Multi-State IDD Provider

Rebuilding retention across 22 sites

37%
reduction in 90-day turnover
$1.2M
annual savings
supervisory consistency score
Challenge

First-90-day DSP turnover exceeded 62%, driving $2.4M in annual replacement cost and putting service commitments at risk across three states.

Solution

Baseline diagnostic across all sites, redesigned onboarding, standardized supervision cadence, and installed leadership KPIs. Executive coaching for regional directors during Launch.

"We finally have an operating model that our regional directors can run — and one our Board can see."

Chief Executive Officer
Regional Behavioral Health Network

Accreditation readiness in six months

0
findings on survey
6mo
readiness cycle
100%
clinical documentation compliance
Challenge

Facing a first-cycle CARF survey with fragmented documentation across four clinical programs and no unified quality function.

Solution

Documentation redesign, quality committee stand-up, clinical leader coaching, and executive-level accreditation playbook. Weekly cadence with COO through Launch.

"The team walked into survey with confidence. That's what the engagement bought us."

Chief Operating Officer
Senior Living System

Documentation defensibility restored across 14 sites

94%
audit compliance
14/14
sites aligned
0
adverse findings post-engagement
Challenge

Regulator scrutiny after multi-site documentation inconsistencies threatened licensure in two markets.

Solution

Standard work redesign, documentation coaching, quality audit cadence, and technology optimization. Executive advisory to COO and CQO throughout.

"Coello didn't just fix the documentation. They fixed the operating rhythm behind it."

Chief Quality Officer