Southern California SNF psychiatry · F605
Weekly SNF psychiatry that gives your team a signed rationale, monitoring instructions and an explicit follow-up.
No facility fee for the core clinic.Resident visits are billed to coverage, with eligibility and medical necessity verified.
The clinical inputs
Connect the indication, target symptoms and observed response.
The clinical reasoning stays attached to the medication decision.
The clinical inputs
Review benefit, stability and earlier attempts before deciding on gradual dose reduction (GDR).
GDR and behavioral interventions unless clinically contraindicated.
The clinical inputs
Give nursing and the attending the next action and review.
Signed by the clinician who saw the resident.
Weekly live-video clinics
In-person onboarding
Signed recommendations
Why the clinical reasoning matters
CMS · Effective April 28, 2025
CMS incorporated the former F758 unnecessary psychotropic medication guidance into F605.
Clinical necessity, resident participation and refusal, and freedom from chemical restraints used for discipline or staff convenience. Federal requirements include a diagnosed, documented indication and gradual dose reduction (GDR) with behavioral interventions unless clinically contraindicated.
HHS-OIG · Report published March 2026
OIG's review of antipsychotic use in 40 selected CMS inspections from 2018–2021 found gaps in clinical justification, non-drug approaches, monitoring and dose reduction.
The inspections were purposively selected. They do not establish a national rate or a worsening trend.
OIG findings and methods (PDF, opens in a new tab)
Know who's seeing your residents
Sharon Hernandez leads the facility clinics. Psychiatric evaluations and medication follow-ups happen by live video, with in-person onboarding and leadership meetings.
Meet Sharon
Canybec Sulayman, PMHNP-BC, MBAFounder and second licensed clinician. Trained in psychiatry and adult-gerontology primary care.
The working relationship
A coordinator, chart access and a weekly clinic. We agree on the setup before care begins.
How the clinic worksIndividual assessment, medication review and documentation help your team explain the indication, the GDR decision and the monitoring plan. Appropriate resident care and participation remain central.
The clinic does not replace the attending, medical director or consultant pharmacist. It cannot guarantee citation prevention, a survey result or compliance certification.
No facility fee for the core clinic. Visits are billed to the resident's coverage. Original Medicare is covered; Medicare Advantage depends on network participation and authorization. Medi-Cal managed-care coverage varies by plan and facility.
Every encounter is verified for coverage and medical necessity. Verification is not a payment guarantee.
Southern California SNFs in the Los Angeles County corridor around Montebello, including East LA, the San Gabriel Valley and Gateway Cities. Pasadena, Long Beach and north Orange County are considered when in-person travel is workable.
We arrange the service agreement and BAA, confirm credentialing and payer fit, and set up chart access with your coordinator. The room and video device are tested before the first clinic.
GDR is an individual clinical decision. The assessment documents the symptoms, response and risks, including when reduction is clinically contraindicated. There is no medication-reduction target.
Federal medication requirements (opens in a new tab)This is scheduled psychiatric care. Your attending and facility emergency procedures remain in place; the clinic is not a 24/7 or emergency service.
Start with a conversation
Tell us where your facility is and how to reach you. Add a call or visit preference if you have one. We can discuss the clinic setup and fit for your location.
Call (310) 955-1041No resident information here. Please leave out names, diagnoses and chart details.