tinyguard ← Back to assisted living tinyguard ← Back to assisted living 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) | ✓* | ✓ | add-on | add-on | add-on per state |
| Medicaid billing | ✓ | ✓ | ✓ | ✓ | 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 | |||||
| Standard (adult day, <25 residents) | $499/mo | ~$375/mo | $2,500+/mo | $2,000/mo | $200+/mo |
| Professional (20–60-resident AL) | $999/mo | custom | $3,000+/mo | $4,000/mo | $500–1,000/mo |
| Enterprise (SNF, memory care, HCBS) | $2,999/mo | custom | $5,000+/mo | custom | custom |
| Pricing — live video (the moat) | |||||
| Standard / Pro cameras | + $5/cam | — | — | — | — |
| Professional cameras | 24 incl, $4 over | — | — | — | — |
| Enterprise cameras | 24 incl, $3 over | — | — | — | — |
| Pi 5 Setup Kit | $299 one-time | varies | $50K–200K setup | $0 | varies |
| 30-day money-back guarantee | ✓ Subscription + hardware | 14-day | — | — | — |
* TinyGuard EVV 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. 30-day money-back on subscription + hardware. No six-figure implementation. HIPAA BAA on request. 5 founding-partner spots.
See TinyGuard for assisted living →