Assisted living, memory care, and HCBS operators stitch together EVV + Medicaid billing + care management + cameras + eMAR — 5-7 subscriptions, $2,200-$5,000/mo, and survey-day prep that ends in a director crying at 11 PM. TinyGuard consolidates the stack and ships survey-grade compliance exports as a single button.
| Feature | TinyGuard | HHAeXchange | PointClickCare | WellSky / ClearCare | AxisCare |
|---|---|---|---|---|---|
| Compliance & billing | |||||
| EVV (Electronic Visit Verification) | $75/mo add-on* | add-on | add-on | add-on per state | |
| Medicaid billing | EVV export only | via clearinghouse | |||
| HIPAA + BAA | |||||
| State compliance reporting | |||||
| Video & security | |||||
| Live video monitoring | included | ||||
| On-prem Pi (privacy) | included | ||||
| Body-worn cameras | |||||
| Care delivery | |||||
| Care plans | |||||
| ADL / Braden / pain assessments | partial | partial | |||
| Medication administration (eMAR) | add-on | ||||
| Incident + behavior reporting | partial | ||||
| Family & staff | |||||
| Family portal + messaging | partial | partial | |||
| Caregiver scheduling | add-on | ||||
| Staff training tracker | add-on | add-on | |||
| Pricing — software | |||||
| Residential Care (adult day, ≤20 residents) | $319/mo | ~$375/mo | $2,500+/mo | $2,000/mo | $200+/mo |
| Facility (20–60-resident AL) | $819/mo | custom | $3,000+/mo | $4,000/mo | $500–1,000/mo |
| Brand / Group (SNF, memory care, multi-site) | $499/community + $200/mo + $8/resident | custom | $5,000+/mo | custom | custom |
| Pricing — live video (the moat) | |||||
| Live video — per camera | from $7/camera/mo · you pick retention (30-day $12) | ||||
| Pi 5 Setup Kit | $299 one-time | varies | $50K–200K setup | $0 | varies |
* TinyGuard EVV is a $75/mo add-on, not bundled in the base plan. It captures all six federally-required data points and exports in Sandata- and HHAeXchange-compatible formats. State-level certification is rolling out by region; open-vendor states are typically additive within 60–90 days, closed-vendor states (e.g. California's Sandata mandate) take longer. Confirm your state with del@ before signing.
Not pictured: the point-solution camera + behavior-AI stack (SafelyYou Halo, KamiCare + CarePredict, Sensi.AI, Yardi Senior camera modules). Those vendors solve one slice — fall detection or behavior pattern detection. They don't ship EVV, eMAR, billing, or survey export. We compare them 1-on-1 below.
Built from Bob's competitive intel briefs. Each page is a deep feature-by-feature comparison, pricing math, sales scripts, and honest acknowledgment of where each competitor has the edge.
Pi 5 Setup Kit $299 one-time. No six-figure implementation. HIPAA BAA on request. 5 founding-partner spots.
See TinyGuard for assisted living →