Best AI for SNF Notes and Charting (Skilled Nursing) 2026

Skilled nursing facility (SNF) documentation has unique pressure points: high resident volume, frequent transitions of care, survey risk, PDPM‑driven documentation needs, care plan updates, and the reality that charting often happens after the round.

This list focuses specifically on AI tools that help with SNF notes and charting workflows, including solutions built for long‑term care (LTC) EHR ecosystems and tools that sit alongside them.

What “good” looks like in SNF documentation AI

When evaluating the best AI tool for skilled nursing facilities notes and charting, the biggest practical factors are:

• SNF note types supported: progress notes, admissions/readmissions, chronic condition follow-ups, transitions of care summaries, care plan updates.
• Regulatory and risk fit: reduces missed documentation and improves completeness, especially when survey and litigation risk is top of mind.
• Workflow flexibility: works for clinicians rounding across multiple buildings and EHRs, where deep integration may not be realistic.
• Editing burden: how often staff must rewrite or correct structure.
• Privacy posture (vendor-stated): data handling, retention controls, and whether a BAA is available (if PHI is involved).

Quick comparison (SNF-focused)

1) Twofold Health

What does it do

Twofold is marketed as an AI scribe for skilled nursing facilities that helps clinicians generate structured SNF documentation (for example, progress notes and admissions) and supports EHR‑agnostic workflows.

Who is it for

• SNF rounding physicians, NPs, PAs, and clinicians covering multiple facilities
• Clinical leaders who want more consistent documentation without changing the facility EHR

Key features

• SNF-focused documentation positioning (progress notes, admissions, follow-ups)
• EHR-agnostic workflow (copy/paste or export-style workflows)
• Vendor-stated HIPAA support and signed BAA workflow
• Supports SNF note types like routine rounding notes, change-in-condition notes, and post-hospital follow-ups using customizable templatesץ
• Works well for multi-facility rounding with an EHR-agnostic workflow and structured outputs designed to reduce reformatting (vendor-stated).
• Optional recording so teams can choose workflows aligned with facility policy and consent expectations.

Pros

• Designed to fit SNF documentation needs rather than generic outpatient templates
• Works without requiring a facility-wide EHR change (helpful for multi-facility rounding)
• Practical for providers covering multiple SNFs because it does not require a single facility EHR standardization to deliver value (vendor-stated EHR-agnostic positioning).
• Helps standardize documentation across a team using templates, which can improve consistency for audits and handoffs.

Cons

• Like all note generation tools, output needs clinician review before signing

Pricing (public, personal)

Twofold publishes personal plan pricing on its site and help center; enterprise or group pricing is typically quote‑based.

Privacy, HIPAA, and BAA notes (vendor-stated)

Twofold states it supports HIPAA‑compliant workflows and operates under a signed BAA.

What clinicians say (community links)

• https://www.reddit.com/r/hospitalist/comments/1giertd/workflow/
  Mentions Twofold being used for charting and “speeds things up,” with SNF mentioned in the broader context.
• https://www.reddit.com/r/FamilyMedicine/comments/1lokist/i_tried_all_the_ai_medical_scribes_so_you_dont/
  Discusses Twofold setup speed, templates, and support responsiveness (general outpatient context, but relevant to documentation workload).

2) PointClickCare (Chart Advisor)

What does it do

PointClickCare announced Chart Advisor, positioned as an AI‑powered solution that embeds AI‑driven insights within the clinical documentation process for skilled nursing facilities.

Who is it for

• SNFs already standardized on PointClickCare
• Teams focused on documentation completeness, survey exposure, and documentation-related risk

Key features

• AI embedded into documentation workflow (vendor-stated)
• Positioned for SNF scrutiny and documentation risk reduction
• Lives within the PCC ecosystem (implementation tends to follow PCC rollout patterns)

Pros

• Strongest fit when your SNF is already deeply invested in PCC workflows
• Focuses on documentation quality signals rather than only narrative note drafting

Cons

• Not positioned as a standalone “scribe” that drafts full progress notes end-to-end
• Value may be less direct for rounding clinicians who need faster narrative note creation across multiple facilities

Pricing

Not publicly listed in the press release and typically requires a PCC conversation.

Privacy, HIPAA, and BAA notes (vendor-stated)

The press release describes AI embedded in documentation workflows but does not provide detailed BAA language in that announcement. Verify directly with PCC during procurement.

What clinicians say (community links)

• https://www.reddit.com/r/nursing/comments/163spl9/another_nurse_edited_my_notes_without_my_knowledge/
  Mentions a facility using PCC and highlights audit and note-control concerns (useful context for why documentation governance matters).
• https://www.reddit.com/r/computerscience/comments/1acuxtl/big_need_in_skilled_nursing_facilities_a_program/
  Describes the burden of entering orders into PCC in SNFs and the desire for automation (supports “documentation burden” reality).

3) MatrixCare (CareAssist)

What does it do

MatrixCare markets CareAssist as a way to support staff with faster and more accurate data entry and more thorough documentation, with skilled nursing explicitly included in its resource categorization.

