Stedfast Living is the facility program of Stedfast Psychiatry. Our clinicians visit ALF, ILF and SNF communities on a set schedule, manage depression, anxiety, behavioral symptoms of dementia and polypharmacy, document to CMS standards and keep families informed. Telepsychiatry covers the days in between. Visits are billed to the resident's insurance; there is no charge to the facility.
Why facilities bring us in
Psychiatric needs in senior communities are common and under-treated. Late-life depression is often read as "just aging." Behavioral symptoms of dementia land on nursing staff without a plan. Psychotropic medications accumulate across hospital stays and prior prescribers, and nobody owns the list. Sending residents out to an office for every concern is hard on them and on your staff.
Our model is simple: the psychiatrist comes to the resident, on a schedule, with the same clinician each time, and with documentation your surveyors can follow.
What the team does on site
Scheduled rounds
A psychiatrist or psychiatric nurse practitioner, under physician oversight, rounds at your community on an agreed cadence. New admissions are evaluated, existing residents are followed, and nursing concerns raised since the last visit are addressed in person. See ALF and skilled nursing psychiatry for the clinical detail.
Behavioral symptoms of dementia
Agitation, aggression, sundowning, resistance to care, wandering and calling out. We start by looking for causes: pain, infection, constipation, medication effects, sensory loss, a change in routine. We work with your staff on non-drug approaches first and use medication when it is warranted, at the lowest effective dose, with a documented target symptom and a plan to reassess.
Late-life depression and anxiety
Depression in older adults presents differently: withdrawal, weight loss, poor sleep, physical complaints, refusal of meals or therapy. We screen with age-appropriate tools, treat with medications chosen for an older body and its other prescriptions, and track response visit to visit. Where appropriate, residents can also be referred for geriatric psychiatry services at our offices, including Deep TMS and Spravato for depression that has not responded to medication.
Polypharmacy and gradual dose reduction
We review the full medication list at each evaluation, flag duplications and interactions, and pursue gradual dose reduction of antipsychotics, benzodiazepines and sedative-hypnotics where it is safe. Each GDR attempt, or the clinical reason one is contraindicated, is documented in the record in the form CMS expects.
CMS documentation
Our notes are written for the survey process: indication, target behavior, non-pharmacologic interventions tried, informed consent, monitoring for side effects, and GDR history. We support your QAPI reviews and pharmacist consultant recommendations with timely responses.
PASRR
For skilled nursing admissions, we complete the psychiatric evaluations that support Preadmission Screening and Resident Review and coordinate with your social services staff on Level II findings and specialized services.
Family communication
With appropriate consent, we keep the designated family member or health care surrogate informed of significant changes and the reasoning behind them. Families can reach the team through our office, and we are glad to join a care-plan meeting by phone.
Telepsychiatry between rounds
Urgent concerns between visits are handled by video with a nurse at the bedside. Communities beyond the reach of our in-person team can be served primarily by telepsychiatry with periodic in-person visits.
What your staff can expect
- A named clinician and a predictable schedule
- A direct line to the Stedfast Living coordinator for scheduling and questions
- Orders and notes in your record system or delivered to your med room the same day
- Brief in-service training on recognizing depression, delirium and dementia-related behaviors
- Responses to pharmacist recommendations and survey requests within the required window
For families
If your parent or spouse lives in a community we serve, ask the nurse or administrator to request a Stedfast Living evaluation. If their community does not yet work with us, you can still bring them to any of our offices or arrange a video visit; see geriatric psychiatry. A psychiatric evaluation does not mean "more medication." Often it means less, and a clearer plan.
Where we serve
Communities near our Florida offices in Boynton Beach, Palm Beach Gardens, Stuart, Royal Palm Beach, Jacksonville, Port St. Lucie, Melbourne, Fort Lauderdale, Jupiter, and our South Carolina offices in Goose Creek, Lexington, Bluffton, Hilton Head Island. Telepsychiatry extends coverage across both states.
How to start a facility partnership
- Submit the form below, choosing "Facility partnership," or call (561) 437-2179 and ask for Stedfast Living.
- We schedule a 20-minute call with your administrator or director of nursing to review census, acuity and current psychiatric coverage.
- We set a rounding cadence, exchange the paperwork (business associate agreement, provider credentials, record access) and confirm a start date.
- Rounds begin, starting with residents your nursing team flags first.
Request a facility partnership
Tell us the community name, location, approximate census and the best person to reach. The Stedfast Living coordinator will follow up by phone.
Please leave detailed medical information for your secure intake forms or your visit. For anything urgent, call your office directly. If you are in crisis, call or text 988 or call 911.
Frequently asked questions
Which facilities does Stedfast Living serve?
Assisted living facilities, independent living communities, memory care units and skilled nursing facilities in Florida and South Carolina. We prioritize communities within reach of our 13 offices and cover others by telepsychiatry.
How often does the team round?
It depends on census and acuity. Many communities see a provider weekly or every other week, with telepsychiatry available between visits for urgent concerns. We agree on a cadence at the start of the partnership and adjust it as needs change.
Who pays for the visits?
Visits are billed to the resident's insurance, usually Medicare Part B or a Medicare Advantage plan, like any other outpatient psychiatric visit. There is no cost to the facility for the clinical service. Residents without coverage can be seen on a self-pay basis.
Do you prescribe antipsychotics for residents with dementia?
Only when non-drug approaches have been tried, the behavior poses a real risk and the indication is documented. We follow CMS guidance on unnecessary drugs, attempt gradual dose reduction where clinically appropriate, document each decision and review it on every round. Our goal is fewer unnecessary psychotropics, not more.
Can you help with PASRR?
Yes. We complete psychiatric evaluations that support Preadmission Screening and Resident Review determinations and Level II follow-up, and we coordinate with the facility social worker and the state contractor.
How do families stay informed?
With the resident's consent or the authority of a health care surrogate, we update the designated family member after significant changes, explain the reasoning behind medication decisions and are available by phone through the office. Families can also request a scheduled call.
How do we start?
Submit the form on this page or call (561) 437-2179 and ask for the Stedfast Living program. We schedule a short call with your administrator or director of nursing, review census and current psychiatric coverage, and set a start date. Most partnerships begin within a few weeks.