Census management, care-level billing, EHR integration, module selection, implementation planning, and reporting for independent living, assisted living, memory care, and skilled nursing operators on the Yardi platform.
20 min read
9 chapters
Includes comparison tables and module map
Yardi Senior Living is a specialized extension of Yardi Voyager that replaces the standard lease-based model with census-based occupancy tracking across independent living, assisted living, memory care, and skilled nursing communities.
The census board is the operational hub: a visual dashboard tracking every bed by unit, care type, resident status, move-ins, move-outs, transfers, and temporary absences in real time.
Care-level billing uses an assessment-driven model where clinical evaluations map to billing tiers, automating the connection between a resident's care needs and their monthly charges.
Implementation timelines range from 4 to 6 months for operators with fewer than 5 communities to 12+ months for enterprise portfolios with 20+ communities and EHR integration.
Key modules include Senior CRM for sales pipeline tracking, eMAR for medication administration, RentCafe Senior Living for family portals, and optional EHR for clinical documentation.
Custom reporting is typically required for cross-portfolio benchmarking, revenue per available bed (RevPAB), blended occupancy across care types, and care cost analysis.
Chapter 1
What Is Yardi Senior Living?
Yardi Senior Living is a specialized extension of the Yardi Voyager platform designed for operators of independent living (IL), assisted living (AL), memory care (MC), and skilled nursing (SNF) communities. It replaces the lease-based occupancy model used in standard Voyager with a census-based model that tracks residents by bed, care type, and clinical status rather than by apartment and lease term.
The platform addresses the operational realities that distinguish senior living from conventional property management. Where a multifamily operator manages leases, rent rolls, and tenant turnover, a senior living operator manages census, care levels, clinical documentation, medication administration, regulatory compliance, and billing structures that change as a resident's care needs evolve. These differences touch every part of the software: how occupancy is measured, how revenue is calculated, how residents are billed, and how data is reported to ownership and regulatory bodies.
National senior living occupancy reached approximately 86% to 87% by late 2024, recovering from a pandemic low of roughly 78% in early 2021, according to NIC MAP data. With the 80+ population projected to grow at approximately 4% to 5% annually through 2030 (U.S. Census Bureau projections), operators face sustained demand that makes accurate census tracking, efficient billing, and scalable technology infrastructure operational necessities rather than conveniences.
Yardi Senior Living runs on the same Voyager database architecture described in our complete guide to the Yardi platform. Every senior living module shares the same underlying database as Voyager's accounting, reporting, and portal modules. When a resident's care level changes, the billing adjustment flows to the general ledger without manual journal entries. When a move-out is recorded in the census board, the bed becomes available in the sales pipeline automatically.
How Yardi Senior Living Differs from Standard Voyager
Standard Yardi Voyager tracks occupancy through leases: a unit is occupied when it has an active lease and vacant when the lease ends. Yardi Senior Living tracks occupancy through census: a bed is occupied when a resident is present and vacant when they move out, transfer, or pass away. This distinction drives differences across billing, resident records, reporting, regulatory compliance, and the sales pipeline.
The table below maps the key structural differences between the two platforms.
Aspect
Standard Voyager
Yardi Senior Living
Occupancy model
Lease-based (unit + lease term)
Census-based (bed + resident status)
Billing structure
Rent charges, utility recovery, CAM
Care-level tiers, ancillary services, community fees, second-person fees
Resident record
Tenant contact + lease record
Resident demographics + clinical profile + care level + responsible party
Transfer to higher care, hospitalization, death, family decision
Clinical integration
Not applicable
eMAR, EHR, care assessments, medication tracking
These differences are not cosmetic. They affect chart of accounts design, user security configuration (HIPAA requirements add a layer that standard property management does not have), reporting logic, and the workflows that staff perform daily. An operator cannot simply install standard Voyager and adapt it to senior living. The senior living modules are purpose-built for this operating model.
