurse owned since 2019Built by nurses who know senior living
- 50+ years combinednursing experience on the team
- 24/7 nursing supportHelp when your staff needs it
- WA, OR, and ID compliantDelegation built for all three states
More than a nurse delegator.
Many communities lean on a single delegating nurse or a stretched corporate RN who rarely has time for real training. ANDS brings a whole team to the table.
A typical single delegator
- One nurse covering delegation alone
- Little time for hands on staff training
- Certifications and CEUs sourced elsewhere
- Survey prep left to your team
- Hourly billing that is hard to forecast
The ANDS team
- RNs, clinical educators, compliance officers, regulatory specialists, and EMR analysts working together
- In person training paired with remote clinical support
- State required certifications, CEUs, BLS, CPR, and FIT testing in one place
- Mock surveys, chart audits, and plan of correction review
- Transparent fee for service pricing with no hourly surprises
Find the support you need.
Every plan is built around your community. Browse by area or search for a specific service.
Getting started is simple.
Free consultation
Tell us about your community, your residents, and where your team needs support. No cost and no obligation.
A plan that fits
We match delegation, training, and compliance services to your needs, with clear fee for service pricing up front.
Ongoing support
Your team gets 24/7 access to an RN and the support of the whole ANDS team.
Training that builds confident caregivers.
Our nurse educators teach in your building, with your staff, using the equipment they handle every day. Confident caregivers make fewer errors and stay longer.
- Delegation Core
- Special Focus on Diabetes
- DSHS Dementia
- DSHS Mental Health
- Medication certification for NACs, HCAs, NARs
- BLS
- CPR and First Aid
- Abdominal thrust
- Infection control
- CEU eligible courses
Better compliance. Stronger staff. Lower costs.
Partnering with ANDS gives your community the clinical depth of a nursing department without the cost of building one.
Improve regulatory outcomes
Mock surveys, chart audits, and plan of correction reviews help you walk into state surveys prepared.
Increase staff confidence and retention
Hands on training gives frontline caregivers the skills and support to do their best work.
Stay consistently compliant
Delegation and oversight that meet your state's requirements all year round.
Reduce the cost of a full time RN
Get RN level expertise on demand instead of carrying another full time salary.
Meet the team.
Our team combines decades of experience in senior living communities.
Leadership
Nurse consultants
Also on the team
Common questions.
Something else on your mind? Call 502 525 0860 and talk to our team.
Where does ANDS provide services?
We support senior living communities throughout the Pacific Northwest, with specialized expertise in Washington, Oregon, and Idaho. Our hybrid model pairs remote clinical support with in person visits and hands on training, so your team has experienced nurses when and where they need them.
Do you replace our current nurse or work alongside them?
Either. Some communities use ANDS as their full nursing support. Others use us to take training, delegation, and compliance work off a busy community or regional nurse.
How does pricing work?
ANDS uses a transparent fee for service model, so you know costs ahead of time and avoid hourly billing surprises. We will walk through pricing during your free consultation.
What types of communities do you work with?
Senior living communities, along with frontline healthcare teams who need certification and continuing education.
Can you help us prepare for a state survey?
Yes. We offer mock surveys, chart audits, plan of correction review, and quality and process improvement reviews to help you get ready.
Nurses who love teaching, we want to meet you.
Join a nurse owned team that puts education and caregiver support at the center of senior living care.
Let's talk about your community.
Schedule a free consultation. Tell us a little about your needs and a member of our team will follow up.
Serving senior living communities throughout the Pacific Northwest.