Who is it for

• Skilled nursing facilities already running MatrixCare
• Teams trying to reduce documentation time while keeping documentation consistent

Key features

• Documentation assistance and faster data entry (vendor-stated)
• Skilled nursing positioning in MatrixCare materials
• Designed to support clinical workflow consistency rather than being a generic scribe

Pros

• Most relevant when your facility is already on MatrixCare
• Positioned to improve consistency and completeness in documentation workflows

Cons

• Details on exact AI behaviors and pricing are not fully public on the brochure landing page
• If you need a cross-EHR tool for clinicians visiting many unrelated facilities, an EHR-specific assistant may not cover that

Pricing

Not publicly listed on the referenced CareAssist resource page.

Privacy, HIPAA, and BAA notes (vendor-stated)

The referenced resource page is a product overview and does not clearly publish BAA/HIPAA specifics. Confirm with MatrixCare during evaluation.

What clinicians say (community links)

• https://www.reddit.com/r/healthcare/comments/1e46d8g/thoughts_on_ai_in_healthcare/
  Mentions “PCC and Matrix” in the context of AI access to PII and organizational containment (supports real-world concerns about PHI boundaries).
• https://www.reddit.com/r/nursing/comments/bgm1c5/whats_your_charting_system_and_what_do_you_think/
  General thread about charting systems and documentation pain (useful contextual signal for why assistants are evaluated).

4) Netsmart (Bells AI Documentation Assistant)

What does it do

Netsmart positions Bells AI as an integrated suite of AI‑powered solutions that supports the documentation lifecycle, including session capture, guided documentation, and QA automation.
Netsmart also describes Bells AI as a tool for LTPAC providers and ties it to the GEHRIMED EHR portfolio in its materials.

Who is it for

• LTPAC providers and facility-based orgs that already use Netsmart ecosystems
• Orgs that want a documentation assistant paired with training and QA workflows

Key features

• AI support across documentation lifecycle (vendor-stated)
• Templates, assessments, and guided documentation concepts
• LTPAC provider positioning and GEHRIMED portfolio association

Pros

• Strongest fit for Netsmart-aligned organizations that want documentation plus QA tooling
• Positioned beyond “just transcription,” including documentation coaching concepts

Cons

• Pricing is not public
• Community sentiment about Netsmart EHR usability can be mixed, so change management may still be needed even with AI layers

Pricing

Not publicly listed on the Netsmart page.

Privacy, HIPAA, and BAA notes (vendor-stated)

The Bells AI page is product‑focused and does not clearly publish BAA/HIPAA contract language. Confirm with Netsmart during procurement.

What clinicians say (community links)

• https://www.reddit.com/r/nursing/comments/1qgjy3p/hospice_nursing/
  Mentions negative sentiment toward Netsmart/MyUnity from a clinician perspective (supports the idea that baseline EHR experience matters).
• https://www.reddit.com/r/HL7/comments/r9ld09/is_this_possible/
  Discusses multi-facility EHR fragmentation and the burden of manual data entry (supports the general integration challenge Bells is trying to address).

5) Skypoint (Skypoint Scribe)

What does it do

Skypoint markets Skypoint Scribe as a secure, browser‑based AI scribe agent purpose‑built for senior living and long‑term care, positioned as an overlay integrated with platforms like PointClickCare and MatrixCare.

Who is it for

• Long-term care and senior living operators who want narrative capture and workflow overlays
• Orgs that want an “overlay” approach across multiple systems

Key features

• Overlay approach with stated integrations (PointClickCare, MatrixCare, others)
• “Browser-based AI scribe agent” positioning for LTC
• Emphasis on capturing resident story and documentation narratives

Pros

• Multi-platform overlay positioning can be useful in fragmented environments
• Not limited to a single LTC EHR brand in its marketing

Cons

• Public pricing and detailed retention controls are not clearly presented on the cited page
• Community discussion for this specific product is harder to find publicly, so evaluation may rely more on demos and references

Pricing

Not publicly listed on the cited product page.

Privacy, HIPAA, and BAA notes (vendor-stated)

The product page emphasizes “secure” positioning, but does not publish detailed BAA language in the cited content. Verify with Skypoint during evaluation.

What clinicians say (community links)

• https://www.reddit.com/r/InternalMedicine/comments/1q9hsin/does_anyone_here_work_in_assisted_living_or_a_snf/
  Clinicians discuss SNF charting being time-consuming and draining (supports the underlying need for documentation automation).
• https://www.reddit.com/r/medicine/comments/wk7vny/thoughts_about_a_universal_emr/
  Highlights interoperability gaps and fragmented records (supports why overlay tools are considered).

Conclusion

If you are evaluating the best AI tool for skilled nursing facilities notes and charting in 2026, the most important question is whether the tool reduces documentation burden without creating new friction around workflows, governance, or chart quality.

For most SNF teams, Twofold is the recommended starting point because it is designed to support common SNF note types, works in multi‑facility rounding workflows, and does not require recording as the only pathway. It is also positioned to fit around existing SNF EHRs rather than forcing an EHR change, which matters when clinicians round across multiple buildings and documentation systems.