CMS finalized minimum staffing requirements for skilled nursing facilities in 2024, mandating 3.48 total nursing hours per resident day (Centers for Medicare & Medicaid Services, April 2024). For SNF operators on Yardi, this regulatory requirement makes accurate census and staffing data foundational to compliance reporting.
Chapter 3
The Yardi Senior Living Module Map
The Yardi Senior Living suite consists of core modules included with the senior living license and add-on modules that extend functionality into clinical, marketing, and analytics domains. Understanding which modules are core and which require separate licensing is essential for budgeting and implementation planning.
Module
Type
Function
Census Management
Core
Visual occupancy tracking by unit/bed, care type; move-ins, move-outs, transfers, waitlist
Care Level Billing
Core
Assessment-driven tiered billing, ancillary charges, community fees
Voyager Accounting
Core
GL, AP, AR, budgeting, financial statements (shared with standard Voyager)
Senior CRM
Add-on
Sales pipeline: inquiry tracking, tour scheduling, assessment coordination, waitlist management
Census Management is the operational foundation of the senior living suite. It provides a visual census board showing every unit and bed across the community, color-coded by occupancy status and care type. The module is covered in detail in Chapter 4.
Senior CRM
Senior CRM is Yardi's sales and marketing module for senior living communities. It tracks the full prospect lifecycle from initial inquiry through tour, clinical assessment, waitlist placement, and move-in. The CRM integrates with the census board so sales staff can see real-time bed availability by care type without switching between systems.
eMAR is Yardi's medication management module. It tracks medication orders, schedules medication passes, records administration by caregivers, and integrates with pharmacy systems for electronic prescription processing. For assisted living and memory care communities where medication management is a core operational function, eMAR replaces paper medication administration records and reduces medication errors.
EHR (Electronic Health Records)
Yardi's EHR module provides clinical documentation, care plans, physician order tracking, and assessment management within the Voyager platform. Operators who use the native EHR benefit from a single-database architecture where clinical data and billing data share the same resident record. Operators with existing third-party EHR systems (such as PointClickCare or MatrixCare clinical modules) can integrate those systems with Yardi through the web services API rather than replacing them.
RentCafe Senior Living
RentCafe Senior Living is the family-facing portal that allows responsible parties (typically adult children or guardians) to view account statements, make payments, read community updates, and communicate with staff. Unlike multifamily RentCafe, which is resident-facing, the senior living version is designed for family members who may be managing finances and care decisions for the resident.
Module selection tip: Most operators start with the core modules (census management, care-level billing, accounting) and add eMAR and Senior CRM in a second phase. Deploying all modules simultaneously increases implementation risk and extends timelines by 30% to 50% according to typical project experience.
Chapter 4
Census Management: The Operational Hub
The census board is the central operational dashboard for any Yardi Senior Living deployment. It provides a real-time visual display of every bed in the community, organized by building, floor, unit, and care type. Every operational workflow in senior living, from billing to reporting to sales, depends on accurate census data.
What the Census Board Tracks
The census board maintains the current status of every bed in the community. Beds are categorized by occupancy status (occupied, vacant, reserved, on hold) and by care type (independent living, assisted living, memory care, skilled nursing). The board updates in real time as staff record operational events.
Key events tracked through the census system include:
Move-ins: New resident admissions, including the care level assignment, billing start date, and responsible party designation
Move-outs: Discharges, which trigger final billing calculations, security deposit processing, and bed availability updates
Transfers: Internal moves between care types (for example, a resident moving from independent living to assisted living as care needs increase)
Temporary absences: Hospitalizations, family visits, or other temporary leaves that may affect billing depending on community policy and state regulations
Deaths: Recorded as a specific move-out type with its own billing and notification workflows
Configurable Census Categories
Yardi allows operators to define custom census categories that match their operational structure. A continuing care retirement community (CCRC) might configure categories for IL apartment, IL cottage, AL studio, AL one-bedroom, MC private, MC semi-private, and SNF. Each category can have its own rate structure, billing rules, and reporting classification. Senior living technology spending is growing at approximately 8% to 12% annually (Senior Housing News / NIC Technology Survey, 2024), and census system configuration is typically the first area where operators invest in customization.
