Care Plans, Rosters and Billing for Nursing Homes
Nursing homes manage long stays, not episodes: residents with care plans, a rota that never stops, and families who expect transparent monthly billing. Care18 keeps every resident's record, medication chart, staff roster and account on one system, so night and day shifts hand over cleanly and guardians know what they are being billed for.
- Resident-centric records
- Shift rosters and handovers
- Monthly guardian billing
- Incident and fall logging

Continuity of Care, Month After Month
A nursing home is a home first and a clinical setting second. Residents stay for months, often with chronic conditions, medication schedules and families who visit and ask questions. Care18 is built around that continuity: each resident holds one record of care plans, medication charts, vitals, meals and incident notes, while staff rosters and attendance sit alongside it so accountability is clear across shifts. Billing runs monthly per resident, itemised for guardians, and every task completed on the floor updates the same file the manager reviews.
- One resident record: plans, medicines, vitals and notes
- Shift rosters with attendance and handover notes
- Monthly guardian billing with clear itemisation
- Incident and fall logging visible to managers

Key Benefits
Safer Shift Handovers
Outgoing and incoming staff review the same resident file, with pending tasks and changes in condition recorded rather than relayed verbally.
Consistent Care Plans
Plans guide the daily tasks of each resident, and every completed action is logged, so standards never depend on which staff member is on duty.
Transparent Family Billing
Guardians receive itemised monthly statements covering stay, care services and extras, which reduces disputes and the repeated explanations the front desk otherwise gives.
Clear Staff Accountability
Rosters, attendance and task completion show who was responsible for each resident, which supports supervision, staff training and regulatory reporting.
Key Features
Resident Profiles
One profile per resident holds admission details, medical history, mobility level, allergies, diet, next of kin and the guardian's billing contacts.
Care Plans & Task Charts
Plan daily care for each resident and chart completed tasks, vitals, meals and medication rounds as the shift progresses, with overdue items flagged.
Medication Management
Schedule doses by time and resident, record administration, and flag missed or refused medicines so nothing depends on a paper chart alone.
Staff Rosters
Build shift rotas by wing, record attendance and keep handover notes, so every incoming shift knows which residents need attention first.
Monthly Guardian Billing
Generate itemised monthly invoices per resident covering accommodation, care services and extras, with payment history and outstanding dues visible at the desk.
Incident Reporting
Log falls, injuries or behavioural incidents with time, location, witness and action taken, creating a permanent record for review and family discussion.
From Admission to Ongoing Care
Every stage of a resident's stay tracked on one record.
- 01
Admission & Assessment
Capture medical history, mobility, diet and family contacts, then agree the initial care plan with the guardian before admission is confirmed.
- 02
Daily Care Charting
Staff record vitals, medication, meals and personal care tasks against the resident's plan throughout each shift, as the work is actually done.
- 03
Shift Handover
Rosters and handover notes show what changed during the outgoing shift, so nothing important is missed when care changes hands.
- 04
Review & Escalation
Managers review progress, incident logs and residents needing clinical attention, arranging doctor visits or escalation with guardians when required.
- 05
Monthly Billing
The guardian receives an itemised statement covering the stay, care services and extras, with payments and outstanding dues recorded against the account.
Security Built Into Every Layer
Hospital data deserves enterprise-grade protection. Care18 is designed with security at its core — access control, encryption, auditability and recoverability.
Role-Based Access Control
Every user sees only what their role permits, down to the field and report.
Encrypted Data
Encryption in transit and at rest for records, attachments and backups.
Audit Trails
Immutable, timestamped logs of who changed what, when and from where.
Secure Authentication
Password policy, multi-factor options and session control for sensitive actions.
Cloud Backups
Automated, encrypted backup schedules with retention policies you control.
Disaster Recovery
Documented recovery procedures, standby infrastructure and restore testing.
Who Benefits
Long-Stay Residents
Months of records, medication rounds and care notes stay in one file instead of scattered registers.
24-Hour Rotating Staff
Agency and in-house staff follow the same charted plan, keeping continuity when the roster changes.
Family Communication
Guardians get clear monthly statements and a record of incidents or changes when they visit.
Regulatory Inspections
Care records, rosters and incident histories can be produced for review without searching paper folders.
Related Modules
Explore other modules that work seamlessly with this solution
Frequently Asked Questions
See Resident Care Running on One System
Book a free demo and we will walk through records, rosters and guardian billing for your nursing home.