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Senior Care Aging Services

Top 10 Best Skilled Nursing Software of 2026

Discover top 10 skilled nursing software solutions to streamline care management. Find the best fit for your facility now.

Alexander Schmidt

Alexander Schmidt

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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Skilled nursing software is critical for optimizing care delivery, administrative efficiency, and financial health in senior care facilities, with solutions spanning EHR management, billing, and regulatory compliance. This guide highlights the leading tools—from cloud-based EHR platforms to integrated suites—tailored to meet the diverse demands of skilled nursing environments.

Quick Overview

  1. 1#1: PointClickCare - Cloud-based EHR and financial management platform designed specifically for skilled nursing facilities and senior care.
  2. 2#2: MatrixCare - Comprehensive EMR solution for post-acute care including skilled nursing with advanced clinical and billing features.
  3. 3#3: NetSmart myUnity - All-in-one EHR platform for long-term and post-acute care facilities focusing on skilled nursing workflows.
  4. 4#4: American HealthTech - Integrated software suite for skilled nursing homes handling clinical documentation, billing, and regulatory compliance.
  5. 5#5: SigmaCare - Real-time EHR system tailored for nursing facilities with emphasis on care planning and MDS management.
  6. 6#6: Eldermark - Modular software for assisted living and skilled nursing providing resident management and billing tools.
  7. 7#7: Cantata Health - EHR and revenue cycle management software optimized for behavioral health and skilled nursing settings.
  8. 8#8: HCIS - Long-term care software with robust features for clinical charting and financial reporting in SNFs.
  9. 9#9: MEDITECH - Patient-centric EHR platform with post-acute modules supporting skilled nursing care coordination.
  10. 10#10: Epic - Enterprise EHR system with specialized workflows for skilled nursing and long-term care interoperability.

Tools were selected and ranked based on clinical functionality, user-friendliness, accuracy in regulatory compliance, and overall value, ensuring alignment with the complex workflow needs of skilled nursing facilities.

Comparison Table

Skilled nursing software plays a critical role in enhancing care delivery and operational effectiveness for healthcare providers. This comparison table evaluates top tools including PointClickCare, MatrixCare, NetSmart myUnity, American HealthTech, SigmaCare, and others, highlighting key features, integrations, and scalability to help readers determine the best fit for their facility's unique needs.

Cloud-based EHR and financial management platform designed specifically for skilled nursing facilities and senior care.

Features
9.6/10
Ease
7.9/10
Value
8.7/10
2MatrixCare logo9.1/10

Comprehensive EMR solution for post-acute care including skilled nursing with advanced clinical and billing features.

Features
9.5/10
Ease
8.0/10
Value
8.7/10

All-in-one EHR platform for long-term and post-acute care facilities focusing on skilled nursing workflows.

Features
9.2/10
Ease
7.8/10
Value
8.4/10

Integrated software suite for skilled nursing homes handling clinical documentation, billing, and regulatory compliance.

Features
8.5/10
Ease
7.4/10
Value
8.0/10
5SigmaCare logo8.3/10

Real-time EHR system tailored for nursing facilities with emphasis on care planning and MDS management.

Features
8.7/10
Ease
7.9/10
Value
8.1/10
6Eldermark logo7.9/10

Modular software for assisted living and skilled nursing providing resident management and billing tools.

Features
8.2/10
Ease
7.8/10
Value
7.5/10

EHR and revenue cycle management software optimized for behavioral health and skilled nursing settings.

Features
7.3/10
Ease
6.8/10
Value
6.9/10
8HCIS logo7.4/10

Long-term care software with robust features for clinical charting and financial reporting in SNFs.

Features
7.8/10
Ease
6.9/10
Value
8.2/10
9MEDITECH logo7.8/10

Patient-centric EHR platform with post-acute modules supporting skilled nursing care coordination.

Features
8.3/10
Ease
6.7/10
Value
7.2/10
10Epic logo7.2/10

Enterprise EHR system with specialized workflows for skilled nursing and long-term care interoperability.

Features
8.7/10
Ease
5.4/10
Value
6.1/10
1
PointClickCare logo

PointClickCare

enterprise

Cloud-based EHR and financial management platform designed specifically for skilled nursing facilities and senior care.

Overall Rating9.3/10
Features
9.6/10
Ease of Use
7.9/10
Value
8.7/10
Standout Feature

Advanced PDPM optimizer with real-time reimbursement analytics and automated MDS workflows

PointClickCare is the leading cloud-based EHR platform tailored for skilled nursing facilities (SNFs), long-term/post-acute care (LTPAC), and senior living providers. It offers an all-in-one solution for clinical documentation, medication management, MDS assessments, billing, care planning, and regulatory compliance. With robust analytics, interoperability via standards like HL7 FHIR, and point-of-care tools, it optimizes workflows, reimbursements under PDPM, and resident outcomes across the care continuum.