Waitlist Integration
The census board integrates with Senior CRM's waitlist functionality. When a bed becomes available, the system can automatically notify the next prospect on the waitlist for that specific bed type and care level. This integration eliminates the manual process of checking spreadsheets or CRM records when a vacancy occurs, reducing the time between a move-out and a new move-in.
For communities operating at or near full census, the waitlist is a revenue protection tool. National average senior living occupancy at 86% to 87% (NIC MAP, Q4 2024) means many well-run communities are approaching or exceeding 90% occupancy, where every day a bed sits vacant represents measurable lost revenue. A community with an average daily rate of $5,500 per month loses approximately $183 for every day a bed remains unoccupied.
Configuration decision: How you structure census categories directly affects every downstream report. Define categories based on how leadership wants to see occupancy and revenue data segmented, not just how the building is physically organized. Reconfiguring census categories after go-live requires re-mapping historical data.
Chapter 5
Care Level Billing Configuration
Care-level billing is the billing model used by most assisted living and memory care communities, where a resident's monthly charge is determined by their assessed care needs rather than a flat rental rate. In Yardi Senior Living, the billing engine connects clinical assessments to billing tiers through a configurable rules framework.
How Assessment-Driven Billing Works
The billing workflow follows a defined sequence. Clinical staff complete a standardized care assessment for the resident, evaluating activities of daily living (ADLs), medication management needs, behavioral considerations, and any specialized care requirements. The assessment produces a care level score, either as a numeric point total or a categorical tier. That score maps to a billing tier configured in Yardi, which determines the resident's monthly care charge. When the resident's care needs change, a new assessment generates a new care level, and the billing tier updates accordingly.
This model ensures that billing reflects actual care delivery. An AL resident who needs minimal assistance with ADLs pays a lower care charge than a resident who requires extensive help with bathing, dressing, medication management, and mobility. Caregiver turnover rates in senior living communities range from 50% to 80% annually (American Health Care Association / National Center for Assisted Living, 2024), which makes systematic, assessment-driven billing especially important: the billing logic lives in the system configuration rather than in the institutional knowledge of individual staff members.
Billing Structures by Care Type
Care Type
Primary Billing Model
Typical Charge Components
Independent Living
Flat monthly rent (similar to conventional multifamily)
Base rent, meal plans, parking, storage, optional services
Assisted Living
Base rent + care-level tier
Base rent, care tier charge, medication management, meals, ancillary services (laundry, transportation, beauty/barber)
Memory Care
All-inclusive or base + care tier (typically higher tiers than AL)
Base rent, elevated care tier, specialized programming, higher staffing ratio costs
Entrance fee + monthly service fee + care tier (if applicable)
Entrance fee (refundable/non-refundable), monthly fee, care level adjustments, second-person fee, healthcare center charges
Community Fees and Move-In Charges
Beyond recurring monthly charges, senior living operators typically assess one-time community fees at move-in. These may include an application fee, community entrance fee, administrative fee, and pet deposit. In CCRC / life plan community models, entrance fees can range from tens of thousands to several hundred thousand dollars, with varying refundability terms that affect both the resident's contract and the operator's balance sheet accounting. Yardi's billing engine supports configurable one-time charges with scheduling rules for when they post to the resident's account.
Second-Person Fees
When two residents share a unit (typically a married couple), the operator charges a second-person fee that covers the additional care, dining, and services for the second occupant. Yardi Senior Living tracks both residents on the same unit with separate care levels and billing tiers, plus the second-person fee as a distinct charge code. This allows the system to adjust billing correctly when one resident's care level changes or when one resident moves out while the other remains.
Ancillary Services
Ancillary charges cover services beyond base rent and care: guest meals, transportation, beauty and barber services, laundry, additional housekeeping, and activity fees. Yardi allows operators to configure ancillary charges as either recurring monthly items or one-time posted charges recorded by staff as services are delivered. The choice between these models depends on the community's pricing philosophy and the granularity of tracking that leadership requires.
