Skilled-nursing admissions software

Get skilled-nursing admissions off spreadsheets and email — for good.

Bakerstreet builds and runs a HIPAA-grade referral and intake platform for skilled-nursing operators — no in-house engineers required.

A small studio amplified by AI, with a written continuity plan (escrow, runbooks, hand-off) — so you're never stranded.

Quick context

Off the spreadsheet

Referrals and intake tracked in one place — not your inbox and a shared spreadsheet.

HIPAA-grade by default

Built for PHI on AWS — encryption, access control, audit trail.

Built and maintained

We run it for you. No tickets pile up; no tool to babysit.

Predictable price

A platform subscription, not per-seat — so growth doesn't trigger a surprise bill.

Why this exists

You're running admissions on an inbox and a spreadsheet — and you know it's a risk.

Referrals come in by fax, email, and phone. Someone retypes them into a shared sheet. A status is a color you remember to update. When a per-seat tool finally promised relief, it either didn't fit how intake actually works — or it arrived with a surprise five-figure bill the month you grew. So you went back to the inbox. None of this is a staffing problem. It's that nobody built you software that fits your workflow and then stayed to keep it running.

The shift

We build the system to fit your intake — then we run it.

Bakerstreet is a small studio amplified by AI, which is exactly what lets a small operator get enterprise-grade admissions software without an enterprise budget or an in-house team. We shape the platform to how your referrals and intake actually flow, ship it on HIPAA-grade AWS, and then operate it — updates, fixes, and changes handled — at a predictable platform price.

This is operating leverage, not magic: the same automation that lets us build fast is what lets us keep your system maintained afterward — at a price a small operator can sustain. Ongoing maintenance is the line item most vendors quietly drop after launch; here it's the whole point of "build and run."

Proof — a multi-building SNF operator

Admissions, off spreadsheets and onto a system that's actually run.

Why this matters
A multi-building skilled-nursing operator had moved off a per-seat SaaS tool (after a surprise bill) and back to email + Google Sheets. They had budget and zero engineers.
What we did
Built a HIPAA-grade referral and admissions platform shaped to their intake, owned as their IP, billed as a per-building subscription — and we operate it for them. Intake is tracked, compliant, and maintained; new buildings and capabilities are added without a re-platform.
The honest catch
This is one validated operator, not a hundred. We're deliberately a low-volume, high-retention studio — a handful of relationships we can actually keep running well — not a sign-up-and-good-luck SaaS. If you need a vendor with a 200-person support floor, that isn't us.

Anonymized for HIPAA / client confidentiality. Details shared, with consent, on a call.

How we work

Build → operate → never abandoned.

Build, fit to you

We design the system around your real workflow, not a template. Shaped by AI-amplified development, so it's fast without a team.

Operate, hands-off for you

Changes are filed as plain requests; an automated request→ship loop applies and deploys them. Your software stays current without you managing a developer.

shipped via request→deploy

Continuity, in writing

Source escrow, runbooks, and a documented hand-off plan. A small studio is a fair thing to worry about — so we answer it on paper.

Repeatable, not luck: the same build-and-operate model — and the request→deploy loop in the card above — already runs a production platform today: Katy Trail Dallas — a nonprofit donor platform, with live Blackbaud integrations, that we build, host, and maintain. Different domain, same method — this isn't theoretical.

This very site is operated by that same request→deploy loop — file a change, it ships, near-zero touch.

See how we work

Who this is for

If admissions is the pain, let's talk.

The best fit is a funded operator or small group who's felt this problem and wants software that fits — and stays maintained. No deck, no hard sell. A short call to see whether your intake is something we should build and run for you.

How to act

Book a call.

20 minutes. Bring how your referrals and intake work today — we'll tell you honestly whether this is a fit.

Software that fits your admissions — and stays running.

Built to your workflow, operated for you, priced so growth never surprises you. That's the whole pitch.