Pros

  • Comprehensive feature set covering clinical, financial, and operational needs
  • Market-leading interoperability with pharmacies, labs, and hospitals
  • Proven compliance tools for MDS 3.0, PDPM, and quality reporting
  • Scalable for single facilities to large chains with strong analytics

Cons

  • Steep learning curve and complex interface for new users
  • High implementation and customization costs
  • Occasional performance lags in high-volume environments
  • Limited mobile optimization compared to newer competitors

Best For

Large skilled nursing facilities and multi-site chains requiring a robust, enterprise-grade EHR for end-to-end care and revenue cycle management.

Pricing

Quote-based pricing; typically $250-$600 per bed/month depending on modules, facility size, and contract length, with setup fees $50K+.

Visit PointClickCarepointclickcare.com
2
MatrixCare logo

MatrixCare

enterprise

Comprehensive EMR solution for post-acute care including skilled nursing with advanced clinical and billing features.

Overall Rating9.1/10
Features
9.5/10
Ease of Use
8.0/10
Value
8.7/10
Standout Feature

Unified Clinical and Financial Platform with real-time PDPM optimization and automated billing

MatrixCare is a comprehensive EHR and enterprise software platform tailored for post-acute care, including skilled nursing facilities (SNFs), offering integrated clinical, financial, and operational tools. It supports electronic documentation, MDS assessments, billing, staffing, and compliance with regulatory requirements like PDPM. The solution emphasizes interoperability via standards like HL7 and FHIR, along with advanced analytics for quality improvement and revenue cycle management.

Pros

  • Comprehensive integration of clinical, financial, and operational workflows
  • Strong compliance and regulatory reporting tools for SNFs
  • Advanced analytics and interoperability for care coordination

Cons

  • Steep learning curve and complex interface for new users
  • High implementation costs and timeline
  • Limited flexibility for customizations without vendor support

Best For

Mid-to-large skilled nursing facilities requiring a robust, all-in-one platform for regulatory compliance and revenue optimization.

Pricing

Custom enterprise pricing, typically $400-800 per bed/month depending on modules and facility size, with upfront implementation fees.

Visit MatrixCarematrixcare.com
3
NetSmart myUnity logo

NetSmart myUnity

enterprise

All-in-one EHR platform for long-term and post-acute care facilities focusing on skilled nursing workflows.

Overall Rating8.7/10
Features
9.2/10
Ease of Use
7.8/10
Value
8.4/10
Standout Feature

Seamless point-of-care documentation with voice-enabled mobile apps for real-time, compliant charting at the bedside

NetSmart myUnity is a comprehensive electronic health record (EHR) platform designed specifically for skilled nursing facilities (SNFs) and post-acute care providers. It offers end-to-end management of resident care, including clinical documentation, MDS 3.0 assessments, billing, scheduling, and compliance reporting. The system emphasizes interoperability, point-of-care mobility, and analytics to enhance operational efficiency and care quality in long-term care settings.

Pros

  • Robust MDS 3.0 and billing automation reduces errors and speeds reimbursement
  • Strong interoperability with HIEs, pharmacies, and hospitals via standards like HL7 and FHIR
  • Advanced analytics and dashboards for quality metrics and predictive insights

Cons

  • Steep learning curve for staff due to extensive customization options
  • Implementation can take 6-12 months with potential disruptions
  • Higher upfront costs compared to simpler point solutions

Best For

Mid-to-large skilled nursing facilities needing a scalable, compliance-heavy EHR with deep integration capabilities.

Pricing

Quote-based pricing, typically $150-300 per bed/month depending on modules, users, and facility size; includes implementation fees.

4
American HealthTech logo

American HealthTech

enterprise

Integrated software suite for skilled nursing homes handling clinical documentation, billing, and regulatory compliance.

Overall Rating8.2/10
Features
8.5/10
Ease of Use
7.4/10
Value
8.0/10
Standout Feature

Fully unified clinical-financial platform with automated revenue cycle management from MDS to claims.

American HealthTech (aht.net) is a comprehensive EHR and financial software platform designed specifically for skilled nursing facilities and long-term care providers. It integrates clinical documentation, MDS 3.0 assessments, eMAR, care planning, billing, accounts receivable, payroll, and analytics into a single system. With over 30 years of experience, it focuses on streamlining operations for SNFs through reliable, backend-heavy functionality.