Chapter 6
Reporting for Senior Living Operators
Yardi Senior Living includes standard reports for census, revenue, aging, and operational metrics. However, most senior living operators with multi-community portfolios find that the standard report library does not cover the cross-portfolio benchmarking, blended occupancy calculations, and care cost analysis that ownership and leadership teams require.
Standard Reports
The standard senior living report library covers the operational basics that every community needs:
Census report: Current and historical census by community, building, floor, care type, and bed type
Revenue per occupied bed: Monthly and trailing-twelve-month revenue divided by occupied beds, segmented by care type
Aging report: Accounts receivable aging for residents and responsible parties, with separate views for private-pay and third-party payers
Move-in/move-out report: Trend data on admissions, discharges, and transfers by community and care type
Care level distribution: Breakdown of residents by care level across the portfolio
Where Custom Reporting Is Typically Required
The gaps between standard reports and leadership requirements usually emerge in four areas:
Cross-portfolio benchmarking: Comparing census, revenue, and expense metrics across communities with different care mixes, rate structures, and market positions
Revenue per available bed (RevPAB): A hotel-industry metric increasingly adopted by senior living operators that accounts for both occupancy and rate, providing a more complete picture than occupancy percentage alone
Blended occupancy: Calculating a single occupancy figure across communities that offer multiple care types with different bed counts and configurations
Care cost analysis: Matching care-level revenue against actual caregiving labor costs by community to identify where care tier pricing may not align with delivery costs
BC Solutions built 15+ custom reports for Harbor Retirement Associates across 19 senior living communities in 8 states, including occupancy dashboards, bad debt estimation models, and aging analytics with the formatting and color-coding leadership expected. These reports were built using YSR and SSRS, the same custom reporting tools available to any Voyager operator.
Reporting recommendation: Define your reporting requirements during discovery, not after go-live. The chart of accounts structure and census category configuration both affect what data is available for reports. Changing these structures retroactively requires re-mapping historical data and potentially rebuilding custom reports from scratch.
Chapter 7
Implementation Timeline and Phases
A Yardi Senior Living implementation follows the same general sequence as any Voyager deployment (discovery, configuration, data migration, testing, training, go-live) with additional complexity driven by care-level billing configuration, clinical workflow mapping, EHR integration, and state regulatory requirements that vary by jurisdiction.
Timeline Ranges
Small operators (1 to 5 communities): 4 to 6 months. Assumes single-state operations, one or two care types, no EHR integration, and a straightforward care-level billing structure.
Mid-size operators (6 to 19 communities): 6 to 12 months. Multiple care types, multi-state regulatory requirements, Senior CRM deployment, and potentially eMAR. Phased community rollouts are common at this scale.
Enterprise operators (20+ communities): 12+ months. Complex multi-state compliance, full module suite including EHR, multiple system integrations, and community-by-community rollout schedules. Enterprise implementations almost always require a dedicated project team.
Key Configuration Decisions
Several configuration decisions in a senior living implementation have outsized impact on the system's long-term usability:
Chart of accounts: Must accommodate the revenue segmentation that leadership needs for reporting. Senior living charts of accounts are typically more granular than conventional multifamily, with separate accounts for each care type's revenue, ancillary service categories, and community fees.
Care levels and billing tiers: The mapping between assessment scores and billing tiers must reflect actual operational pricing. Configuration errors here result in incorrect billing for every resident.
Census categories: Define how beds and units are classified across the portfolio. Affects every census report, occupancy calculation, and benchmarking metric.
User security (HIPAA): Senior living systems contain protected health information (PHI), which requires role-based access controls that comply with HIPAA. Security configuration must restrict clinical data access to authorized users while allowing administrative staff to perform billing and census functions.
