For Skilled-Nursing Facilities
Psychiatric coverage your facility can put on the calendar
We help skilled-nursing facilities obtain consistent psychiatric coverage without waiting weeks for an onsite specialist. Our clinicians evaluate residents by live video, provide ongoing psychiatric and medication follow-up, assess behavioral and safety concerns, and return clear, signed recommendations to the facility team.
Licensed clinicians. Scheduled live-video visits. Signed recommendations back to your team.
For skilled-nursing and long-term-care leadership in Southern California — administrators, DONs, social services, medical directors, and consultant pharmacists.
Not a 24/7 emergency or onsite hospitalist service.
What we cover
The behavioral health work a standing psychiatric clinic is supposed to do
Initial psychiatric evaluations
New admissions and residents who were never evaluated, with the chart read before the visit.
Medically necessary follow-ups
Continuity on a standing clinic instead of a consult that arrives weeks after the behavior started.
Medication management and adverse-effect review
Dose, indication, interactions, and the questions your consultant pharmacist keeps raising.
Psychotropic indication, GDR, and PRN review
Documented clinical reasoning, whichever direction it points. The reasoning is written down either way.
Behavioral, mood, cognition, and safety assessment
New hallucinations, agitation, mood change, cognitive decline, suicidal or homicidal ideation, and the delirium question when the chart supports it.
Full detail, including what your facility receives from each visit, is on the services page.
How a weekly clinic runs
Built around your schedule, not a specialist's drive
- 1
Your facility names a coordinator — social services, MDS, or a unit lead.
- 2
After the agreement and BAA, the coordinator sends the census for the clinic and the collateral that matters.
- 3
A private room, a working video device, and a staff member to escort and assist.
- 4
Each resident is seen live on video by a licensed clinician.
- 5
A signed recommendation goes back to nursing and the attending through your routing.
- 6
Open items stay on the list until the next clinic. Emergencies stay on your existing process.
The step-by-step version, with what has to happen before the first clinic, is on how it works.
Who we coordinate with
The recommendation is only useful if it reaches the people who act on it
Your administrator approves the relationship. Your DON or ADON is the clinical lead on your side, and the person who tells us when it isn't working. Social services or the MDS nurse runs the weekly workflow. The attending physician keeps authority over the resident's orders, and every recommendation routes through them. Your consultant pharmacist is a partner, not a competitor — their psychotropic and GDR questions are the ones we are there to answer with a documented clinical evaluation.
We don't own the case. We fill the gap between the pharmacist's recommendation and the attending's signature, with a licensed clinician who has seen the resident.
Who we are
Licensed clinicians, not a telehealth marketplace
Sharon Hernandez, PMHNP-BC
Psychiatric-Mental Health Nurse Practitioner · Licensed in California
Runs the Southern California facility clinics. Trained in adult-gerontology primary care. Registered-nurse background in critical care and acute care, including the cardiothoracic ICU at Keck Hospital of USC.
Canybec Sulayman, PMHNP-BC, MBA
Founder · Licensed in California and Arizona · DEA-registered
Trained in adult-gerontology primary care. 19 years of critical care nursing across 7+ ICU types before psychiatry.
Credentials, training, and how to verify a license are on the facility team page.
Service area
Southern California, centered on the Montebello corridor
The clinic itself is live video, so the schedule doesn't depend on a drive. Onboarding, leadership meetings, and troubleshooting happen in person, which is why we keep the territory tight — the Los Angeles County corridor around Montebello, East Los Angeles, the San Gabriel Valley, and the Gateway Cities, reaching Pasadena, Long Beach, and north Orange County when the drive allows.
This is a narrower footprint than the cities on our patient pages. That's deliberate.
Horizon Peak Health
29000 S Western Ave STE 205
Rancho Palos Verdes, CA 90275
Outpatient office. Facility visits don't run from here — they happen by live video, and onboarding happens at your building.
What we don't do
Said now, so nobody has to find out later
- We are not a 24/7, emergency, or onsite hospitalist service.
- We do not replace the attending physician or your emergency procedures.
- We do not promise survey outcomes, automatic GDR approval, or medication reductions by a number.
- We do not promise payment for any encounter, or a start date before credentialing and contracting are done.
- We do not discuss any facility’s deficiencies, star rating, or antipsychotic rate in public.
Federal nursing-facility rules on psychotropic indications, GDR, and PRN limits (CMS State Operations Manual, Appendix PP) describe real clinical work. They aren't a sales pitch, and we won't use them as one.
Facility inquiry
Request a facility conversation
Aggregate numbers are enough. We'll call to talk through coverage, payer mix, and what the first clinic would need.
Talk to us about coverage
Approximate licensed beds, average census, and how psychiatry is covered today are enough to start. Leave resident names, diagnoses, and chart details out until the agreement and BAA are signed. We'll tell you on the first call whether the model fits your building.
Scheduled coverage — not a 24/7 emergency or onsite hospitalist service. Your emergency process stays your emergency process.