Pros

  • Deep integration of clinical and financial modules reduces silos
  • Strong MDS, billing, and therapy documentation tools
  • Proven reliability with long-term customer loyalty and solid support

Cons

  • User interface feels dated compared to modern competitors
  • Implementation and training can take several months
  • Limited advanced mobile and interoperability features

Best For

Mid-sized skilled nursing facilities prioritizing integrated financial and clinical workflows over cutting-edge UI.

Pricing

Custom pricing based on beds/users, typically $60-120 per bed/month including core modules.

5
SigmaCare logo

SigmaCare

enterprise

Real-time EHR system tailored for nursing facilities with emphasis on care planning and MDS management.

Overall Rating8.3/10
Features
8.7/10
Ease of Use
7.9/10
Value
8.1/10
Standout Feature

CareConsole: A real-time, facility-wide dashboard providing instant access to resident status, alerts, and interdisciplinary team coordination.

SigmaCare is a comprehensive EHR and care management platform designed specifically for skilled nursing facilities (SNFs), long-term care, and post-acute settings. It streamlines clinical workflows with tools for MDS assessments, PDPM billing, care planning, medication management, and regulatory compliance. The software emphasizes real-time data insights and interoperability to enhance resident care quality and operational efficiency.

Pros

  • Robust PDPM and MDS automation with high billing accuracy
  • Real-time dashboards and analytics for proactive care decisions
  • Strong regulatory compliance tools including QAPI and survey management

Cons

  • User interface feels somewhat dated and requires training
  • Longer implementation timeline compared to simpler platforms
  • Limited native mobile app functionality for caregivers

Best For

Mid-to-large skilled nursing facilities prioritizing deep SNF-specific clinical and financial integration over quick setup.

Pricing

Custom quote-based pricing, typically $150-300 per bed per month depending on facility size and modules.

Visit SigmaCaresigmacare.com
6
Eldermark logo

Eldermark

enterprise

Modular software for assisted living and skilled nursing providing resident management and billing tools.

Overall Rating7.9/10
Features
8.2/10
Ease of Use
7.8/10
Value
7.5/10
Standout Feature

Unified Intelligence engine delivering AI-driven insights and predictive analytics across care, revenue, and occupancy metrics

Eldermark is a cloud-based, all-in-one software platform tailored for senior living operators, including skilled nursing facilities (SNFs), offering tools for resident management, care planning, billing, CRM, and analytics. It supports SNF-specific needs like MDS documentation, PDPM billing, and compliance tracking through customizable workflows and real-time dashboards. The platform emphasizes interoperability with EHRs and mobile access for staff to improve care delivery and operational efficiency.

Pros

  • Comprehensive integration of care, billing, and CRM modules reduces silos
  • Robust analytics and customizable dashboards for PDPM optimization
  • Mobile-first design enables real-time care updates and staff mobility

Cons

  • Pricing can be steep for smaller SNFs under 50 beds
  • Initial setup and data migration require significant time and consulting
  • Limited native support for some niche SNF regulatory reporting tools

Best For

Mid-sized skilled nursing facilities seeking a scalable platform that unifies clinical, financial, and sales operations.

Pricing

Custom quotes based on beds/residents and modules; typically $60-120 per resident/month plus implementation fees starting at $10K+.

Visit Eldermarkeldermark.com
7
Cantata Health logo

Cantata Health

enterprise

EHR and revenue cycle management software optimized for behavioral health and skilled nursing settings.

Overall Rating7.1/10
Features
7.3/10
Ease of Use
6.8/10
Value
6.9/10
Standout Feature

Seamless behavioral health documentation embedded within SNF workflows via CareNotes

Cantata Health provides an integrated EHR and revenue cycle management platform primarily designed for behavioral health, human services, and long-term care organizations. For skilled nursing facilities, it offers documentation tools, billing, scheduling, and compliance features with a focus on integrated behavioral health support. While versatile, it lacks some SNF-specific functionalities like advanced MDS 3.0 automation compared to dedicated platforms.

Pros

  • Strong behavioral health integration ideal for dual-diagnosis SNFs
  • Comprehensive billing and RCM tools reduce claim denials
  • Customizable documentation and reporting

Cons

  • Limited native SNF-specific features like PDPM optimization
  • Steep learning curve for non-behavioral users
  • Pricing lacks transparency and can be enterprise-level expensive

Best For

Skilled nursing facilities with heavy behavioral health or substance use disorder patient populations needing integrated care coordination.

Pricing

Custom enterprise pricing; typically starts at $100-200 per bed/month, requires demo and quote.