Case Study: SALMON Health and Retirement
BC Solutions converted six SALMON Health and Retirement communities to Yardi Voyager over a multi-year engagement, including EHR integration, 7+ system integrations, and phased community-by-community rollouts across five Massachusetts campuses. The engagement required coordinating care-level billing configuration across multiple care types while maintaining compliance with Massachusetts state regulations throughout the transition.
Sean Dunn, CFO at SALMON Health, described the partnership: "BC Solutions' team understood the complexity of our operations across skilled nursing, assisted living, and independent living. Their phased approach meant we never had a gap in our billing or census tracking during the transition."
Phased rollouts reduce risk. For operators with more than 5 communities, implementing one or two pilot communities first allows the team to refine configurations before rolling out to the broader portfolio. The pilot communities become training sites for staff at subsequent locations.
Chapter 8
Common Implementation Pitfalls
Senior living implementations carry risks that do not exist in conventional property management deployments. The intersection of clinical workflows, complex billing, regulatory compliance, and high staff turnover creates failure modes that operators and implementation teams must plan for explicitly.
Clinical staff (nurses, CNAs, medication aides) interact with the system differently than administrative staff. Their workflows are time-sensitive, frequently interrupted, and often performed on mobile devices while delivering care. Deploying a new eMAR or assessment system without dedicated clinical change management leads to workarounds, documentation gaps, and staff frustration. With caregiver turnover rates between 50% and 80% annually (AHCA/NCAL, 2024), training programs must be repeatable and built into the onboarding process for new hires, not treated as a one-time go-live event.
Care Level Configuration That Does Not Match Operational Reality
The most common billing configuration error is defining care levels based on how the operator wants to bill rather than how care is actually delivered and assessed. If the assessment tool produces five care levels but the billing system is configured for three tiers, the mapping between assessment and billing becomes ambiguous. Clinical staff lose confidence in the system, and billing accuracy suffers. The care level structure should be validated with both the clinical team (who perform assessments) and the billing team (who process charges) before configuration is finalized.
Not Involving Clinical Leadership
Senior living implementations that are driven entirely by accounting or IT departments without clinical input consistently produce systems that clinical staff resist adopting. Directors of nursing, wellness directors, and clinical administrators must be involved in discovery sessions, workflow mapping, and user acceptance testing. Their buy-in is required for successful adoption of eMAR, EHR, and assessment workflows.
Census Data Cleanup Surprises
Operators migrating from legacy systems or spreadsheets frequently discover that their historical census data contains inconsistencies: beds counted differently across communities, residents listed in incorrect care types, transfer records missing, and move-out dates that do not match billing end dates. Plan for a dedicated data cleanup phase before migration. Attempting to import unclean census data into Yardi creates downstream reporting problems that take months to untangle.
State Regulatory Requirements Discovered Late
State licensing and regulatory requirements for senior living communities vary significantly by jurisdiction. Staffing ratios, assessment frequency requirements, documentation standards, and billing disclosure rules differ from state to state. Operators with communities in multiple states need state-specific configurations, and discovering these requirements during testing rather than during discovery extends timelines and increases rework. Multi-state operators should involve compliance staff or legal counsel in the discovery phase to identify jurisdiction-specific requirements early.
Rushing eMAR Training
eMAR deployment requires more training time than any other module in the senior living suite. Medication administration involves regulatory compliance, patient safety, and clinical documentation that do not allow for a learning curve. A medication error caused by system confusion is not just an operational problem; it is a resident safety risk and a potential regulatory violation. Budget for at least two to three weeks of supervised eMAR use after go-live, where clinical staff use the new system alongside a trainer or super-user who can intervene in real time.
Chapter 9
When to Bring In a Consultant
Yardi Senior Living implementations benefit from outside expertise in scenarios where the operator's internal team lacks platform-specific experience, where the deployment involves multiple care types or communities, or where the timeline requires an efficiency that self-directed implementations cannot achieve.