Visit Cantata Healthcantatahealth.com
8
HCIS logo

HCIS

enterprise

Long-term care software with robust features for clinical charting and financial reporting in SNFs.

Overall Rating7.4/10
Features
7.8/10
Ease of Use
6.9/10
Value
8.2/10
Standout Feature

MDS 3.0 rAPPS engine with automated validation, warnings, and PDPM optimization for accurate reimbursement.

HCIS is a cloud-based EHR platform specifically designed for skilled nursing facilities and post-acute care providers, focusing on streamlining clinical documentation, MDS 3.0 assessments, billing, and compliance reporting. It offers modules for care planning, medication management, resident tracking, and quality measures to support regulatory requirements like PDPM and QAPI. With mobile accessibility and customizable workflows, HCIS aims to improve efficiency in long-term care environments.

Pros

  • Strong MDS 3.0 tools with validation and optimization
  • Competitive pricing for SNFs
  • Reliable customer support tailored to post-acute care

Cons

  • Dated user interface compared to modern competitors
  • Limited integrations with third-party systems
  • Steeper learning curve for non-technical staff

Best For

Small to mid-sized skilled nursing facilities prioritizing cost-effective MDS and billing compliance over cutting-edge UI.

Pricing

Custom pricing based on facility size and modules, typically $12-20 per bed per month with implementation fees.

Visit HCIShcsinformatics.com
9
MEDITECH logo

MEDITECH

enterprise

Patient-centric EHR platform with post-acute modules supporting skilled nursing care coordination.

Overall Rating7.8/10
Features
8.3/10
Ease of Use
6.7/10
Value
7.2/10
Standout Feature

Single patient record across acute and post-acute care for seamless transitions and unified data

MEDITECH offers a robust EHR platform for skilled nursing facilities through its Post-Acute Care solutions, including clinical documentation, MDS 3.0 assessments, care planning, medication management, and revenue cycle tools. The Expanse platform provides web-based access, interoperability with acute care systems, and analytics for quality reporting. It supports compliance with CMS regulations and facilitates smooth care transitions between hospitals and SNFs.

Pros

  • Comprehensive EHR with strong MDS and billing integration
  • Proven reliability and scalability for large facilities
  • Excellent interoperability across care continuum

Cons

  • Steep learning curve and dated interface in some modules
  • High implementation and customization costs
  • Limited mobile optimization compared to modern competitors

Best For

Large skilled nursing chains or facilities integrated with MEDITECH hospital systems seeking enterprise-grade compliance and reporting.

Pricing

Custom quote-based pricing, typically $400-$800 per bed annually plus significant implementation fees averaging $100K+.

Visit MEDITECHmeditech.com
10
Epic logo

Epic

enterprise

Enterprise EHR system with specialized workflows for skilled nursing and long-term care interoperability.

Overall Rating7.2/10
Features
8.7/10
Ease of Use
5.4/10
Value
6.1/10
Standout Feature

Care Everywhere interoperability for real-time data exchange across disparate health systems

Epic is a comprehensive enterprise EHR platform from Epic Systems that includes modules tailored for skilled nursing facilities (SNFs), supporting MDS assessments, resident care planning, medication management, and billing. It excels in interoperability across the care continuum, enabling seamless data sharing with hospitals and other providers via tools like Care Everywhere. While powerful for large-scale operations, its complexity and cost make it less ideal for smaller, standalone SNFs.

Pros

  • Unmatched interoperability with hospitals and other EHRs
  • Highly customizable workflows and robust reporting/analytics
  • Comprehensive SNF-specific tools like eMAR and MDS automation

Cons

  • Prohibitively expensive implementation and ongoing costs
  • Steep learning curve requiring extensive training
  • Overly complex for small to mid-sized SNFs

Best For

Large SNF chains integrated with hospital systems needing enterprise-grade EHR scalability.

Pricing

Custom enterprise pricing; implementation often exceeds $1M with per-user or per-bed subscriptions starting at $100+/month.

Visit Epicepic.com

Conclusion

The reviewed skilled nursing software tools cover a range of needs, with the top-ranked options delivering exceptional value. Leading the pack, PointClickCare stands out for its tailored cloud-based design that integrates EHR and financial management seamlessly. MatrixCare and NetSmart myUnity follow closely, offering robust features for clinical and billing needs, proving there are strong alternatives depending on facility priorities.

PointClickCare logo
Our Top Pick
PointClickCare

Don’t miss the opportunity to enhance your facility’s operations—start with PointClickCare, the top choice for skilled nursing success.