New Implementations (Especially Mixed Care Types)
An operator deploying Yardi Senior Living for the first time benefits from a consultant who has configured census categories, care-level billing, and senior-specific reporting for comparable communities. The number of configuration decisions in a mixed care-type deployment (IL + AL + MC, or a CCRC with all four care types) is substantially higher than a single-care-type community, and each decision affects every downstream workflow.
Legacy System Migrations
Migrating from MatrixCare, PointClickCare, Microsoft Dynamics, or proprietary systems to Yardi requires someone who understands both the source system's data structures and Yardi's import requirements. Census data, care levels, billing history, and resident records all need mapping and validation. BC Solutions has guided operators through these migrations, including conversions from systems where historical data was stored in formats that required custom extraction and transformation before import.
Reporting Gaps
If the standard senior living report library does not deliver the census analytics, revenue analysis, or benchmarking data that leadership requires, a consultant with YSR and SSRS expertise can build the reports to specification. BC Solutions' custom reporting practice serves senior living operators across portfolio sizes.
EHR Integration
Connecting Yardi to a third-party EHR system involves API configuration, data mapping, error handling, and ongoing monitoring. The integration touches clinical data protected by HIPAA, which adds compliance requirements to the technical work. This is not a configuration task that should be handled without integration experience.
Multi-Community Rollouts
Enterprise operators deploying across 10, 20, or 50+ communities need a rollout plan that sequences pilot communities, accounts for state-by-state regulatory differences, and manages parallel training across multiple sites. A consultant who has managed these rollouts brings project management discipline that prevents scope creep, delays, and configuration inconsistencies between communities.
If you are planning a Yardi Senior Living implementation or evaluating the platform for your communities, contact BC Solutions to discuss your specific requirements and timeline.
Frequently Asked Questions
What makes Yardi Senior Living different from standard Voyager?
Yardi Senior Living replaces the lease-based occupancy model used in standard Voyager with a census-based model designed for senior living operations. Instead of tracking units by lease terms, the system tracks residents by bed, care type, and clinical status. It includes specialized modules for census management, care-level billing, electronic medication administration (eMAR), and integration with electronic health record systems. The billing engine supports tiered care levels, ancillary service charges, community fees, and second-person fees that do not exist in standard property management accounting.
How long does a Yardi Senior Living implementation take?
Implementation timelines range from 4 to 6 months for small operators with 1 to 5 communities to 12 to 18 months or more for enterprise operators with 20 or more communities. The primary drivers are the number of communities, the complexity of care-level billing configurations, EHR integration requirements, state regulatory variations, and whether the operator is migrating from a legacy system like MatrixCare or PointClickCare. Phased community-by-community rollouts are common for larger portfolios.
Can Yardi integrate with third-party EHR systems?
Yes. Yardi provides integration interfaces for connecting with third-party electronic health record systems through its web services API. Common integration points include resident demographics, medication records, clinical assessments, and billing data. Yardi also offers its own EHR module as part of the Senior Living suite. The choice between a native Yardi EHR and a third-party integration depends on the operator's existing clinical workflows, state regulatory requirements, and staff familiarity with existing systems.
How does care level billing work in Yardi?
Care level billing in Yardi Senior Living uses an assessment-driven model. Clinical staff complete a standardized assessment for each resident, which produces a care level score. That score maps to a billing tier configured in the system. When a resident's care needs change, a new assessment generates a new care level, and the billing tier updates accordingly. The system supports multiple billing structures including flat-rate care levels, points-based systems, and itemized service billing, configured per community or per care type.
Is Yardi Senior Living suitable for small operators (under 5 communities)?
Yes, though the implementation investment requires careful evaluation. Yardi Senior Living runs on the Voyager platform, which carries enterprise-level configuration and licensing costs. For operators with 1 to 5 communities, the platform provides the same census management, care-level billing, and reporting capabilities available to larger operators. The key consideration is whether the operator's billing complexity and reporting needs justify the investment. Operators with mixed care types (IL, AL, MC) or complex ancillary billing structures tend to see faster return on their investment regardless of community count.
Planning a Yardi Senior Living Implementation?
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